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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)

Carmen Rodríguez-Blazquez Orcid Logo, Sarah Aldridge, Enrique Bernal-Delgado Orcid Logo, Cristian Calomfirescu, Lorenz Dolanski-Aghamanoukjan, Francisco Estupiñán-Romero Orcid Logo, Mika Gissler Orcid Logo, Gruber Beate, Jane Idavain, Tricia L Larose, Ronan Lyons, Stefan Mathis-Edenhofer, Kristiina Miller, Jānis Misiņš, Silviu Radulescu, Merike Rätsep, Sophie Sagerschnig, Petru Sandu Orcid Logo, Juris Šitcs, Zane Pavlovska, Martin Thißen Orcid Logo, Hanna Tolonen Orcid Logo, Cesar Garriga Orcid Logo, Maria João Forjaz Orcid Logo

European Journal of Public Health, Volume: 35, Issue: 3, Pages: 484 - 490

Swansea University Authors: Sarah Aldridge, Ronan Lyons

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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...

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Published in: European Journal of Public Health
ISSN: 1101-1262 1464-360X
Published: Oxford University Press (OUP) 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa69657
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Following pandemic declaration, level change of incident diagnoses fell in Romania, Aragon (Spain), and Wales (UK) [log rate &#x2212;0.853 (95% confidence interval &#x2212;1.045 to &#x2212;0.661), &#x2212;0.338 (&#x2212;0.434 to &#x2212;0.242), and &#x2212;0274 (&#x2212;0.365 to &#x2212;0.183), respectively]; level change of visits to primary care decreased in Romania and Wales (UK) [&#x2212;0.347 (&#x2212;0.555 to &#x2212;0.138) and &#x2212;0.272 (&#x2212;0.368 to &#x2212;0.177), respectively], and increased in Latvia [0.065 (0.004&#x2013;0.126)]; level change for hospital admissions diminished in Latvia, Romania and Wales (UK) [&#x2212;0.206 (&#x2212;0.393 to &#x2212;0.019), &#x2212;0.947 (&#x2212;1.143 to &#x2212;0.752) and &#x2212;0.116 (&#x2212;0.202 to &#x2212;0.030), respectively]; and level change of visits to emergency units fell in Latvia and Romania [&#x2212;0.290 (&#x2212;0.429 to &#x2212;0.151) and &#x2212;0.865 (&#x2212;1.040 to &#x2212;0.690), respectively] and increased in Aragon (Spain) [0.880 (0.259 to 1.502)]. 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spelling 2025-07-21T13:10:52.9247503 v2 69657 2025-06-09 Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21) a42ee8ba1ff8174d5bb62d2d95364b90 Sarah Aldridge Sarah Aldridge true false 83efcf2a9dfcf8b55586999d3d152ac6 Ronan Lyons Ronan Lyons true false 2025-06-09 MEDS 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. Journal Article European Journal of Public Health 35 3 484 490 Oxford University Press (OUP) 1101-1262 1464-360X 2 6 2025 2025-06-02 10.1093/eurpub/ckaf065 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee 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). 2025-07-21T13:10:52.9247503 2025-06-09T14:59:20.1434201 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Carmen Rodríguez-Blazquez 0000-0003-3829-0675 1 Sarah Aldridge 2 Enrique Bernal-Delgado 0000-0002-0961-3298 3 Cristian Calomfirescu 4 Lorenz Dolanski-Aghamanoukjan 5 Francisco Estupiñán-Romero 0000-0002-6285-8120 6 Mika Gissler 0000-0001-8254-7525 7 Gruber Beate 8 Jane Idavain 9 Tricia L Larose 10 Ronan Lyons 11 Stefan Mathis-Edenhofer 12 Kristiina Miller 13 Jānis Misiņš 14 Silviu Radulescu 15 Merike Rätsep 16 Sophie Sagerschnig 17 Petru Sandu 0000-0001-6790-4678 18 Juris Šitcs 19 Zane Pavlovska 20 Martin Thißen 0000-0002-5710-5650 21 Hanna Tolonen 0000-0003-3121-4303 22 Cesar Garriga 0000-0001-7073-3611 23 Maria João Forjaz 0000-0003-3935-962x 24 69657__34429__ca131cb2fa054c2fb59b82d645e654ff.pdf ckaf065.pdf 2025-06-09T14:59:20.1433465 Output 1656912 application/pdf Version of Record true © 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). true eng https://creativecommons.org/licenses/by-nc/4.0/
title Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21)
spellingShingle Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21)
Sarah Aldridge
Ronan Lyons
title_short Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21)
title_full Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21)
title_fullStr Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21)
title_full_unstemmed Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21)
title_sort Changes in mental health diagnosis and healthcare use in seven European countries before and during the COVID-19 pandemic (2017–21)
author_id_str_mv a42ee8ba1ff8174d5bb62d2d95364b90
83efcf2a9dfcf8b55586999d3d152ac6
author_id_fullname_str_mv a42ee8ba1ff8174d5bb62d2d95364b90_***_Sarah Aldridge
83efcf2a9dfcf8b55586999d3d152ac6_***_Ronan Lyons
author Sarah Aldridge
Ronan Lyons
author2 Carmen Rodríguez-Blazquez
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
format Journal article
container_title European Journal of Public Health
container_volume 35
container_issue 3
container_start_page 484
publishDate 2025
institution Swansea University
issn 1101-1262
1464-360X
doi_str_mv 10.1093/eurpub/ckaf065
publisher Oxford University Press (OUP)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 1
active_str 0
description 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.
published_date 2025-06-02T17:58:25Z
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score 11.08899

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