Prediktori depresije, anksioznosti i stresa tokom prvog talasa pandemije COVID-19 : rezultati onlajn ankete u Srbiji
Sažetak
Uvod: Izbijanje pandemije COVID-19 uticalo je na mentalno zdravlje stanovništva širom sveta.
Cilj: Procena faktora rizika za simptome anksioznosti, depresije i stresa tokom prvog talasa pandemije COVID-19.
Metod: Sprovedena je onlajn anketa koja je uključivala 161 učesnika iz opšte populacije, kako zdravih učesnika, tako i ljudi koji su bili pozitivni na COVID-19. Istraživanjem su prikupljeni sociodemografski podaci učesnika, zatim njihova saznanja o pandemiji, kao i psihološki uticaj i stanje mentalnog zdravlja učesnika. Psihološki uticaj na status mentalnog zdravlja je procenjen korišćenjem skale depresije, anksioznosti i stresa (DASS-21). Logistička regresija je korišćena da bi se utvrdili faktori rizika koji su povećali verovatnoću pojave simptoma depresije, anksioznosti i stresa.
Rezultati: Ukupno 63,8% učesnika je pokazalo simptome anksioznosti, dok je 31,6% pokazalo umerene simptome anksioznosti. Simptomi depresije pronađeni su kod 44,1% ispitanika iz uzorka, a 23,7% ispitanika pokazuje umerene simptome depresije, prema DASS-21 kriterijumima. Nemanje istorije psihijatrijskog lečenja, pozitivan test na COVID-19, fizički zdravstveni status i vreme procene bili su najznačajniji prediktivni faktori simptoma depresije. U odnosu na simptome anksioznosti, uočili smo važnost fizičkog zdravlja, posedovanja potomstva i pozitivno testiranje na COVID-19, i da je muškarac. Faktori koji su uticali na veći stepen stresa su: pozitivan test na COVID-19, posebna ishrana, posedovanje potomstva i slabo fizičko zdravlje.
Zaključak: Naša studija ukazuje da bi tokom pandemije COVID-19 u Srbiji nekoliko faktora moglo biti značno za razvoj stresa, depresije i anksioznosti i da se može koristiti kao osnova za veće, populacione studije. Na osnovu ovih budućih studija, preventivne mere mentalnog zdravlja zasnovane na dokazima mogle bi da se primene u Srbiji.
Reference
- Objave centra za javno zdravlje [Internet]. 2020. Available from: https://covid19.rs/objave-centra-za-javno-zdravlje/
- Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Vol. 395, The Lancet. 2020. p. e37–8.
- Hall RCW, Hall RCW, Chapman MJ. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen Hosp Psychiatry. 2008;30(5):446–52.
- Van Bortel T, Basnayake A, Wurie F, Jambai M, Koroma AS, Muana AT, et al. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bull World Health Organ. 2016;
- Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52.
- Jovanović V, Gavrilov-Jerković V, Žuljević D, Brdarić D. Psihometrijska evaluacija skale depresivnosti, anksioznosti i stresa-21 (DASS-21) na uzorku studenata u srbiji. Psihologija. 2014;47(1):93–112.
- IBM Corporation. IBM SPSS Statistics for Windows. Armonk, NY: IBM Corp.; 2011.
- Verma S, Mishra A. Depression, anxiety, and stress and socio-demographic correlates among general Indian public during COVID-19. Int J Soc Psychiatry. 2020;66(8):756–62.
- Terluin B, van Marwijk HWJ, Adèr HJ, de Vet HCW, Penninx BWJH, Hermens MLM, et al. The Four-Dimensional Symptom Questionnaire (4DSQ): A validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety, and somatization. BMC Psychiatry. 2006;6.
- Kendler KS, Karkowski LM, Prescott CA. Causal relationship between stressful life events and the onset of major depression. Am J Psychiatry. 1999;156(6):837–41.
- Yang L, Zhao Y, Wang Y, Liu L, Zhang X, Li B, et al. The Effects of Psychological Stress on Depression. Curr Neuropharmacol. 2015;13(4):494–504.
- Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5).
- Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Vol. 74, Psychiatry and Clinical Neurosciences. 2020. p. 281–2.
- Alexander JL, Dennerstein L, Kotz K, Richardson G. Women, anxiety and mood: a review of nomenclature, comorbidity, and epidemiology. Vol. 7, Expert review of neurotherapeutics. 2007. p. S45–58.
- Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Vol. 395, The Lancet. 2020. p. 470–3.
- Jerotic S. Sex differences in the trauma-related symptoms: A pilot study. Med Podml. 2016;67(3):68–73.
- Asmundson GJG, Taylor S. How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know. Vol. 71, Journal of Anxiety Disorders. 2020.
- Page LA, Seetharaman S, Suhail I, Wessely S, Pereira J, Rubin GJ. Using electronic patient records to assess the impact of swine flu (influenza H1N1) on mental health patients. J Ment Heal. 2011;20(1):60–9.
- Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019(COVID-19) in January and February 2020 in China. Med Sci Monit. 2020;26.
- Zandifar A, Badrfam R. Iranian mental health during the COVID-19 epidemic. Vol. 51, Asian Journal of Psychiatry. 2020.
- Bontcheva K, Gorrell G, Wessels B. Social Media and Information Overload: Survey Results. arXiv Prepr arXiv13060813 [Internet]. 2013; Available from: http://arxiv.org/abs/1306.0813
- Asmundson GJG, Taylor S. Coronaphobia: Fear and the 2019-nCoV outbreak. Vol. 70, Journal of Anxiety Disorders. 2020.