PMID- 33070043 OWN - NLM STAT- MEDLINE DCOM- 20201229 LR - 20211110 IS - 1879-1360 (Electronic) IS - 0022-3999 (Print) IS - 0022-3999 (Linking) VI - 139 DP - 2020 Dec TI - Changes in mental health symptoms from pre-COVID-19 to COVID-19 among participants with systemic sclerosis from four countries: A Scleroderma Patient-centered Intervention Network (SPIN) Cohort study. PG - 110262 LID - S0022-3999(20)30824-2 [pii] LID - 10.1016/j.jpsychores.2020.110262 [doi] AB - INTRODUCTION: No studies have reported mental health symptom comparisons prior to and during COVID-19 in vulnerable medical populations. OBJECTIVE: To compare anxiety and depression symptoms among people with a pre-existing medical condition and factors associated with changes. METHODS: Pre-COVID-19 Scleroderma Patient-centered Intervention Network Cohort data were linked to COVID-19 data from April 2020. Multiple linear and logistic regression were used to assess factors associated with continuous change and >/= 1 minimal clinically important difference (MCID) change for anxiety (PROMIS Anxiety 4a v1.0; MCID = 4.0) and depression (Patient Health Questionnaire-8; MCID = 3.0) symptoms, controlling for pre-COVID-19 levels. RESULTS: Mean anxiety symptoms increased 4.9 points (95% confidence interval [CI] 4.0 to 5.7). Depression symptom change was negligible (0.3 points; 95% CI -0.7 to 0.2). Compared to France (N = 159), adjusted anxiety symptom change scores were significantly higher in the United Kingdom (N = 50; 3.3 points, 95% CI 0.9 to 5.6), United States (N = 128; 2.5 points, 95% CI 0.7 to 4.2), and Canada (N = 98; 1.9 points, 95% CI 0.1 to 3.8). Odds of >/=1 MCID increase were 2.6 for the United Kingdom (95% CI 1.2 to 5.7) but not significant for the United States (1.6, 95% CI 0.9 to 2.9) or Canada (1.4, 95% CI 0.7 to 2.5). Older age and adequate financial resources were associated with less continuous anxiety increase. Employment and shorter time since diagnosis were associated with lower odds of a >/= 1 MCID increase. CONCLUSIONS: Anxiety symptoms, but not depression symptoms, increased dramatically during COVID-19 among people with a pre-existing medical condition. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Thombs, Brett D AU - Thombs BD AD - Lady Davis Institute for Medical Research, Jewish General Hospital, 4333 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec H3T 1E4, Canada; Department of Psychiatry, McGill University, 1033 Pine Avenue West, Montreal, Quebec H3A 1A1, Canada; Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, 1020 Pine Avenue West, Montreal, Quebec H3A 1A2, Canada; Department of Medicine, McGill University, 1001 Decarie Boulevard, Montreal, Quebec H4A 3J1, Canada; Department of Psychology, McGill University, 2001 McGill College Avenue, Montreal, Quebec H3A 1G1, Canada; Department of Educational and Counselling Psychology, McGill University, 3700 McTavish Street, Montreal, Quebec H3A 1Y2, Canada; Biomedical Ethics Unit, McGill University, 3647 Peel Street, Montreal, Quebec H3A 1X1, Canada. Electronic address: brett.thombs@mcgill.ca. FAU - Kwakkenbos, Linda AU - Kwakkenbos L AD - Department of Clinical Psychology, Behavioural Science Institute, Radboud University, Montessorilaan 3, 6525 HR, Nijmegen, the Netherlands. FAU - Henry, Richard S AU - Henry RS AD - Lady Davis Institute for Medical Research, Jewish General Hospital, 4333 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec H3T 1E4, Canada; Department of Psychiatry, McGill University, 1033 Pine Avenue West, Montreal, Quebec H3A 1A1, Canada. FAU - Carrier, Marie-Eve AU - Carrier ME AD - Lady Davis Institute for Medical Research, Jewish General Hospital, 4333 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec H3T 1E4, Canada. FAU - Patten, Scott AU - Patten S AD - Department of Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada; Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta T2N 4N1, Canada; O'Brien Institute for Public Health, University of Calgary, 3280 Hospital Drive NW, Calgary, Alberta T2N 4Z6, Canada. FAU - Harb, Sami AU - Harb S AD - Lady Davis Institute for Medical Research, Jewish General Hospital, 4333 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec H3T 1E4, Canada; Department of Psychiatry, McGill University, 1033 Pine Avenue West, Montreal, Quebec H3A 1A1, Canada. FAU - Bourgeault, Angelica AU - Bourgeault A AD - Lady Davis Institute for Medical Research, Jewish General Hospital, 4333 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec H3T 1E4, Canada. FAU - Tao, Lydia AU - Tao L AD - Lady Davis Institute for Medical Research, Jewish General Hospital, 4333 Chemin de la Cote-Sainte-Catherine, Montreal, Quebec H3T 1E4, Canada. FAU - Bartlett, Susan J AU - Bartlett SJ AD - Department of Medicine, McGill University, 1001 Decarie Boulevard, Montreal, Quebec H4A 3J1, Canada; Research Institute of the McGill University Health Centre, Centre for Outcomes Research and Evaluation, 5252 de Maisonneuve #3D.57, Montreal, Quebec H4A 2S5, Canada. FAU - Mouthon, Luc AU - Mouthon L AD - Universite Paris Descartes, Assistance Publique-Hopitaux de Paris, 3 Avenue Victoria, 75004 Paris, France; Service de Medecine Interne, Centre de Reference Maladies Systemiques Autoimmunes Rares d'Ile de France, Hopital Cochin, Assistance Publique - Hopitaux de Paris, 27 Rue du Faubourg Saint-Jacques, 75014 Paris, France. FAU - Varga, John AU - Varga J AD - Northwestern Scleroderma Program, Feinberg School of Medicine, Northwestern University, 675 North St. Clair, Chicago, IL 60611, USA. FAU - Benedetti, Andrea AU - Benedetti A AD - Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, 1020 Pine Avenue West, Montreal, Quebec H3A 1A2, Canada; Department of Medicine, McGill University, 1001 Decarie Boulevard, Montreal, Quebec H4A 3J1, Canada; Respiratory Epidemiology and Clinical Research Unit, McGill University Health Centre, 5252 boulevard de Maisonneuve, Montreal, Quebec H4A 3S5, Canada. CN - SPIN Patient Advisors CN - SPIN Investigators LA - eng GR - KL2 TR003168/TR/NCATS NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20201003 PL - England TA - J Psychosom Res JT - Journal of psychosomatic research JID - 0376333 SB - IM MH - Adult MH - Aged MH - COVID-19/epidemiology/*psychology/therapy MH - Canada/epidemiology MH - Cohort Studies MH - Female MH - France/epidemiology MH - Humans MH - Longitudinal Studies MH - Male MH - Mental Disorders/epidemiology/*psychology/therapy MH - Mental Health/*trends MH - Middle Aged MH - Patient-Centered Care/methods/*trends MH - Scleroderma, Systemic/epidemiology/*psychology/therapy MH - United Kingdom/epidemiology MH - United States/epidemiology PMC - PMC7532799 OTO - NOTNLM OT - Adult OT - Anxiety OT - COVID-19 OT - Clinical epidemiology OT - Depressed mood OT - Depressive symptoms OT - Epidemiology OT - Pandemic OT - Scleroderma OT - Systemic sclerosis COIS- All authors have completed the ICJME uniform disclosure form. Dr. Mouthon reported personal fees from Actelion/Johnson & Johnson, grants from LFB, non-financial support from Octapharma, and non-financial support from Grifols, all outside the submitted work. All other authors declared: no support from any organization for the submitted work; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work. FIR - Fortune, Catherine IR - Fortune C IRAD- Scleroderma Society of Ontario, Hamilton, Ontario, Canada. FIR - Gietzen, Amy IR - Gietzen A IRAD- Scleroderma Foundation, Tri-State Chapter, Binghamton, NY, USA. FIR - Guillot, Genevieve IR - Guillot G IRAD- Sclerodermie Quebec, Longueuil, Quebec, Canada. FIR - Lewis, Nancy IR - Lewis N IRAD- Toronto, Ontario, Canada. FIR - Richard, Michelle IR - Richard M IRAD- Scleroderma Atlantic, Halifax, Nova Scotia, Canada. FIR - Sauve, Maureen IR - Sauve M IRAD- Scleroderma Society of Ontario, Hamilton, Ontario, Canada. FIR - Welling, Joep IR - Welling J IRAD- NVLE Dutch Patient Organization for Systemic Autoimmune Diseases, Utrecht, the Netherlands. FIR - Fligelstone, Kim IR - Fligelstone K IRAD- Scleroderma & Raynaud's UK, London, United Kingdom. FIR - Gottesman, Karen IR - Gottesman K IRAD- Scleroderma Foundation, Tri-State Chapter, Binghamton, NY, USA. FIR - Leite, Catarina IR - Leite C IRAD- University of Minho, Braga, Portugal. FIR - Perez, Elisabet IR - Perez E IRAD- Asociacion Espanola de Esclerodermia, Madrid, Spain. FIR - Baron, Murray IR - Baron M IRAD- McGill University, Montreal, Quebec, Canada. FIR - Malcarne, Vanessa IR - Malcarne V IRAD- San Diego State University, San Diego, CA, USA. FIR - Mayes, Maureen D IR - Mayes MD IRAD- University of Texas McGovern School of Medicine, Houston, TX, USA. FIR - Nielson, Warren R IR - Nielson WR IRAD- St. Joseph's Health Care, London, ON, Canada. FIR - Riggs, Robert IR - Riggs R IRAD- San Diego State University, San Diego, CA, USA. FIR - Assassi, Shervin IR - Assassi S IRAD- University of Texas McGovern School of Medicine, Houston, TX, USA. FIR - Ells, Carolyn IR - Ells C IRAD- McGill University, Montreal, Quebec, Canada. FIR - van den Ende, Cornelia IR - van den Ende C IRAD- Sint Maartenskliniek, Nijmegen, the Netherlands. FIR - Frech, Tracy IR - Frech T IRAD- University of Utah, Salt Lake City, UT, USA. FIR - Harel, Daphna IR - Harel D IRAD- New York University, New York, New York, USA. FIR - Hinchcliff, Monique IR - Hinchcliff M IRAD- Yale School of Medicine, New Haven, CT, USA. FIR - Hudson, Marie IR - Hudson M IRAD- McGill University, Montreal, Quebec, Canada. FIR - Johnson, Sindhu R IR - Johnson SR IRAD- Toronto Scleroderma Program, Mount Sinai Hospital, Toronto Western Hospital, Toronto, Ontario, Canada; University of Toronto, Toronto, Ontario, Canada. FIR - Larche, Maggie IR - Larche M IRAD- McMaster University, Hamilton, Ontario, Canada. FIR - Nguyen, Christelle IR - Nguyen C IRAD- Universite Paris Descartes, Paris, France; Assistance Publique - Hopitaux de Paris, Hopital Cochin, Paris, France. FIR - Pope, Janet IR - Pope J IRAD- University of Western Ontario, London, Ontario, Canada. FIR - Rannou, Francois IR - Rannou F IRAD- Universite Paris Descartes, Paris, France. FIR - Reyna, Tatiana Sofia Rodriguez IR - Reyna TSR IRAD- Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. FIR - Schouffoer, Anne A IR - Schouffoer AA IRAD- Leiden University Medical Center, Leiden, the Netherlands. FIR - Suarez-Almazor, Maria E IR - Suarez-Almazor ME IRAD- University of Texas MD Anderson Cancer Center, Houston, TX, USA. FIR - Agard, Christian IR - Agard C IRAD- Centre Hospitalier Universitaire - Hotel-Dieu de Nantes, Nantes, France. FIR - Albert, Alexandra IR - Albert A IRAD- Universite Laval, Quebec, Quebec, Canada. FIR - Bernstein, Elana J IR - Bernstein EJ IRAD- Columbia University, New York, NY, USA. FIR - Berthier, Sabine IR - Berthier S IRAD- Centre Hospitalier Universitaire - Hotel-Dieu de Nantes, Nantes, France. FIR - Bissonnette, Lyne IR - Bissonnette L IRAD- Universite de Sherbrooke, Sherbrooke, Quebec, Canada. FIR - Bruns, Alessandra IR - Bruns A IRAD- Universite de Sherbrooke, Sherbrooke, Quebec, Canada. FIR - Carreira, Patricia IR - Carreira P IRAD- Servicio de Reumatologia del Hospital, 12 de Octubre, Madrid, Spain. FIR - Chaigne, Benjamin IR - Chaigne B IRAD- Assistance Publique - Hopitaux de Paris, Hopital Cochin, Paris, France. FIR - Chung, Lorinda IR - Chung L IRAD- Stanford University, Stanford, CA, USA. FIR - Correia, Chase IR - Correia C IRAD- Northwestern University, Chicago, IL, USA. FIR - Denton, Christopher IR - Denton C IRAD- Royal Free London Hospital, London, UK. FIR - Domsic, Robyn IR - Domsic R IRAD- University of Pittsburgh, Pittsburgh, PA, USA. FIR - Dunne, James V IR - Dunne JV IRAD- St. Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada. FIR - Dunogue, Bertrand IR - Dunogue B IRAD- Assistance Publique - Hopitaux de Paris, Hopital Cochin, Paris, France. FIR - Farge-Bancel, Dominique IR - Farge-Bancel D IRAD- Assistance Publique - Hopitaux de Paris, Hopital Cochin, Paris, France. FIR - Fortin, Paul R IR - Fortin PR IRAD- CHU de Quebec - Universite Laval, Quebec, Quebec, Canada. FIR - Gordon, Jessica IR - Gordon J IRAD- Hospital for Special Surgery, New York City, NY, USA. FIR - Granel-Rey, Brigitte IR - Granel-Rey B IRAD- Assistance Publique - Hopitaux de Paris, Hopital Cochin, Paris, France; Aix Marseille Universite, Marseille, France. FIR - Hatron, Pierre-Yves IR - Hatron PY IRAD- Centre Hospitalier Regional Universitaire de Lille, Hopital Claude Huriez, Lille, France. FIR - Herrick, Ariane L IR - Herrick AL IRAD- University of Manchester, Salford Royal NHS Foundation Trust, Manchester, UK. FIR - Hoa, Sabrina IR - Hoa S IRAD- Centre hospitalier de l'universite de Montreal - CHUM, Montreal, Quebec, Canada. FIR - Jones, Niall IR - Jones N IRAD- University of Alberta, Edmonton, Alberta, Canada. FIR - Fernandes, Artur Jose de B IR - Fernandes AJB IRAD- Universite de Sherbrooke, Sherbrooke, Quebec, Canada. FIR - Kafaja, Suzanne IR - Kafaja S IRAD- University of California, Los Angeles, CA, USA. FIR - Khalidi, Nader IR - Khalidi N IRAD- McMaster University, Hamilton, Ontario, Canada. FIR - Launay, David IR - Launay D IRAD- Centre Hospitalier Regional Universitaire de Lille, Hopital Claude Huriez, Lille, France. FIR - Manning, Joanne IR - Manning J IRAD- Salford Royal NHS Foundation Trust, Salford, UK. FIR - Marie, Isabelle IR - Marie I IRAD- CHU Rouen, Hopital de Bois-Guillaume, Rouen, France. FIR - Martin, Maria IR - Martin M IRAD- Servicio de Reumatologia del Hospital, 12 de Octubre, Madrid, Spain; Francois Maurier, Hopitaux Prives de Metz, Hopital Belle-Isle, Metz, France. FIR - Mekinian, Arsene IR - Mekinian A IRAD- Assistance Publique - Hopitaux de Paris, Hopital Cochin, Paris, France. FIR - Melchor, Sheila IR - Melchor S IRAD- Servicio de Reumatologia del Hospital, 12 de Octubre, Madrid, Spain. FIR - Nikpour, Mandana IR - Nikpour M IRAD- St Vincent's Hospital and University of Melbourne, Melbourne, Victoria, Australia. FIR - Olagne, Louis IR - Olagne L IRAD- Centre Hospitalier Universitaire - Hotel-Dieu de Nantes, Nantes, France. FIR - Proudman, Susanna IR - Proudman S IRAD- Royal Adelaide Hospital and University of Adelaide, Adelaide, South Australia, Australia. FIR - Regent, Alexis IR - Regent A IRAD- Assistance Publique - Hopitaux de Paris, Hopital Cochin, Paris, France. FIR - Riviere, Sebastien IR - Riviere S IRAD- Assistance Publique - Hopitaux de Paris, Hopital Cochin, Paris, France. FIR - Robinson, David IR - Robinson D IRAD- University of Manitoba, Winnipeg, Manitoba, Canada. FIR - Rodriguez, Esther IR - Rodriguez E IRAD- Servicio de Reumatologia del Hospital, 12 de Octubre, Madrid, Spain. FIR - Roux, Sophie IR - Roux S IRAD- Universite de Sherbrooke, Sherbrooke, Quebec, Canada. FIR - Sobanski, Vincent IR - Sobanski V IRAD- Centre Hospitalier Regional Universitaire de Lille, Hopital Claude Huriez, Lille, France. FIR - Steen, Virginia IR - Steen V IRAD- Georgetown University, Washington, DC, USA. FIR - Sutton, Evelyn IR - Sutton E IRAD- Dalhousie University, Halifax, Nova Scotia, Canada. FIR - Thorne, Carter IR - Thorne C IRAD- Southlake Regional Health Centre, Newmarket, Ontario, Canada. FIR - Wilcox, Pearce IR - Wilcox P IRAD- St. Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada. FIR - Ayala, Mara Canedo IR - Ayala MC IRAD- Jewish General Hospital, Montreal, Quebec, Canada. FIR - Carboni-Jimenez, Andrea IR - Carboni-Jimenez A IRAD- Jewish General Hospital, Montreal, Quebec, Canada. FIR - Gagarine, Maria IR - Gagarine M IRAD- Jewish General Hospital, Montreal, Quebec, Canada. FIR - Nordlund, Julia IR - Nordlund J IRAD- Jewish General Hospital, Montreal, Quebec, Canada. FIR - Ostbo, Nora IR - Ostbo N IRAD- Jewish General Hospital, Montreal, Quebec, Canada. FIR - Rice, Danielle B IR - Rice DB IRAD- Jewish General Hospital, Montreal, Quebec, Canada. FIR - Turner, Kimberly A IR - Turner KA IRAD- Jewish General Hospital, Montreal, Quebec, Canada. FIR - Culos-Reed, Nicole IR - Culos-Reed N IRAD- University of Calgary, Alberta, Canada. FIR - Dyas, Laura IR - Dyas L IRAD- Scleroderma Foundation Michigan Chapter, Southfield, MI, USA. FIR - El-Baalbaki, Ghassan IR - El-Baalbaki G IRAD- Universite du Quebec a Montreal, Montreal, Quebec, Canada. FIR - Hebblethwaite, Shannon IR - Hebblethwaite S IRAD- Concordia University, Montreal, Quebec, Canada. FIR - Bustamante, Laura IR - Bustamante L IRAD- Concordia University, Montreal, Quebec, Canada. FIR - Duchek, Delaney IR - Duchek D IRAD- University of Calgary, Alberta, Canada. FIR - Ellis, Kelsey IR - Ellis K IRAD- University of Calgary, Alberta, Canada. EDAT- 2020/10/19 06:00 MHDA- 2020/12/30 06:00 PMCR- 2020/10/03 CRDT- 2020/10/18 20:30 PHST- 2020/07/05 00:00 [received] PHST- 2020/09/21 00:00 [revised] PHST- 2020/09/30 00:00 [accepted] PHST- 2020/10/19 06:00 [pubmed] PHST- 2020/12/30 06:00 [medline] PHST- 2020/10/18 20:30 [entrez] PHST- 2020/10/03 00:00 [pmc-release] AID - S0022-3999(20)30824-2 [pii] AID - 110262 [pii] AID - 10.1016/j.jpsychores.2020.110262 [doi] PST - ppublish SO - J Psychosom Res. 2020 Dec;139:110262. doi: 10.1016/j.jpsychores.2020.110262. Epub 2020 Oct 3.