LIÊN KẾT WEBSITE
A longitudinal study on the mental health of general population during the COVID-19 epidemic in China
Brain, Behavior, and Immunity Số , năm 2020 (Tập 87, trang 40-48)
DOI: 10.1016/j.bbi.2020.04.028
Tài liệu thuộc danh mục: ISI, Scopus
English
English
Từ khóa: adolescent; adult; anxiety; Article; child; China; coronavirus disease 2019; depression; Depression Anxiety Stress Scale; disease transmission; epidemic; female; health behavior; human; Impact of Events Scale; longitudinal study; major clinical study; male; medical information; mental health; mental stress; posttraumatic stress disorder; priority journal; self care; survival; Betacoronavirus; Coronavirus infection; depression; epidemic; hand washing; mask; mental health; middle aged; pandemic; posttraumatic stress disorder; psychology; psychotherapy; virus pneumonia; young adult; Adolescent; Adult; Anxiety; Betacoronavirus; Child; China; Coronavirus Infections; Depression; Epidemics; Female; Hand Hygiene; Health Behavior; Humans; Internet-Based Intervention; Longitudinal Studies; Male; Masks; Mental Health; Middle Aged; Pandemics; Pneumonia, Viral; Psychotherapy; Stress Disorders, Post-Traumatic; Stress, Psychological; Young Adult
Tóm tắt tiếng anh
In addition to being a public physical health emergency, Coronavirus disease 2019 (COVID-19) affected global mental health, as evidenced by panic-buying worldwide as cases soared. Little is known about changes in levels of psychological impact, stress, anxiety and depression during this pandemic. This longitudinal study surveyed the general population twice - during the initial outbreak, and the epidemic's peak four weeks later, surveying demographics, symptoms, knowledge, concerns, and precautionary measures against COVID-19. There were 1738 respondents from 190 Chinese cities (1210 first-survey respondents, 861 s-survey respondents; 333 respondents participated in both). Psychological impact and mental health status were assessed by the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21), respectively. IES-R measures PTSD symptoms in survivorship after an event. DASS -21 is based on tripartite model of psychopathology that comprise a general distress construct with distinct characteristics. This study found that there was a statistically significant longitudinal reduction in mean IES-R scores (from 32.98 to 30.76, p < 0.01) after 4 weeks. Nevertheless, the mean IES-R score of the first- and second-survey respondents were above the cut-off scores (>24) for PTSD symptoms, suggesting that the reduction in scores was not clinically significant. During the initial evaluation, moderate-to-severe stress, anxiety and depression were noted in 8.1%, 28.8% and 16.5%, respectively and there were no significant longitudinal changes in stress, anxiety and depression levels (p > 0.05). Protective factors included high level of confidence in doctors, perceived survival likelihood and low risk of contracting COVID-19, satisfaction with health information, personal precautionary measures. As countries around the world brace for an escalation in cases, Governments should focus on effective methods of disseminating unbiased COVID-19 knowledge, teaching correct containment methods, ensuring availability of essential services/commodities, and providing sufficient financial support. � 2020 Elsevier Inc.
