This study tested the hypothesis that being born of an unwanted pregnancy is a risk factor for poor mental health in adulthood. Self-report and objective data were collected at ages 28 to 31 and 32 to 35 years in a cohort of nearly 200 "unwanted" subjects born after their mothers had been twice denied an abortion for the same pregnancy. The same data were collected in a sociodemographically matched control cohort of "accepted" subjects whose mothers had not requested an abortion, and from siblings of both the unwanted subjects and the accepted control subjects. Logistic regression analyses conducted with several indicators of poor mental health in adulthood as dependent variables brought partial support for the hypothesis. Specifically, unwanted subjects became psychiatric patients (especially psychiatric inpatients) more frequently than their siblings and the accepted controls. Criminality, alcohol-related disorders, and heavy smoking were not associated with unwanted pregnancy.

• MeSH
• dospělé děti psychologie   MeSH
• dospělí MeSH
• duševní poruchy epidemiologie   psychologie   MeSH
• hospitalizace MeSH
• komorbidita MeSH
• kouření epidemiologie   MeSH
• lidé MeSH
• longitudinální studie MeSH
• následné studie MeSH
• poruchy způsobené alkoholem epidemiologie   MeSH
• rizikové faktory MeSH
• rodina * MeSH
• těhotenství nechtěné psychologie   statistika a číselné údaje   MeSH
• těhotenství MeSH
• žadatelky o potrat psychologie   statistika a číselné údaje   MeSH
• zločin statistika a číselné údaje   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Research Support, U.S. Gov't, P.H.S. MeSH
• srovnávací studie MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

AIMS: The United Nations warned of COVID-19-related mental health crisis; however, it is unknown whether there is an increase in the prevalence of mental disorders as existing studies lack a reliable baseline analysis or they did not use a diagnostic measure. We aimed to analyse trends in the prevalence of mental disorders prior to and during the COVID-19 pandemic. METHODS: We analysed data from repeated cross-sectional surveys on a representative sample of non-institutionalised Czech adults (18+ years) from both November 2017 (n = 3306; 54% females) and May 2020 (n = 3021; 52% females). We used Mini International Neuropsychiatric Interview (MINI) as the main screening instrument. We calculated descriptive statistics and compared the prevalence of current mood and anxiety disorders, suicide risk and alcohol-related disorders at baseline and right after the first peak of COVID-19 when related lockdown was still in place in CZ. In addition, using logistic regression, we assessed the association between COVID-19-related worries and the presence of mental disorders. RESULTS: The prevalence of those experiencing symptoms of at least one current mental disorder rose from a baseline of 20.02 (95% CI = 18.64; 21.39) in 2017 to 29.63 (95% CI = 27.9; 31.37) in 2020 during the COVID-19 pandemic. The prevalence of both major depressive disorder (3.96, 95% CI = 3.28; 4.62 v. 11.77, 95% CI = 10.56; 12.99); and suicide risk (3.88, 95% CI = 3.21; 4.52 v. 11.88, 95% CI = 10.64; 13.07) tripled and current anxiety disorders almost doubled (7.79, 95% CI = 6.87; 8.7 v. 12.84, 95% CI = 11.6; 14.05). The prevalence of alcohol use disorders in 2020 was approximately the same as in 2017 (10.84, 95% CI = 9.78; 11.89 v. 9.88, 95% CI = 8.74; 10.98); however, there was a significant increase in weekly binge drinking behaviours (4.07% v. 6.39%). Strong worries about both, health or economic consequences of COVID-19, were associated with an increased odds of having a mental disorder (1.63, 95% CI = 1.4; 1.89 and 1.42, 95% CI = 1.23; 1.63 respectively). CONCLUSIONS: This study provides evidence matching concerns that COVID-19-related mental health problems pose a major threat to populations, particularly considering the barriers in service provision posed during lockdown. This finding emphasises an urgent need to scale up mental health promotion and prevention globally.

• Klíčová slova
• Anxiety, COVID-19, SARS-CoV-2, depression, mental disorders, prevalence, suicide risk,
• MeSH
• Betacoronavirus MeSH
• COVID-19 MeSH
• depresivní porucha unipolární epidemiologie   etiologie   MeSH
• dospělí MeSH
• duševní poruchy epidemiologie   etiologie   MeSH
• duševní zdraví statistika a číselné údaje   MeSH
• koronavirové infekce epidemiologie   psychologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• pandemie MeSH
• poruchy nálady epidemiologie   etiologie   MeSH
• poruchy způsobené alkoholem epidemiologie   etiologie   MeSH
• prevalence MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• psychiatrické posuzovací škály MeSH
• SARS-CoV-2 MeSH
• sebevražda statistika a číselné údaje   MeSH
• úzkostné poruchy epidemiologie   etiologie   MeSH
• virová pneumonie epidemiologie   psychologie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH