A longitudinal study on the mental health of general population during the COVID-19 epidemic in China.
Identifieur interne : 000166 ( PubMed/Checkpoint ); précédent : 000165; suivant : 000167A longitudinal study on the mental health of general population during the COVID-19 epidemic in China.
Auteurs : Cuiyan Wang [République populaire de Chine] ; Riyu Pan [République populaire de Chine] ; Xiaoyang Wan [République populaire de Chine] ; Yilin Tan [République populaire de Chine] ; Linkang Xu [République populaire de Chine] ; Roger S. Mcintyre [Canada] ; Faith N. Choo [Singapour] ; Bach Tran [Viêt Nam] ; Roger Ho [Singapour] ; Vijay K. Sharma [Singapour] ; Cyrus Ho [Singapour]Source :
- Brain, behavior, and immunity [ 1090-2139 ] ; 2020.
Abstract
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.
DOI: 10.1016/j.bbi.2020.04.028
PubMed: 32298802
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A longitudinal study on the mental health of general population during the COVID-19 epidemic in China.</title><author><name sortKey="Wang, Cuiyan" sort="Wang, Cuiyan" uniqKey="Wang C" first="Cuiyan" last="Wang">Cuiyan Wang</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei</wicri:regionArea><wicri:noRegion>Huaibei</wicri:noRegion></affiliation></author><author><name sortKey="Pan, Riyu" sort="Pan, Riyu" uniqKey="Pan R" first="Riyu" last="Pan">Riyu Pan</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei</wicri:regionArea><wicri:noRegion>Huaibei</wicri:noRegion></affiliation></author><author><name sortKey="Wan, Xiaoyang" sort="Wan, Xiaoyang" uniqKey="Wan X" first="Xiaoyang" last="Wan">Xiaoyang Wan</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei</wicri:regionArea><wicri:noRegion>Huaibei</wicri:noRegion></affiliation></author><author><name sortKey="Tan, Yilin" sort="Tan, Yilin" uniqKey="Tan Y" first="Yilin" last="Tan">Yilin Tan</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei</wicri:regionArea><wicri:noRegion>Huaibei</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Linkang" sort="Xu, Linkang" uniqKey="Xu L" first="Linkang" last="Xu">Linkang Xu</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei</wicri:regionArea><wicri:noRegion>Huaibei</wicri:noRegion></affiliation></author><author><name sortKey="Mcintyre, Roger S" sort="Mcintyre, Roger S" uniqKey="Mcintyre R" first="Roger S" last="Mcintyre">Roger S. 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Electronic address: pcmrhcm@nus.edu.sg.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119228</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Sharma, Vijay K" sort="Sharma, Vijay K" uniqKey="Sharma V" first="Vijay K" last="Sharma">Vijay K. 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Mcintyre</name><affiliation wicri:level="1"><nlm:affiliation>Mood Disorders Psychopharmacology Unit, University Health Network, University of Toronto, Toronto, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Mood Disorders Psychopharmacology Unit, University Health Network, University of Toronto, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Choo, Faith N" sort="Choo, Faith N" uniqKey="Choo F" first="Faith N" last="Choo">Faith N. Choo</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Tran, Bach" sort="Tran, Bach" uniqKey="Tran B" first="Bach" last="Tran">Bach Tran</name><affiliation wicri:level="1"><nlm:affiliation>Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, United States; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Viet Nam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, United States; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000</wicri:regionArea><wicri:noRegion>Hanoi 100000</wicri:noRegion></affiliation></author><author><name sortKey="Ho, Roger" sort="Ho, Roger" uniqKey="Ho R" first="Roger" last="Ho">Roger Ho</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119228, Singapore. Electronic address: pcmrhcm@nus.edu.sg.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119228</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Sharma, Vijay K" sort="Sharma, Vijay K" uniqKey="Sharma V" first="Vijay K" last="Sharma">Vijay K. Sharma</name><affiliation wicri:level="4"><nlm:affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Division of Neurology, Department of Medicine, National University Health System, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Ho, Cyrus" sort="Ho, Cyrus" uniqKey="Ho C" first="Cyrus" last="Ho">Cyrus Ho</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Psychological Medicine, National University Health System, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Psychological Medicine, National University Health System</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author></analytic><series><title level="j">Brain, behavior, and immunity</title><idno type="eISSN">1090-2139</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32298802</PMID><DateRevised><Year>2020</Year><Month>04</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1090-2139</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Apr</Month><Day>13</Day></PubDate></JournalIssue><Title>Brain, behavior, and immunity</Title><ISOAbbreviation>Brain Behav. Immun.</ISOAbbreviation></Journal><ArticleTitle>A longitudinal study on the mental health of general population during the COVID-19 epidemic in China.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0889-1591(20)30511-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bbi.2020.04.028</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Cuiyan</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pan</LastName><ForeName>Riyu</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wan</LastName><ForeName>Xiaoyang</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tan</LastName><ForeName>Yilin</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xu</LastName><ForeName>Linkang</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Institute of Cognitive Neuroscience, Faculty of Education, Huaibei Normal University, Huaibei, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McIntyre</LastName><ForeName>Roger S</ForeName><Initials>RS</Initials><AffiliationInfo><Affiliation>Mood Disorders Psychopharmacology Unit, University Health Network, University of Toronto, Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choo</LastName><ForeName>Faith N</ForeName><Initials>FN</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tran</LastName><ForeName>Bach</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, United States; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Viet Nam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ho</LastName><ForeName>Roger</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Institute of Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore 119228, Singapore. Electronic address: pcmrhcm@nus.edu.sg.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sharma</LastName><ForeName>Vijay K</ForeName><Initials>VK</Initials><AffiliationInfo><Affiliation>Division of Neurology, Department of Medicine, National University Health System, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ho</LastName><ForeName>Cyrus</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Department of Psychological Medicine, National University Health System, Singapore.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Brain Behav Immun</MedlineTA><NlmUniqueID>8800478</NlmUniqueID><ISSNLinking>0889-1591</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anxiety</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">Depression</Keyword><Keyword MajorTopicYN="N">Epidemic</Keyword><Keyword MajorTopicYN="N">Longitudinal</Keyword><Keyword MajorTopicYN="N">Pandemic</Keyword><Keyword MajorTopicYN="N">Post-traumatic stress disorder</Keyword><Keyword MajorTopicYN="N">Precaution</Keyword><Keyword MajorTopicYN="N">Stress</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>04</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>04</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32298802</ArticleId><ArticleId IdType="pii">S0889-1591(20)30511-0</ArticleId><ArticleId IdType="doi">10.1016/j.bbi.2020.04.028</ArticleId><ArticleId IdType="pmc">PMC7153528</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li><li>République populaire de Chine</li><li>Singapour</li><li>Viêt Nam</li></country><orgName><li>Université nationale de Singapour</li></orgName></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Wang, Cuiyan" sort="Wang, Cuiyan" uniqKey="Wang C" first="Cuiyan" last="Wang">Cuiyan Wang</name></noRegion><name sortKey="Pan, Riyu" sort="Pan, Riyu" uniqKey="Pan R" first="Riyu" last="Pan">Riyu Pan</name><name sortKey="Tan, Yilin" sort="Tan, Yilin" uniqKey="Tan Y" first="Yilin" last="Tan">Yilin Tan</name><name sortKey="Wan, Xiaoyang" sort="Wan, Xiaoyang" uniqKey="Wan X" first="Xiaoyang" last="Wan">Xiaoyang Wan</name><name sortKey="Xu, Linkang" sort="Xu, Linkang" uniqKey="Xu L" first="Linkang" last="Xu">Linkang Xu</name></country><country name="Canada"><noRegion><name sortKey="Mcintyre, Roger S" sort="Mcintyre, Roger S" uniqKey="Mcintyre R" first="Roger S" last="Mcintyre">Roger S. Mcintyre</name></noRegion></country><country name="Singapour"><noRegion><name sortKey="Choo, Faith N" sort="Choo, Faith N" uniqKey="Choo F" first="Faith N" last="Choo">Faith N. Choo</name></noRegion><name sortKey="Ho, Cyrus" sort="Ho, Cyrus" uniqKey="Ho C" first="Cyrus" last="Ho">Cyrus Ho</name><name sortKey="Ho, Roger" sort="Ho, Roger" uniqKey="Ho R" first="Roger" last="Ho">Roger Ho</name><name sortKey="Sharma, Vijay K" sort="Sharma, Vijay K" uniqKey="Sharma V" first="Vijay K" last="Sharma">Vijay K. Sharma</name></country><country name="Viêt Nam"><noRegion><name sortKey="Tran, Bach" sort="Tran, Bach" uniqKey="Tran B" first="Bach" last="Tran">Bach Tran</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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