Assessment of depression, anxiety and stress levels in the Ecuadorian general population during social isolation due to the COVID-19 outbreak: a cross-sectional study.
Assessment of depression, anxiety and stress levels in the Ecuadorian general population during social isolation due to the COVID-19 outbreak: a cross-sectional study.
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DOI：
10.1186/s12888-021-03214-1
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发表时间：
2021-04-28
期刊：
影响因子：
4.4
通讯作者：
Cherrez-Ojeda I
中科院分区：
文献类型：
--
作者：
Mautong H;Gallardo-Rumbea JA;Alvarado-Villa GE;Fernández-Cadena JC;Andrade-Molina D;Orellana-Román CE;Cherrez-Ojeda I
冠状病毒病2019(新冠肺炎)已经成为一种全球大流行，后果严重，导致实施了史无前例的社会隔离措施。在大流行初期，厄瓜多尔是拉丁美洲受影响最严重的国家之一。这项研究的目的是评估厄瓜多尔普通民众在新冠肺炎导致的社会隔离期内的抑郁、焦虑和压力水平。从2020年4月22日至5月3日，对普通民众进行了一项由31个简答题和选择题组成的网络调查。采用抑郁、焦虑和应激量表(DASS-21)评定心理健康状况。顺序逻辑分析被用来确定与精神健康问题的严重性相关的潜在危险因素。共有626人被纳入研究范围。女性占60.5%，平均年龄(29.6±11.7) 。大约17.7%的受访者有中度到非常严重的抑郁，30.7%的受访者有类似程度的焦虑，14.2%的受访者经历了压力。女性、较年轻的年龄、学生身份以及有亲戚被诊断出患有新冠肺炎与显著更高的抑郁、焦虑和压力水平相关。有序回归模型显示，学生是抑郁(OR=3.67；95%CI=2.56-5.26，p：0.0001)、焦虑(OR=1.86；95%CI=1.35-2.55，p：0.0001)和压力(OR=2.17；95%CI=1.47-3.19，p：0.0001)的危险因素。与新冠肺炎有亲戚关系也是抑郁(OR=1.7；95%CI=1.03-2.8，P：0.036)和焦虑(OR=2.17；95%CI=1.35-3.47，P：0.001)的危险因素。此外，男性、高龄和多生孩子被发现是这三种疾病的保护因素。我们的研究结果表明，新冠肺炎疫情造成的社会孤立影响了厄瓜多尔普通民众的心理健康。我们确定了潜在的风险和保护因素，这些因素可以作为制定心理战略的基础，在当前的大流行期间保障我国人口的心理健康。网上版载有补充材料，可在10.1186/s12888-021-03214-1查阅。
Coronavirus disease 2019 (COVID-19) has become a global pandemic with serious consequences that have led to the implementation of unprecedented social isolation measures. At the early stages of the pandemic, Ecuador was one of the most affected countries in Latin America. The objective of this study was to assess the levels of depression, anxiety and stress in the Ecuadorian general population during the social isolation period due to COVID-19. A web-based survey consisting of 31 short-answer and multiple-choice questions was administered to the general population from April 22–May 3, 2020. Mental health status was assessed through the Depression, Anxiety and Stress Scale-21 Items (DASS-21) questionnaire. Ordinal logistic analyses were used to identify potential risk factors associated with the severity of mental health issues. A total of 626 individuals were included. Most of them were females (60.5%), and their mean age was 29.6 ± 11.7 years. Approximately 17.7% of the respondents had moderate to very severe levels of depression, 30.7% had similar levels of anxiety, and 14.2% experienced stress. Female sex, younger age, student status, and having a relative diagnosed with COVID-19 were associated with significantly higher levels of depression, anxiety and stress. Ordinal regression models showed that being a student was a risk factor for having more severe levels of depression (OR = 3.67; 95% CI = 2.56–5.26, p: 0.0001), anxiety (OR= 1.86; 95% CI= 1.35–2.55, p: 0.0001), and stress (OR = 2.17; 95% CI= 1.47–3.19, p: 0.0001). Having a relative with COVID-19 was also found to be a risk factor only for depression (OR= 1.70; 95% CI= 1.03–2.80, p: 0.036) and anxiety (OR = 2.17; 95% CI= 1.35–3.47, p: 0.001). Additionally, male sex, older age, and having more children were found to be protective factors for the three conditions. Our findings suggest that social isolation due to the COVID-19 outbreak has impacted the mental health of the general population in Ecuador. We identified potential risk and protective factors that could serve as a foundation from which to develop psychological strategies to safeguard the mental health of our population during the current pandemic. The online version contains supplementary material available at 10.1186/s12888-021-03214-1.
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8.1
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Jalloh MF;Li W;Bunnell RE;Ethier KA;O'Leary A;Hageman KM;Sengeh P;Jalloh MB;Morgan O;Hersey S;Marston BJ;Dafae F;Redd JT
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