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
Affiliations:
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<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>
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<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>
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<Keyword MajorTopicYN="N">Stress</Keyword>
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<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>
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<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>
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