scholarly journals Early Psychological Impact of the COVID-19 Pandemic in Brazil: A National Survey

2020 ◽  
Vol 9 (9) ◽  
pp. 2976 ◽  
Author(s):  
Juliana Alvares Duarte Bonini Campos ◽  
Bianca Gonzalez Martins ◽  
Lucas Arrais Campos ◽  
João Marôco ◽  
Rayya Ahmed Saadiq ◽  
...  

Background: Isolation measures used to contain epidemics generate social interaction restrictions and impose changes in routines of the public that increase negative psychological outcomes. Anxiety and depression are the most common symptoms. Objective: To evaluate the mental health of the Brazilian population during the SARs-CoV-2 pandemic and its relationship with demographic and health characteristics. Methods: Adults from all Brazilian States participated (n = 12,196; women: 69.8%, mean age = 35.2 years). The Depression, Anxiety and Stress Scale, and the Impact of Event Scale–revised were used (online survey). Data validity and reliability were verified by confirmatory factor analysis and ordinal alpha coefficient. The probability of presenting psychological symptoms was calculated by multiple logistic regression and odds ratio (OR) (0 = without symptoms, 1 = with mild, moderate, and severe levels of symptoms). Results: High prevalence of depression (61.3%), anxiety (44.2%), stress (50.8%), and psychological impact (54.9%) due to the isolation experienced from the pandemic was found. Younger individuals (OR = 1.58–3.58), those that felt unsafe (OR = 1.75–2.92), with a previous diagnosis of mental health (OR = 1.72–2.64) and/or had general health problems before the pandemic (OR = 1.17–1.51), who noticed changes in their mental state due to the pandemic context (OR = 2.53–9.07), and excessively exposed to the news (OR = 1.19–2.18) were at increased risk of developing symptoms. Women (OR = 1.35–1.65) and those with lower economic status (OR = 1.38–2.69) were more likely to develop psychological symptoms. Lower educational levels increased the likelihood of depressive (OR = 1.03–1.34) and intrusive symptoms (OR = 1.09–1.51). Conclusions: The pandemic and related factors can have a high impact on the mental health of the population. Demographic characteristics can influence the occurrence of psychological symptoms.

Author(s):  
Lucía del Río-Casanova ◽  
Milagrosa Sánchez-Martín ◽  
Ana García-Dantas ◽  
Anabel González-Vázquez ◽  
Ania Justo

Background: Current research has pointed out an increased risk of mental health problems during the COVID-19 pandemic in women compared to men, however the reason for this difference remains unclear. The aim of this research is to study early psychological responses to the pandemic in the Spanish general population, focusing on gender differences. Methods: Nine to 14 days after the declaration of a state of emergency an online survey was conducted assessing sociodemographic, health, behavioral and COVID-19-related variables. Mental health status was evaluated by the Depression, Anxiety and Stress Scale (DASS-21), the Impact of Event Scale-Revised (IES-R), and the Self-Care Scale (SCS). Results: The study included 3520 respondents: 2611 women and 909 men. Women scored significantly higher in DASS-21 and IES-R (p < 0.05) and were more likely to somatize, suffer from hypochondriasis, sleeping disturbances and claustrophobia (p < 0.05). Being a woman can be considered a risk factor for intrusive thoughts, avoidance mechanisms, stress and anxiety (Odd Ratio = 2.7/2.3/2.3/1.6). The risk of presenting posttraumatic symptoms and emotional distress was greater in women (Odd Ratio = 6.77/4.59). General linear models to predict IES-R and DASS-21 scores clarified which variables were gender specific, such as main concerns. Conclusions: This study provides evidence that at early stages of the pandemic, women mental health was more impacted and that both genders show different concerns. Gender perspective in secondary and tertiary prevention strategies must be taken into account when facing the distress associated with the pandemic.


2021 ◽  
Author(s):  
Sarah Daimer ◽  
Lorenz Mihatsch ◽  
Lisa Ronan ◽  
Graham K. Murray ◽  
Franziska Knolle

AbstractStudies reported a strong impact on mental health during the first wave of the COVID-19 pandemic in March–June, 2020. In this study, we investigated the impact of the pandemic on mental health in general and on schizoptypal traits specifically in general population samples of the UK (N 1sttimepoint=239, N 2ndtimepoint= 126) and Germany (N 1sttimepoint= 543, N 2ndtimepoint=401) over two timepoints, April/May and September/October 2020. We were able to show that whereas general psychological symptoms (global symptom index, GSI) and percentage of responders above clinical cut-off for further psychological investigation declined from the first to the second timepoint in both countries, schizotypy scores (Schizotypal Personality Questionnaire) were increased at the second timepoint. We investigated potential predictors, using regression models. For schizotypy, we detected a doubling or more of the estimated impact from the first to the second timepoint, including stronger perceived loneliness, increased use of drugs, stronger financial burden, and decreased regular exercise and sleep. These effects predicted GSI, however with a lower increase of impact from the first to the second timepoint. We furthermore found that living in the UK was a predictor for higher schizotypal scores or GSI. However, the results are highly comparable between the two countries. In conclusion, this study shows that while the general psychological impact decreases, potentially showing a normative response to an exceptional situation; schizotypy scores increase, revealing a stronger impact of loneliness, drug use, and financial burden. This development might create an increased risk for developing psychosis in some individuals. The development of the general psychological and schizotypy scores over time requires further attention and investigation.


Author(s):  
Seham Ahmed AboKresha ◽  
Elsayed Abdelkreem ◽  
Rasha Abd Elhameed Ali

Abstract Background Coronavirus disease 2019 (COVID-19) and related isolation measures have substantial adverse economic, social, and psychological consequences and expose children to increased risk of violence. The present study aimed to investigate the impact of the COVID-19 pandemic on violence against children in Egypt. Methods An online survey, in Arabic, was disseminated during the period from 9 to 13 April 2020, to parents of children who were up to 18 years old residing in Egypt, selected using a snowball sampling technique, during the period from 25 March to 8 April during the implementation of the nationwide compulsory isolation measures against COVID-19 (25 March to 8 April 2020). The survey covered three areas: socio-demographic data, psychological impact measured using the Impact of Event Scale-Revised (IES-R), and violence against children during the past 2 weeks measured using a modified parent-report of a child abuse screening tool (ICAST-P) developed by the International Society for the Prevention of Child Abuse and Neglect. Results Out of 1118 completed survey responses, 90.5% of children were subjected to violent discipline, 88.7% experienced psychological aggression, and 43.2% encountered severe physical punishment. Approximately 60% of respondents reported a moderate-to-severe psychological impact (IES-R scores ≥ 33), which was associated with a higher rate of violent discipline (OR: 9.3; 95% CI: 5.37–16.027; p < 0.001). Conclusions This is the first study in Egypt to provide evidence on the association of COVID-19 pandemic, its psychological impact, and increased rates of violence against children. Effective multilevel strategies are urgently required to protect children from violence and its catastrophic consequences during the continually evolving COVID-19 pandemic.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mona Hashim ◽  
Ayla Coussa ◽  
Ayesha S. Al Dhaheri ◽  
Amina Al Marzouqi ◽  
Samer Cheaib ◽  
...  

Abstract Background In light of the pandemic, pregnant women are particularly vulnerable to increased psychological distress and in need of imperative preventive measures. This study aimed to investigate the impact of the pandemic on mental health, lifestyle adaptations, and their determinants among pregnant women in the United Arab Emirates. Methods A survey was conducted electronically between June and August 2020. Pregnant women were recruited from prenatal clinics in the UAE and invited to participate in an online survey developed on Google Forms. The questionnaire included socio-demographic characteristics, the Impact of Event Scale- Revised, the Perceived Support Scale and lifestyle-related factors. Results A total of 384 pregnant women completed the questionnaire of whom 20.6% were in their 1st trimester, 46.1% in their 2nd and 33.3% in their 3rd trimester. The mean IES-R score for the respondents was 26.15 ± 13.55, corresponding to a mild stressful impact, which did not differ significantly among trimesters of pregnancy. Pregnant women expressed increased stress from staying home (64%), work (40%), feeling frightened (66%) and apprehensive (59%). Women reported increased support and sharing their feelings with family members (59%), mainly in the 1st and 3rd trimester of pregnancy (P < 0.05). There was a greater attention to mental health (48%), resting time (55.3%), and relaxing time (57.3%); while a decreased amount of time was spent engaging in physical activities (53.6%), which differed significantly between trimesters (P = 0.02). Conclusions The COVID-19 pandemic was associated with a mild stressful impact among pregnant women in the UAE, braced by strong family support and self-care mental health behaviors.


2021 ◽  
Author(s):  
Musheer A. Aljaberi ◽  
Naser A. Alareqe ◽  
Mousa A. Qasem ◽  
Abdulsamad Alsalahi ◽  
Sarah Noman ◽  
...  

Abstract Background: Due to the limited research examining the psychological impact of coronavirus disease 2019 (COVID-19), our study aims to investigate the effect of the COVID-19 pandemic on psychological outcomes and assess the differences between participants with and without post-traumatic stress disorder (PTSD) on the psychological outcomes as latent factors and items. Methods: An online survey was conducted on 999 participants. The Impact of Event Scale-Revised (IES-R) assessed the psychological impact, while outcomes were measured by Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder (GAD-7), and Insomnia Severity Index (ISI). A series of Confirmatory Factor Analysis (CFA), structural equation model (SEM), Multiple Indicators and Multiple Causes (MIMIC), and Differential Item Functioning (DIF) were conducted. Results: The IES-R has significant effects on the psychological outcomes. Participants with PTSD have a higher impact on latent factors (depression, anxiety, and insomnia) than those without PTSD. Among participants, 36.5% experienced moderate to severe symptoms of depression, and 32.6% had mild depressive symptoms. For anxiety, 23.7% of respondents experienced moderate to severe anxiety symptoms, and 33.1% had mild symptoms of anxiety. For the ISI, 51.5% of participants experienced symptoms of insomnia. Conclusion: the IES-R for COVID-19 has a significant impact on depression, anxiety, and insomnia at the level of latent constructs and observed variables.


2021 ◽  
Vol 10 (34) ◽  
pp. 2884-2887
Author(s):  
Ajay Kumar Joopaka ◽  
Molanguri Umashankar ◽  
Pingali Srilakshmi ◽  
Pradeep Sharma Telkapalli ◽  
Chinni Krishna Banoth ◽  
...  

BACKGROUND Corona virus disease or the (COVID 19) has caused mental health problems in the general population, in people infected and hospitalised for the disease and in patients who have recovered from the disease physically but continue to suffer from lingering mental health problems. Studies have shown stress, depression, and anxiety in one third of the survivors. Similarly post-traumatic stress disorder has been reported to be around 13 % in the survivors of COVID 19. In this study, we wanted to assess the psychological symptoms in the survivors of Covid 19 patients, one month post discharge and also assess various factors associated with the same. METHODS A cross sectional telephonic survey of the patients one month following discharge was done to understand the psychological problems. Sociodemographic data was recorded on a semi structured proforma, whereas psychological distress was recorded on patient health questionnaire - 4 (PHQ - 4) and the post-traumatic stress disorder (PTSD) was screened for by the impact of event scale revised (IES - R). RESULTS Of the 200 patients evaluated, 46.8 % scored above 20 on the impact of event scale which was considered to be a positive screen for post-traumatic stress disorder. Moderate psychological distress was reported by 10.5 % and severe by 7.5 % as measured by PHQ - 4. Being married, having other family members effected by the infection and deaths in the family were some of the factors that were significantly associated with psychological distress and symptoms of post-traumatic stress disorder. CONCLUSIONS Continued mental health support needs to be extended to members who are considered to have recovered and discharged from the hospital following the COVID 19 infection. KEY WORDS COVID 19, Psychological Symptoms, Post-Traumatic Stress Disorder


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249107
Author(s):  
Ayesha S. Al Dhaheri ◽  
Mo’ath F. Bataineh ◽  
Maysm N. Mohamad ◽  
Abir Ajab ◽  
Amina Al Marzouqi ◽  
...  

The COVID-19 pandemic is a major health crisis that has changed the life of millions globally. The purpose of this study was to assess the effect of the pandemic on mental health and quality of life among the general population in the Middle East and North Africa (MENA) region. A total of 6142 adults from eighteen countries within the MENA region completed an online questionnaire between May and June 2020. Psychological impact was assessed using the Impact of Event Scale-Revised (IES-R) and the social and family support impact was assessed with questions from the Perceived Support Scale (PSS). The IES-R mean score was 29.3 (SD = 14.8), corresponding to mild stressful impact with 30.9% reporting severe psychological impact. Most participants (45%–62%) felt horrified, apprehensive, or helpless due to COVID-19. Furthermore, over 40% reported increased stress from work and financial matters. Higher IES-R scores were found among females, participants aged 26–35 years, those with lower educational level, and participants residing in the North Africa region (p<0.005). About 42% reported receiving increased support from family members, 40.5% were paying more attention to their mental health, and over 40% reported spending more time resting since the pandemic started. The COVID-19 pandemic was associated with mild psychological impact while it also encouraged some positive impact on family support and mental health awareness among adults in the MENA region. Clinical interventions targeted towards vulnerable groups such as females and younger adults are needed.


2021 ◽  
Vol 12 ◽  
Author(s):  
Chiara Davico ◽  
Ada Ghiggia ◽  
Daniele Marcotulli ◽  
Federica Ricci ◽  
Federico Amianto ◽  
...  

Aim: The coronavirus disease 2019 (COVID-19) pandemic has abruptly changed the life of millions as travel and social contacts have been severely restricted. We assessed the psychological impact of COVID-19 on adults and children, with special attention to health care workers (HCWs).Methods: A self-rated online survey, including the Impact of Event Scale-Revised (IES-R) for adults and the Children Revised Impact of Event Scale-Revised-13 items (CRIES-13) for their 8–18-year-old offspring, was conducted in Italy on March 20–26, 2020. Linear mixed-effects models were applied to the data, accounting for age, sex, education, and other demographic characteristics.Results: Data were available from 2,419 adults (78.4% females, mean age 38.1 ± SD 13.1 years; 15.7% HCW) and 786 children (50.1% male, mean age 12.3 ± 3.2 years). Median (IQR) IES-R score was 30.0 (21.0–40.0), corresponding to mild psychological impact, with 33.2% reporting severe psychological impact. IES-R was lower in HCWs (29.0) than non-HCWs (31.0), but HCWs directly involved in COVID-19 care had higher scores [33.0 (26.0–43.2)] than uninvolved HCWs [28.0 (19.0–36.0)]. Median CRIES-13 score was [21.0 (11.0–32.0)], with 30.9% of the children at high risk for post-traumatic stress disorder. Parent and child scores were correlated.Conclusions: Up to 30% of adult and children in the pandemic area are at high risk for post-traumatic stress disturbances. The risk is greater for HCWs directly involved in COVID-19 care and for their children.


2020 ◽  
pp. 002076402095211 ◽  
Author(s):  
Yingfei Zhang ◽  
Zheng Feei Ma

Objectives: The COVID-19 pandemic has caused a profound impact on health and well-being of populations. However, there are limited studies that have investigated the psychological aspects of vulnerable groups including pregnant women amid the COVID-19 pandemic. Therefore, we aimed to assess the psychological impact of the COVID-19 pandemic among Chinese pregnant women from February 2020 until March 2020. Methods: Our study was conducted using a modified validated online questionnaire comprising of sociodemographic, the Impact of Event Scale (IES), attitude and mental health-related questions towards COVID-19. Results: A total of 560 women were included. The overall mean age and IES of women was 25.8 ± 2.7 years and 31.4 ± 13.7. Moreover, 67.1% of them had IES ⩾26. Psychological impact seemed to be more severe in women in second trimester of pregnancy (the highest IES) ( p = .016). There was a significant association between trimesters of pregnancy and some indicators of negative health impacts (including increased stress from work, increased stress from home, feeling apprehensive and helpless during the early stages of the COVID-19 pandemic) (all p < .05). Conclusions: Our results reported moderate-to-severe stressful impact among Chinese pregnant women. We recommend that appropriate measures should be taken to address the maternal mental health issues.


2021 ◽  
Vol 2 (1) ◽  
pp. 71-84
Author(s):  
Cuiyan Wang ◽  
Mohammad A. Fardin ◽  
Mahmoud Shirazi ◽  
Riyu Pan ◽  
Xiaoyang Wan ◽  
...  

Background: This study aimed to compare the severity of psychological impact, anxiety and depression between people from two developing countries, Iran and China, and to correlate mental health parameters with variables relating to the COVID-19 pandemic. Although China and Iran are developing countries based on the World Bank’s criteria, these two countries are different in access to resources and health care systems. We hypothesized that Iranians would show higher levels of depression, anxiety and stress as compared to Chinese. Methods: This study collected information related to the COVID-19 pandemic including physical health, precautionary measures and knowledge about the pandemic. We also used validated questionnaires such as the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) to assess the mental health status. Results: There were a total of 1411 respondents (550 from Iran; 861 from China). The mean IES-R scores of respondents from both countries were above the cut-off for post-traumatic stress disorder (PTSD) symptoms. Iranians had significantly higher levels of anxiety and depression (p < 0.01). Significantly more Iranians believed COVID-19 was transmitted via contact, practised hand hygiene, were unsatisfied with health information and expressed less confidence in their doctors, but were less likely to wear a facemask (p < 0.001). Significantly more Iranians received health information related to COVID-19 via television while Chinese preferred the Internet (p < 0.001). Conclusions: This cross-country study found that Iranians had significantly higher levels of anxiety and depression as compared to Chinese. The difference in reported measures between respondents from Iran and China were due to differences in access to healthcare services and governments’ responses to the pandemic.


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