Early Psychological Impact of the COVID-19 Pandemic in Brazil: A National Survey.

Early Psychological Impact of the COVID-19 Pandemic in Brazil: A National Survey.
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DOI:
10.3390/jcm9092976
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发表时间:
2020-09-15
影响因子:
3.9
通讯作者:
Ruano R
Ruano R
中科院分区:
医学2区
文献类型:
--
作者:
Campos JADB;Martins BG;Campos LA;Marôco J;Saadiq RA;Ruano R

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背景:用于遏制流行病的隔离措施会产生社会互动限制,并改变公众的日常生活,从而增加负面的心理结果。焦虑和抑郁是最常见的症状。目的:评估SARS-CoV-2流行期间巴西人群的心理健康状况及其与人口学和健康特征的关系。方法:来自巴西各州的成年人(n=12,196;女性:69.8%,平均年龄=35.2岁)参与调查。使用抑郁、焦虑和压力量表,以及修订后的事件影响量表(在线调查)。采用验证性因素分析和有序α系数检验数据的效度和信度。采用多元Logistic回归和优势比(OR)计算出现心理症状的概率(0=无症状,1=有轻、中、重度症状)。结果:由于与大流行隔离,抑郁(61.3%)、焦虑(44.2%)、压力(50.8%)和心理影响(54.9%)的患病率较高。年轻人(OR=1.58-3.58)、感觉不安全(OR=1.75-2.92)、有精神健康诊断(OR=1.72-2.64)和/或在大流行前有一般健康问题(OR=1.17-1.51)的人,注意到大流行背景下他们的精神状态变化(OR=2.53-9.07),以及过度接触新闻(OR=1.19-2.18),出现症状的风险增加。女性(OR=1.35~1.65)和经济状况较低者(OR=1.38~2.69)更易出现心理症状。文化程度越低,患抑郁(OR=1.03~1.34)和侵入性症状(OR=1.09~1.51)的可能性越大。结论:疫情及相关因素会对人群的心理健康产生很大影响。人口统计特征会影响心理症状的发生。
Background: Isolation measures used to contain epidemics generate social interaction restrictions and impose changes in routines of the public that increase negative psychological outcomes. Anxiety and depression are the most common symptoms. Objective: To evaluate the mental health of the Brazilian population during the SARs-CoV-2 pandemic and its relationship with demographic and health characteristics. Methods: Adults from all Brazilian States participated (n = 12,196; women: 69.8%, mean age = 35.2 years). The Depression, Anxiety and Stress Scale, and the Impact of Event Scale–revised were used (online survey). Data validity and reliability were verified by confirmatory factor analysis and ordinal alpha coefficient. The probability of presenting psychological symptoms was calculated by multiple logistic regression and odds ratio (OR) (0 = without symptoms, 1 = with mild, moderate, and severe levels of symptoms). Results: High prevalence of depression (61.3%), anxiety (44.2%), stress (50.8%), and psychological impact (54.9%) due to the isolation experienced from the pandemic was found. Younger individuals (OR = 1.58–3.58), those that felt unsafe (OR = 1.75–2.92), with a previous diagnosis of mental health (OR = 1.72–2.64) and/or had general health problems before the pandemic (OR = 1.17–1.51), who noticed changes in their mental state due to the pandemic context (OR = 2.53–9.07), and excessively exposed to the news (OR = 1.19–2.18) were at increased risk of developing symptoms. Women (OR = 1.35–1.65) and those with lower economic status (OR = 1.38–2.69) were more likely to develop psychological symptoms. Lower educational levels increased the likelihood of depressive (OR = 1.03–1.34) and intrusive symptoms (OR = 1.09–1.51). Conclusions: The pandemic and related factors can have a high impact on the mental health of the population. Demographic characteristics can influence the occurrence of psychological symptoms.
DOI: 10.1086/382355
发表时间: 2004-04-01
影响因子: 11.8
作者:
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期刊: BMC public health
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DOI: 10.1037/0022-3514.75.3.670
发表时间: 1998-09-01
影响因子: 7.6
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DOI: 10.1111/j.0737-1209.2005.220504.x
发表时间: 2005-09-01
影响因子: 2.1
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