Psychological distress related to the emerging COVID-19 pandemic and coping strategies among general population in Egypt

Abstract Background Psychological distress is considered a threat to the mental health of human beings. This research was conducted at the beginning of the emerging COVID-19 pandemic, when most people had limited knowledge about coronavirus, mode of transmission, associated manifestations, with uncertainty about treatment, vaccine, future life, and coping capacity. This study examined the nature of the psychological distress related to the emergence of the coronavirus disease 2019 (COVID-19) pandemic and coping strategies adopted among the general population in Egypt. Methods This was a descriptive, cross-sectional study assessing a convenience sample consisting of 312 participants from the general population in Egypt. Data were gathered as online responses to a questionnaire which incorporated a sociodemographic datasheet, psychological distress scale, and ways of coping scale. Results Forty-two percent of the participants showed severe psychological distress and 26% showed mild to moderate psychological distress. There was a strong positive correlation between the distress score and the overall coping score—that is, the higher the distress, the more ways of coping were adopted (p < 0.001). This study also showed that the methods of adaptation used by most of the population were based on emotional coping strategy. The most adaptive people were those who work in the health field and the residents in the cities with a monthly income sufficient enough to meet their needs; better adaptation methods were also seen among both divorced and highly educated people. We also found a significant relationship between sociodemographic characteristics except for sex and overall coping methods (p < 0.001). Further, significant relationships between sociodemographic characteristics and psychological distress were observed (p < 0.001). Conclusion Most of the study population as a sample of the general population in Egypt reported suffering from varying degrees of psychological distress during the COVID-19 crisis. However, the more severe an individual’s level of psychological distress, the greater their adaptation ability was. This study focuses light on the importance to provide appropriate interventions against COVID-19-related stresses and equipping people with suitable strategies for coping with the COVID-19 pandemic.

Download Full-text

Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia

10.21203/rs.3.rs-57952/v2 ◽

2020 ◽

Author(s):

Muhammad Aziz Rahman ◽

Nazmul Hoque ◽

Sheikh M Alif ◽

Masudus Salehin ◽

Sheikh Mohammed Shariful Islam ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Alcohol Drinking ◽

Social Life ◽

Online Survey ◽

Service Use ◽

Mental Wellbeing ◽

Factors Associated ◽

And Coping ◽

Distress Scale

Abstract Background: The COVID-19 pandemic disrupted the personal, professional and social life of Australians with some people more impacted than others. Objectives: This study aimed to identify factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia. Methods: A cross-sectional online survey was conducted among residents in Australia, including patients, frontline health and other essential service workers, and community members during June 2020. Psychological distress was assessed using the Kessler Psychological Distress Scale (K10); level of fear was assessed using the Fear of COVID-19 Scale (FCV-19S); and coping strategies were assessed using the Brief Resilient Coping Scale (BRCS). Logistic regression was used to identify factors associated with the extent of psychological distress, level of fear and coping strategies while adjusting for potential confounders. Results: Among 587 participants, the majority (391, 73.2%) were 30-59 years old and female (363, 61.8%). More than half (349, 59.5%) were born outside Australia and two-third (418, 71.5%) completed at least a Bachelor’s degree. The majority (401, 71.5%) had a source of income, 243 (42.3%) self-identified as a frontline worker, and 335 (58.9%) reported financial impact due to COVID-19. Comorbidities such as pre-existing mental health conditions (AOR 3.13, 95% CIs 1.12-8.75), increased smoking (8.66, 1.08-69.1) and alcohol drinking (2.39, 1.05-5.47) over the last four weeks, high levels of fear (2.93, 1.83-4.67) and being female (1.74, 1.15-2.65) were associated with higher levels of psychological distress. Perceived distress due to change of employment status (4.14, 1.39-12.4), alcohol drinking (3.64, 1.54-8.58), providing care to known or suspected cases (3.64, 1.54-8.58), being female (1.56, 1.00-2.45), being 30-59 years old (2.29, 1.21-4.35) and having medium to high levels of psychological distress (2.90, 1.82-5.62) were associated with a higher level of fear; while healthcare service use in the last four weeks was associated with medium to high resilience. Conclusions: This study identified individuals who were at higher risk of distress and fear during the COVID-19 pandemic specifically in the State of Victoria, Australia. Specific interventions to support the mental wellbeing of these individuals should be considered in addition to the existing resources within primary healthcare settings.

Download Full-text

Coping style, social support and psychological distress in the general Chinese population in the early stages of the COVID-2019 epidemic

10.21203/rs.3.rs-20397/v1 ◽

2020 ◽

Author(s):

Hua Yu ◽

Mingli Li ◽

Zhixiong Li ◽

Weiyi Xiang ◽

Yiwen Yuan ◽

...

Keyword(s):

Social Support ◽

Psychological Distress ◽

General Population ◽

Coping Style ◽

Psychological Intervention ◽

Mainland China ◽

Psychological Status ◽

Convenience Sample ◽

Factors Influencing ◽

Distress Scale

Abstract BackgroundThe purpose of this study was to investigate the psychological status of the general population in mainland China during the outbreak of coronavirus disease 2019 (COVID-19), and to explore the factors influencing psychological distress, in order to provide the basis for further psychological intervention programs.MethodsWe administered three questionnaires on-line to a convenience sample of the general population from different regions of mainland China from February 1 to February 4, 2020. We used the Mandarin versions of the six-item Kessler psychological distress scale (K6), the Simplified Coping Style Questionnaire (SCSQ), and the Social Support Rating Scale (SSRS). We also collected demographic data and other information related to the COVID-19 outbreak. Multivariate binary logistic regression analysis was used to identify factors influencing psychological distress.ResultsOf 1607 respondents, 1588 returned valid questionnaires and were included in the analysis. Nearly one quarter (22.8%) had high levels of psychological distress (K6 score ≥ 13). Individuals with higher psychological distress spent more time searching for information about COVID-19, had a history of contact with epidemic areas, more frequently adopted a negative coping style, and reported less social support than those with lower psychological distress.ConclusionsThe COVID-19 outbreak in China has a great impact on the mental health status of the general population. Positive coping strategies and increased social support are significantly correlated with decreased psychological distress, and may serve as the basis for psychological interventions.

Download Full-text

Psychological Distress and Coping Strategies Among Clinicians and Medical Students During the COVID-19 Pandemic: A Cross-Sectional Study in Guilan, Iran

Shiraz E-Medical Journal ◽

10.5812/semj.109764 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Ali Monfared ◽

Leila Akhondzadeh ◽

Robabeh Soleimani ◽

Saman Maroufizadeh ◽

Somaye Pouy ◽

...

Keyword(s):

Psychological Distress ◽

Medical Students ◽

Coping Strategies ◽

Disease Transmission ◽

Work Experience ◽

Statistical Tests ◽

Cross Sectional ◽

The Mean ◽

And Coping ◽

Distress Scale

Background: Coronavirus disease 2019 (COVID-19) pandemic can lead to psychological distress among clinicians and medical students due to the possibility of disease transmission and closure of educational centers. Objectives: This study aimed to investigate the extent of psychological distress and coping strategies among clinicians and medical students during the COVID-19 pandemic in Rasht, Iran. Methods: Using the Kessler Psychological Distress scale (K10), this cross-sectional analytical study evaluated psychological distress and coping strategies among 109 clinicians and medical students working in Razi Hospital of Rasht, Iran during the COVID-19 pandemic. The K10 scale has 10 items with a 5-point Likert scale ranging from 0 (never) to 5 (always); the Cronbach’s alpha coefficient was calculated as 0.771. Also, to examine the coping strategies, a 10-item researcher-made checklist was used (CVI = 0.79; CVR = 0.82). The questionnaires were distributed by e-mail from May to June, 2020. After entering the data into SPSS software (version 20), the data were analyzed using appropriate statistical tests. Results: The mean age of the responders was 36.14 years (SD = 10.68). The mean K10 total scores was 12.94 (SD = 7.64). There was a significant negative correlation between age and K10 total scores (r = -0.397, P < 0.001). Single participants had a higher K10 total score compared with married ones (P = 0.003). Furthermore, interns had a higher K10 total score compared with residents (P = 0.012) and faculty members (P < 0.001). Conclusions: Since interns are at a higher risk of psychological distress due to less work experience during the COVID-19 pandemic, continuous monitoring of psychological distress and teaching coping strategies in crisis situations should be included in the training curriculum and educational courses of this group.

Download Full-text

Factors Associated With Psychological Distress, Fear and Coping Strategies During the COVID-19 Pandemic in Australia

10.21203/rs.3.rs-57952/v1 ◽

2020 ◽

Author(s):

Muhammad Aziz Rahman ◽

Nazmul Hoque ◽

Sheikh M Alif ◽

Masudus Salehin ◽

Sheikh Mohammed Shariful Islam ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Alcohol Drinking ◽

Social Life ◽

Online Survey ◽

Service Use ◽

Mental Wellbeing ◽

Factors Associated ◽

And Coping ◽

Distress Scale

Abstract Background: The COVID-19 pandemic disrupted the personal, professional and social life of Australians with some people more impacted than others. Objectives: This study aimed to identify the factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia.Methods: This cross-sectional online survey was conducted among residents in Australia, including patients, frontline health and other essential service workers, and community members during Jun-2020. Psychological distress was assessed using the Kessler Psychological Distress Scale (K10), level of fear was assessed using the Fear of COVID-19 Scale (FCV-19S), and coping strategies were assessed using the Brief Resilient Coping Scale (BRCS). Logistic regression was used to identify factors associated with the extent of psychological distress, level of fear and coping strategies while adjusting for potential confounders. Results: Among 587 participants, the majority (391, 73.2%) were 30-59 years old and female (363, 61.8%). More than half (349, 59.5%) were born outside Australia and two-third (418, 71.5%) completed at least a Bachelor’s degree. The majority (401, 71.5%) had a source of income, 243 (42.3%) self-identified as a frontline worker, and 335 (58.9%) reported financial impact due to COVID-19. Comorbidities such as pre-existing mental health conditions (AOR 3.13, 95% CIs 1.12-8.75), increased smoking (8.66, 1.08-69.1) and alcohol drinking (2.39, 1.05-5.47) over the last four weeks, high levels of fear (2.93, 1.83-4.67) and being female (1.74, 1.15-2.65) were associated with a higher levels of psychological distress. Perceived distress due to change of employment status (4.14, 1.39-12.4), alcohol drinking (3.64, 1.54-8.58), providing care to known or suspected cases (3.64, 1.54-8.58), being female (1.56, 1.00-2.45), being 30-59 years old (2.29, 1.21-4.35) and having medium to high levels of psychological distress (2.90, 1.82-5.62) were associated with a higher level of fear; while healthcare service use in the last four weeks was associated with medium to high resilience. Conclusions: This study identified individuals who were at higher risk of distress and fear during the COVID-19 pandemic situation in Australia. Specific interventions to support the mental wellbeing of these individuals should be considered in addition to the existing resources within primary healthcare settings.

Download Full-text

Psychological distress, fear and coping among Malaysians during the COVID-19 pandemic

PLoS ONE ◽

10.1371/journal.pone.0257304 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0257304

Author(s):

Ahmed Suparno Bahar Moni ◽

Shalimar Abdullah ◽

Mohammad Farris Iman Leong Bin Abdullah ◽

Mohammed Shahjahan Kabir ◽

Sheikh M. Alif ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Well Being ◽

Mental Wellbeing ◽

Vulnerable Groups ◽

Suspected Case ◽

Cross Sectional Survey ◽

And Coping ◽

Distress Scale ◽

The Impact

Introduction The COVID-19 pandemic has enormously affected the psychological well-being, social and working life of millions of people across the world. This study aimed to investigate the psychological distress, fear and coping strategies as a result of the COVID-19 pandemic and its associated factors among Malaysian residents. Methods Participants were invited to an online cross-sectional survey from Aug-Sep 2020. The study assessed psychological distress using the Kessler Psychological Distress Scale, level of fear using the Fear of COVID-19 Scale, and coping strategies using the Brief Resilient Coping Scale. Univariate and multivariate logistic regression analyses were conducted to adjust for potential confounders. Results The mean age (±SD) of the participants (N = 720) was 31.7 (±11.5) years, and most of them were females (67.1%). Half of the participants had an income source, while 216 (30%) identified themselves as frontline health or essential service workers. People whose financial situation was impacted due to COVID-19 (AOR 2.16, 95% CIs 1.54–3.03), people who drank alcohol in the last four weeks (3.43, 1.45–8.10), people who were a patient (2.02, 1.39–2.93), and had higher levels of fear of COVID-19 (2.55, 1.70–3.80) were more likely to have higher levels of psychological distress. Participants who self-isolated due to exposure to COVID-19 (3.12, 1.04–9.32) and who had moderate to very high levels of psychological distress (2.56, 1.71–3.83) had higher levels of fear. Participants who provided care to a family member/patient with a suspected case of COVID-19 were more likely to be moderately to highly resilient compared to those who did not. Conclusion Vulnerable groups of individuals such as patients and those impacted financially during COVID-19 should be supported for their mental wellbeing. Behavioural interventions should be targeted to reduce the impact of alcohol drinking during such crisis period.

Download Full-text

Coping style, social support and psychological distress in the general Chinese population in the early stages of the COVID-2019 epidemic

10.21203/rs.3.rs-20397/v2 ◽

2020 ◽

Cited By ~ 1

Author(s):

Hua Yu ◽

Mingli Li ◽

Zhixiong Li ◽

Weiyi Xiang ◽

Yiwen Yuan ◽

...

Keyword(s):

Social Support ◽

Psychological Distress ◽

General Population ◽

Coping Style ◽

Psychological Intervention ◽

Mainland China ◽

Psychological Status ◽

Convenience Sample ◽

Factors Influencing ◽

Distress Scale

Download Full-text

Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia

Globalization and Health ◽

10.1186/s12992-020-00624-w ◽

2020 ◽

Vol 16 (1) ◽

Author(s):

Muhammad Aziz Rahman ◽

Nazmul Hoque ◽

Sheikh M. Alif ◽

Masudus Salehin ◽

Sheikh Mohammed Shariful Islam ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Alcohol Drinking ◽

Social Life ◽

Online Survey ◽

Service Use ◽

Mental Wellbeing ◽

Factors Associated ◽

And Coping ◽

Distress Scale

Abstract Background The COVID-19 pandemic disrupted the personal, professional and social life of Australians with some people more impacted than others. Objectives This study aimed to identify factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia. Methods A cross-sectional online survey was conducted among residents in Australia, including patients, frontline health and other essential service workers, and community members during June 2020. Psychological distress was assessed using the Kessler Psychological Distress Scale (K10); level of fear was assessed using the Fear of COVID-19 Scale (FCV-19S); and coping strategies were assessed using the Brief Resilient Coping Scale (BRCS). Logistic regression was used to identify factors associated with the extent of psychological distress, level of fear and coping strategies while adjusting for potential confounders. Results Among 587 participants, the majority (391, 73.2%) were 30–59 years old and female (363, 61.8%). More than half (349, 59.5%) were born outside Australia and two-third (418, 71.5%) completed at least a Bachelor’s degree. The majority (401, 71.5%) had a source of income, 243 (42.3%) self-identified as a frontline worker, and 335 (58.9%) reported financial impact due to COVID-19. Comorbidities such as pre-existing mental health conditions (AOR 3.13, 95% CIs 1.12–8.75), increased smoking (8.66, 1.08–69.1) and alcohol drinking (2.39, 1.05–5.47) over the last four weeks, high levels of fear (2.93, 1.83–4.67) and being female (1.74, 1.15–2.65) were associated with higher levels of psychological distress. Perceived distress due to change of employment status (4.14, 1.39–12.4), alcohol drinking (3.64, 1.54–8.58), providing care to known or suspected cases (3.64, 1.54–8.58), being female (1.56, 1.00–2.45), being 30–59 years old (2.29, 1.21–4.35) and having medium to high levels of psychological distress (2.90, 1.82–5.62) were associated with a higher level of fear; while healthcare service use in the last four weeks was associated with medium to high resilience. Conclusions This study identified individuals who were at higher risk of distress and fear during the COVID-19 pandemic specifically in the State of Victoria, Australia. Specific interventions to support the mental wellbeing of these individuals should be considered in addition to the existing resources within primary healthcare settings.

Download Full-text

Dealing With the Pandemic of COVID-19 in Portugal: On the Important Role of Positivity, Experiential Avoidance, and Coping Strategies

Frontiers in Psychology ◽

10.3389/fpsyg.2021.647984 ◽

2021 ◽

Vol 12 ◽

Author(s):

Maria José Ferreira ◽

Rui Sofia ◽

David F. Carreno ◽

Nikolett Eisenbeck ◽

Inês Jongenelen ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Experiential Avoidance ◽

Online Survey ◽

Critical Role ◽

Well Being ◽

Coping With Stress ◽

Self Blame ◽

And Coping

The global COVID-19 pandemic crisis has caused an unprecedented impact on most areas of people’s lives. Thus, framed within the scope of Existential Positive Psychology (PP2.0), this study aimed at assessing the psychological distress of adults living in Portugal during the first national lockdown, how they are coping with stress, as well to contribute to a deeper understanding about the role that positivity, experiential avoidance, and coping strategies have in psychological distress and well-being. For this purpose, 586 Portuguese adults (73% females) ranging between 18 and 78 years old (M = 38.96, SD = 12.20) completed an online survey during the initial phase of the pandemic crisis in Portugal. Findings suggest that experiential avoidance was the strongest predictor of a negative response (depression, anxiety, stress, loneliness, and negative emotions), whereas positivity was a better predictor of psychological well-being and lower levels of depression. Additionally, self-blame, behavioral disengagement, and emotional venting were strong risk factors for psychological distress, whereas positive reframing, planning, and acceptance were associated with more positive outcomes. These findings highlight the critical role of experiential avoidance on individuals’ psychological distress and the essential contribution of positive life orientation in promoting flourishing. By offering a better understanding of the complex navigation through the dialectics between positive and negative life features, this study provides important and useful cues for psychological interventions directed at promoting a more positive and adaptive human functioning even through such potential adverse and painful life events.

Download Full-text