THE INFLUENCE OF SOCIODEMOGRAPHIC FACTORS ON THE DEVELOPMENT OF ANXIETY A CORONAVIRUS DISEASE PANDEMIC

  • Marijana Jandric-Kocic Health Care Center Krupa on the Una River, The Republic of Srpska
  • Snezana Knezevic Health Care Center Kraljevo, Serbia
Keywords: COVID-19, pandemic, anxiety, risk factors

Abstract


Introduction/Aim: The COVID-19 pandemic poses a serious threat to global mental health. Fear of
death, social distancing, economic problems, changes in the education system, and cessation of normal
daily functioning induce psychiatric disorders, primarily anxiety. The research aimed to determine the
influence of sociodemographic factors on the development of anxiety during the COVID-19 pandemic.
Methods: The cross-sectional study, over two months, included 200 persons without symptoms of
COVID-19, 60.0% of women and 40.0% of men, with an average age of 51.0 ± 9.2 years. One hundred
people reported to the family medicine clinic of the Health Care Center Krupa on the River Una for
examinations or administrative reasons, and another hundred were accompanied by them. In addition
to the general questionnaire, the Generalized Anxiety Disorder-7 (GAD-7) Self-Assessment Symptom
Intensity Questionnaire was used. The χ2- test and Fisher's test were used for the statistical analysis.
Discussion: 105 (52.5%) participants included in the study had symptoms of anxiety (35.0% mild
symptoms of anxiety, 15.5% moderate symptoms of anxiety, 2.0% severe symptoms of anxiety). Anxiety
was slightly more common in men (56.2%) than in women (50.0%), as well as in the oldest (60-79 years)
(92.6%) than in younger participants (12.5% for age 20-39 and 44.7% for ages 40-59). The frequency
of anxiety was lower in persons with higher (33.3%) than lower education (44.5% of participants with
primary and 46.6% of participants with high school). A slightly higher frequency of anxiety was among
the employed (69.5%) than among the unemployed (43.0%), as well as among persons living in urban
(80.8%) in comparison to those living in rural (42.6%) areas. Anxiety problems were experienced by
51.3% of participants living in marriage or extramarital union and 56.8% of participants who were not
married or in an extramarital union. People with anxiety were significantly more likely to be aged 60-79
than people without anxiety. There were no significant differences between these groups in terms of
gender, level of education, employment, place of residence and marital status of the participants.
Conclusion: Every other person in this study had some form of anxiety. Further research in this area
and proposing adequate prevention programs are needed.

Author Biography

Marijana Jandric-Kocic, Health Care Center Krupa on the Una River, The Republic of Srpska

specijalizacija porodične medicine

References

McIntosh K. Coronavirus disease 2019 (COVID-19):

Epidemiology, virology, clinical features, diagnosis, and

prevention. 2020. UpToDate. Available from: https://

www.uptodate.com/contents/coronavirus-disease-

-covid-19-epidemiology-virology-clinicalfeatures-

diagnosis-and-prevention#H3103904400.

Wenjing G, Liming L. Research progress on the

transmission of new coronavirus pneumonia during

incubation or latent infection. Chin J Epidemiol

; 41(4). Available from:http://rs.yiigle.com/

yufabiao/1183795.htm

Milovanovic DR, Jankovic SM, Ruzic Zecevic D,

Folic M, Rosic N, Jovanovic D, et al. The Treatment

of Coronavirus Disease (Covid-19). Journal of

Medicine 2020; 54(1). Available from: http://www.

medicinskicasopis.org/COVID-19%20Pregled%20

Med%20Cas%20Online%20First%2015042020.pdf

World Health Organization. Mental health

and psychosocial considerations during the

COVID-19 outbreak. World Health Organization,

Available from: https://apps.who.int/iris/

handle/10665/331490

Bubic A. How to deal with the situation caused by

the coronavirus disease pandemic (COVID-19)?

Psychological aspects of crises and advice on how to

deal with them. Naklada Slap, 2020. Available from:

http://www.nakladaslap.com/public/docs/knjige/

ostanidoma-covid-19.pdf

Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani

A, Rasoulpoor S, Mohammadi M, et al. Prevalence

of stress, anxiety, depression among the general

population during the COVID-19 pandemic: a

systematic review and meta-analysis. Global Health

; 16:57.

Picaza Gorrochategi M, Eiguren Munitis A, Dosil

Santamaria M, Ozamiz Etxebarria N. Stress, Anxiety,

and Depression in People Aged Over 60 in the

COVID-19 Outbreak in a Sample Collected in Northern

Spain. Am J Geriatr Psychiatry2020; 28(9):993-98.

Pfefferbaum B, North CS. Mental Health and the

Covid-19 Pandemic. N Engl J Med 2020; 383:510-12.

Jandric-Kocic MC. Comorbidities and Functional

Disability in Chronic Low Back Pain. General Medicine

; 25(3-4):43-57.

Huang Y, Zhao N. Generalized anxiety disorder,

depressive symptoms and sleep quality during

COVID-19 epidemic in China: a web-based crosssectional

survey. Psychiatry Res 2020; 288:112954.

Al-Rabiaahab A, Temsahabc MH, Al-Eyadhyab AA,

Hasanbd GM, Al-Zamilab F, Al-Subaieab S, et al. Middle

East Respiratory Syndrome-Corona Virus (MERSCoV)

associated stress among medical students

at a university teaching hospital in Saudi Arabia. J

InfectPublic Health 2020; 13(5):687-691.

Rokvic N. The Validation of the Serbian Version of the

Generalized Anxiety Disorder Scale (GAD7) – A Pilot

Study. Engrami 2019; 41(2):68-79.

Fiorillo A, Gorwood P. The consequences of

the COVID-19 pandemic on mental health and

implications for clinical practice. Eur Psychiatry

; 63(1):E32.

Liao Q, Cowling BJ, Lam WW, Ng Diane, Fielding R.

Anxiety, worry and cognitive risk estimate in relation

to protective behaviors during the 2009 influenza A/

H1N1 pandemic in Hong Kong: ten cross-sectional

surveys. BMC Infect Dis 2014; 14:169.

Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al.

Mental health problems and social media exposure

during COVID-19 outbreak. PLoS ONE. 2020;

(4):e0231924.

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC.

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):1729.

Sherman A. L. Coronavirus Anxiety Scale: A brief

mental health screener for COVID-19 related anxiety.

Death Studies 2020; 44(7):393-401.

Roy D, Tripathy S, Kar SK, Sharma N, Verma SK,

Kaushal V. Study of knowledge, attitude, anxiety

& perceived mental healthcare need in Indian

population during COVID-19 pandemic. Asian J

Psychiatr 2020; 51:102083.

Moghanibashi-Mansourieh A. Assessing the anxiety

level of Iranian general population during COVID-19

outbreak. Asian J Psychiatr 2020; 51:102076.

Tan BYQ, Chew NWS, Lee GKH, Jing M, Goh Y, Yeo LLL,

Zhang K, et al. Psychological Impact of the COVID-19

Pandemic on Health Care Workers in Singapore. Ann

Intern Med 2020:M20-1083.

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors

Associated With Mental Health Outcomes Among

Health Care Workers Exposed to Coronavirus Disease

JAMA Network Open 2020; 3:e203976.

Yuchao D, Tong S, Piqi J, Xiangyu K, Kailian Z,

Min T, et al. Prevalence and Factors Associated

with Depression and Anxiety of Hospitalized

Patients with COVID-19. [Internet] MedRxiv.

Available from: https://www.medrxiv.org/

content/10.1101/2020.03.24.20043075v2

Holmes EA, O'Connor RC, Perry HV, Tracey I, Wessely

S, Arseneault L et al. Multidisciplinary research

priorities for the COVID-19 pandemic: a call for

action for mental health science. Lancet Psychiatry

;7(6):547-560.

Panchal N, Kamal R, Orgera K, Cox C, Garfield, Hamel

L, Muñana C, Chidambaram P. The Implications of

COVID-19 for Mental Health and Substance Use.

Health Reform. 2020. [Internet] Available from:

https://www.kff.org/health-reform/issue-brief/

the-implications-of-covid-19-for-mental-health-andsubstance-

use/

Published
2020/10/20
Section
ORIGINAL ARTICLE