Depression, anxiety, and daily activity among adolescents before and during the COVID-19 pandemic: a two-group cross-sectional study (Preprint)

2021 ◽  
Author(s):  
Anna Jolliff ◽  
Qianqian Zhao ◽  
Jens Eickhoff ◽  
Megan Moreno
Keyword(s):  
Mental Health ◽  
Least Squares ◽  
Extracurricular Activities ◽  
Daily Activity ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Lower Socioeconomic ◽  
Adjusted Means ◽  
Significant Difference

BACKGROUND The coronavirus pandemic (COVID-19) has resulted in significant changes to adolescents’ daily lives and, potentially, to their mental health. The pandemic has also disproportionately affected historically marginalized and at-risk communities, including people of color, socioeconomically disadvantaged people, and youth. OBJECTIVE This study aimed to understand differences in depression and anxiety among two groups of US adolescents before and during the COVID-19 pandemic, and to examine demographic and daily activity variables associated with depression and anxiety. METHODS Online surveys were distributed in 2019 and 2020. Analyses of covariance compared depression and anxiety between pre-pandemic and pandemic groups. Demographic and lifestyle variables were included as covariates. RESULTS Within the pandemic group, 94% of adolescents reported being out of school due to the pandemic, and another 86% and 57% were prevented from extracurricular activities or exercise, respectively. The pandemic group trended towards higher depression, with least squares adjusted means 7.62 ±1.36, compared to 6.28 ±1.42 (p=.08) in the pre-pandemic group. There was no significant difference in anxiety scores between pandemic and pre-pandemic groups, with least squares adjusted means 5.52 ±1.30 vs. 5.01 ±1.36 (p=.48). Within the pandemic group, lower socioeconomic status was predictive of anxiety, such that those in the pandemic group of lower SES were more anxious than their higher SES peers, with least squares adjusted means 11.17 ±2.34 vs. 8.66 ±2.16 (p=.02). Within the pandemic group, being out of work, school, extracurricular activities, or exercise due to the pandemic was not associated with higher depression or anxiety scores. CONCLUSIONS In the present study, neither being in the pandemic group, nor experiencing changes in daily activity due to the pandemic, were associated with higher depression or anxiety. However, we found that adolescents from lower socioeconomic backgrounds experienced significantly more anxiety during the pandemic than their more privileged peers. Both instrumental and mental health interventions for less privileged adolescents are imperative. CLINICALTRIAL Not applicable

scholarly journals The Relationship between Mental Health with the Level of Empathy Among Medical Students in Southern Thailand: A University-Based Cross- Sectional Study

2021 ◽  
Vol 73 (12) ◽  
pp. 832-840
Author(s):  
Katti Sathaporn ◽  
Jarurin Pitanupong
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Protective Factor ◽  
Cross Sectional Study ◽  
Clinical Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Significant Difference ◽  
High Level

Objective: To determine the level of and factors associated with empathy among medical students.Materials and Methods: This cross-sectional study surveyed all first- to sixth-year medical students at the Facultyof Medicines, Prince of Songkla University, at the end of the 2020 academic year. The questionnaires consisted of:1) The personal and demographic information questionnaire, 2) The Toronto Empathy Questionnaire, and 3) ThaiMental Health Indicator-15. Data were analyzed using descriptive statistics, and factors associated with empathylevel were assessed via chi-square and logistic regression analyses.Results: There were 1010 participants with response rate of 94%. Most of them were female (59%). More than half(54.9%) reported a high level of empathy. There was a statistically significant difference in empathy levels betweenpre-clinical and clinical medical students; in regards to empathy subgroups (P-value < 0.001). The assessment ofemotional states in others by demonstrating appropriate sensitivity behavior, altruism, and empathic respondingscores among the pre-clinical group were higher than those of the clinical group. Multivariate analysis indicatedthat female gender, pre-clinical training level, and minor specialty preference were factors associated with empathylevel. The protective factor that significantly improved the level of empathy was having fair to good mental health.Conclusion: More than half of the surveyed medical students reported a high level of empathy. The protective factorthat improved the level of empathy was good mental health. However, future qualitative methods, longitudinalsurveillance, or long-term follow-up designs are required to ensure the trustworthiness of these findings.

Association of shift work with depression and anxiety in middle-aged adults: a large cross-sectional study among Iranian industrial manufacturing employees

2020 ◽  
Vol 19 (4) ◽  
pp. 291-300
Author(s):  
Zeinab Alizadeh ◽  
Hamidreza Roohafza ◽  
Awat Feizi ◽  
Nizal Sarrafzadegan
Keyword(s):  
Mental Health ◽  
Shift Work ◽  
Short Form ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Steel Company ◽  
Cross Sectional ◽  
Content Type

Purpose This study aimed to examine the association of shift work with depression and anxiety in a large sample of formal and contractual employees of a mill steel company, Isfahan, Iran. Design/methodology/approach This cross-sectional study was performed in 2014 among 3,060 formal and contractual employees of a mill steel company Isfahan, Iran, randomly selected from 16,000 people. Data gathering was done by some validated Iranian version of self-administered questionnaires including, International Physical Activity – Short Form, Effort–Reward Imbalance, Hospital Anxiety and Depression Scale. Logistic regression was used as the main statistical method. Findings The results showed individuals in the rotating shift compared with day shift had a higher risk of depression (OR: 1.43; 95% CI: 1.12–1.84). Whereas after adjustment for various confounders, this relationship was not significant (OR: 1.19; 95% CI: 0.81–1.76). Anxiety was not associated with shift work, both in crude and adjusted models (OR: 1.08; 95% CI: 0.81–1.44) and (OR: 0.90; 95% CI: 0.67–1.19), respectively. Research limitations/implications Owing to the cross-sectional design of this study, cause–effect relationships could not be inferred from our findings. All the data used in the present analysis were collected by self-administered questionnaires. Practical implications Although our findings did not show significant association between shift work and mental health, further studies are suggested for obtaining informative data worldwide in this regard among workforce particularly among industrial employees. Originality/value Few studies have addressed the effects of shift work on mental health among industrial employees worldwide, and there is no study in developing countries.

scholarly journals Fatigue in patients with epilepsy and its association with depression and sleep quality

2013 ◽  
Vol 71 (8) ◽  
pp. 533-536 ◽  
Author(s):  
Gisele S. M. Leite Neves ◽  
Marleide da Mota Gomes
Keyword(s):  
Sleep Quality ◽  
Daytime Sleepiness ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Tertiary Center ◽  
Significant Difference ◽  
Patients With Epilepsy

OBJECTIVE: It was to evaluate the relationships between fatigue and excessive daytime sleepiness, sleep quality, depression and anxiety. METHODS: This was a cross-sectional study on 98 unselected adult patients with epilepsy (PWE) at a tertiary center. It used clinical-sociodemographic characteristics, fatigue measured by the SF-36 vitality subscale (VsSF-36) and the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index and Beck Depression and Anxiety Inventories. RESULTS: We observed that our patients presented vitality or fatigue similar to drivers with chronic headaches evaluated in the same city. Fatigue was related to depression, anxiety and sleep quality, but not to daytime sleepiness. A multiple linear regression analysis was conducted and we observed that fatigue was independently correlated with depression and quality of sleep. However, no significant difference was observed regarding seizure frequency or number of antiepileptic drugs. CONCLUSION: Fatigue needs to be studied more in PWE, and its risk factors need to be controlled, along with sleep quality and psychiatric disorders.

scholarly journals Stigma, Social Support, Illicit Drug Use, and Other Predictors of Anxiety and Depression Among HIV/AIDS Patients in Pakistan: A Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Ali Ahmed ◽  
Muhammad Saqlain ◽  
Malik Muhammad Umair ◽  
Furqan Khurshid Hashmi ◽  
Hamid Saeed ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Illicit Drugs ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
People Living With Hiv ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Aids

Introduction: Anxiety and depression in people living with HIV/AIDS (PLWHA) can lead to non-adherence to antiretroviral therapy (ART), morbidity, and mortality. Therefore, assessing the stigma, social support, and other determinants of anxiety and depression in PLWHA are important for developing further interventions.Methods: An institution-based cross-sectional study was conducted in 505 PLWHA, approached through systematic sampling, who paid routine visits to the ART center, Pakistan Institute of Medical Sciences (PIMS), Islamabad. Data was collected by pretested validated hospital anxiety and depression scale (HADS). Version 26 of the SPSS was used to apply Logistic regression analysis to identify determinants, and the 95% confidence interval (CI) adjusted odds ratio (AOR) was calculated to assess the magnitude of the relationships.Results: In PLWHA, the prevalence of co-morbid depression and anxiety was 80%. Separately, 89.9% had depression, and 80.3% had anxiety. Use of illicit drugs [AOR = 1.87, 95% CI (1.01, 3.27)], low social support [AOR = 1.21, 95% CI (1.02, 2.25)], being male [AOR = 2.21, 95% CI (1.11, 5.49)], and HIV related stigma [AOR = 2.48, 95% CI (1.25, 6.02)] were significant predictors of depression. Having detectable viral load [AOR = 3.04, 95% CI (1.04, 8.86)], young age [AOR = 5.31, 95% CI (1.19, 29.39)], no formal education [AOR = 21.78, 95% CI (4.03, 117.62)], low [AOR = 1.70, 95% CI (1.12, 6.93)] or moderate [AOR = 2.20, 95% CI (1.79, 6.09)] social support, illicit drugs addiction [AOR = 1.17, 95% CI (1.03, 2.55)], and HIV stigma [AOR = 54.3, 95% CI (21.20, 139.32)] had a remarkable association with anxiety.Conclusions: Given the high prevalence of anxiety and depression among PLWHA, the Pakistan Ministry of Health should focus more on monitoring mental health, expanding mental health services, and developing interventions based on identified factors to treat depression and anxiety among PLWHA.

scholarly journals Psychological Distress during COVID-19 Curfews and Social Distancing in Saudi Arabia: A Cross-Sectional Study

2020 ◽  
Author(s):  
Badrah S Alghamdi ◽  
Yasser AlAtawi ◽  
Fahad S. AlShehri ◽  
Haythum O. Tayeb ◽  
Hanin Abo Abo Taleb ◽  
...  
Keyword(s):  
Mental Health ◽  
Saudi Arabia ◽  
Psychological Distress ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Normal Range ◽  
Cross Sectional ◽  
The Mean ◽  
Stress Score

Abstract Background Coronavirus disease 2019 (COVID-19) has spread to over 150 countries worldwide. Since the first case of COVID-19 was confirmed in Saudi Arabia, cases have continued to escalate exponentially. The COVID-19 outbreak has had a negative effect on mental health and well-being. The study aim was to investigate the effects of the strict national regulations associated with the COVID-19 pandemic on the population’s mental health. Methods This was a cross-sectional study of a convenience sample of Saudi residents. Participants completed an online questionnaire after 1 month of a nationwide 24-hour curfew. We measured psychological distress using the Depression, Anxiety and Stress Scale-21 (DASS-21). We ran binary logistic regression analyses to detect variables that significantly predicted DASS-21 scores. Results The sample comprised 2252 Saudi residents. The DASS-21 score means and standard deviations for depression and anxiety for the whole sample (10.73 ± 10.29 and 6.98 ± 8.30, respectively) were in the range of mild depression and anxiety. In contrast, the mean DASS-21 stress score was within the normal range (11.97 ± 10.80). The mean stress score for healthcare workers was within normal range (13.70 ± 10.68), but was significantly higher than the mean score for the public (11.56 ± 10.89; P = .0006). Several variables (e.g. age, gender and history of contact with confirmed COVID-19 cases) were significantly associated with higher DASS-21 scores. Conclusions The COVID-19 pandemic has created a psychological burden. Therefore, there is an urgent need to implement emergency psychological interventions to reduce the negative psychosocial effects of the pandemic on public mental health.

scholarly journals Mental health among COVID-19 survivors and healthcare workers exposed to COVID-19 in Wuhan, China: a cross-sectional study

2020 ◽  
Author(s):  
Bin Chen ◽  
Yan Wang ◽  
Ting Yang ◽  
Cheng Li ◽  
Zhiling Sun
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Psychological Status ◽  
Impact Factors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Crisis ◽  
Significant Difference ◽  
Low Educated

Abstract Then novel coronavirus disease (COVID-19) epidemic was considered to be the worst and complex virus outbreak, which caused 56,985 deaths as of April 22, 2020 already. The epidemic infectious may cause mental health crisis. Meanwhile, little is known about the specific psychological status of the COVID-19 survivors and healthcare workers. This cross-sectional study surveyed the mental health among 20 COVID-19 survivors, 54 nurses, and 24 hygienists in Wuhan, China and analyze the possible impact factors using the Symptom Check List 90 - Revised (SCL90-R) questionnaire. 3 indices and 9 dimensions were compared among job, education level, gender, age, marriage classification. This study found that mental distress among participants was not very serious in general. The survivors presented a highest score, then the hygienists, and the lowest in nurses. Low-educated and women showed significant increase. No significant difference was noted in age and marriage classification. Our study indicated that the survivors need psychological support immediately. Meanwhile, healthcare workers warrant more attention, especially low-educated and women. Comprehensive emergency response plan was warranted.

scholarly journals The Prevalence of Depression and Anxiety and Their Lifestyle Determinants in a Large Sample of Iranian Adults: Results from a Population Based Cross-Sectional Study

2020 ◽  
Vol 21 (2) ◽  
pp. 163-170
Author(s):  
Zeinab Alizadeh ◽  
Awat Feizi ◽  
Mehri Rejali ◽  
Hamid Afshar ◽  
Ammar Hassanzadeh Keshteli ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Population Based ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Large Sample ◽  
Increased Risk

AbstractAssociation of lifestyle-related factors and mental health has been less studied in Middle Eastern countries. This study aimed to examine the prevalence of two common mental health problems, i.e., depression and anxiety, and their lifestyle determinants in a large sample of Iranian population.This study was conducted within the framework of SEPAHAN population based cross-sectional study (N=4763(. The General Practice Physical Activity Questionnaire (GPPAQ) was used to assess physical activity and the Iranian-validated version of Hospital Anxiety and Depression Scale (HADS) was applied to screen for anxiety and depression. Logistic regression was used as the main statistical method for data analysis by SPSS version 16.0. A P-value <0.05 was considered to be statistically significant.The risk of anxiety and depression was 2.5 (OR=2.56,95% CI: 1.97-3.33) and 2.21(1.83-2.67) times higher in women than men, respectively. With every one-year increase in the age, the risk of anxiety decreased by 2% (OR=0.98,95% CI:0.97-0.99). Individuals with higher education had 56% lower risk of anxiety (OR=0.44,95% CI: 0.36-0.55) and 46% depression (OR=0.54,95% CI: 0.46-0.64) than the undergraduate group, and the risk of depression in the inactive (less than one hour of activity per week) group was 27% higher than the active group (OR=1.27,95% CI: 1.06-1.51). The risk of anxiety in the non-smoker group was 65% (OR=0.35,95% CI: 0.20-0.59) and depression was 64% lower than among smokers (OR=0.34,95% CI:0.22-0.53). In the ex-smoker group, the risk of anxiety was 60% (OR=0.40,95% CI:0.19-0.85) and depression was 59% lower than for the smoker group (OR=0.41,95% CI: 0.24-0.73).This current study’s results demonstrated significant associations between unhealthy lifestyle factors and increased risk of anxiety and depression. Hence, special attention must be paid to preventive intervention programmes aiming to enhance healthy lifestyle among at-risk populations.

Prevalence and Factors Associated with Depression and Anxiety of Hospitalized Patients with COVID-19 in St. Peter Specialized Hospital Treatment Centers

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Dereseh BA ◽  
◽  
Abraha M ◽  
Haile K ◽  
Fanta T ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Hospital Treatment ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Specialized Hospital

Background: Since December 2019, an outbreak of corona virus disease 2019(COVID-19), caused by the Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) has widely and rapidly spread in China and around the world. Since 31 December 2019 and as of 30 April 2020, more than 25,000,000 cases of COVID-19 and 800,000 deaths have been reported. The grim epidemic has caused increasing public panic and mental health stress. Mental health is becoming an issue that cannot be ignored, while trying to control the outbreak. Cross sectional study was conducted to assess magnitude and factors associated depression among patients with COVID-19 in St. Peter Specialized Hospital Treatment Centers Addis Ababa, Ethiopia. Methods: Institutional based cross-sectional study was conducted among 422 Patients with COVID-19 admitted at St. Peter Specialized Hospital COVID-19 treatment center. The Anxiety and Depression was assessed through face to face interviews by trained psychiatry nurses using 14-items Hospital Anxiety and Depression Scale (HADS).Correlates for depression & anxiety were assessed using a structured questionnaire and Oslo social support scale. Result: A total of 373 participants were volunteer to be included in the study which makes the response rate88.4%. The mean age of the respondents was 37.46 (±SD=16.09) years. This study revealed that the Magnitude of Depression 36.5 % (136) and Anxiety 21.2 % (79) among COVID-19 patients. By using Multivariate (Anxiety) Logistic Regression, Patients who were Male (AOR 5.01, 95%CI (2.11, 11.87)), Housewife (AOR 11.43, 95%CI ( 2.67, 48.90)), Selfemployed (AOR 2.45,, 95%CI (1.07, 5.60)), having Diagnosed Chronic illness (AOR 2.56, 95%CI (1.19, 5.53)), having COVID-19 Symptoms for below 7 days and for 8-14 days ((AOR 3.21, 95%CI (1.21, 8.58)) & AOR 3.70, 95%CI (1.55, 8.84)) respectively) and those who had Poor/low Social Support (AOR 3.42, 95%CI (1.21, 9.63)) had Statistically Significant Association with Anxiety. By using Multivariate (Depression) Logistic Regression, Patients who were 41 and above years of old (AOR 3.95, 95% CI (1.80, 8.69)), had Monthly Income of less than 1000 birr (AOR 2.99, 95%CI (1.11, 8.05)), Having COVID-19 Symptoms for 8-14 days (AOR 2.63, 95% CI (1.34, 5.17)) and who had Poor Social Support (AOR 3.13, 95% CI (1.34, 7.30)) were Statistically Significant Associated with Depression. Conclusion: In the current study area the magnitude of depression and anxiety was high. Factors like sex, Job, having Diagnosed Chronic illness, Duration of COVID-19 symptom and social support with anxiety and factors such as age, income, duration of COVID-19 symptom and social support had statistically significant associated with depression.

Mental Health Issues in Female Population during Covid-19 Pandemic

2021 ◽  
Vol 15 (10) ◽  
pp. 3370-3374
Author(s):  
Syeda Fariha Hussain ◽  
Shazia Aftab ◽  
Huma Baloch ◽  
Naila Qamar ◽  
Maryam Masood ◽  
...  
Keyword(s):  
Mental Health ◽  
Pregnant Women ◽  
Health Care Policy ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Female Population ◽  
Negative Effect

Background: Female population can be affected by various psychological factors that can have adverse effects on the woman’s mental health. Pandemics are one such times which can have negative effect on the mental health. Therefore, this study was conducted to determine the status of depression and anxiety and factors associated with it in the female population (pregnant and non-pregnant women) during the outbreak of COVID-19. Methods: This descriptive-analytical cross-sectional study was performed on 345 women coming to a tertiary care hospital in Karachi, Pakistan. The data was collected using the socio-demographic characteristics questionnaire and the GAD-7 and PHQ-9 questionnaires. Regression analysis was done to determine the association between various factors with depression and anxiety. Results: Mean age of the participants was 27.9 years Depression and anxiety symptoms were observed in 32.7, 32.7, and 43.9% of the participants, respectively The mean score of depression was found to be 3.72 (3.80) whereas of anxiety was 3.5 (4.006). The overall prevalence of depression was 30.5% and that of anxiety was 18.55%, with varying degrees from mild to severe. Conclusions: Females in general and pregnant women specifically need special attention of the health care policy makers and this group should be given importance especially in times of such pandemics and all necessary measures should be taken to provide mental and psychological support. Keywords: COVID-19, Pregnancy, Prevalence, Depression, Anxiety, Stress

scholarly journals A cross-sectional study for the impact of coping strategies on mental health disorders among psychiatric nurses

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Konstantinos Tsaras ◽  
Aristides Daglas ◽  
Dimitroula Mitsi ◽  
Ioanna V. Papathanasiou ◽  
Foteini Tzavella ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Problem Solving ◽  
Coping Strategies ◽  
Cross Sectional Study ◽  
Psychiatric Nurses ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mental Health Nurses

Several studies report that psychiatric nursing is a highly stressful occupation. The ways that nurses use in order to deal with stressful situations have a serious effect on their psychological mood and their health status. The purpose of this study was to investigate the coping strategies in predicting of depression and anxiety among mental health nurses working in public psychiatric hospitals. A descriptive, cross-sectional study was conducted in Athens, Greece from April to May 2017. A questionnaire consisting of the socio-demographic and work-related characteristics, the Patient Health Questionnaire-2, the Generalized Anxiety Disorder-2, and the 38-items Ways of Coping Questionnaire - Greek version, was completed by a total of 110 mental health nurses. Univariate and multivariate analyses were performed using the logistic regression model. Coping strategies focused on the problem (positive re-evaluation, positive approach, problem solving, and seeking social support) were the most commonly used by the mental health nurses. Strategies focused on emotion (prayer/daydream, prayer, avoidance/escape, resignation, and denial) were positively associated with depression and anxiety outcomes. Also, the coping skills of problem solving (Adjusted Odds Ratio, AOR=0.402), and seeking social support (AOR=3.719) were significant predictors only for elevated anxiety symptoms. The results from the study demonstrated the importance of coping behaviours in mental health problems of psychiatric nurses.

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