Factors associated with depression and anxiety in the adult population of Qatar after the first COVID-19 wave: a cross-sectional study

AbstractThere is limited data from Arabic-speaking countries on risk factors for depression and anxiety during the COVID-19 pandemic. Country-specific data is necessary given differences in culture, demographics, and COVID-19 infection and mortality rates. The main purpose of the study is to identify the factors associated with symptoms of depression-anxiety in the adult population of Qatar during the first year of the COVID-19 pandemic. We conducted a cross-sectional online survey in Qatar between July and December 2020 after Qatar’s first COVID-19 wave and before the beginning of the second wave. Depression-anxiety was defined as a cut-off of 20 or higher on the Patient Health Questionnaire-Anxiety Depression Scale (PHQ-ADS). Of 1138 participants, 71.0% were female, 69.0% Arabs, 70.0% Non-Qataris, and 77.0% were < 40 years (the median age in Qatar is 32 years). In a fully-adjusted model, six variables were significantly associated with moderate-to-severe levels of depression or anxiety on the PHQ-ADS; Arab ethnicity (OR = 1.67, p = 0.026), never married versus married (OR = 1.69, p = 0.015), prior history of psychiatric disorder versus no history (OR = 1.80, p = 0.009), increased worries due to social media use for COVID-related news/updates (OR = 1.72, p = 0.003), a history of COVID-19 (OR = 1.76, p = 0.039), loneliness (OR = 1.91, p < 0.001), and lower levels of religiosity (OR = 0.96, p = 0.039). These associations also pertained in the reduced model, with the exception of religiosity which was only marginally statistically significant (OR = 0.97, p = 0.055). The potential risk factors identified may assist with anxiety and depression prevention in future COVID-19 waves, and similar national events, and assist with early intervention to treat sufferers.

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Factors Associated with Depression and Anxiety in the Adult Population of Qatar in the First Year of the COVID-19 pandemic: Results from an Online Survey

10.21203/rs.3.rs-729213/v1 ◽

2021 ◽

Author(s):

Salma M. Khaled ◽

Iman Amro ◽

Lina Bader ◽

Peter Woodruff ◽

Majid A Alabdulla ◽

...

Keyword(s):

Risk Factors ◽

Online Survey ◽

Adult Population ◽

Prior History ◽

First Year ◽

Depression And Anxiety ◽

Cross Sectional ◽

Factors Associated ◽

Potential Risk Factors ◽

History Of

Abstract Background: There is limited data from Arabic-speaking countries on risk factors for depression and anxiety during the COVID-19 pandemic. Country-specific data is necessary given differences in culture, demographics, COVID-19 infection and mortality rates.Aim: To identify factors associated with symptoms of depression-anxiety in the adult population of Qatar during the first year of the COVID-19 pandemic.Method: We conducted a cross-sectional online survey in Qatar between July and December 2020 after the first COVID-19 wave and before the beginning of the second wave. Depression-anxiety was defined as a cut-off of 20 or higher on the PHQ-ADS scale. Results: Of 1138 participants, 71.05% were female, 69.0% Arabs, and 70.0% Non-Qataris. 77% were < 40 years (the median age in Qatar is 32 years). In a fully-adjusted model, six variables were significantly associated with PHQ-ADS; Arab ethnicity (OR=1.67, p=0.026), never married (OR=2.04, p < 0.001 (versus married), prior history of psychiatric disorder (versus no history) (OR=1.76, p=0.039), increased worries due to social media use for COVID-related news/updates (OR=1.72, p=0.003), those with a history of COVID-19 (OR=1.76, p=0.039), loneliness (OR=1.91, p < 0.001), and lower levels of religiosity (OR=0.96, p=0.039). These associations also pertained in the reduced model, with exception of religiosity which was only marginally statistically significant (OR=0.97, p=0.055).Conclusions: The potential risk factors identified may assist with anxiety and depression prevention in future COVID-19 waves, and similar crises, and assist with early intervention to treat sufferers.

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Hepatitis C in pregnancy: an observational study highlighting its association with maternal parameters

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20195941 ◽

2019 ◽

Vol 8 (1) ◽

pp. 344

Author(s):

Bushra . ◽

Ambreen Ghori ◽

Azra Ahmed ◽

Najma Dalwani ◽

Mushtaque Ali Shah ◽

...

Keyword(s):

Risk Factors ◽

Hepatitis C Virus ◽

Hepatitis C ◽

Previous History ◽

Cross Sectional Study ◽

University Hospital ◽

Prior History ◽

Singleton Pregnancy ◽

Cross Sectional ◽

History Of

Background: Pregnancy is a very crucial time in a woman’s life. In this period of time, not only multiple physiological alterations effect the usual health status but also makes women more vulnerable to contract infection and face negative sequalae. Hepatitis C, a blood borne viral infection serve the similar fate when encountered by pregnant ladies. This study is based on exploring the prevalence of the Hepatitis C virus seropositivity among pregnant population. Moreover, we also evaluated the major risk factors leading to the infection in these mothers. Besides this, infected mothers were studied for their pregnancy outcomes.Methods: In this study 114 pregnant females were observed for this cross-sectional study. It was conducted in Gynecology Unit- 1, Liaquat University Hospital Hyderabad, for the period of January 2017 to July 2017. Chi square test was applied for statistical analysis on SPSS version 16. The criteria for enrollment in the study was set to be a pregnant lady belonging to age group 20-35 years; having singleton pregnancy; was a booked case at the hospital with compliant to antenatal follow ups; admitted to the labor room for delivery. All the non-pregnant ladies, whom had co morbid conditions such as hypertension or diabetes or had infected with hepatitis B or D were excluded from the study. Furthermore, pregnant ladies with multiple gestion or those who were either diagnosed of hepatitis C prior to conceive or had a previous history of hepatitis C were also excluded.Results: Present study revealed that out of 114, 10(8.8%) pregnant ladies were found seropositive for Hepatitis C virus. Prior history for transfusion of blood was the Foremost risk factor discovered, with 60.5% women reported this. History of surgery was the 2nd commonest factor and 43.9% had this in their medical records. On the other hand, only 8.8% women gave the history for previous evacuation. While observing pregnancy outcomes, we found 48.2% neonates had low birth weight, 41.2% were born preterm and 21.1% had low APGAR score.Conclusions: In a nutshell hepatitis c is prevalent in the pregnant population of this region and showing its effects in the form of compromised pregnancies. History of blood transfusion and previous surgery were found to be chief risk factors in the study.

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Depression-anxiety in Adult Population of Qatar during the First Year of COVID-19

10.29117/quarfe.2021.0177 ◽

2021 ◽

Author(s):

Salma Mawfek Khaled ◽

Iman Amro ◽

Lina Bader ◽

Tarek Bellaj ◽

Yousri Marzouki ◽

...

Keyword(s):

Risk Factors ◽

Online Survey ◽

Adult Population ◽

First Year ◽

Cross Sectional ◽

Never Married ◽

Potential Risk Factors ◽

History Of ◽

Adjusted Model ◽

Arabic Speaking

There is limited data from Arabic-speaking countries on risk factors for depression and anxiety during the COVID-19 pandemic. Country-specific data is necessary given differences in culture, demographics, and COVID-19 infection and mortality rates. This study intended to identify the factors associated with symptoms of depression-anxiety in the adult population of Qatar during the first year of the COVID-19 pandemic. We conducted a cross-sectional online survey in Qatar between July and December 2020 after Qatar’s first COVID-19 wave and before the beginning of the second wave. Depression-anxiety was defined as a cut-off of 20 or higher on the PHQ-ADS scale. Of 1138 participants, 71.05% were female, 69.0% Arabs, and 70.0% Non-Qataris. 77 % were < 40 years (the median age in Qatar is 32 years). In a fully-adjusted model, six variables were significantly associated with PHQ-ADS; Arab ethnicity (OR=1.67, p=0.026), never married (OR=1.69, p < 0.015), prior psychiatric history (OR=1.80, p=0.009), Social Media induced worries (OR=1.72, p=0.003), history of COVID-19 (OR=1.76, p=0.039), loneliness (OR=1.91, p < 0.001), and lower levels of religiosity (OR=0.96, p=0.039). The potential risk factors identified may assist with anxiety and depression prevention in future COVID-19 waves, similar national events and assist with early intervention to treat sufferers.

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Prevalence and associated risk factors of bovine clinical mastitis in Patiya upazila under Chittagong district of Bangladesh

International Journal of Natural Sciences ◽

10.3329/ijns.v4i1.28585 ◽

2016 ◽

pp. 5-9 ◽

Cited By ~ 1

Author(s):

MS Bari ◽

M Alam ◽

M Uddin ◽

MK Rahman

Keyword(s):

Risk Factors ◽

Herd Size ◽

Clinical Mastitis ◽

Cross Sectional Study ◽

Lactation Period ◽

Cross Sectional ◽

Factors Associated ◽

History Of ◽

Associated Risk Factors ◽

General Physical

A cross sectional study was conducted to measure the prevalence; and identification of risk factors associated with clinical mastitis in dairy cows at Patiya upazila under Chittagong district of Bangladesh from 20th July to 31st December, 2013. A total of 160 farms and households were selected and 634 cows were clinically examined for determining the prevalence of mastitis and identification of risk factors. The overall prevalence of clinical mastitis was found 8.36%. Mastitis prevalence in crossbred cows was significantly (P<0.05) higher (10.09%) than indigenous cows (4.26%). The prevalence of mastitis was also significantly higher (P<0.05) with advancing age (12.5%) and in 3rd lactation period (13.62%). The cows were more prone to mastitis during 1st month of lactation (17.53%). There was a significant relationship (P<0.05) between prevalence of clinical mastitis and associated risk factors like general physical condition, herd size, frequency of dung removal, floor drainage quality and condition of floor. There was higher (P<0.01) prevalence (33.67%) of mastitis in cows having history of peri-parturient disease compared to those not having such history. Therefore, it can be concluded that minimization of risk factors of mastitis is very much necessary to control mastitis as well as to increase profitability of dairy farms.International Journal of Natural Sciences (2014), 4(1) 5-9

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Risk factors associated with postpartum depression in two tertiary care hospitals of Peshawar: a comparative cross-sectional study

Journal of Rehman Medical Institute ◽

10.52442/jrmi.v6i3.185 ◽

2020 ◽

Vol 6 (3) ◽

pp. 16-19

Author(s):

Hira Bakhtiar ◽

Maria Malik A. Khaliq ◽

Asif Nawaz ◽

Muhammad Asif ◽

Siraj Jamil ◽

...

Keyword(s):

Risk Factors ◽

Postpartum Depression ◽

Postpartum Period ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Factors Associated ◽

History Of

Introduction: Postpartum depression has become a common complication in women in their postpartum period, affecting not only the mother but her child and her family. Due to lack of awareness regarding the subject it has been widely neglected, especially in Pakistan.Objective: To determine and compare the frequency and risk factors associated with postpartum depression in a public and a private tertiary care hospital in Peshawar.Materials & Methods: A comparative cross-sectional study was conducted in the Gynecology and Pediatrics OPD and Pediatrics ward of Rehman Medical Institute (RMI) and Gynecology and Pediatrics OPD as well as the vaccination center of Hayatabad Medical Complex (HMC) over a period of 6 months (January to June 2016). The women were interviewed after obtaining informed consent during 1-12 months of their postpartum period using the Edinburgh Postnatal Depression Scale (EPDS) as well as a pretested self-structured questionnaire. Chi Square test and binary logistic regression were used to determine the relative significance of various risk factors for PPD.Results: A total of 280 women were interviewed, 140 in each hospital, their ages ranging from 16 to 45 years. The frequency of PPD calculated at RMI was 62.7% and at HMC it was 37.3% (p=0.001). Risk factors that showed a close association with PPD included the level of education of women (p=0.008), family support (p=0.022), and history of previous trauma (p= 0.055).Conclusion: Postpartum depression is twice as likely to occur in a private tertiary care hospital compared to a public one, and appears related to educational status, family help, and history of trauma.Keywords: Depression, Postpartum; Postpartum Period, Mothers; Child; Breast Feeding; Childbirth

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Predisposing Factors for Sexual Dysfunction in Multiple Sclerosis

Frontiers in Neurology ◽

10.3389/fneur.2021.618370 ◽

2021 ◽

Vol 12 ◽

Author(s):

Patrick Altmann ◽

Fritz Leutmezer ◽

Katharina Leithner ◽

Tobias Monschein ◽

Markus Ponleitner ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Multiple Sclerosis ◽

Sexual Dysfunction ◽

Depression Scale ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Cross Sectional ◽

Anxiety Screening

Sexual dysfunction (SD) in people with multiple sclerosis (pwMS) has a detrimental impact on individual health-related quality of life (HRQoL). It is not clear whether SD in multiple sclerosis (MS) is an independent symptom or merely a byproduct of other symptoms such as depression or anxiety. This cross-sectional study of 93 pwMS determines risk factors for SD in MS based on prevalence, HRQoL, and associated disease outcomes. Diagnosis of SD was determined based on the Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) and correlated with physical disability (measured by Expanded Disability Status scale, EDSS), depression and anxiety [Hospital Anxiety and Depression Scale (HADS)], and HRQoL [Multiple Sclerosis Quality of Life-54 (MSQoL-54)]. Multivariate regression models were performed to determine independent risk factors for SD in pwMS. Almost half of the participants in this study (46%) reported SD. HRQoL was significantly poorer in patients with MS suffering from SD (median [IQR] MSQoL-54 scores: physical subscale 52 [41–68] vs. 81 [69–89], p < 0.001; mental subscale 50 [38–82] vs. 86 [70–89], p < 0.001). In the multivariate model, EDSS was the only independent risk factor for SD (OR 18.1 for EDSS ≥4 [95% CI 3.3–31.4, p < 0.001]), while depression and anxiety were not. We conclude that the risk for SD is growing with increasing EDSS and is independent of depression or anxiety. Screening for SD becomes particularly relevant in patients with growing disability.

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Prevalence and factors associated with depressive, anxiety and stress symptoms among women with gestational diabetes mellitus in tertiary care centres in Malaysia: a cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2519-9 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 6

Author(s):

Kai Wei Lee ◽

Siew Mooi Ching ◽

Fan Kee Hoo ◽

Vasudevan Ramachandran ◽

Seng Choi Chong ◽

...

Keyword(s):

Cross Sectional Study ◽

Multiple Logistic Regression ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Stress Symptoms ◽

History Of ◽

Family History Of Depression ◽

History Of Depression

Abstract Background Research on antenatal depressive, anxiety and stress symptoms among women with gestational diabetes mellitus (GDM) is lacking in Malaysia. This study aimed to determine the prevalence and factors associated with antenatal depressive, anxiety and stress symptoms among Malaysian women with GDM. Methods This was a descriptive, cross-sectional study of 526 women with GDM. Depressive, anxiety and stress symptoms are defined as the final score in mild to extremely severe risk in the severity rating scale. Data analysis was performed using SPSS v.21, while multiple logistic regression was used to identify predictors of depressive, anxiety and stress symptoms. Results Prevalence of anxiety symptoms was highest (39.9%), followed by depressive symptoms (12.5%) and stress symptoms (10.6%) among women with GDM. According to multiple logistic regression analyses, younger age (OR = 0.955, 95% CI = 0.919–0.993), comorbidity with asthma (OR = 2.436, 95% CI = 1.219–4.870) and a family history of depression and anxiety (OR = 4.782, 95% CI = 1.281–17.853) had significant associations with antenatal anxiety symptoms. Being non-Muslim (OR = 2.937, 95% CI = 1.434–6.018) and having a family history of depression and anxiety (OR = 4.706, 95% CI = 1.362–16.254) had significant associations with antenatal depressive symptoms. Furthermore, being non-Muslim (OR = 2.451, 95% CI = 1.273–4.718) had a significant association with antenatal stress symptoms. Conclusions Within a population of women with GDM in Malaysia, those at higher risk of having depressive, anxiety and stress symptoms can be identified from several baseline clinical characteristics. Clinicians should be more alert so that the high-risk patients can be referred earlier for further intervention.

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Risk factors for composite adverse outcomes of postpartum haemorrhage in a low-resource setting: a single-centre cross-sectional study in Mpilo Central Hospital, Bulawayo, Zimbabwe

F1000Research ◽

10.12688/f1000research.22769.1 ◽

2020 ◽

Vol 9 ◽

pp. 211

Author(s):

Solwayo Ngwenya

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Caesarean Section ◽

Postpartum Haemorrhage ◽

Cross Sectional Study ◽

Adverse Outcomes ◽

Prior History ◽

Cross Sectional ◽

History Of ◽

Independent Risk Factors

Background: Primary postpartum haemorrhage continues to cause considerable global maternal morbidity and mortality. The aim of this study was to determine the risk factors for composite adverse outcomes in postpartum haemorrhage using multivariable logistic regression. The findings could potentially be used to anticipate and prevent composite adverse outcomes in postpartum haemorrhage. Methods: This was a retrospective cross-sectional study carried out at Mpilo Central Hospital, a government tertiary referral centre, covering the period 1 July 2016 to 30 November 2019. Participants were included in the study if they had a diagnosis of postpartum haemorrhage. Those variables that had a p<0.2 from the univariate logistic regression analyses were considered for multivariable logistic regression. The association between independent variables and the dependent variable was assessed using odds ratio with 95% confidence intervals, to identify independent risk factors for composite adverse outcomes in PPH. Results: The independent risk factors for composite adverse outcomes in postpartum haemorrhage were place of dwelling (AOR 4.57, 95% CI 1.87-11.12, p=0.01), prior history of a Caesarean section (AOR 2.57, 95% CI 1.10-6.00, p=0.03), APH (AOR 5.45, 95% CI 2.23-13.27, p<0.0001), antenatal haemoglobin level (AOR 19.64, 95% CI 1.44-268.50, p=0.03), and delivery by Caesarean section (AOR 10.21, 95% CI 4.39-23.74, p<0.0001). Blood loss was also an independent risk factor for composite adverse outcomes in postpartum haemorrhage with the following blood loss; 1001-1500 ml (AOR 9.94, 95% CI 3.68-26.88, p<0.0001), 500-1000 ml (AOR 41.27, 95% CI 11.32-150.54, p<0.0001), and 2001 ml (AOR 164.77, 95% CI 31.06-874.25, p<0.0001). Conclusions: This study found that the independent predictors for composite adverse outcomes in PPH were rural dwelling, prior history of a Caesarean section, antenatal haemoglobin level, delivery by Caesarean section, and blood. In low- and middle-income countries, such information should help in increasing clinical vigilance and preventing maternal deaths.

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A cross-sectional study of depression among women attending antenatal clinics in Blantyre district, Malawi

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v24i0.1181 ◽

2018 ◽

Vol 24 ◽

Author(s):

Genesis Chorwe-Sungani ◽

Jennifer Chipps

Keyword(s):

Risk Factors ◽

Pregnant Women ◽

Depression Scale ◽

Antenatal Depression ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Mini International Neuropsychiatric Interview ◽

History Of ◽

Antenatal Clinics

Background: Pregnancy is a period associated with major psychological and social changes in the life of a woman and can be associated with anxiety and depression.Aim: To describe demographic, clinical and risk profile of antenatal depression among pregnant women attending antenatal clinics in Blantyre district, Malawi.Setting: The study was conducted in eight antenatal clinics in Blantyre district, Malawi.Methods: A cross-sectional study of 480 randomly selected pregnant women attending antenatal clinics was conducted. Prevalence was determined using the Edinburgh Postnatal Depression Scale (EPDS) which was validated against a sub-sample using the Mini International Neuropsychiatric Interview. The risk factors of depression were assessed using the Pregnancy Risk Questionnaire. Data were analysed using descriptive statistics, Pearson chi-square test and binary logistic regression.Results: Prevalence of antenatal depression using the EPDS was 19% (95% CI 15.5% – 22.5%, n = 91) and was comparable to the Mini International Neuropsychiatric Interview (25.8% [95% CI = 17.5–34], n = 25). The key risk factors that predicted antenatal depression were: ‘being distressed by anxiety or depression for more than 2 weeks during this pregnancy’ (OR = 4.1 [2.1–7.9], p≤ 0.001); ‘feeling that a relationship with partner is not an emotionally supportive one’ (OR = 3.5 [1.4–8.4], p = 0.01); ‘having major stresses, changes or losses in the course of this pregnancy’ (OR = 3.2 [1.7–6.2], p = 0.01); ‘feeling that father was critical of her when growing up’ (OR = 3.2 [1.4–7.6], p = 0.01); and ‘having history of feeling miserable or depressed for ≥2 weeks before this pregnancy’ (OR = 2.4 [1.3–4.4], p = 0.01).Conclusion: This study confirmed the high-prevalence rate of depression in this group and illustrated that antenatal depression was associated with being distressed by anxiety or depression; support from partner; major stresses during pregnancy; and history of feeling miserable or depressed before pregnancy. This study also found a history of poor relationship between pregnant women and their fathers during childhood.

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Risk Factors for Anxiety in Medical Health Workers during Coronavirus Disease 2019 in Medan, Indonesia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.5903 ◽

2021 ◽

Vol 9 (T3) ◽

pp. 1-5

Author(s):

Anastasia Venny Fransisca Sipayung ◽

Elmeida Effendy ◽

Mustafa Mahmud Amin

Keyword(s):

Risk Factors ◽

Online Survey ◽

Health Workers ◽

Depression Scale ◽

Cross Sectional ◽

History Of ◽

Medical Health ◽

Almost All ◽

The Impact ◽

Anxiety Subscale

BACKGROUND: Coronavirus disease 2019 (COVID-19) is a virus outbreak that is infecting many people almost all over the world, including Indonesia. The impact of this pandemic also affects medical health workers who are in charge of treating COVID-19 patients where they are at high risk of being infected. This causes psychological disorders such as anxiety and many factors that can become a risk for anxiety. AIM: The aim of the study was to investigate risk factors for anxiety in medical health workers who treat COVID-19 patients. MATERIALS AND METHODS: This study was conducted in Haji Adam Malik Hospital and its satellites in Medan, North Sumatera, cross-sectional through online survey using hospital anxiety and depression scale, anxiety subscale, from May 2020 to July 2020, 129 participants. RESULTS: Four risk factors have a relationship to the occurrence of anxiety, such as gender, marital status, history of organic diseases, and duration of work caring for COVID-19 patients. CONCLUSIONS: By knowing the risk factors that can cause anxiety in medical health workers, it is hoped that both the hospital management and individual medical health workers can pay more attention to and anticipate so that medical health workers can feel more secure in carrying out their duties treating for COVID-19 patients.

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