scholarly journals Depression Symptoms Mediate Mismatch Between Perceived Severity of the COVID-19 Pandemic and Preventive Motives

2021 ◽  
Vol 12 ◽  
Author(s):  
Jiwon Park ◽  
Seungmin Lee ◽  
Sunhae Sul ◽  
Dongil Chung

The present study monitored changes in beliefs about the coronavirus disease 2019 (COVID-19) pandemic, depressive symptoms, and preventive motives between the first and second waves in South Korea using an online survey administered to 1,144 individuals nationally representative for age, gender, and areas of residence. While participants correctly updated their beliefs about the worsening pandemic situations, the perceived importance of social distancing did not change, and their motives to follow prevention measures shifted toward compulsory rather than voluntary motives. This inconsistency appeared to be mediated by depressive symptoms, such that negative belief changes followed by increased depressive symptoms were associated with the decreased perceived importance of social distancing and decreased voluntary motives. Our data highlights the importance of psychological responses to the dynamically evolving pandemic situations in promoting preventive behaviors.


2020 ◽  
Author(s):  
Jiwon Park ◽  
Seungmin Lee ◽  
Sunhae Sul ◽  
Dongil Chung

Without any known vaccine or cure, sustaining individuals’ cooperation in following prevention measures is crucial to prevent spreading of the coronavirus (COVID-19). Here, we monitored national representative samples with changes in beliefs about the pandemic, depressive symptoms, and motivation to comply with prevention measures between the end of the first wave (Time1) and beginning of the second wave (Time2) of the COVID-19 in South Korea. Participants’ beliefs about the pandemic closely reflected the change of the COVID-19 situations. Strikingly, inconsistent with the accurate belief update, individuals regarded social distancing less important and externalized their motives to comply with preventive measures more at Time2 than Time1. This mismatch was mediated by depressive symptoms, such that increased depressive symptoms followed by negative belief change were associated with decreased perceived importance of social distancing and voluntary motivation. Our data highlights the importance of considering psychological reactions in promoting individuals’ compliance with prevention measures.



2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Yi Zhang ◽  
Xiaoyan Wu ◽  
Shuman Tao ◽  
Shiyue Li ◽  
Le Ma ◽  
...  

Abstract Background The 2019 novel coronavirus disease (COVID-19) emerges in China, which spreads rapidly and becomes a public health emergency of international concern. Chinese government has promptly taken quarantine measures to block the transmission of the COVID-19, which may cause deleterious consequences on everyone’s behaviors and psychological health. Few studies have examined the associations between behavioral and mental health in different endemic areas. This study aimed to describe screen time (ST), physical activity (PA), and depressive symptoms, as well as their associations among Chinese college students according to different epidemic areas. Methods The study design is cross-sectional using online survey, from 4 to 12 February 2020, 14,789 college students accomplished this online study, participants who did not complete the questionnaire were excluded, and finally this study included 11,787 college students from China. Results The average age of participants was 20.51 ± 1.88 years. 57.1% of the college students were male. In total, 25.9% of college students reported depression symptoms. ST > 4 h/day was positively correlated with depressive symptoms (β = 0.48, 95%CI 0.37–0.59). COVID-19ST > 1 h/day was positively correlated with depressive symptoms (β = 0.54, 95%CI 0.43–0.65), compared with COVID-19ST ≤ 0.5 h/day. Compared with PA ≥ 3 day/week, PA < 3 day/week was positively associated with depression symptoms (β = 0.01, 95%CI 0.008–0.012). Compared with low ST and high PA, there was an interaction association between high ST and low PA on depression (β = 0.31, 95%CI 0.26–0.36). Compared with low COVID-19ST and high PA, there was an interaction association between high COVID-19ST and low PA on depression (β = 0.37, 95%CI 0.32–0.43). There were also current residence areas differences. Conclusions Our findings identified that high ST or low PA was positively associated with depressive symptoms independently, and there was also an interactive effect between ST and PA on depressive symptoms.



2021 ◽  
Author(s):  
Julia Dementeva ◽  
Ivan Smirnov

BackgroundHigher academic performance is known to be negatively associated with the odds and severity of depressive symptoms. These results, however, were mostly obtained by using data on students from one educational organization or by relying on relative measures of academic performance such as grade point average. As a result, the relationship between academic performance measured by standardized tests and depressive symptoms at the population level is less known.MethodsWe use the data from the Russian study 'Trajectories in Education and Careers' (N = 4,400). This panel is nationally representative for one age cohorts and includes information on educational outcomes measured by an internationally recognized standardized test (PISA) at the age of 15 along with self-reported depression symptoms 6 years later (PHQ-9). ResultsThe prevalence of depression was 20% among women and 12% among men. We find no association between PHQ-9 scores for women and their PISA scores, however we find positive linear association for men (r = 0.15; CI95% = [0.10, 0.20]). This results in an increase of risk of being depressed from 4% for low-performing men to 17% for high-performing men. This result holds after controlling for the socioeconomic status of participants, the fact of studying at university, and the selectivity of their university.ConclusionsIt is generally believed that higher academic performance is negatively associated with depression. Our results indicate that the association might be more complex than has been previously thought and that high academic performance might be a risk factor for depression.



2021 ◽  
Vol 8 ◽  
Author(s):  
Rick Yiu Cho Kwan ◽  
Paul Hong Lee ◽  
Daphne Sze Ki Cheung ◽  
Simon Ching Lam

The COVID-19 pandemic has affected more than 100 countries. Despite the global shortage of face masks, the public has adopted universal mask wearing as a preventive measure in many Asian countries. The COVID-19 mortality rate is higher among older people, who may find that wearing a face mask protects their physical health but jeopardizes their mental health. This study aimed to explore the associations between depressive symptoms, health beliefs, and face mask wearing behaviors among older people. By means of an online survey conducted between March and April 2020, we assessed depressive symptoms, health beliefs regarding COVID-19, and face mask use and reuse among community-dwelling older people. General linear models were employed to explore the associations among these variables. Of the 355 valid participants, 25.6% experienced depressive symptoms. Health beliefs regarding the perceived severity of disease (p = 0.001) and perceived efficacy of practicing preventive measures (p = 0.005) were positively associated with face mask use. Those who reused face masks (p = 0.008) had a stronger belief in disease severity (p &lt; 0.001), had poorer cues to preventive measures (p = 0.002), and were more likely to experience depressive symptoms. Mask reuse was significantly associated with depression only among those who perceived the disease as serious (p = 0.025) and those who had poorer cues to preventive measures (p = 0.004). In conclusion, health beliefs regarding perceived severity and efficacy contributed to more frequent face mask use, which was unrelated to depressive symptoms. Older people who had a stronger belief in disease severity had less adequate cues to preventive measures and reused face masks experienced greater depressive symptoms. A moderation effect of health beliefs (i.e., disease severity and cues to preventive measures) on face mask reuse and depression was observed.



Work ◽  
2021 ◽  
pp. 1-11
Author(s):  
Natan Feter ◽  
Eduardo L. Caputo ◽  
Igor R. Doring ◽  
Marcelo C. da Silva ◽  
Felipe F. Reichert ◽  
...  

BACKGROUND: The coronavirus disease (COVID-19) pandemic has affected workers in different health services including exercise professionals (EP). The urgent need to adapt in-person to online activities might have led to increased frequency of anxiety and depressive symptoms. OBJECTIVE: We aimed to identify the determinants of aggravated depressive and anxiety symptoms in EP in southern Brazil during social distancing from the COVID-19. METHODS: A cross-sectional study was conducted with EP who worked at fitness centers, sports clubs, private schools, or at a public exercise program offered by the municipal council. We used an online-based, self-administered, adapted version of the Hospital Anxiety and Depression scale to compare symptoms of depression and anxiety pre- and during social distancing. RESULTS: Participants (n = 201) had a mean age of 32.7±8.0 years, with more than half being male, white, and having an university degree. We observed that 81%and 71%of respondents reported higher frequency in anxiety and depression symptoms, respectively, during social distancing than in the period before it. Physical education teachers, women, non-white professionals, and those with chronic disease were more likely to worsen anxiety symptoms. Women had higher odds to increased frequency in depressive symptoms. Physical activity and previous experience with internet-based tools for working activities reduced the risk of increased depressive symptoms. CONCLUSIONS: Sex, ethnicity, chronic diseases, educational level, physical activity, and experience with online tools were determinants for increased frequency of depression and anxiety symptoms in EP.



2020 ◽  
Author(s):  
Jenny Groarke ◽  
Emily McGlinchey ◽  
Phoebe McKenna-Plumley ◽  
Emma Berry ◽  
Lisa Graham-Wisener ◽  
...  

BackgroundLongitudinal studies examining the temporal association between mental health outcomes during the COVID-19 outbreak are needed. It is important to determine how relationships between mental health outcomes, specifically loneliness and depressive symptoms, manifest over a brief timeframe and in a pandemic context.Method Data was gathered over 4 months (March – June 2020) using an online survey with three repeated measures at monthly intervals (N = 1958; 69.8% females; Age 18-87 years, M = 37.01, SD = 12.81). Associations between loneliness, depression symptoms, and emotion regulation difficulty were tested using Pearson’s product moment correlations, and descriptive statistics were calculated for all study variables. Cross-lagged structural equation modelling was used to examine the temporal relationships between variables. Results The longitudinal association between loneliness and depressive symptoms was reciprocal. Loneliness predicted higher depressive symptoms one month later, and depressive symptoms predicted higher loneliness one month later. The relationship was not mediated by emotion regulation difficulties. Emotion regulation difficulties and depressive symptoms were also reciprocally related over time.Limitations Limitations include the reliance on self-report data and the non-representative sample. There was no pre-pandemic assessment limiting the conclusions that can be drawn regarding the mental health impact of the COVID-19 crisis.ConclusionsLoneliness should be considered an important feature of case conceptualisation for depression during this time. Clinical efforts to improve mental health during the pandemic could focus on interventions that target either loneliness, depression, or both. Potential approaches include increasing physical activity or low-intensity cognitive therapies delivered remotely.



2020 ◽  
Author(s):  
Iro Fragkaki ◽  
Dominique F. Maciejewski ◽  
Esther Weijman ◽  
Jonas Feltes ◽  
Maaike Cima

In the midst of the Covid-19 pandemic, the governments are trying to contain the spread with non-pharmaceutical interventions (NPIs), such as social distancing rules, restrictions, and lockdowns. In an effort to identify factors that may influence population adherence to NPIs, we examined the role of optimism bias, anxiety, and perceived severity of the situation in relation to engagement in protective behavioral changes and satisfaction with governments’ response to this pandemic. We conducted an online survey in 935 participants (Mage = 34.44; 68.88% females) that was disseminated in April and May 2020 in the Netherlands, Germany, Greece, and USA. Individuals with high optimism bias engaged less in behavioral changes, whereas individuals with high levels of anxiety and high perceived severity engaged more in behavioral changes. Individuals with high optimism bias and individuals with high levels of anxiety were less satisfied with the governments’ response, albeit for different reasons. Individuals who reported low perceived severity and low government satisfaction engaged the least in behavioral changes, whereas participants who reported high perceived severity and low government satisfaction engaged the most in behavioral changes. This study contributes to a better understanding of the psychological factors that influence people’s responses to NPIs.



2020 ◽  
Author(s):  
Tesfaye Assebe Yadeta ◽  
Yadeta Desie Baca ◽  
Bikila Balis

Abstract Background Depression of health care workers was related to work absences, resignations, and poor work performance, affecting the quality of patient care and the health care system. It may be at higher risk during the Coronavirus disease (COVID-19) pandemic. There is limited evidence that assesses depression and its associated factors in the study area. Therefore this study aimed to assess depression and associated factors among health care workers (HCW) in eastern Ethiopia. Method: The cross-sectional study design was conducted from October 26th to November 10, 2020. To assess depression among health care workers. Patient Health Questionnaire (PHQ-19) questionnaire was used for the collection of depressive symptoms. The data were analyzed by using STATA version 14 software. Adjusted Odds Ratio (AOR) along with 95% CI was estimated to examine factors associated with depression symptoms using logistic regression analysis. Results Of the total 265 study participant, 176 (66.4%) and 95% CI: 60.4%, 71.8% of them reported depressive symptom. Of 176 reported symptoms of depression 27.9%, 24.1%, 9.4%, 3.7%, and 1.1% were had minimal, mild, moderate, moderate-severe, and severe depressive symptoms respectively. Being female [AOR: 3.40, (95%CI: (1.79, 6.45)], participants who perceived susceptibility to COVID-19 [AOR: 2.30, (95%CI: (1.12, 4.71)], and perceived severity to COVID-19 [AOR: 3.06, (95%CI: (1.35, 6.91)] were higher risks of experiencing depression symptoms. Participants who had work experience 3–5 years [AOR: 0.21, (95%CI: (0.08, 0.56)], and the participant who had 6–10 years’ work experience [AOR: 0.30, (95%CI: (0.11, 0. 84)] were had less likely to experience depression symptoms when compared with a participant who had two and fewer years of work experience. Conclusions A high proportion of health care workers experienced depression symptoms. Health care workers' mental health needs to be protected during the COVID-19 pandemic. Female health care workers, junior health care workers, and HCWs perceived susceptibility, and perceived severity of COVID-19 need attention.



2020 ◽  
Vol 25 (suppl 2) ◽  
pp. 4157-4168
Author(s):  
Edson Zangiacomi Martinez ◽  
Fabrícia Mabelle Silva ◽  
Thais Zanin Morigi ◽  
Miriane Lucindo Zucoloto ◽  
Thaise Lucena Silva ◽  
...  

Abstract Physical inactivity and sedentary behavior are associated with poor physical and mental health. The article aims to assess the changes in the habits of the Brazilian participants engaged in physical activities in relation to their practices, due the measures of social distancing during the COVID-19 epidemic in 2020. The secondary objective was to describe their levels of anxiety and depression. The questionnaire used in this online survey included demographic information, questions about self-perceptions of the impact of the COVID-19 in the life routines and the 14-item Hospital Anxiety Depression Scale. A total of 1,613 adults completed the questionnaire between May 11 and 15, 2020. Of those, 79.4% reported that the measures to contain the epidemic had any impact on their physical activities, and many had to interrupt or decrease the frequency of their practices. Participants who felt a higher impact of quarantine on their physical activities tend to have higher prevalence of anxiety and depression symptoms. Individuals who practiced physical activities reported that social distance had a high influence on their practices. Furthermore, changes in these habits are associated with high levels of poor mental health.



2020 ◽  
Author(s):  
Iris Schelhorn ◽  
Angelika Ecker ◽  
Judith Bereznai ◽  
Thomy Tran ◽  
Stefan Rehm ◽  
...  

Since the first COVID-19 case was diagnosed in Germany, various lockdown measures were imposed across the country that likely had a large impact on psychological well-being. In the current study, we investigate depressive symptoms as depression is a leading contributor to the global burden of disease and potentially life-threatening. This study reports on a dataset that was collected between April 8 and June 1 2020 through an online survey in several German states. More than 2000 individuals took part in the survey measuring depressive symptoms (as defined in ICD-10). Similar to recent observations from Italy and China, severe depressive symptoms reported were relatively high. Especially younger adults and females reported more severe symptoms compared to other groups. In conclusion, we need to prepare for increased need of psychological services, availability and accessibility already parallel with imposing restrictive measures.



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