scholarly journals Anxiety and Insomnia Among Urban Slum Dwellers in Bangladesh: The Role of COVID-19 and Its Associated Factors

2021 ◽  
Vol 12 ◽  
Author(s):  
Kamrun Nahar Koly ◽  
Mosammat Ivylata Khanam ◽  
Md. Saiful Islam ◽  
Shehrin Shaila Mahmood ◽  
Syed Manzoor Ahmed Hanifi ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Urban Poor ◽  
Associated Factors ◽  
Informal Settlements ◽  
Urban Slum ◽  
Generalized Anxiety ◽  
Slum Dwellers ◽  
Severe Anxiety

Background: Although mental health is an important part of health and wellbeing, very little is known about the impact of the COVID-19 pandemic on the mental health of marginalized communities like urban slum dwellers. Our study estimated the prevalence of generalized anxiety disorder and insomnia among the residents of the informal settlements of Dhaka, Bangladesh, during the COVID-19 pandemic.Methods: A cross-sectional phone-based survey was conducted from October to November 2020 among adult residents of five informal settlements of Dhaka city randomly chosen from an existing Urban Health and Demographic Surveillance Systems (UHDSS) run by icddr,b. Data on Generalized Anxiety Disorder-7 (GAD-7) and Insomnia Severity Index (ISI) were collected. A multinomial logistic regression was performed to assess the associated factors of anxiety and insomnia.Results: Of the total 586 participants, the prevalence of mild to severe anxiety and insomnia were 53% and 43%, respectively. As per the multinomial regression analysis, participants with mild anxiety were significantly more likely to be older (>50 years) and afraid of COVID-19 infection. Likewise, participants with moderate/severe anxiety were significantly more likely to share less household facilities (e.g., toilet, kitchen, water) (OR: 2.23; 95% CI: 1.31–3.79), to have difficulties in food availability (OR: 2.76; 95% CI: 1.10–6.93), to be afraid of self (OR: 5.27; 95% CI: 2.82–9.88), and to worry about the family members (OR: 2.26; 95% CI: 1.23–4.17) getting infected. Participants with mild insomnia were significantly more likely to share fewer household facilities and be afraid of being infected with COVID-19 infection. Moreover, participants with moderate/severe insomnia were significantly more likely to be female (OR: 1.90; 95% CI: 1.02–3.56), to receive food aid (OR: 0.50; 95% CI: 0.29–0.88), to be afraid of self (OR: 3.85; 95% CI: 1.81–8.19), and to worry about someone like friends or neighbors (OR: 2.45; 95% CI: 1.07–5.58) getting infected with COVID-19.Conclusions: We found elevated prevalence of both anxiety and insomnia among the urban poor of Bangladesh in the context of COVID-19. This indicates the importance of integrating mental health in the mitigation and recovery efforts related to similar crises for the urban poor in the future.

scholarly journals Prevalence and correlates of generalized anxiety disorder in Singapore: Results from the second Singapore Mental Health Study

2019 ◽  
Vol 66 ◽  
pp. 102106 ◽  
Author(s):  
Sherilyn Chang ◽  
Edimansyah Abdin ◽  
Saleha Shafie ◽  
Rajeswari Sambasivam ◽  
Janhavi Ajit Vaingankar ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Health Study ◽  
Generalized Anxiety ◽  
Mental Health Study

An examination of generalized anxiety disorder and dysthymic disorder by latent class analysis

2013 ◽  
Vol 44 (8) ◽  
pp. 1701-1712 ◽  
Author(s):  
D. Rhebergen ◽  
I. M. van der Steenstraten ◽  
M. Sunderland ◽  
R. de Graaf ◽  
M. ten Have ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Latent Class Analysis ◽  
Generalized Anxiety Disorder ◽  
Clinical Characteristics ◽  
Latent Class ◽  
Depressive Symptomatology ◽  
Dysthymic Disorder ◽  
Generalized Anxiety ◽  
Class Analysis

BackgroundThe nosological status of generalized anxiety disorder (GAD) versus dysthymic disorder (DD) has been questioned. The aim of this study was to examine qualitative differences within (co-morbid) GAD and DD symptomatology.MethodLatent class analysis was applied to anxious and depressive symptomatology of respondents from three population-based studies (2007 Australian National Survey of Mental Health and Wellbeing; National Comorbidity Survey Replication; and Netherlands Mental Health Survey and Incidence Study-2; together known as the Triple study) and respondents from a multi-site naturalistic cohort [Netherlands Study of Depression and Anxiety (NESDA)]. Sociodemographics and clinical characteristics of each class were examined.ResultsA three-class (Triple study) and two-class (NESDA) model best fitted the data, reflecting mainly different levels of severity of symptoms. In the Triple study, no division into a predominantly GAD or DD co-morbidity subtype emerged. Likewise, in spite of the presence of pure GAD and DD cases in the NESDA sample, latent class analysis did not identify specific anxiety or depressive profiles in the NESDA study. Next, sociodemographics and clinical characteristics of each class were examined. Classes only differed in levels of severity.ConclusionsThe absence of qualitative differences in anxious or depressive symptomatology in empirically derived classes questions the differentiation between GAD and DD.

scholarly journals Stress and anxiety among physicians during the COVID-19 outbreak in the Iraqi Kurdistan Region: An online survey

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253903
Author(s):  
Banaz A. Saeed ◽  
Nazar P. Shabila ◽  
Aram Jalal Aziz
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Perceived Stress ◽  
Online Survey ◽  
High Stress ◽  
Considerable Proportion ◽  
Generalized Anxiety ◽  
Kurdistan Region ◽  
Iraqi Kurdistan ◽  
Severe Anxiety

Background During infectious disease outbreaks, healthcare workers are at high risk of infection, infecting others, and psychological distress. This study aimed to determine the prevalence of stress and anxiety in physicians during the COVID-19 outbreak in the Iraqi Kurdistan Region and assess their associated factors. Methods This cross-sectional study was carried out in Erbil, Iraqi Kurdistan Region, from March 28 to April 15, 2020. An online self-administered survey questionnaire was used to collect data from physicians working in specialized COVID-19 centers and other healthcare facilities. The level of stress was measured based on the 10-items Perceived Stress Scale. The level of anxiety was measured based on the 7-item Generalized Anxiety Disorder scale. Results A total of 370 participants responded to the perceived stress component of the survey, of whom 57 (15.4%) had low perceived stress, 249 (67.3%) had moderate stress, and 64 (17.3%) had high stress. Being female was significantly associated with having moderate/high stress (adjusted odds ratio (AOR) = 2.40 (95% CI 1.31–4.39)). A total of 201 participants responded to the generalized anxiety disorder component of the survey, of whom 19 (9.5%) had no anxiety, 57 (28.4%) had mild anxiety, 79 (39.3%) had moderate anxiety, and 46 (22.9%) had severe anxiety. Working in COVID-19 centers (AOR = 2.23 (95% CI 1.02–4.86)) and being general practitioners (AOR = 4.16 (95% CI 1.14–15.14)) were significantly associated with having moderate/severe anxiety. Conclusion A considerable proportion of physicians experience stress and anxiety during the COVID-19 outbreak in Iraqi Kurdistan region. Generalists and those in special COVID-19 units report the greatest anxiety. There a need to establish mechanisms to reduce the risks of stress and anxiety among physicians. Mental health coping interventions through counseling should be based on COVID-19 protocol guidelines. Interventions should also emphasize physicians’ ability to work safely and efficiently in providing care to the patients.

scholarly journals GENERALIZED ANXIETY DISORDER IN THE CLINICAL AND SOCIAL CONTEXT IN THE FIELD OF MENTAL HEALTH

Nucleus ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 237-248
Author(s):  
Laura Cardoso Brentini ◽  
Brenda Cardoso Brentini ◽  
Eduardo César Silva Araújo ◽  
Ana Carla Silvares Pompêo De Camargo Aros ◽  
Marcelo Salomao Aros
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Social Context ◽  
Generalized Anxiety Disorder ◽  
Generalized Anxiety

scholarly journals Antenatal Depression and Generalized Anxiety Disorder in a Tertiary Hospital in South India

2020 ◽  
Vol 42 (6) ◽  
pp. 513-518
Author(s):  
Suvarna Jyothi Kantipudi ◽  
GK Kannan ◽  
Sushma Viswanathan ◽  
Sumathi Ranganathan ◽  
Jayakumar Menon ◽  
...  
Keyword(s):  
Social Support ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Associated Factors ◽  
Perceived Social Support ◽  
Perinatal Outcomes ◽  
Antenatal Depression ◽  
Male Child ◽  
Generalized Anxiety ◽  
Care Hospital

Background: Antenatal depression is associated with several adverse maternal outcomes, perinatal outcomes, lower academic achievements in adolescence, and future mental health problems for the mothers. Early identification and effective treatment of depression in antenatal women can also improve perinatal outcomes. Aim: This study aims to understand the prevalence of antenatal depression and anxiety disorder, along with associated factors, among antenatal women attending the outpatient clinic of the obstetrics department in a tertiary care hospital. Methods: A cross-sectional design was employed for determining the prevalence, while a case-control framework was used for analysis of the associated factors. Semi-structured sociodemographic pro forma, Patient Health Questionnaire (PHQ-9) Tamil version, and Generalised Anxiety Disorder (GAD-7) Tamil version were administered to antenatal women after obtaining informed consent. Those who scored above 10 points on the PHQ-9 or above 9 points on the GAD-7 were interviewed using the Mini-International Neuropsychiatric Interview (MINI) diagnostic interview schedule, by a psychiatrist, for confirming the diagnosis. Results: In our sample, 22% of the participants were diagnosed with depression, and 23% with generalized anxiety disorder (GAD). Twenty-eight participants (13.4%) had both depression and GAD. Antenatal depression was associated with alcohol use in the spouse (P < 0.015), physical violence (P < 0.026), low perceived social support from the in-laws (P < 0.039), and pressure to have a male child (0.001). Antenatal GAD was associated with low perceived social support from the in-laws (P < 0.039) and pressure to have a male child (P < 0.041). Conclusion: The occurrence of depression and generalized anxiety disorder is high in antenatal women. Our study identified relevant psychosocial factors that may be potential targets to develop effective interventions.

scholarly journals Gender-specific prevalence and associated factors of major depressive disorder and generalized anxiety disorder in a Chinese rural population: the Henan rural cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhicheng Luo ◽  
Yuqian Li ◽  
Yitan Hou ◽  
Xiaotian Liu ◽  
Jingjing Jiang ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Major Depressive Disorder ◽  
Cohort Study ◽  
Anxiety Disorder ◽  
Depressive Disorder ◽  
Generalized Anxiety Disorder ◽  
Associated Factors ◽  
Generalized Anxiety ◽  
Major Depressive ◽  
Gender Specific

Abstract Background This study aims to investigate the prevalence and associated factors of major depressive disorder (MDD) and generalized anxiety disorder (GAD) by gender in Chinese rural adults. Methods A total of 29,993 participants aged from 18 to 79 years from the Henan Rural Cohort Study were included in this study. The Patient Health Questionnaire-2 (PHQ-2) and Generalized Anxiety Disorder-2 (GAD-2) were used to assess MDD and GAD through a face-to-face interview. Multivariate logistic regression model was conducted to analyze the associated factors for MDD and GAD. Results The age-standardized prevalence of MDD and GAD (and 95%CI) in the total sample were 5.41% (5.17–5.66%) and 4.94% (4.71–5.18%), respectively. Besides, the crude prevalence in women were significantly higher than men for both MDD (6.81% vs. 4.77%) and GAD (6.63% vs. 3.93%) (both P < 0.001). Tetrachoric correlation test showed high comorbidity between MDD and GAD (r = 0.88, P = 0.01). Further analysis revealed that age, sex, marital status, educational level, per capita monthly income, drinking, physical activity, and body mass index were associated with MDD and GAD in the overall sample. Gender difference was found among age groups for MDD (Pinteraction < 0.001). Conclusions These findings showed that Chinese rural adults were at low risk for prevalence of MDD and GAD. Women had higher prevalence and risks for MDD and GAD compared with men, indicating that women deserved more attention. Gender-specific interventions on the modifiable associated factors are urgently needed to improve the mental conditions for Chinese rural population. Clinical trial registration The Henan Rural Cohort Study has been registered in the Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 2015-07-06.

scholarly journals Generalized Anxiety Disorder and Its Associated Factors Among Health Care Workers Fighting COVID-19 in Southern Ethiopia

2020 ◽  
Vol Volume 13 ◽  
pp. 907-917
Author(s):  
Abinet Teshome ◽  
Mustefa Glagn ◽  
Mulugeta Shegaze ◽  
Beemnet Tekabe ◽  
Asmare Getie ◽  
...  
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Health Care Workers ◽  
Associated Factors ◽  
Southern Ethiopia ◽  
Generalized Anxiety ◽  
Care Workers

THE EFFECTS OF THE COVID-19 PANDEMIC ON THE MENTAL HEALTH OF UNIVERSITY STUDENTS IN THE FIELD OF HEALTH AND RELATED FACTORS: A WEB-BASED CROSS-SECTIONAL STUDY HEALTH STUDENT IN THE PANDEMIC

2021 ◽  
Vol 5 (20) ◽  
pp. 723-737
Author(s):  
Ayfer BAYINDIR ÇEVİK ◽  
Elçin Sebahat KASAPOĞLU
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
University Students ◽  
Generalized Anxiety Disorder ◽  
Cross Sectional Study ◽  
Generalized Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Previous Diagnosis ◽  
Level Of Knowledge

Aim: The aim of the study is to evaluate the knowledge, attitudes, behaviors and anxiety of university students about the Covid-19 epidemic at the beginning of the Covid-19 pandemic. Material and Methods: The study is a cross-sectional study. The sample consists of 1243 health students. The data were collected through an online questionnaire consisting of three parts. The questionnaire included questions to assess the socio-demographic characteristics of students, their level of knowledge, awareness and behavior about the Covid-19 pandemic, and the impact of the epidemic on their psychological health. The GAD-7 scale was used to assess students' anxiety levels. Results: In this study; 79.60% of the Health Care Students (HCSs) did not attend any training on COVID-19. Their sources of information were internet/social media (97.18%) and TV (97.18%). In the COVID-19 knowledge assessment test, it was found that 65.7% of them had a high level of knowledge. Most of HCSs thought that their knowledge about COVID-19 was very good (55%). The correct answer means of the 31 questions on the COVID-19 knowledge questionnaire were 22.07±1.70. In this questionnaire, it stated that the most effective methods of protection were the use of a mask in crowded environments (99.1%). Most of the HCSs stated that outbreak was affected their mental health negatively (73.1%) and some of them named this state as "Coronaphobia" (33.2%). In this study was found that some HCSs have a generalized anxiety disorder (22.6%) and anxiety experienced due to COVID "completely affected" their lives (19.5%). The average knowledge score of the students who received applied training in the hospital at the beginning of the pandemic (22.29±1.58) and anxiety level of students (6.77±5.85) was higher than those who did not receive applied training in the hospital (5.84±5.47, p<0.05). The GAD-7 scores for those with a previous diagnosis of psychological disease were 2 times higher than those without a previous diagnosis (p<0.05)Conclusion: At the beginning of the pandemic, students who received hands-on training at the hospital had higher knowledge and awareness levels. Generalized Anxiety Disorder was observed more frequently in those with a previous psychological disorder than in other students. Keywords: Anxiety; coronavirus disease 2019 (covid-19); knowledge; health students; pandemic and mental health

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