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Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21)
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Sarah Aldridge,
Enrique Bernal-Delgado ,
Cristian Calomfirescu,
Lorenz Dolanski-Aghamanoukjan,
Francisco Estupiñán-Romero ,
Mika Gissler ,
Gruber Beate,
Jane Idavain,
Tricia L Larose,
Ronan Lyons,
Stefan Mathis-Edenhofer,
Kristiina Miller,
Jānis Misiņš,
Silviu Radulescu,
Merike Rätsep,
Sophie Sagerschnig,
Petru Sandu ,
Juris Šitcs,
Zane Pavlovska,
Martin Thißen ,
Hanna Tolonen ,
Cesar Garriga ,
Maria João Forjaz
European Journal of Public Health, Start page: ckaf065
Swansea University Authors: Sarah Aldridge, Ronan Lyons
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PDF | Version of Record
© The Author(s) 2025. Published by Oxford University Press on behalf of the European Public Health Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC).
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DOI (Published version): 10.1093/eurpub/ckaf065
Abstract
In the framework of the European Population Health Information Research Infrastructure (PHIRI) project, we analysed the healthcare use for depression and/or anxiety during the coronavirus disease 2019 (COVID-19) pandemic. Aggregated monthly number of diagnoses were obtained from electronic health re...
| Published in: | European Journal of Public Health |
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| ISSN: | 1101-1262 1464-360X |
| Published: |
Oxford University Press (OUP)
2025
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa69657 |
| Abstract: |
In the framework of the European Population Health Information Research Infrastructure (PHIRI) project, we analysed the healthcare use for depression and/or anxiety during the coronavirus disease 2019 (COVID-19) pandemic. Aggregated monthly number of diagnoses were obtained from electronic health records and databases in Austria, Estonia, Finland, Latvia, Romania, Wales (UK), and Aragon (Spain) and analysed using the PHIRI federated research infrastructure. Rates of diagnosis, prescriptions and visits to primary care, hospital or emergency department were calculated by 10 000 population. Segmented Poisson regression to estimate changes in outcomes after the COVID-19 pandemic declaration was produced controlling for baseline levels and trends for the period January 2017 to December 2021. Following pandemic declaration, level change of incident diagnoses fell in Romania, Aragon (Spain), and Wales (UK) [log rate −0.853 (95% confidence interval −1.045 to −0.661), −0.338 (−0.434 to −0.242), and −0274 (−0.365 to −0.183), respectively]; level change of visits to primary care decreased in Romania and Wales (UK) [−0.347 (−0.555 to −0.138) and −0.272 (−0.368 to −0.177), respectively], and increased in Latvia [0.065 (0.004–0.126)]; level change for hospital admissions diminished in Latvia, Romania and Wales (UK) [−0.206 (−0.393 to −0.019), −0.947 (−1.143 to −0.752) and −0.116 (−0.202 to −0.030), respectively]; and level change of visits to emergency units fell in Latvia and Romania [−0.290 (−0.429 to −0.151) and −0.865 (−1.040 to −0.690), respectively] and increased in Aragon (Spain) [0.880 (0.259 to 1.502)]. COVID-19 pandemic declaration altered the use of mental health resources. This study highlights the potential use of harmonized data for providing evidence for future pandemic preparedness. |
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| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This study was partially funded by grant from Aragonese Government funding programme 2023-2025 Orden CUS/1638/2022, de 8 de noviembre (Grupo B02_23R). |
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ckaf065 |