scholarly journals Anxiety and Depression Status and Influencing Factors of MSM in the Post-COVID-19 Epidemic Period: A Cross-Sectional Study in Western China

2021 ◽  
Vol 15 (6) ◽  
pp. 155798832110577
Author(s):  
Hong Pan ◽  
Bing Lin ◽  
Guiqian Shi ◽  
Yingjie Ma ◽  
Xiaoni Zhong

This study aimed to explore the psychological status and influencing factors of men who have sex with men (MSM) during the stable period of the COVID-19 epidemic, to provide a reference for the mental health counseling of MSM, and to provide a scientific basis for this group to actively respond to public health emergencies. A cross-sectional survey was conducted on the demographic characteristics, epidemic experiences, risk perception, and COVID-19-related attitudes of MSM in western China, and MSM anxiety and depression were assessed by using the Anxiety Self-Rating Scale and the Center for Epidemiological Studies Depression (CES-D) Scale. The incidences of MSM anxiety and depression in the post-COVID-19 epidemic period are 21.7% and 38.0%, respectively. Logistic regression analysis showed that in terms of anxiety, high controllability of the epidemic (OR = 0.7616) is a protective factor. Thinking that they are more susceptible to COVID-19 (OR = 1.6168) and worrying about another outbreak of the epidemic (OR = 1.4793) are risk factors. In terms of depression, being able to protect themselves from being infected with COVID-19 (OR = 0.6280) is a protective factor. The role of anal sex as “0”/“0.5,” and believing that they are more susceptible to COVID-19 (OR = 1.3408) are risk factors. The sudden outbreak affected the psychological state of MSM and even caused negative feelings of anxiety and depression. These findings suggest that prevention and education should be strengthened, and effective intervention measures should be taken as soon as possible, to improve the mental health of MSM.

Author(s):  
Gill Hubbard ◽  
Chantal den Daas ◽  
Marie Johnston ◽  
Diane Dixon

Abstract Background Investigations about mental health report prevalence rates with fewer studies investigating psychological and social factors influencing mental health during the Covid-19 pandemic. Study aims: (1) identify sociodemographic groups of the adult population at risk of anxiety and depression and (2) determine if the following social and psychological risk factors for poor mental health moderated these direct sociodemographic effects: loneliness, social support, threat perception, illness representations. Methods Cross-sectional nationally representative telephone survey in Scotland in June 2020. If available, validated instruments were used, for example, Patient Health Questionnaire (PHQ-4) to measure anxiety and depression. Simple linear regressions followed by examination of moderation effect. Results A total of 1006 participants; median age 53 years, 61.4% female, from all levels of area deprivation (i.e., 3.8% in the most deprived decile and 15.6% in the most affluent decile). Analyses show associations of anxiety and depression with sociodemographic (age, gender, deprivation), social (social support, loneliness) and psychological factors (perceived threat and illness representations). Mental health was poorer in younger adults, women and people living in the most deprived areas. Age effects were exacerbated by loneliness and illness representations, gender effects by loneliness and illness representations and deprivation effects by loneliness, social support, illness representations and perceived threat. In each case, the moderating variables amplified the detrimental effects of the sociodemographic factors. Conclusions These findings confirm the results of pre-Covid-19 pandemic studies about associations between sociodemographics and mental health. Loneliness, lack of social support and thoughts about Covid-19 exacerbated these effects and offer pointers for pre-emptive action.


2020 ◽  
Author(s):  
Na Du ◽  
Yingjie Ouyang ◽  
Yunge Li ◽  
Manxi He ◽  
Ting Geng ◽  
...  

Abstract Background: Assessing the psychological status of public from different areas after the COVID-19 outbreak in China and analyzing the risk factors. Methods: A cross-sectional survey via online questionnaires was conducted. Occurrence of pressure, anxiety and depression were measured with Perceived Stress Scale (PSS), Generalized Anxiety Scale (GAD-7), and Patient Health Questionnaire-9 (PHQ-9), respectively. Results: The study included 3300 participants, with 1644 from Hubei and 1656 from outside Hubei. The rates of anxiety and depression among subjects from Hubei were 59.6% and 52.3%, while the corresponding rates for those outside Hubei were 44.4% and 46.6%. The scores of PSS, GAD-7, and PHQ-9 in Hubei were significantly higher than those in other areas (t = 3.823, 5.860, 2.211; P < 0.05). Multiple linear regression analysis indicated that among the participants from Hubei, the higher the educational background, the history of psychosis, the worse their physical health, the COVID-19 infected, isolated, and their families infected with the COVID-19, their mental health was relatively poor. In the participants outside Hubei, the more unstable their marriage status, the worse their physical health, isolated, and their families infected with the COVID-19, the worse their mental health level. Conclusions: The stress, anxiety, and depression of the public in Hubei are more prominent and the factors that affect their mental health are more complex. When conducting psychological intervention on the general public, we still need to formulate special intervention plans according to the different characteristics of different groups of people to provide them with appropriate crisis intervention services.


2019 ◽  
Vol 41 (3) ◽  
pp. 487-493
Author(s):  
S J Kamper ◽  
Z A Michaleff ◽  
P Campbell ◽  
K M Dunn ◽  
T P Yamato ◽  
...  

Abstract Background During adolescence, prevalence of pain and health risk factors such as smoking, alcohol use and poor mental health all rise sharply. The aim of this study was to describe the relationship between back pain and health risk factors in adolescents. Methods Cross-sectional data from the Healthy Schools Healthy Futures study, and the Australian Child Wellbeing Project was used, mean age: 14–15 years. Children were stratified according to back pain frequency. Within each strata, the proportion of children that reported drinking alcohol or smoking or that experienced feelings of anxiety or depression was reported. Test-for-trend analyses assessed whether increasing frequency of pain was associated with health risk factors. Results Data was collected from ~2500 and 3900 children. Larger proportions of children smoked or drank alcohol within each strata of increasing pain frequency. The trend with anxiety and depression was less clear, although there was a marked difference between the children that reported no pain, and pain more frequently. Conclusion Two large, independent samples show adolescents that experience back pain more frequently are also more likely to smoke, drink alcohol and report feelings of anxiety and depression. Pain appears to be part of the picture of general health risk in adolescents.


2021 ◽  
Vol 9 ◽  
Author(s):  
Most. Farida Khatun ◽  
Most. Firoza Parvin ◽  
Md. Mamun-ur Rashid ◽  
Md. Shah Alam ◽  
Most. Kamrunnahar ◽  
...  

There have been numerous studies about the health implication of COVID-19 on patients, but little attention has been paid to the impacts of the pandemic on physicians. Our paper attends to this gap by exploring the mental health of physicians in Bangladesh during the COVID-19 pandemic. This is particularly important since the mental health of physicians impacts not only on themselves, but also their professional performance and hence the care of patients. This study examined physicians' mental health outcomes by evaluating the prevalence and associated potential risk factors of anxiety and depression. Using a web-based cross-sectional survey, we collected data from 114 physicians. Seven-item Generalized Anxiety Disorder (GAD-7) scale and Nine-item Patient Health Questionnaire (PHQ-9) were used to measure the anxiety and depression, respectively. Multivariate logistic regression models were used to explore the potential risk factors related to anxiety and depression. The prevalence of anxiety and depression were 32.5 and 34.2%, respectively. Findings revealed that marital status, work per day and current job location were the main risk factors for anxiety while sex, age, and marital status were the main risk factors for depression. Our results highlight the need to implement policies and strategies for positively impacting the mental health of physicians during and after the COVID-19 pandemic.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jie Qin ◽  
Yueyue Ding ◽  
Jing Gao ◽  
Yun Wu ◽  
Haitao Lv ◽  
...  

Background: Adolescence is an important stage of psychological development, and the psychological and mental problems of many adults are affected by the COVID-19 epidemic. The aim of this study was to understand the psychological status of this group during the epidemic, and to determine the risk factors leading to psychological stress, as well as protective factors.Methods: An online survey was run on April 2, 2020. The participants were 254 adolescents aged 13–16 years from a junior high school in Jiangsu, China. The results were compared with the pre-epidemic data, which came from the psychological status survey routinely carried out by the school. Mental health variables were assessed via the Mental Health Test that included one validity subscale and eight content subscales.Results: The number of adolescents with poor mental health increased significantly from 12.3 to 24.2%. There was significant increase in learning anxiety (33.7 vs. 56.4%), sensitivity tendency (19.8 vs. 46%), somatic anxiety (13.9 vs. 40.7%) and phobia tendency (4.4 vs. 10.1%). During the epidemic, there were significant differences between adolescents with normal and poor mental health in family structure, personality, relationship with siblings, daily exercise time, and risk of family members coming in contact with COVID-19. Living in stem family, no siblings, and risk of contracting COVID-19 from family members were significant risk factors for teenagers with poor mental health. Risk of contracting COVID-19 from family members was the most influential risk factor for learning anxiety, self-blaming tendency, sensitivity tendency, and somatic anxiety. Exercising for ≥1 h per day was a significant protective factor for poor mental health.Conclusions: During the COVID-19 epidemic, adolescents aged 13–16 years have had psychosocial problems, especially learning anxiety, sensitivity tendency, somatic anxiety, and phobia tendency, as well as risk factors for developing them. Our study provides insights for potential interventions.


2020 ◽  
Author(s):  
Yange Wu ◽  
Xin Xiong ◽  
Xinyi Fang ◽  
Wei Sun ◽  
Yating Yi ◽  
...  

Abstract Background Confronting with the outbreak of COVID-19, this cross-sectional study aimed to assess the differences of psychological status of temporomandibular disorders patients, orthodontic patients and the general population in China during the epidemic. Methods An online anonymous questionnaire was developed in Chinese, including the individual background information, the perception of the epidemic, and level of anxiety and depression through Kessler Psychological Distress Scale (K10). The respondents were divided into Control group, ORTHO group and TMD group. Descriptive analysis and multiple linear regression modelling were performed. Results 1241 valid questionnaires in total were collected, with 587 orthodontic patients and 220 TMD patients. The mean score of K10 was 18.65. When compared with the general population, TMD patients displayed statistically higher level of anxiety and depression (P<0.05), whereas orthodontic patients not (P>0.05). Multiple linear regression model also showed that age, gender, some concerns about the impact of epidemic were correlated with psychological status. Conclusions The overall mental health was severely worsened by the COVID-19 epidemic. TMD patients had higher level of psychological distress than orthodontic patients and the general population. Factors such as younger age, female, concerning about the isolation and psychological barriers and distrust were amongst the associations with a high level of psychological distress. Mental health care should be paid to patients when hospitals and clinics re-open after the COVID-19 epidemic, especially to patients with these relevant characteristics.


2021 ◽  
Vol 11 ◽  
Author(s):  
Shasha Song ◽  
Xin Yang ◽  
Hua Yang ◽  
Ping Zhou ◽  
Hui Ma ◽  
...  

BackgroundPsychological resilience may reduce the impact of psychological distress to some extent. We aimed to investigate the mental health status of the public during the outbreak of coronavirus disease 2019 (COVID-19) and explore the level and related factors of anxiety and depression.MethodsFrom February 8 to March 9, 2020, 3,180 public completed the Zung’s Self-Rating Anxiety Scale (SAS) for anxiety, Zung’s Self-Rating Depression Scale (SDS) for depression, the Connor–Davidson resilience scale (CD-RISC) for psychological resilience, and the Simplified Coping Style Questionnaire (SCSQ) for the attitudes and coping styles.ResultsThe number of people with depressive symptoms (SDS &gt; 53) was 1,303 (the rate was 41.0%). The number of people with anxiety symptoms (SAS &gt; 50) was 1,184 (the rate was 37.2%). The depressed group and anxiety group had less education, more unmarried and younger age, as well as had significant different in SDS total score (P &lt; 0.001), SAS total score (P &lt; 0.001), CD-RISC total score (P &lt; 0.001), and SCSQ score (P &lt; 0.001). The binary logistic regression showed that female (B = -0.261, P = 0.026), strength (B = -0.079, P = 0.000), and the subscales of active coping style in SCSQ (B = -0.983, P = 0.000) remained protective factors and passive coping style (B = 0.293, P = 0.003) and higher SAS score (B = 0.175, P = 0.000) were risk factors for depression. Optimism (B = -0.041, P = 0.015) in CD-RISC was a protective factor, and passive coping styles (B = 0.483, P = 0.000) and higher SDS score (B = 0.134, P = 0.000) were risk factors for anxiety.LimitationsThis study adopted a cross-sectional design and used self-report questionnaires.ConclusionThe mental health of the public, especially females, the younger and less educational populations, and unmarried individuals, should be given more attention. Individuals with high level of mental resilience and active coping styles would have lower levels of anxiety and depression during the outbreak of COVID-19.


2021 ◽  
Author(s):  
Jing Ma ◽  
Jun Ding ◽  
Jiawen Hu ◽  
Kai Wang ◽  
Shuaijun Xiao ◽  
...  

In light of the novel coronavirus'(COVID-19's) threat to public health worldwide, we sought to elucidate COVID-19's impacts on the mental health of children and adolescents in China. Through online self-report questionnaires, we aimed to discover the psychological effects of the pandemic and its associated risk factors for developing mental health symptoms in young people. We disseminated a mental health survey through online social media, WeChat, and QQ in the five Chinese provinces with the most confirmed cases of COVID-19 during the late stage of the country-wide lockdown. We used a self-made questionnaire that queried children and adolescents aged 6 to 18 on demographic information, psychological status, and other lifestyle and COVID-related variables. A total of 17,740 children and adolescents with valid survey data participated in the study. 10,022 (56.5%), 11,611 (65.5%), 10,697 (60.3%), 6,868 (38.7%), and 6,225 (35.1%) participants presented, respectively, more depressive, anxious, compulsive, inattentive, and sleep-related problems compared to before the outbreak of COVID-19. High school students reported a greater change in depression and anxiety than did middle school and primary school students. Despite the fact that very few children (0.1%) or their family members (0.1%) contracted the virus in this study, the psychological impact of the pandemic was clearly profound. Fathers'anxiety appeared to have the strongest influence on a children's psychological symptoms, explaining about 33% of variation in the child's overall symptoms. Other factors only explained less than 2% of the variance in symptoms once parents'anxiety was accounted for. The spread of COVID-19 significantly influenced the psychological state of children and adolescents. It is clear that children and adolescents, particularly older adolescents, need mental health support during the pandemic. The risk factors we uncovered suggest that reducing fathers'anxiety is particularly critical to addressing young people's mental health disorders in this time.


2021 ◽  
Author(s):  
Peter Deli ◽  
Simone Aeschlimann ◽  
Grazia Ceschi

Like employees of any company or organization, humanitarian aid workers (HAW) are subject to mental health (MH) issues, such as posttraumatic stress disorder (PTSD), anxiety, and depression. MH issues can be challenging at individual and organizational levels and, ultimately, can also have adverse consequences on the people HAW try to help.The objectives of this study were to measure the point prevalence of PTSD, anxiety, and depression symptoms among HAW and compare the results to those found in the literature.A cross-sectional online survey was conducted on 432 International Committee of the Red Cross (ICRC) employees, both national and international, deployed in three countries. Results show an overall prevalence for PTSD symptoms ranging from 11.3% to 14.6%, for anxiety symptoms from 13.0% to 56.7%, and for depression symptoms from 19.9% to 41.9%. Sub-group analyses show that risk factors of developing PTSD are being national rather than international staff, being younger rather than older, and having a lower income/salary rather than a higher one. Anxiety risk factors are being a woman, not being in a relationship, working in Lebanon and Myanmar rather than Nigeria, being younger rather than older, and having a higher income/salary rather than a lower one. Depression risk factors are not being in a relationship, being national staff rather than international staff, working in Lebanon and Myanmar rather than Nigeria, being younger rather than older, and being senior rather than junior staff.Further investigation is needed to assess additional key variables in order to better pinpoint risk and protective factors, target the sub-groups most at risk, and suggest adequate psychosocial support in order to reduce MH issues prevalence.


2021 ◽  
Vol 4 (2) ◽  
pp. 44-52
Author(s):  
. Yuliana

Introduction: COVID-19 pandemic has negative or positive psychosocial impacts on society. Fear, uncertainty, insomnia, depression, anxiety, and suicide are the negative psychosocial impacts. These psychosocial impacts may cause psychiatric problems. This paper aims to describe the risk of psychiatric problems for people with negative psychosocial impacts in comparison to positive attitudes during the COVID-19 pandemic.Methods: This systematic literature review used these keywords: ‘fear’, ‘uncertainty’, ‘COVID-19’, ‘psychiatric problem’ , and ‘society’. The search engines used were PubMed and Science Direct. There were 302 papers from PubMed and 134 papers from Science Direct at the beginning. To ascertain the quality of the selection, the process was done twice. Narrative reviews were excluded. Finally, 19 manuscripts were selected for review. PRISMA guidelines were used in the reviewing procedures.Results: From 18 cross-sectional studies and one randomized control trial, it was found that females and the elderly are prone to anxiety and depression. Other risk factors are low income, signs of infection, previous contact history with COVID-19 patients, too much information about COVID-19, and pseudoscientific beliefs. Positive protective factors are good self-talk skills, coping strategy mechanisms, compliance with the rules, and a high level of mental resilience.Conclusion: Anxiety and depression prevention related to Covid-19 can be done through strengthening the positive protective factor and minimize the risk factors. COVID-19 pandemic should be seen as an opportunity to strengthen positive mental attitudes.


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