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      Prevalence of Depression Symptoms Before and During the COVID-19 Pandemic Among Two Asian American Ethnic Groups

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          Abstract

          Asian Americans have experienced compounding stressors during the pandemic as a result of racial discrimination. We aim of to investigate the prevalence of depression symptoms among Asian Americans before and during the COVID-19 pandemic and examine differences based on socio-demographic factors. Data are from a cross-sectional study (N = 636) among Chinese and South Asian adults in Chicago collected between February and May 2020. One cohort of participants were surveyed from each ethnic group before the pandemic and a second cohort of participants were surveyed during the pandemic. Depression symptoms increased more than two-fold, from 9% pre-pandemic to 21% during the COVID-19 pandemic. We found an increase in depression symptoms during the pandemic for South Asians, men and adults older than 30 years. These findings call for public health education that effectively addresses anti-Asian harassment and violence and ensure that culturally competent mental health services are provided to Asian Americans from diverse ethnic backgrounds.

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          Most cited references37

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          Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing

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            The PHQ-9: validity of a brief depression severity measure.

            While considerable attention has focused on improving the detection of depression, assessment of severity is also important in guiding treatment decisions. Therefore, we examined the validity of a brief, new measure of depression severity. The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). The PHQ-9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients. As PHQ-9 depression severity increased, there was a substantial decrease in functional status on all 6 SF-20 subscales. Also, symptom-related difficulty, sick days, and health care utilization increased. Using the MHP reinterview as the criterion standard, a PHQ-9 score > or =10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. Results were similar in the primary care and obstetrics-gynecology samples. In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity. These characteristics plus its brevity make the PHQ-9 a useful clinical and research tool.
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              Is Open Access

              Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic

              Key Points Question What is the burden of depression symptoms among US adults during the coronavirus disease 2019 (COVID-19) pandemic compared with before COVID-19, and what are the risk factors associated with depression symptoms? Findings In this survey study that included 1441 respondents from during the COVID-19 pandemic and 5065 respondents from before the pandemic, depression symptom prevalence was more than 3-fold higher during the COVID-19 pandemic than before. Lower income, having less than $5000 in savings, and having exposure to more stressors were associated with greater risk of depression symptoms during COVID-19. Meaning These findings suggest that there is a high burden of depression symptoms in the US associated with the COVID-19 pandemic and that this burden falls disproportionately on individuals who are already at increased risk.
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                Author and article information

                Contributors
                lozanomesa@medicine.bsd.uchicago.edu
                Journal
                J Immigr Minor Health
                J Immigr Minor Health
                Journal of Immigrant and Minority Health
                Springer US (New York )
                1557-1912
                1557-1920
                13 October 2021
                : 1-9
                Affiliations
                [1 ]GRID grid.170205.1, ISNI 0000 0004 1936 7822, University of Chicago Center for Asian Health Equity, ; Chicago, IL USA
                [2 ]GRID grid.422662.6, ISNI 0000 0004 0484 581X, Department of Psychology, , Wheaton College, ; Wheaton, IL USA
                [3 ]GRID grid.432281.e, Asian Health Coalition, ; Chicago, IL USA
                [4 ]Center for Asian Health Equity, UChicago Medicine, 5841 S. Maryland Avenue, Rm. A-406, MC4001, Chicago, IL 60637 USA
                Author information
                http://orcid.org/0000-0001-8789-8287
                Article
                1287
                10.1007/s10903-021-01287-4
                8511614
                34643848
                e3ed4804-3997-4387-a3af-460251616605
                © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 28 September 2021
                Funding
                Funded by: Blue Cross Blue Shield of Illinois
                Categories
                Original Paper

                Health & Social care
                asian americans,mental health,depression symptoms,covid-19,discrimination
                Health & Social care
                asian americans, mental health, depression symptoms, covid-19, discrimination

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