Depressive and Anxiety Symptoms Among People Under Quarantine During the COVID-19 Epidemic in China: A Cross-Sectional Study

Background: During the coronavirus disease 2019 (COVID-19) pandemic, quarantine as an effective public health measure has been widely used in China and elsewhere to slow down the spread, while high-risk psychological response populations remain under-reported.Objective: The aim of the study is to investigate the depressive and anxiety symptoms among the high-risk individuals quarantined during the COVID-19 pandemic in China.Methods: An online survey was conducted from February 29 to April 10, 2020, among individuals quarantined for at least 2 weeks due to the high-risk exposure. Chinese versions of the nine-item Patient Health Questionnaire (PHQ-9) with a seven-item Generalized Anxiety Disorder (GAD-7) were applied to assess depressive and anxiety symptoms, respectively. Compliance with quarantine and knowledge of COVID-19 was also assessed. An unconditional logistic regression model was performed to identify the correlators.Results: Of the 1,260 participants completing the full survey, 14.0% (95% CI: 12.2–16.1%), 7.1% (95% CI: 5.9–8.7%), and 6.3% (95% CI: 5.1–7.8%) had at least moderate symptoms of depression, anxiety, and a combination of depression and anxiety (CDA), respectively; 14.8% (95% CI: 13.0–16.9%) had at least one condition. Multivariate analysis showed that participants with an undergraduate or above degree were more likely to report depressive (OR = 2.98, 95% CI: 1.56–5.72) and anxiety symptoms (OR = 2.95, 95% CI: 1.14–7.63) than those with middle school education. Those who were unemployed (OR = 0.37, 95% CI: 0.21–0.65 for depression; OR = 0.31, 95% CI: 0.14–0.73 for anxiety), students (OR = 0.14, 95% CI: 0.04–0.48 for depression; OR = 0.11, 95% CI: 0.01–0.85 for anxiety), and more knowledgeable of COVID-19 (OR = 0.84, 95% CI: 0.73–0.96 for depression, OR = 0.82, 95% CI: 0.68–0.98 for anxiety) were less likely to report depressive and anxiety symptoms. Higher quarantine compliance correlated with lower risks of depressive (OR = 0.94, 95% CI: 0.91–0.96) and anxiety symptoms (OR = 0.95, 95% CI: 0.91–0.98).Conclusion: Individuals under quarantine during the COVID-19 pandemic suffered prevalent depressive and anxiety symptoms. Consequently, comprehensive interventional measures, including knowledge dissemination, timely virus tests, and strengthened communication, may minimize quarantine's adverse effects.

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Depressive symptoms are associated with cigarette smoking among tuberculosis patients in Botswana

10.1101/2021.09.14.21263357 ◽

2021 ◽

Author(s):

Alexandria Jones-Patten ◽

Qiao Wang ◽

Keneilwe Molebatsi ◽

Thomas E. Novotny ◽

Kamran Siddiqi ◽

...

Keyword(s):

Depressive Symptoms ◽

Cigarette Smoking ◽

Statistical Significance ◽

Median Number ◽

Cross Sectional Study ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Cross Sectional ◽

Health Clinics ◽

Patient Health

AbstractBackgroundResearchers have increasingly recognized the adverse effects of smoking on tuberculosis (TB) outcomes. Smoking may be a maladaptive coping mechanism for depression and anxiety among TB patients; however, this association has not yet been investigated.Design/MethodsWe conducted a cross-sectional study among newly diagnosed TB patients between January and December 2019 in Gaborone, Botswana, and evaluated factors associated with cigarette smoking. Using the Patient Health Questionnaire-9 and the Zung Self-Rating Anxiety scale, we collected depression and anxiety scores, respectively; scores of ≥10 indicate depression and scores of ≥36 indicate anxiety. We performed Poisson regression analyses with robust variance to examine whether depression and anxiety were associated with smoking.ResultsOne hundred and eighty participants with TB were enrolled from primary health clinics. Among all enrollees, depression was reported in 46 (27.1%) participants, while anxiety was reported in 60 (44.4%) participants. Overall, 45 (25.0%) participants reported current smoking, and the median number of cigarettes per day was 10. Depressive symptoms were associated with a higher prevalence of smoking (aPR: 1.82; 95% CI = 1.11, 3.01) after adjusting for sex, HIV status, food insecurity, anxiety, and income. The association between anxiety symptoms and cigarette smoking did not reach statistical significance (aPR 1.26; 95% CI: 0.78-2.05).ConclusionsWe found the association between depressive symptoms and smoking among TB patients in Botswana to be significant and the association between anxiety symptoms and cigarette smoking insignificant. Future studies should further investigate these associations when addressing TB care.

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The Prevalence of Depression and Anxiety Disorders Among Postgraduate Students in an Arabic Sample: A Cross-sectional Study

10.21203/rs.3.rs-143732/v2 ◽

2021 ◽

Author(s):

Asem A. Alageel ◽

Rayyan A. Alyahya ◽

Raed A Alghamdi ◽

Ban A. Alzaid ◽

Aryaf. S Alsubaie ◽

...

Keyword(s):

Mental Health ◽

Anxiety Disorders ◽

Online Survey ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Cross Sectional ◽

Postgraduate Students ◽

High Prevalence ◽

Prevalence Of Depression ◽

Patient Health

Abstract Background: Depression and anxiety are indicators of mental health and quality of life. Studies found a high prevalence of depression and anxiety disorders among specific populations, such as medical students, residents and fellows. However, postgraduate students unarguably suffer from many private and career life stressors. Unfortunately, research about the prevalence of depression and anxiety among postgraduate students are greatly lacking.Methods: A cross-sectional online survey; a self-questionnaire divided into five sections. Socio-demographic characteristics, the Patient Health Questionnaire for Depression (PHQ9), Generalized Anxiety Disorder 7 item (GAD7), insomnia and suicide. Results: The number of participants was 1,005, The prevalence of depression and GAD that warrant treatments are 27.4% and 23.6%, respectively. Most of the participants who screened positive for depression and GAD were not aware of having these disorders. Females were at a higher risk of depression (OR: 1.5, 95% CL: 1.10 to 2.15) and GAD (OR:1.49, 95% CL 1.07 to 2.07). Insomnia is associated significantly with depression (P<0.001) and GAD (P<0.001). Depression increases the risk for active suicide thoughts (OR= 7.453) (P<0.001). Limitations: Due to the nature of cross-sectional studies, causal relationships cannot be identified.Conclusion: We have identified a higher prevalence of depression and GAD among postgraduate students compared with the general population. However, they appear to be underrepresented in mental health literature, so further research is necessary.

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The Prevalence of Depression and Anxiety Disorders Among Postgraduate Students in an Arabic Sample: a Cross-sectional Study

10.21203/rs.3.rs-143732/v1 ◽

2021 ◽

Author(s):

Asem Alageel ◽

Rayyan Abdullah Alyahya ◽

Raed A. Alghamdi ◽

Ban A. Alzaid ◽

Aryaf S Alsubaie ◽

...

Keyword(s):

Mental Health ◽

Anxiety Disorders ◽

Online Survey ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Cross Sectional ◽

Postgraduate Students ◽

High Prevalence ◽

Prevalence Of Depression ◽

Patient Health

Abstract Background: Depression and anxiety are indicators of mental health and quality of life. Studies found a high prevalence of depression and anxiety disorders among specific populations, such as medical students, residents and fellows. However, postgraduate students unarguably suffer from many private and career life stressors. Unfortunately, research about the prevalence of depression and anxiety among postgraduate students are greatly lacking.Methods: A cross-sectional online survey; a self-questionnaire divided into five sections. Socio-demographic characteristics, the Patient Health Questionnaire for Depression (PHQ9), Generalized Anxiety Disorder 7 item (GAD7), insomnia and suicide.Results: The number of participants was 1,005, The prevalence of depression and GAD that warrant treatments are 27.4% and 23.6%, respectively. Most of the participants who screened positive for depression and GAD were not aware of having these disorders. Females were at a higher risk of depression (OR: 1.5, 95% CL: 1.10 to 2.15) and GAD (OR:1.49, 95% CL 1.07 to 2.07). Insomnia is associated significantly with depression (P<0.001) and GAD (P<0.001). Depression increases the risk for active suicide thoughts (OR= 7.453) (P<0.001). Conclusion: We have identified a higher prevalence of depression and GAD among postgraduate students compared with the general population. However, they appear to be underrepresented in mental health literature, so further research is necessary. The limitations of this study were centered on the nature of cross-sectional studies, causal relationships cannot be identified.

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Symptoms of Depression and Anxiety During the Early Phase of the COVID-19 Pandemic in Sweden

Frontiers in Public Health ◽

10.3389/fpubh.2021.562437 ◽

2021 ◽

Vol 9 ◽

Author(s):

Elisabet Rondung ◽

Anna Leiler ◽

Jennifer Meurling ◽

Anna Bjärtå

Keyword(s):

Mental Health ◽

Online Survey ◽

Early Stage ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Swedish Population ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Clinically Significant ◽

General Swedish Population

In this cross-sectional study we aimed to assess symptoms of depression and anxiety at an early stage of the COVID-19 pandemic, and to explore factors predictive of these mental health outcomes. A sample of 1,503 participants, recruited from the general Swedish population, completed an online survey distributed through social media. In this sample, 22.2% reported clinically significant levels of depressive symptoms (PHQ-9 ≥ 10) and 10.9% indicated possible major depression using the PHQ-9 algorithm. Moreover, 28.3% reported clinically significant levels of anxiety (GAD-7 ≥ 8) and 9.7% severe anxiety and possible GAD (GAD-7 ≥ 15). Multiple linear regression analyses identified some common predictors for both outcomes. Age, having a stable income, and sufficient social stimulation, sleep, and recovery showed negative associations, whereas worry about the economy and overall burden showed positive associations. These results suggest an impact on mental health already at an early stage of the COVID-19 pandemic.

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Mental Health of Medical Workers During the COVID-19 Pandemic in Russia: Results of a Cross-Sectional Study

10.1101/2020.07.27.20162610 ◽

2020 ◽

Author(s):

Egor Bachilo ◽

Juliy Barylnik ◽

Andrey Shuldyakov ◽

Alexander Efremov ◽

Dmitiy Novikov

Keyword(s):

Mental Health ◽

High Risk ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Health Measures ◽

Risk Areas

This is the first study in Russia regarding the mental health of medical workers during a pandemic. In this survey, the study of medical workers during pandemic COVID-19 in Russia reported high rates of symptoms of depression and anxiety. There is a higher risk of developing symptoms of anxiety and depression among young employees working directly in high-risk areas of the infection. Protecting medical workers is an important component of public health measures for addressing the COVID-19 pandemic. Special measures to improve the mental health of medical workers should be based on their needs. Special attention needs to be paid to young medical workers working in areas with a high risk of infection.

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Ayahuasca use and reported effects on depression and anxiety symptoms: An international cross-sectional study of 11,912 consumers

Journal of Affective Disorders Reports ◽

10.1016/j.jadr.2021.100098 ◽

2021 ◽

Vol 4 ◽

pp. 100098

Author(s):

Jerome Sarris ◽

Daniel Perkins ◽

Lachlan Cribb ◽

Violeta Schubert ◽

Emerita Opaleye ◽

...

Keyword(s):

Cross Sectional Study ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional

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Public Concerns during the COVID-19 Lockdown: A Multicultural Cross-Sectional Study among Internet Survey Respondents in Three Countries

Journal of Clinical Medicine ◽

10.3390/jcm10081577 ◽

2021 ◽

Vol 10 (8) ◽

pp. 1577

Author(s):

Alona Emodi-Perlman ◽

Ilana Eli ◽

Nir Uziel ◽

Joanna Smardz ◽

Anahat Khehra ◽

...

Keyword(s):

Mental Health ◽

Online Survey ◽

Middle Eastern ◽

Well Being ◽

Cross Sectional Study ◽

Internet Survey ◽

Physical And Mental Health ◽

Cross Sectional ◽

Culturally Different ◽

Patient Health

(1) Background: this study aimed to evaluate the worries, anxiety, and depression in the public during the initial coronavirus disease 2019 (COVID-19) pandemic lockdown in three culturally different groups of internet survey respondents: Middle Eastern (Israel), European (Poland), and North American (Canada). (2) Methods: a cross-sectional online survey was conducted in the mentioned countries during the lockdown periods. The survey included a demographic questionnaire, a questionnaire on personal concerns, and the Patient Health Questionnaire-4 (PHQ-4). A total of 2207 people successfully completed the survey. (3) Results: Polish respondents were the most concerned about being infected. Canadian respondents worried the most about their finances, relations with relatives and friends, and both physical and mental health. Polish respondents worried the least about their physical health, and Israeli respondents worried the least about their mental health and relations with relatives and friends. Canadian respondents obtained the highest score in the PHQ-4, while the scores of Israeli respondents were the lowest. (4) Conclusions: various factors should be considered while formulating appropriate solutions in emergency circumstances such as a pandemic. Understanding these factors will aid in the development of strategies to mitigate the adverse effects of stress, social isolation, and uncertainty on the well-being and mental health of culturally different societies.

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Psychometric Properties of the Dutch Version of the Signs of Depression Scale

Clinical Nursing Research ◽

10.1177/1054773816657798 ◽

2016 ◽

Vol 27 (5) ◽

pp. 617-637 ◽

Cited By ~ 3

Author(s):

Mariska J. van Dijk ◽

Janneke M. de Man-van Ginkel ◽

Thóra B. Hafsteinsdóttir ◽

Marieke J. Schuurmans

Keyword(s):

Psychometric Properties ◽

Intraclass Correlation ◽

Depression Scale ◽

Cross Sectional Study ◽

Cutoff Score ◽

Stroke Patients ◽

Dutch Version ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Patient Health

The early detection of depression after stroke is essential for the optimization of recovery in aphasic stroke patients. The purpose of this study was to evaluate the psychometric properties of the Signs of Depression Scale (SODS), a non-language-based screening instrument. We conducted a cross-sectional study in a sample of 58 stroke patients in a rehabilitation center. The internal consistency and interrater reliability were good (α = .71 and intraclass correlation coefficient [ICC] = .79). The pre-defined hypotheses confirmed the construct validity, and the correlation between the SODS and the Patient Health Questionnaire–9 (PHQ-9) was moderate ( rb = .32). At a cutoff score of ≥1, the sensitivity was 0.80, and the specificity was 0.39. These findings indicate that the SODS is appropriate to screen for depressive symptoms and can be used by nurses to identify symptoms of depression in patients with aphasia who require further assessment.

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Symptoms of Depression and Anxiety, and Screening for Mental Disorders in Migrainous Patients

Cephalalgia ◽

10.1046/j.1468-2982.2003.00461.x ◽

2003 ◽

Vol 23 (2) ◽

pp. 79-89 ◽

Cited By ~ 12

Author(s):

F Kowacs ◽

MP Socal ◽

SC Ziomkowski ◽

VF Borges-Neto ◽

DP Toniolo ◽

...

Keyword(s):

Logistic Regression ◽

Mental Disorders ◽

Healthy Subjects ◽

Univariate Analysis ◽

Cross Sectional Study ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Gender Education

The purpose of this clinic-based study was the assessment of symptoms of depression, anxiety, and non-specific psychiatric disorders amongst patients with migraine, compared with healthy subjects and with individuals with a non-neurological chronic disease. A cross-sectional study was carried out in which 178 individuals (migraine 51; psoriasis 35; healthy 92) were submitted to three scales: MADRS (depression), STAI-T (anxiety) and SRQ (screening for mental disorders). The subjects with migraine and psoriasis were from the Out-patient Clinics of Headache and of Dermatology, and the healthy volunteers were persons who were accompanying out-patients in the same hospital. Scores were analysed by MANOVA and by association analysis and logistic regression. Scores of all instruments were higher in the migrainous group, but the univariate analysis of association (using cut-offs) showed significance only for suspicion of mental disorders (SRQ). By logistic regression, variables with strongest association to migraine were gender, education, and SRQ in decreasing order.

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High Prevalence of Mental Disorder Symptoms Among Medical and Other Health Specialty Residents During the COVID-19 Pandemic (Preprint)

10.2196/preprints.35546 ◽

2021 ◽

Author(s):

Nayane Miranda Silva ◽

Rebeca da Nobrega Lucena Pinho ◽

Thais Ferreira Costa ◽

Adriana Ferreira Barros Areal ◽

André De Mattos Salles ◽

...

Keyword(s):

Mental Disorders ◽

Cross Sectional Study ◽

Cross Sectional ◽

Postgraduate Students ◽

Symptoms Of Depression ◽

High Prevalence ◽

Patient Health ◽

Psychological Pressure ◽

Coping Scale ◽

Potential Stressor

BACKGROUND The coronavirus (SARS-CoV-2) epidemic was first identified in Wuhan, China, at the end of 2019, and spread across the world in a fast and disordered manner. Because of the pandemic, health professionals, including residents in medicine and other health specialties, began working under intense physical and psychological pressure daily and were exposed to a greater risk of developing mental disorders and psychological distress. OBJECTIVE This study evaluated the prevalence of symptoms indicative of mental disorders such as depression, anxiety and stress among postgraduate students who were residents in medicine and other health specialties during the COVID-19 pandemic in Brazil and identified possible associated predisposing factors. METHODS This was a cross-sectional study that included postgraduate students in medical and other health residency programmes in Brazil. The recruitment period was from July 29 to September 5, 2020. Epidemiological and clinical data, including evaluations of psychological and affective aspects, following a predefined protocol, were collected after the participants filled out an electronic form via the Microsoft Forms platform. RESULTS In total, 1,313 medical and other health residents participated in the study. The Depression, Anxiety and Stress Scale-21 (DASS-21) identified depression, anxiety and stress in 51.3%, 53.4% and 52.6% of the participants, respectively. Based on the Brief Resilient Coping Scale (BRCS), 61.9% of the participants had low resilience. A total of 60.9% of the residents had high scores on the Patient Health Questionnaire 9‐item depression module (PHQ-9). CONCLUSIONS We found a high prevalence of symptoms of depression, anxiety and stress among medical and non-medical residents during the COVID-19 pandemic in Brazil. Mental disorders are complex in nature, and the particular academic environment of residency, altered by the need to care for patients with COVID-19, can be a potential stressor and be associated with the high prevalence of these symptoms among residents. INTERNATIONAL REGISTERED REPORT RR2-10.2196/24298

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