Mental health concerns related to COVID19 outbreak in the middle-aged and elderly population: A web-based, cross-sectional survey from Haryana, North India

Abstract Background In addition to the threat of the COVID-19 pandemic to physical health, mental health is challenged by the emotional response to the situation and the official measures taken to stop the pandemic. This study aimed to assess the prevalence of impaired mental well-being due to COVID-19 and explore associated factors. Methods The study was an observational, population-based, nationwide, cross-sectional online survey of a representative sample of the general Swiss population performed between March and April 2020. Participants reported on mental well-being, self-isolation/quarantine, their risk for developing severe COVID-19, and their work situation. Multivariable logistic regression analyses assessed risk factors for impaired mental well-being due to the pandemic. Results Data from 1022 individuals were analysed. The median age was 44 years (range 18 to 78) and 49% were women. A third of respondents reported that the COVID-19 pandemic impaired their mental well-being and almost half reported specific mental health concerns. Impaired mental well-being was associated with having health problems (OR = 1.88, 95% CI: 1.29–2.74, vs no problems), being or living with someone at risk for severe COVID-19 (OR = 1.38, 95% CI: 1–1.9,), smoking (OR = 1.8, 95% CI: 1.24–2.61), living in urban residential environments (OR = 1.62, 95% CI: 1.13–2.32, vs rural), not being able to work due to closed workplace (OR = 1.66, 95% CI: 1.04–2.67), aged between 18 and 29 years old (OR = 1.99, 95% CI: 1.32–3.01, vs 45 to 59 years old), and living in a single household (living with someone, OR = 0.65, 95% CI: 0.44–0.97,vs single household). Overall, the most significant covariates of impaired mental well-being were specific mental health concerns: feeling depressed (OR = 7.21, 95% CI: 4.5–11.55), feeling less pleasure in doing things than before (OR = 6.28, 95% CI: 4.1–9.62), feeling anxious (OR = 6.13, 95% CI: 3.91–9.59) and feeling lonely (OR = 4.08, 95% CI: 2.53–6.58). Conclusion Impaired mental well-being can carry long-term consequences. We encourage policymakers to implement strategies to promote mental health during this pandemic situation. Special attention should be addressed to the youngest, those at risk for severe COVID-19 and those with government-imposed work restrictions.

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Prevalence and correlates of anxiety and depression in frontline healthcare workers treating people with COVID-19 in Bangladesh

BMC Psychiatry ◽

10.1186/s12888-021-03243-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Rafia Tasnim ◽

Md. Safaet Hossain Sujan ◽

Md. Saiful Islam ◽

Asmaul Husna Ritu ◽

Md. Abid Bin Siddique ◽

...

Keyword(s):

Mental Health ◽

Healthcare Workers ◽

Linear Regression Analysis ◽

Depression Scale ◽

Anxiety And Depression ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Health Concerns ◽

Mental Health Concerns

Abstract Background Healthcare workers (HCWs) who are in the frontline during the COVID-19 pandemic are often under significant pressures that may predispose them to symptoms of poor mental health. This study aimed to investigate the prevalence of anxiety and depression among HCWs and factors correlated with mental health concerns during the COVID-19 pandemic in Bangladesh. And, it also aimed to evaluate the psychometric properties of the Bangla version of the Hospital Anxiety and Depression Scale (HADS). Methods A cross-sectional survey was conducted between July and August, 2020. A self-reported online questionnaire was utilized to collect data. The survey included questions concerning socio-demographic, lifestyle, and work setting, as well as the HADS. A confirmatory factor analysis (CFA) and multiple linear regression analysis were performed. Results Data from 803 HCWs (50.7% male; mean age: 27.3 [SD = 6.9]; age range: 18-58 years) were included in the final analysis. The Bangla HADS was psychometrically sound, and demonstrated good internal consistency and reliability (α = 0.83), and excellent construct validity. Prevalence estimates of anxiety and depression were 69.5%, and 39.5%, respectively, for less severe symptomology (at least borderline abnormal), and 41.2% and 15.7% for more severe (at least abnormal) symptomology. Regression analyses with the total HADS score as a dependent variable revealed significant (p < 0.05) associations with female gender, moderate and poor health status, infrequent physical exercising, smoking, having had regrets about one’s profession because of the pandemic and associated experiences, not updating on the latest COVID-19-related research, experiencing discrimination in the workplace, and facing social problems due to working in a lab or hospital during the COVID-19 pandemic. Conclusions Symptoms of anxiety and depression are prevalent among HCWs during the COVID-19 pandemic in Bangladesh. The findings suggest a need for screening for mental health concerns, and employing early intervention to help these individuals.

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Impact of the COVID-19 Pandemic on the Psychological Distress of Medical Students in Japan: Cross-sectional Survey Study (Preprint)

10.2196/preprints.25232 ◽

2020 ◽

Author(s):

Yoshito Nishimura ◽

Kanako Ochi ◽

Kazuki Tokumasu ◽

Mikako Obika ◽

Hideharu Hagiya ◽

...

Keyword(s):

Mental Health ◽

Medical Students ◽

Online Education ◽

Cross Sectional Study ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

State Of Emergency ◽

Web Based ◽

Subjective Mental Health

BACKGROUND The COVID-19 pandemic has negatively affected medical education. However, little data are available about medical students’ distress during the pandemic. OBJECTIVE This study aimed to provide details on how medical students have been affected by the pandemic. METHODS A cross-sectional study was conducted. A total of 717 medical students participated in the web-based survey. The survey included questions about how the participants’ mental status had changed from before to after the Japanese nationwide state of emergency (SOE). RESULTS Out of 717 medical students, 473 (66.0%) participated in the study. In total, 29.8% (141/473) of the students reported concerns about the shift toward online education, mostly because they thought online education would be ineffective compared with in-person learning. The participants’ subjective mental health status significantly worsened after the SOE was lifted (<i>P</i><.001). Those who had concerns about a shift toward online education had higher odds of having generalized anxiety and being depressed (odds ratio [OR] 1.97, 95% CI 1.19-3.28) as did those who said they would request food aid (OR 1.99, 95% CI 1.16-3.44) and mental health care resources (OR 3.56, 95% CI 2.07-6.15). CONCLUSIONS Given our findings, the sudden shift to online education might have overwhelmed medical students. Thus, we recommend that educators inform learners that online learning is not inferior to in-person learning, which could attenuate potential depression and anxiety.

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Correction: Youth Experiences With Referrals to Mental Health Services in Canada: Protocol for a Web-Based Cross-Sectional Survey Study

JMIR Research Protocols ◽

10.2196/19019 ◽

2020 ◽

Vol 9 (6) ◽

pp. e19019

Author(s):

Shalini Lal ◽

Danielle Joanna Starcevic ◽

Rebecca Fuhrer

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based ◽

Youth Experiences

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Prevalence of Anxiety and Depression in General Population of Iran during the COVID-19 Pandemic: A Web-Based Cross-Sectional Study

10.21203/rs.3.rs-39082/v1 ◽

2020 ◽

Author(s):

Saman Maroufizadeh ◽

Majid Pourshaikhian ◽

Ali Pourramzani ◽

Farzaneh Sheikholeslami ◽

Mohammad Taghi Moghadamnia ◽

...

Keyword(s):

Mental Health ◽

General Population ◽

Family Members ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Middle Aged ◽

Cross Sectional ◽

Web Based ◽

Anxiety Depression

Abstract Background: Coronavirus disease 2019 (COVID-19) is a global public health emergency and may result in psychological problems such as anxiety and depression in general population. Therefore, this study aimed to determine the prevalence of anxiety and depression and their associated factors in general population of Iran during the COVID-19 pandemic.Methods: We conducted this web-based cross-sectional study on 5328 individuals in Iran, between 17 and 29 April 2020. Data were collected through an anonymous online questionnaire via social media like WhatsApp and Telegram. The online survey collected information on demographic characteristics, COVID-19-related variables, and anxiety and depression. Anxiety and depression were assessed using the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), respectively. Simple and multiple logistic regression analyses were performed to determine independent predictors of anxiety and depression.Results: The mean GAD-7 and PHQ-9 total scores were 7.17 (SD=5.42) and 7.80 (SD=6.68), respectively. The prevalence of anxiety, depression, and comorbid anxiety-depression were 30.1%, 33.4%, and 22.1%, respectively. According to the adjusted analysis, anxiety was significantly associated with being female, being young and middle-aged, being unemployed or housewife, having chronic diseases, long time thinking about COVID-19, having family members, friends, and/or relatives infected with COVI-19, and death of family members, relatives or friends due to COVID-19. Same results were also found for depression. Furthermore, depression was associated with being single, being resident in urban area, and having high risk individual in family. Conclusion: The prevalence of anxiety and depression were considerably high in general population of Iran during the COVID-19 pandemic. In addition, the findings suggest that more attention needs to be paid to vulnerable groups such as women, young/middle-aged adults, unemployed people, people with chronic disease. Thus, a holistic approach, including management policies, psychosocial interventions, training, support, and tele-mental health, is absolutely crucial to reduce mental health problems of the COVID-19 and any outbreaks of other infectious diseases.

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Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: a web-based cross-sectional survey

10.21203/rs.3.rs-17172/v1 ◽

2020 ◽

Cited By ~ 7

Author(s):

Yeen Huang ◽

Ning Zhao

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Sleep Quality ◽

Healthcare Workers ◽

Influence Factors ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based

Abstract Background China has been severely affected by COVID-19 (Corona Virus Disease 2019) since December, 2019. This study aimed to assess the population mental health burden during the epidemic, and to explore the potential influence factors. Methods Using a web-based cross-sectional survey, we collected data from 7,236 self-selected volunteers assessed with demographic information, COVID-19 related knowledge, Generalized Anxiety Disorder-7 (GAD-7), Center for Epidemiology Scale for Depression (CES-D), and Pittsburgh Sleep Quality Index (PSQI). Logistic regressions were used to identify influence factors associated with mental health problem. Results Of the total sample analyzed, the overall prevalence of GAD, depressive symptoms, and sleep quality were 35.1%, 20.1%, and 18.2%, respectively. Young people reported a higher prevalence of GAD and depressive symptoms than older people ( P <0.001). Compared with other occupational group, healthcare workers have the highest rate of poor sleep quality ( P <0.001). Multivariate logistic regression showed that age (< 35 years) and times to focus on the COVID-19 (≥ 3 hours per day) were associated with GAD, and healthcare workers were associated with poor sleep quality. Conclusions Our study identified a major mental health burden of the public during COVID-19 epidemic in China. Young people, people who spent too much time on the epidemic, and healthcare workers were at high risk for mental illness. Continuous surveillance and monitoring of the psychological consequences for outbreaks should become routine as part of preparedness efforts worldwide.

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The Impact of Gender, Culture, and Society on Korean Women's Mental Health

Social Behavior and Personality An International Journal ◽

10.2224/sbp.2015.43.4.593 ◽

2015 ◽

Vol 43 (4) ◽

pp. 593-600 ◽

Cited By ~ 4

Author(s):

Yun-Jung Choi

Keyword(s):

Mental Health ◽

Women’S Mental Health ◽

Middle Aged ◽

Korean Culture ◽

Health Concerns ◽

Women's Mental Health ◽

Gender Culture ◽

Mental Health Concerns ◽

The Impact ◽

Social Disabilities

I review the issue of Korean women's anger from the perspectives of gender, culture, and society, and describe the influences of those factors on the women's mental health. Hwa-byung (HB) is a Korean culture-bound syndrome that translates into English as an anger disorder. In Korea, middle-aged women are the mostly highly represented societal group with HB, the symptoms of which are connected with complex psychological, physiological, behavioral, and social disabilities. In this paper, associations among elements related to Korean women's anger and HB are examined within the frameworks of gender, culture, and society. I concluded that the issue of Korean women's anger is not limited to its own context but is part of the wider issues of gender, culture, and society. These issues produce many difficulties, amplify problems, and generate interrelated women's mental health concerns.

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Cross-sectional population based study ascertaining the characteristics of US rural adults with mental health concerns who perceived a stigma regarding mental health issues

Health ◽

10.4236/health.2013.54092 ◽

2013 ◽

Vol 05 (04) ◽

pp. 695-702 ◽

Cited By ~ 2

Author(s):

Kathryn J. Pederson ◽

M. Nawal Lutfiyya ◽

Laura C. Palombi ◽

David R. Simmons ◽

Darin J. Steenerson ◽

...

Keyword(s):

Mental Health ◽

Population Based ◽

Health Issues ◽

Cross Sectional ◽

Population Based Study ◽

Health Concerns ◽

Mental Health Issues ◽

Mental Health Concerns ◽

Rural Adults

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Mental Health of Physicians During COVID-19 Outbreak in Bangladesh: A Web-Based Cross-Sectional Survey

Frontiers in Public Health ◽

10.3389/fpubh.2021.592058 ◽

2021 ◽

Vol 9 ◽

Author(s):

Most. Farida Khatun ◽

Most. Firoza Parvin ◽

Md. Mamun-ur Rashid ◽

Md. Shah Alam ◽

Most. Kamrunnahar ◽

...

Keyword(s):

Mental Health ◽

Risk Factors ◽

Marital Status ◽

Potential Risk ◽

Anxiety And Depression ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based ◽

Logistic Regression Models ◽

Potential Risk Factors

There have been numerous studies about the health implication of COVID-19 on patients, but little attention has been paid to the impacts of the pandemic on physicians. Our paper attends to this gap by exploring the mental health of physicians in Bangladesh during the COVID-19 pandemic. This is particularly important since the mental health of physicians impacts not only on themselves, but also their professional performance and hence the care of patients. This study examined physicians' mental health outcomes by evaluating the prevalence and associated potential risk factors of anxiety and depression. Using a web-based cross-sectional survey, we collected data from 114 physicians. Seven-item Generalized Anxiety Disorder (GAD-7) scale and Nine-item Patient Health Questionnaire (PHQ-9) were used to measure the anxiety and depression, respectively. Multivariate logistic regression models were used to explore the potential risk factors related to anxiety and depression. The prevalence of anxiety and depression were 32.5 and 34.2%, respectively. Findings revealed that marital status, work per day and current job location were the main risk factors for anxiety while sex, age, and marital status were the main risk factors for depression. Our results highlight the need to implement policies and strategies for positively impacting the mental health of physicians during and after the COVID-19 pandemic.

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Generalized Anxiety Disorder and Associated Factors among Indian Pediatricians during the Coronavirus Disease 2019 Outbreak: A Web- based Cross-sectional Survey

Journal of Medical Sciences and Health ◽

10.46347/jmsh.2021.v07i01.002 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Srivastava Geetika ◽

Nanda Chhavi ◽

Shamsi Sumaiya ◽

Goel Amit ◽

Bhatnagar Shrish

Keyword(s):

Mental Health ◽

At Risk ◽

Anxiety Disorder ◽

Generalized Anxiety Disorder ◽

Categorical Variables ◽

Generalized Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based ◽

Survey Tool

Background: Healthcare workers (HCW) are at risk of developing anxiety and other mental health symptoms while rendering health services during Coronavirus Disease 2019 (COVID 19) pandemic. Current study is probably first of its kind to quantify the anxiety levels among pediatricians along with its potential risk factors. Aim : The aim of the study was to find the prevalence of anxiety using the generalized anxiety disorder (GAD-7) score among pediatricians during COVID-19 pandemic. Design This was a cross-sectional web-based survey. Materials and Methods: Data were collected from 702 pediatricians over a period of 10 days using online Electronic “Survey Monkey” questionnaire as the survey tool. Statistical Analysis Categorical variables are expressed as ratios and proportions. Numerical variables are expressed as median (range). Analysis was performed using non-parametric tests as applicable. Results: 702 pediatricians responded to the survey. Mean GAD score was 8.48 ± 5.64 and prevalence of anxiety was 72.65%. Significant anxiety was seen in 281 (40.03%). Mean GAD score was significantly high in female gender, age between 25 and 40 years, married pediatricians and among front line workers. Conclusions: This study is first of its kind from India assessing anxiety among pediatricians reflecting mental health among HCW. Female pediatricians and pediatricians who are married are at risk of having significant anxiety. We recommend formation of social support circles to maintain optimal mental health of all HCW.

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