Psychiatry Clinic, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey.
Rasathane Family Health Center, Samsun, Turkey.
Int J Soc Psychiatry. 2020 Aug;66(5):504-511. doi: 10.1177/0020764020927051. Epub 2020 May 8.
The COVID-19 pandemic is having negative effects on societies' mental health. Both the pandemic and the measures taken to combat it can affect individuals' mental health.
The purpose of this study was to evaluate the levels of depression, anxiety and health anxiety in Turkish society during the COVID-19 pandemic, and to examine the factors affecting these.
The study was performed using an online questionnaire. Participants were asked to complete a sociodemographic data form, the Hospital Anxiety and Depression Scale (HADS) and the Health Anxiety Inventory (HAI). The effects on depression, anxiety and health anxiety levels of factors such as age, sex, marital status, living with an individual aged above 60, the presence of a new Coronavirus+ patient among friends or relatives, previous and current psychiatric illness and presence of accompanying chronic disease were then investigated.
In terms of HADS cut-off points, 23.6% ( = 81) of the population scored above the depression cut-off point, and 45.1% ( = 155) scored above the cut-off point for anxiety. In regression analysis, female gender, living in urban areas and previous psychiatric illness history were found as risk factors for anxiety; living in urban areas was found as risk factor for depression; and female gender, accompanying chronic disease and previous psychiatric history were found as risk factors for health anxiety.
The results of this cross-sectional study suggest that the groups most psychologically affected by the COVID-19 pandemic are women, individuals with previous psychiatric illness, individuals living in urban areas and those with an accompanying chronic disease. Priority might therefore be attached to these in future psychiatric planning.
COVID-19 大流行对社会的心理健康产生负面影响。大流行本身及其采取的措施都会影响个人的心理健康。
本研究旨在评估 COVID-19 大流行期间土耳其社会的抑郁、焦虑和健康焦虑水平,并探讨影响这些水平的因素。
该研究采用在线问卷进行。要求参与者填写一份社会人口统计学数据表格、医院焦虑抑郁量表(HADS)和健康焦虑量表(HAI)。然后,研究了年龄、性别、婚姻状况、与 60 岁以上的人一起居住、朋友或亲戚中有新的冠状病毒+患者、以前和现在的精神疾病以及伴有慢性疾病等因素对抑郁、焦虑和健康焦虑水平的影响。
根据 HADS 截断值,23.6%(=81)的人群抑郁得分超过截断值,45.1%(=155)的人群焦虑得分超过截断值。在回归分析中,女性、居住在城市地区和以前的精神病史被发现是焦虑的危险因素;居住在城市地区是抑郁的危险因素;女性、伴有慢性疾病和以前的精神病史是健康焦虑的危险因素。
这项横断面研究的结果表明,受 COVID-19 大流行影响最大的群体是女性、有精神病史的个体、居住在城市地区的个体以及伴有慢性疾病的个体。因此,在未来的精神卫生规划中可能需要优先考虑这些群体。