Prevalence and risk factors of mental distress in China during the outbreak of COVID‐19: A national cross‐sectional survey

Autor: Hailin Zhou, Qichuan Zhang, Guomei Su, Mindan Wu, Dan Huang, Tianwen Lai, Jun Wu, Huanqin Han, Tingkui Lin, Xufei Du, Fagui Chen, Bin Wu, Min Chen, Dong Wu, Jiayuan Wu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
China
Cross-sectional study
Hospital Anxiety and Depression Scale
structural equation modeling
050105 experimental psychology
lcsh:RC321-571
03 medical and health sciences
Behavioral Neuroscience
Mental distress
Young Adult
0302 clinical medicine
Prevalence of mental disorders
psychological distress
Risk Factors
COVID‐19
Environmental health
Pandemic
medicine
Prevalence
Humans
0501 psychology and cognitive sciences
Pandemics
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Depression (differential diagnoses)
Original Research
Depressive Disorder
business.industry
SARS-CoV-2
05 social sciences
COVID-19
Middle Aged
anxiety
Mental health
Anxiety Disorders
Health Surveys
Cross-Sectional Studies
depression
Anxiety
Female
medicine.symptom
business
030217 neurology & neurosurgery
Zdroj: Brain and Behavior, Vol 10, Iss 11, Pp n/a-n/a (2020)
Brain and Behavior
ISSN: 2162-3279
Popis: Objective As a result of the pandemic of COVID‐19, the public have been experiencing psychological distress. However, the prevalence of psychological distress during the COVID‐19 pandemic remains unknown. Our objective was to evaluate the prevalence of psychological distress during COVID‐19 outbreak and their risk factors, especially their internal paths and causality. Methods A nationwide cross‐sectional survey of the prevalence of mental disorders was conducted. We used Hospital Anxiety and Depression Scale (HADS) to estimate the prevalence of anxiety and depression. The internal paths and the causality of the psychological health were analyzed using a structural equation modeling (SEM) approach. Results A total of 24,789 respondents completed the survey. We found that the overall prevalence of anxiety, depression, combination of anxiety, and depression were 51.6% (95% CI: 51.0–52.2), 47.5% (95% CI: 46.9–48.1), and 24.5% (95% CI: 24.0–25.0), respectively. The risk of psychological disorders in men was higher than that in women. The status of psychological health was different across different age groups, education levels, occupations, and income levels. The SEM analysis revealed that inadequate material supplies, low income, low education, lack of knowledge or confidence of the epidemic, and lack of exercise are major risk factors for psychological distress. Conclusions The evidence from this survey poses serious challenges related to the high prevalence of psychological distress, but also offers strategies to deal with the mental health problems caused by the COVID‐19 pandemic.
In national cross‐sectional survey with largest participants in china, we pose serious challenges related to the high prevalence of psychological distress, find out major risk factors for them, and then offer evidence‐based strategies to deal with the mental health problems caused by the COVID‐19 pandemic. Our research also provides evidences for other countries suffering from the COVID‐19 to take public health interventions to relieve the public psychological pressure.
Databáze: OpenAIRE
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