Self-reported psychological problems and coping strategies: a web-based study in Peruvian population during COVID-19 pandemic

Abstract Background The Coronavirus pandemic has disrupted health systems across the world and led to major shifts in individual behavior by forcing people into isolation in home settings. Its rapid spread has overwhelmed populations in all corners of Latin-American countries resulting in individual psychological reactions that may aggravate the health crisis. This study reports on demographics, self-reported psychological disturbances and associated coping styles during the COVID-19 pandemic for the Peruvian population. Methods This cross-sectional study uses an online survey with snowball sampling that was conducted after the state of emergency was declared in Perú (on April 2nd). The General Health Questionnaire (GHQ-28) was used to identify somatic symptoms, incidence of anxiety/ insomnia, social dysfunction and depression and the Coping Strategy Questionnaire (COPE-28) mapped personal strategies to address recent stress. Results 434 self-selected participants ranging in age from 18 to 68 years old (Mean age = 33.87) completed the survey. The majority of participants were women (61.30%), aged between 18 and 28 (41.70%), well-educated (> = 85.00%), Peruvian (94.20%), employed (57.40%) and single (71.20%). 40.8% reported psychological distress, expressing fear of coronavirus infection (71.43%). Regression analysis shows that men had lower somatic-related symptom (β = − 1.87, 95%, CI: − 2.75 to −.99) and anxiety/insomnia symptom (β = − 1.91, 95% CI: − 2.98 to 0.84) compared to women. The risk for depression and social dysfunction are less likely with increasing age. Educational status was protective against developing psychological conditions (p < 0.05). While active responses (acceptance and social support) are scarcely used by individuals with psychological distress; passive strategies (such as denial, self-distraction, self-blame, disconnection, and venting) are more commonly reported. Conclusion This study provides a better understanding of the psychological health impact occurring during the COVID-19 pandemic on the Peruvian population. About half of the respondents reported psychological distress and poor coping responses. This evidence informs the need for broader promotional health policies focused on strengthening individual’s active strategies aiming at improving emotional health and preventing psychiatric conditions, during and after the COVID-19 pandemic.

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Self-Reported Psychological Problems and Coping Strategies: A Web-Based Study in Peruvian Population During the COVID-19 Pandemic.

10.21203/rs.3.rs-42462/v1 ◽

2020 ◽

Author(s):

Rita Judith Ames Guerrero ◽

Victoria Aymé Barreda Parra ◽

Julio Cesar Huamani Cahua ◽

Jane Banaszak Holl

Keyword(s):

Latin American ◽

Online Survey ◽

General Health Questionnaire ◽

Somatic Symptoms ◽

Psychological Disorders ◽

Psychological Problems ◽

Snowball Sampling ◽

Social Dysfunction ◽

Cross Sectional ◽

Health Crisis

Abstract BACKGROUND: The Coronavirus pandemic has disrupted health systems across the world and led to major shifts in individual behavior by forcing people into isolation in home settings. Its rapid spread has overwhelmed populations in all corners of Latin-American countries resulting in individual psychological reactions that may aggravate the health crisis. OBJECTIVE: this study reports on demographics, self-reported psychological morbidities and associated coping styles during the COVID-19 pandemic for the Peruvian population. Methods: This cross-sectional study uses an online survey with snowball sampling that was conducted after the state of emergency was declared in Perú (on April 2nd). The General Health Questionnaire (GHQ -28) was used to identify somatic symptoms, incidence of anxiety/ insomnia, social dysfunction and depression and the Coping Strategy Questionnaire (COPE-28) mapped personal strategies to address recent stress. RESULTS: 434 self-selected participants ranging in age from 18 to 68 years old (ME =33.87) completed the survey. The majority of participants were women (61.3%), aged between 18 and 28 (41.7%), well-educated (>=85.0 %), Peruvian (94.2%), employed (57.4%) and single (71.20 %). 40.8% reported psychological problems, expressing fear of coronavirus infection (71.43%). Regression analysis shows that women developed more somatic symptoms (p<0.001*, C.I: -2.75 to -.99) and greater anxiety/insomnia (p=0.00*, C.I: -2.98 to 0.84) than men. Depression and social dysfunction were equally likely at any age. Educational status was protective against developing psychological disorders (p<0.05). While active responses (acceptance and social support) are scarcely used by individuals with psychological problems; passive strategies (such as denial, self-distraction, self-blame, disconnection, and emotional discharge) are more commonly reported.CONCLUSION: This study provides a better understanding of psychological disorders occurring during the COVID-19 pandemic in the Peruvian population. About half of the respondents reported psychological morbidity and poor coping responses. This evidence informs the need for broader promotional health policies focused on strengthening individual’s active strategies to improve mental health, especially in underprivileged groups during and after the Covid-19 pandemic.

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Psychological problems associated with coping strategies: a web-based study in Peruvian population during the COVID-19 pandemic

10.31234/osf.io/uarwz ◽

2020 ◽

Author(s):

Rita Judith Ames-Guerrero ◽

Ayme Barreda Parra ◽

Julio Cesar Huamani Cahua ◽

Jane Banaszak Holl

Keyword(s):

Latin American ◽

Online Survey ◽

General Health Questionnaire ◽

Psychological Disorders ◽

Female Gender ◽

Educational Status ◽

Psychological Problems ◽

Snowball Sampling ◽

Cross Sectional ◽

Health Crisis

BACKGROUND: The Coronavirus disease has quickly spread to all corners across Latin-American countries. Its exponential capacity has overwhelmed even the most resilient health systems (1). The already significant impact of the Coronavirus (COVID-19) on the global scale is worsened by psychological responses that may aggravate the health crisis. OBJECTIVE: This study is aimed at collecting demographic information, prevalence of psychological morbidities and associated coping styles during the COVID-19 pandemic on Peruvian population. Methods: This cross-sectional study was conducted through online survey using snowball sampling techniques after the state of emergency was declared in Perú. The General Health Questionnaire (GHQ -28) identify somatic symptom, anxiety/ insomnia, social misfunctioning and depression prevalence and the Coping Strategy Questionnaire (COPE-28) maps strategies addressing recent stress. RESULTS: We collected data from 434 self-selected participants within 18-68 years old (ME =33.87), by analysing the socio-economic information in which the majority of the respondents were women (61.3%), aged between 18 and 28 (41.7%), from well-educated groups (>=85.0 %), Peruvian (94.2%), working citizen (57.4%) and single (71.20 %). Nearly 40.8% rated psychological problems, expressing fear of being infected by coronavirus (71.43%). Regression analysis shows that female gender is associated to higher somatic (p<0.001*, C.I: -2.75 to -.99) and anxiety/insomnia symptoms (p=0.00*, C.I: -2.98 to 0.84). Depression and social dysfunction are experienced at any age. Educational status is protective against developing psychological disorders (p<0.05). While active responses (Acceptance and Social support) are scarcely used by individuals with psychological problems; Passive strategies are commonly reported (Denial, Self-Distraction, Self-Blame, Disconnection, and Emotional discharge).CONCLUSION: These findings provide a better understanding of psychological disorders resulting from the current pandemic in Peruvian population. This evidence informs the need to strengthen mental health programs, especially in less privileged groups after the Covid-19 pandemic.

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Self-reported psychological problems and coping strategies: a web-based study in Peruvian population during the COVID-19 pandemic.

10.21203/rs.3.rs-42462/v2 ◽

2021 ◽

Author(s):

Rita Judith Ames Guerrero ◽

Victoria Aymé Barreda Parra ◽

Julio Cesar Huamani Cahua ◽

Jane Banaszak Holl

Keyword(s):

Latin American ◽

Online Survey ◽

General Health Questionnaire ◽

Somatic Symptoms ◽

Psychological Disorders ◽

Psychological Problems ◽

Snowball Sampling ◽

Psychological Disturbance ◽

Social Dysfunction ◽

Health Crisis

Abstract BACKGROUND: The Coronavirus pandemic has disrupted health systems across the world and led to major shifts in individual behavior by forcing people into isolation in home settings. Its rapid spread has overwhelmed populations in all corners of Latin-American countries resulting in individual psychological reactions that may aggravate the health crisis. OBJECTIVE: This study reports on demographics, self-reported psychological disturbance and associated coping styles during the COVID-19 pandemic for the Peruvian population. METHODS: This cross-sectional study uses an online survey with snowball sampling that was conducted after the state of emergency was declared in Perú (on April 2nd). The General Health Questionnaire (GHQ-28) was used to identify somatic symptoms, incidence of anxiety/ insomnia, social dysfunction and depression and the Coping Strategy Questionnaire (COPE-28) mapped personal strategies to address recent stress. RESULTS: 434 self-selected participants ranging in age from 18 to 68 years old (ME =33.87) completed the survey. The majority of participants were women (61.3%), aged between 18 and 28 (41.7%), well-educated (>=85.0 %), Peruvian (94.2%), employed (57.4%) and single (71.20 %). 40.8% reported psychological problems, expressing fear of coronavirus infection (71.43%). Regression analysis shows that women developed more somatic symptoms (p<0.001*, C.I: -2.75 to -.99) and greater anxiety/insomnia (p=0.00*, C.I: -2.98 to 0.84) than men. Depression and social dysfunction were equally likely at any age. Educational status was protective against developing psychological disorders (p<0.05). While active responses (acceptance and social support) are scarcely used by individuals with psychological problems; passive strategies (such as denial, self-distraction, self-blame, disconnection, and emotional discharge) are more commonly reported.CONCLUSION: This study provides a better understanding of psychological disorders occurring during the COVID-19 pandemic in the Peruvian population. About half of the respondents reported psychological disturbance and poor coping responses. This evidence informs the need for broader promotional health policies focused on strengthening individual’s active strategies to improve mental health, especially in underprivileged groups during and after the COVID-19 pandemic.

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Psychological problems associated with coping strategies: a web-based study in Peruvian population during the COVID-19 pandemic

10.31234/osf.io/rjp5a ◽

2020 ◽

Cited By ~ 1

Author(s):

Rita Judith Ames-Guerrero ◽

Ayme Barreda Parra ◽

Julio Cesar Huamani Cahua ◽

Jane Banaszak Holl

Keyword(s):

Latin American ◽

Online Survey ◽

General Health Questionnaire ◽

Psychological Disorders ◽

Female Gender ◽

Educational Status ◽

Psychological Problems ◽

Snowball Sampling ◽

Cross Sectional ◽

Health Crisis

ABSTRACT:BACKGROUND: The Coronavirus disease has quickly spread to all corners across Latin-American countries. Its exponential capacity has overwhelmed even the most resilient health systems (1). The already significant impact of the Coronavirus (COVID-19) on the global scale is worsened by psychological responses that may aggravate the health crisis. OBJECTIVE: This study is aimed at collecting demographic information, prevalence of psychological morbidities and associated coping styles during the COVID-19 pandemic on Peruvian population. Methods: This cross-sectional study was conducted through online survey using snowball sampling techniques after the state of emergency was declared in Perú. The General Health Questionnaire (GHQ -28) identify somatic symptom, anxiety/ insomnia, social misfunctioning and depression prevalence and the Coping Strategy Questionnaire (COPE-28) maps strategies addressing recent stress. RESULTS: We collected data from 434 self-selected participants within 18-68 years old (ME =33.87), by analysing the socio-economic information in which the majority of the respondents were women (61.3%), aged between 18 and 28 (41.7%), from well-educated groups (>=85.0 %), Peruvian (94.2%), working citizen (57.4%) and single (71.20 %). Nearly 40.8% rated psychological problems, expressing fear of being infected by coronavirus (71.43%). Regression analysis shows that female gender is associated to higher somatic (p<0.001*, C.I: -2.75 to -.99) and anxiety/insomnia symptoms (p=0.00*, C.I: -2.98 to 0.84). Depression and social dysfunction are experienced at any age. Educational status is protective against developing psychological disorders (p<0.05). While active responses (Acceptance and Social support) are scarcely used by individuals with psychological problems; Passive strategies are commonly reported (Denial, Self-Distraction, Self-Blame, Disconnection, and Emotional discharge).CONCLUSION: These findings provide a better understanding of psychological disorders resulting from the current pandemic in Peruvian population. This evidence informs the need to strengthen mental health programs, especially in less privileged groups after the Covid-19 pandemic.

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Psychological Impacts of COVID-19 During the First Nationwide Lockdown in Vietnam: Web-Based, Cross-Sectional Survey Study (Preprint)

10.2196/preprints.24776 ◽

2020 ◽

Author(s):

Khanh Ngoc Cong Duong ◽

Tien Nguyen Le Bao ◽

Phuong Thi Lan Nguyen ◽

Thanh Vo Van ◽

Toi Phung Lam ◽

...

Keyword(s):

Psychological Distress ◽

General Population ◽

Psychological Health ◽

Online Survey ◽

Survey Study ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Event Scale ◽

The Impact

BACKGROUND The first nationwide lockdown due to the COVID-19 pandemic was implemented in Vietnam from April 1 to 15, 2020. Nevertheless, there has been limited information on the impact of COVID-19 on the psychological health of the public. OBJECTIVE This study aimed to estimate the prevalence of psychological issues and identify the factors associated with the psychological impact of COVID-19 during the first nationwide lockdown among the general population in Vietnam. METHODS We employed a cross-sectional study design with convenience sampling. A self-administered, online survey was used to collect data and assess psychological distress, depression, anxiety, and stress of participants from April 10 to 15, 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale-21 (DASS-21) were utilized to assess psychological distress, depression, anxiety, and stress of participants during social distancing due to COVID-19. Associations across factors were explored using regression analysis. RESULTS A total of 1385 respondents completed the survey. Of this, 35.9% (n=497) experienced psychological distress, as well as depression (n=325, 23.5%), anxiety (n=195, 14.1%), and stress (n=309, 22.3%). Respondents who evaluated their physical health as average had a higher IES-R score (beta coefficient [B]=9.16, 95% CI 6.43 to 11.89), as well as higher depression (B=5.85, 95% CI 4.49 to 7.21), anxiety (B=3.64, 95% CI 2.64 to 4.63), and stress (B=5.19, 95% CI 3.83 to 6.56) scores for DASS-21 than those who rated their health as good or very good. Those who self-reported their health as bad or very bad experienced more severe depression (B=9.57, 95% CI 4.54 to 14.59), anxiety (B=7.24, 95% CI 3.55 to 10.9), and stress (B=10.60, 95% CI 5.56 to 15.65). Unemployment was more likely to be associated with depression (B=3.34, 95% CI 1.68 to 5.01) and stress (B=2.34, 95% CI 0.84 to 3.85). Regarding worries about COVID-19, more than half (n=755, 54.5%) expressed concern for their children aged <18 years, which increased their IES-R score (B=7.81, 95% CI 4.98 to 10.64) and DASS-21 stress score (B=1.75, 95% CI 0.27 to 3.24). The majority of respondents (n=1335, 96.4%) were confident about their doctor’s expertise in terms of COVID-19 diagnosis and treatment, which was positively associated with less distress caused by the outbreak (B=–7.84, 95% CI –14.58 to –1.11). CONCLUSIONS The findings highlight the effect of COVID-19 on mental health during the nationwide lockdown among the general population in Vietnam. The study provides useful evidence for policy decision makers to develop and implement interventions to mitigate these impacts. CLINICALTRIAL

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Psycho-Emotional Approach to the Psychological Distress Related to the COVID-19 Pandemic in Spain: A Cross-Sectional Observational Study

Healthcare ◽

10.3390/healthcare8030190 ◽

2020 ◽

Vol 8 (3) ◽

pp. 190 ◽

Cited By ~ 5

Author(s):

Sara Domínguez-Salas ◽

Juan Gómez-Salgado ◽

Montserrat Andrés-Villas ◽

Diego Díaz-Milanés ◽

Macarena Romero-Martín ◽

...

Keyword(s):

Psychological Distress ◽

Observational Study ◽

General Health Questionnaire ◽

Well Being ◽

Cross Sectional ◽

Health Crisis ◽

Effective Strategies ◽

Level Of Concern ◽

High Level ◽

Emotional Approach

Anxiety, depression, and stress are common and expected reactions to the coronavirus disease (COVID-19) pandemic. The objective of this study is to analyze psychological distress in a sample of Spanish population, identifying the predictive nature of the information received, the preventive measures taken, level of concern, beliefs, and knowledge about the infection. A cross-sectional observational study was conducted on a sample of 4615 participants. Data were collected through a self-prepared questionnaire and the general health questionnaire (GHQ-12). Bivariate analyses and logistic regressions were performed. Of the total participants, 71.98% presented psychological distress. The study population actively sought information about coronavirus, expressed a high level of concern and knowledge, and the most frequent preventive behavior was hand washing. As predictive factors, the degree of concern for COVID-19 was identified (odds ratio (OR) = 1.244, 95% confidence interval (CI) = [1.179, 1.312]), the number of hours spent consulting information on COVID-19 (OR = 1.038, 95% CI = [1.009, 1.068]), or the need for psychological support (OR = 1.135, 95% CI = [1.094, 1.177]), among others. These results could help design more effective strategies towards a psycho-emotional approach for the population when in similar health crisis situations. There is a need for interventions aimed at the psychological well-being of the population that meet the needs of their reality.

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Comparison of the psychological health of students at the higher institutes of nursing and health techniques: A Moroccan multicentre study

International Journal of Social Psychiatry ◽

10.1177/00207640211062103 ◽

2021 ◽

pp. 002076402110621

Author(s):

Ali Ikrou ◽

Sam Gnanapragasam ◽

Redouane Abouqal ◽

Jihane Belayachi

Keyword(s):

Psychological Distress ◽

Academic Success ◽

Nursing Students ◽

Psychological Health ◽

General Health Questionnaire ◽

Female Gender ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Cross Sectional ◽

Convenience Sample

Background: Mental health is essential to students’ academic success as well as their ability to participate fully and meaningfully throughout all aspects of their lives and throughout their lifespan. Aims: This study aims to determine the psychological health status of Moroccan nursing and technique health students. In doing so, it also seeks to compare differences based on sociodemographic factors. Method: A multicenter cross-sectional study with a convenience sample was conducted with 2,054 participants in the academic year of 2018/2019. A set of socio-demographic information were collected, and The General Health Questionnaire-12 (GHQ-12) was used. Results: The mean GHQ-12 score was 4.33 ± 2.61, and 58.7% respondents scored 4 and above in the GHQ-12 scores and thus were considered to be in psychological distress. Students’ psychological distress was associated with female gender (60.4% for female compared to 52.4% for men, p = .003); living in parental residence (61.6% compared to 54.7% living away parental residence; p = .02 ), the second and the third training level year respectively (64.6%; 59.2%) compared to first-year (55.2%, p = .001), and midwifery and nursing students (61.6%; 60.3%) as compared to technique health students (43.6%, p = .001). Conclusions: It appears that a substantial number of students have psychological distress and this is likely to have negative effects on students’ educational attainment and wider wellbeing.

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A gender comparison of the psychological distress of medical students in Nigeria during the Coronavirus pandemic: A cross-sectional survey

10.1101/2020.11.08.20227967 ◽

2020 ◽

Author(s):

Oluwaseun Mercy Idowu ◽

OyinOluwa Gloria Adaramola ◽

Boluwatife Samson Aderounmu ◽

Ifeoluwa Delight Olugbamigbe ◽

Olaoluwa Ezekiel Dada ◽

...

Keyword(s):

Mental Health ◽

Gender Differences ◽

At Risk ◽

Psychological Distress ◽

Medical Students ◽

Large Scale ◽

Online Survey ◽

General Health Questionnaire ◽

Cross Sectional Survey ◽

Cross Sectional

AbstractBackgroundThe Coronavirus disease (COVID-19) pandemic as a large scale stressor could have negative distress on the mental health on medical students. Since gender differences in mental health may exist between males and females, it would prove interesting to see if a large scale stressor such as the pandemic will cause variances in the psychological distress between both genders.This study assessed and compared the psychological distress of COVID-19 among male and female medical students in medical schools in South-Western NigeriaMaterials and methodsA cross-sectional online survey using was carried out among 1010 medical students from three largest universities in south western Nigeria during the COVID-19 pandemic. The respondents were purposively selected, data was obtained on participants demographic and psychological distress was assessed using the General Health Questionnaire 12 (GHQ-12). Data was analyzed using the SPSS version 21 statistical software, chi square was used to assess gender differences, multivariate regression analysis assessed the predictors of psychological distress among both gendersand p values less than 0.05 were considered significant.ResultsFemale medical students are at a higher risk of psychological distress compared to their male counterparts (p<0.005). Females were almost twice at risk of psychological distress during the COVID-19 pandemic than males (OR=1.534, 95% p=0.003). Females with a positive history of mental illness were five times more at risk of psychological distress during the COVID-19 pandemic compared to females with no previous mental health history (OR=5.102, p=0.002)ConclusionFemales were at higher risk of psychological distress compared to male students. Gender specific interventions addressing psychological distress among medical students are recommended.

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Psychological distress during the first phase of the COVID-19 pandemic in Ecuador: Cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0257661 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0257661

Author(s):

Juan Gómez-Salgado ◽

Ingrid Adanaque-Bravo ◽

Mónica Ortega-Moreno ◽

Regina Allande-Cussó ◽

Cristian Arturo Arias-Ulloa ◽

...

Keyword(s):

Psychological Distress ◽

Latin American ◽

Preventive Measures ◽

General Health Questionnaire ◽

Cross Sectional Study ◽

Physical Symptoms ◽

System Level ◽

Cross Sectional ◽

Probabilistic Sampling ◽

Cultural Variables

Background The effects of the COVID 19 pandemic on the mental health of citizens from Asia, Europe, or North America begin to be known, but there are fewer publications on its effects in Latin American countries. In this study, its impact in Ecuador is described, with data collected during the first phase of the pandemic. The objective of this study was to analyse the level of psychological distress in the population of Ecuador during the first phase of the COVID-19 pandemic. Methods and findings Cross-sectional observational study. The questionnaires were collected through an online self-developed questionnaire, between April 2 and May 17, 2020, using the non-probabilistic sampling methodology: snowball method. The variables considered were sociodemographic variables, physical symptoms, health status, COVID-19 contact history, preventive measures, and the General Health Questionnaire (GHQ-12). The percentage with high psychological distress (PD) (GHQ-12 ≥ 3) has been somewhat lower than that found in Europe, being women, young people, people with higher level of education, living without a partner, not living with children or children under 16 years of age, and with worse perception of health the groups with the highest PD. Differences have been observed with European studies regarding common symptoms, preventive measures to avoid contagion, percentage of infected relatives, or diagnostic tests performed. Conclusions The use of the same research instrument, validated in Europe and adapted to Ecuador, has facilitated the comparison of the found results and differences, which can be explained by socio-economic or cultural variables, the health system, level of information, or by preventive measures put in place to prevent the pandemic.

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Psychological Impacts of COVID-19 During the First Nationwide Lockdown in Vietnam: Web-Based, Cross-Sectional Survey Study

JMIR Formative Research ◽

10.2196/24776 ◽

2020 ◽

Vol 4 (12) ◽

pp. e24776

Author(s):

Khanh Ngoc Cong Duong ◽

Tien Nguyen Le Bao ◽

Phuong Thi Lan Nguyen ◽

Thanh Vo Van ◽

Toi Phung Lam ◽

...

Keyword(s):

Psychological Distress ◽

General Population ◽

Psychological Health ◽

Online Survey ◽

Survey Study ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Event Scale ◽

The Impact

Background The first nationwide lockdown due to the COVID-19 pandemic was implemented in Vietnam from April 1 to 15, 2020. Nevertheless, there has been limited information on the impact of COVID-19 on the psychological health of the public. Objective This study aimed to estimate the prevalence of psychological issues and identify the factors associated with the psychological impact of COVID-19 during the first nationwide lockdown among the general population in Vietnam. Methods We employed a cross-sectional study design with convenience sampling. A self-administered, online survey was used to collect data and assess psychological distress, depression, anxiety, and stress of participants from April 10 to 15, 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale-21 (DASS-21) were utilized to assess psychological distress, depression, anxiety, and stress of participants during social distancing due to COVID-19. Associations across factors were explored using regression analysis. Results A total of 1385 respondents completed the survey. Of this, 35.9% (n=497) experienced psychological distress, as well as depression (n=325, 23.5%), anxiety (n=195, 14.1%), and stress (n=309, 22.3%). Respondents who evaluated their physical health as average had a higher IES-R score (beta coefficient [B]=9.16, 95% CI 6.43 to 11.89), as well as higher depression (B=5.85, 95% CI 4.49 to 7.21), anxiety (B=3.64, 95% CI 2.64 to 4.63), and stress (B=5.19, 95% CI 3.83 to 6.56) scores for DASS-21 than those who rated their health as good or very good. Those who self-reported their health as bad or very bad experienced more severe depression (B=9.57, 95% CI 4.54 to 14.59), anxiety (B=7.24, 95% CI 3.55 to 10.9), and stress (B=10.60, 95% CI 5.56 to 15.65). Unemployment was more likely to be associated with depression (B=3.34, 95% CI 1.68 to 5.01) and stress (B=2.34, 95% CI 0.84 to 3.85). Regarding worries about COVID-19, more than half (n=755, 54.5%) expressed concern for their children aged <18 years, which increased their IES-R score (B=7.81, 95% CI 4.98 to 10.64) and DASS-21 stress score (B=1.75, 95% CI 0.27 to 3.24). The majority of respondents (n=1335, 96.4%) were confident about their doctor’s expertise in terms of COVID-19 diagnosis and treatment, which was positively associated with less distress caused by the outbreak (B=–7.84, 95% CI –14.58 to –1.11). Conclusions The findings highlight the effect of COVID-19 on mental health during the nationwide lockdown among the general population in Vietnam. The study provides useful evidence for policy decision makers to develop and implement interventions to mitigate these impacts.

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