New-onset mental disorders increase among patients with metabolic diseases after the COVID-19 pandemic

Abstract There is limited information on new-onset mental disorders in adults with metabolic diseases following the COVID-19 pandemic. Here, we aimed to examine the changes in mental health following the COVID-19 pandemic and identify factors associated with the development of new-onset mental disor...

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Main Authors: Jeong Min Cho, Jae-ik Oh, Jung Hun Koh, Minsang Kim, Seung Geun Kim, Semin Cho, Soojin Lee, Yaerim Kim, Yong Chul Kim, Seung Seok Han, Hajeong Lee, Kwon-Wook Joo, Yon Su Kim, Dong Ki Kim, Sehoon Park
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Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-99280-6
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author Jeong Min Cho
Jae-ik Oh
Jung Hun Koh
Minsang Kim
Seung Geun Kim
Semin Cho
Soojin Lee
Yaerim Kim
Yong Chul Kim
Seung Seok Han
Hajeong Lee
Kwon-Wook Joo
Yon Su Kim
Dong Ki Kim
Sehoon Park
author_facet Jeong Min Cho
Jae-ik Oh
Jung Hun Koh
Minsang Kim
Seung Geun Kim
Semin Cho
Soojin Lee
Yaerim Kim
Yong Chul Kim
Seung Seok Han
Hajeong Lee
Kwon-Wook Joo
Yon Su Kim
Dong Ki Kim
Sehoon Park
author_sort Jeong Min Cho
collection DOAJ
description Abstract There is limited information on new-onset mental disorders in adults with metabolic diseases following the COVID-19 pandemic. Here, we aimed to examine the changes in mental health following the COVID-19 pandemic and identify factors associated with the development of new-onset mental disorders. Among 90,580 UK Biobank participants diagnosed with COVID-19 between Jan 31, 2020 and Oct 31, 2022, those who completed both baseline and follow-up mental health questionnaires in 2016–2017 and 2022–2023 were included in the analysis. New-onset depression, anxiety, and alcohol use disorder following the COVID-19 pandemic, as well as changes in mental health scores, were assessed. Furthermore, their association with sociodemographic, clinical, and self-perceived emotional state-related exposures was examined. Prevalent metabolic diseases were significantly associated with a higher risk of new-onset depression (hypertension: odds ratio [OR], 1.22; 95% CI 1.01–1.47; diabetes: OR 1.8; 95% CI 1.25–2.6; obesity: OR 1.66; 95% CI 1.43–1.95) and anxiety (hypertension: OR 1.32; 95% CI 1.06–1.63; diabetes: OR 1.66; 95% CI 1.06–2.62; obesity: OR 1.2; 95% CI 0.99–1.44) following COVID-19 pandemic. There was a significant increase of Patient Health Questionnaire-9 (PHQ-9; beta, 0.32; 95% CI 0.29–0.35) and Generalized Anxiety Disorder-7 (GAD-7; beta, 0.10; 95% CI 0.06–0.13) scores throughout the COVID-19 pandemic, while Alcohol Use Disorder Identification Test (AUDIT) score decreased over time (beta, − 0.24; 95% CI − 0.30 to − 0.18). Preexisting metabolic diseases were associated with the accelerated increase in the PHQ-9 and GAD-7 scores following the pandemic. Adults with metabolic diseases are associated with an increased risk of new-onset depression, anxiety, and alcohol use disorders following the COVID-19 pandemic.
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spelling doaj-art-6edfcd37e5c8416e8be8b0c56b4af8c92025-08-20T03:53:12ZengNature PortfolioScientific Reports2045-23222025-05-0115111410.1038/s41598-025-99280-6New-onset mental disorders increase among patients with metabolic diseases after the COVID-19 pandemicJeong Min Cho0Jae-ik Oh1Jung Hun Koh2Minsang Kim3Seung Geun Kim4Semin Cho5Soojin Lee6Yaerim Kim7Yong Chul Kim8Seung Seok Han9Hajeong Lee10Kwon-Wook Joo11Yon Su Kim12Dong Ki Kim13Sehoon Park14Department of Translational Medicine, Seoul National University College of MedicineDepartment of Internal Medicine, Seoul National University HospitalDepartment of Translational Medicine, Seoul National University College of MedicineDepartment of Internal Medicine, Seoul National University HospitalDepartment of Internal Medicine, Inje University Sanggye Paik HospitalDepartment of Translational Medicine, Seoul National University College of MedicineDepartment of Internal Medicine, Uijeongbu Eulji University Medical CenterDepartment of Internal Medicine, Keimyung University School of MedicineDepartment of Internal Medicine, Seoul National University HospitalDepartment of Internal Medicine, Seoul National University HospitalDepartment of Internal Medicine, Seoul National University HospitalDepartment of Internal Medicine, Seoul National University HospitalDepartment of Internal Medicine, Seoul National University HospitalDepartment of Translational Medicine, Seoul National University College of MedicineDepartment of Internal Medicine, Seoul National University HospitalAbstract There is limited information on new-onset mental disorders in adults with metabolic diseases following the COVID-19 pandemic. Here, we aimed to examine the changes in mental health following the COVID-19 pandemic and identify factors associated with the development of new-onset mental disorders. Among 90,580 UK Biobank participants diagnosed with COVID-19 between Jan 31, 2020 and Oct 31, 2022, those who completed both baseline and follow-up mental health questionnaires in 2016–2017 and 2022–2023 were included in the analysis. New-onset depression, anxiety, and alcohol use disorder following the COVID-19 pandemic, as well as changes in mental health scores, were assessed. Furthermore, their association with sociodemographic, clinical, and self-perceived emotional state-related exposures was examined. Prevalent metabolic diseases were significantly associated with a higher risk of new-onset depression (hypertension: odds ratio [OR], 1.22; 95% CI 1.01–1.47; diabetes: OR 1.8; 95% CI 1.25–2.6; obesity: OR 1.66; 95% CI 1.43–1.95) and anxiety (hypertension: OR 1.32; 95% CI 1.06–1.63; diabetes: OR 1.66; 95% CI 1.06–2.62; obesity: OR 1.2; 95% CI 0.99–1.44) following COVID-19 pandemic. There was a significant increase of Patient Health Questionnaire-9 (PHQ-9; beta, 0.32; 95% CI 0.29–0.35) and Generalized Anxiety Disorder-7 (GAD-7; beta, 0.10; 95% CI 0.06–0.13) scores throughout the COVID-19 pandemic, while Alcohol Use Disorder Identification Test (AUDIT) score decreased over time (beta, − 0.24; 95% CI − 0.30 to − 0.18). Preexisting metabolic diseases were associated with the accelerated increase in the PHQ-9 and GAD-7 scores following the pandemic. Adults with metabolic diseases are associated with an increased risk of new-onset depression, anxiety, and alcohol use disorders following the COVID-19 pandemic.https://doi.org/10.1038/s41598-025-99280-6COVID-19Metabolic diseasesMental healthDepressionAnxiety
spellingShingle Jeong Min Cho
Jae-ik Oh
Jung Hun Koh
Minsang Kim
Seung Geun Kim
Semin Cho
Soojin Lee
Yaerim Kim
Yong Chul Kim
Seung Seok Han
Hajeong Lee
Kwon-Wook Joo
Yon Su Kim
Dong Ki Kim
Sehoon Park
New-onset mental disorders increase among patients with metabolic diseases after the COVID-19 pandemic
Scientific Reports
COVID-19
Metabolic diseases
Mental health
Depression
Anxiety
title New-onset mental disorders increase among patients with metabolic diseases after the COVID-19 pandemic
title_full New-onset mental disorders increase among patients with metabolic diseases after the COVID-19 pandemic
title_fullStr New-onset mental disorders increase among patients with metabolic diseases after the COVID-19 pandemic
title_full_unstemmed New-onset mental disorders increase among patients with metabolic diseases after the COVID-19 pandemic
title_short New-onset mental disorders increase among patients with metabolic diseases after the COVID-19 pandemic
title_sort new onset mental disorders increase among patients with metabolic diseases after the covid 19 pandemic
topic COVID-19
Metabolic diseases
Mental health
Depression
Anxiety
url https://doi.org/10.1038/s41598-025-99280-6
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