The COVID-19 pandemic and serious psychological consequences in Bangladesh: A population-based nationwide study.

The COVID-19 pandemic and serious psychological consequences in Bangladesh: A population-based nationwide study.
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DOI:
10.1016/j.jad.2020.10.036
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发表时间:
2021-01-15
影响因子:
6.6
通讯作者:
Pakpour AH
Pakpour AH
中科院分区:
医学2区
文献类型:
--
作者:
Mamun MA;Sakib N;Gozal D;Bhuiyan AI;Hossain S;Bodrud-Doza M;Al Mamun F;Hosen I;Safiq MB;Abdullah AH;Sarker MA;Rayhan I;Sikder MT;Muhit M;Lin CY;Griffiths MD;Pakpour AH

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As with other countries worldwide, lockdown measures during the COVID-19 outbreak in Bangladesh were sudden and unexpected, and have the capacity to elicit serious psychological consequences. The present study examined the psychological consequences of COVID-19 in Bangladesh during the lockdown period. A nationwide online cross-sectional survey study recruited 10,067 individuals covering all 64 districts in Bangladesh via social media (April 1-10, 2020). The survey comprised questions concerning socio-demographics, knowledge of COVID-19, behavior towards COVID-19, fear of COVID-19, insomnia, depression, and suicidal ideation. Logistic regression and structural equation modeling (SEM) analyses were performed to identify the risk factors depression and suicidal ideation. Geographical information system (GIS)-based spatial analysis was used to identify district-wise susceptibility to depression and suicidal ideation. The prevalence rate of depression and suicidal ideation related to COVID-19 was 33% and 5%%. Common risk factors for suicidal ideation and depression included being young, being female, being a cigarette smoker, having comorbid diseases, having high scores on the Fear COVID-19 Scale, and having insomnia symptoms. GIS-based maps detected high depression and suicidal ideation in the capital of Bangladesh and the districts near the capital as well as coastal areas where COVID-19 prevalence was high, as compared with districts with no reported cases. Self-reported scales and cross-sectional design of the study. COVID-19 is associated with major psychological impact across Bangladesh, underlining the need of strategically located psychological support measures and improved access to mental health services, especially among women and younger people.
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