School of Psychology (Clinical), University of Ottawa, 136 Jean-Jacques-Lussier, 4017, Vanier Hall, Ottawa, ON, K1N 6N5, Canada.
Laboratory of Psychology Psy-DREPI (EA 7458), Université Bourgogne Franche Comté, Dijon, France.
Soc Psychiatry Psychiatr Epidemiol. 2021 Jan;56(1):57-62. doi: 10.1007/s00127-020-01904-x. Epub 2020 Jun 14.
Ebola virus disease (EVD) is associated with high anxiety and multiple bereavement that can induce severe psychological distress (SPD) in individuals living in affected communities. Using data from the EVD and Mental Health project (EboMH), this study assessed the prevalence and determinants of SPD symptoms in a representative sample of adults in communities affected by EVD.
A representative sample of 1614 adults (50% women) aged 18-85 years completed measures assessing exposure level to EVD, stigmatization related to EVD, and psychological distress.
In total, 45.58% of individuals from the cities and villages affected by EVD reported SPD. Results showed significant differences for residence area, employment, age, education level, and religion, but not for gender. Exposure level to EVD (β = 0.11, p < 0.001; OR = 1.12, 95% CI [1.08-1.16]), stigmatization related to EVD (β = 0.06, p < 0.001; OR = 1.06, 95% CI [1.05-1.07]), and living in rural areas (β = 0.67, p < 0.001; OR = .51, 95% CI [.36-.72]) predicted SPD symptoms.
Evidence-based global mental health programs in high-risk mortality epidemic contexts should take into account the high psychological distress in the affected areas.
埃博拉病毒病（EVD）与高度焦虑和多次丧亲有关，可能会导致生活在受影响社区的个人产生严重的心理困扰（SPD）。本研究利用埃博拉病毒病和心理健康项目（EboMH）的数据，评估了在受 EVD 影响的社区中，具有代表性的成年人样本中 SPD 症状的患病率和决定因素。
对 1614 名年龄在 18-85 岁的成年人（女性占 50%）进行了代表性样本调查，他们完成了评估埃博拉病毒病暴露水平、与埃博拉病毒病相关的污名化以及心理困扰的措施。
受 EVD 影响的城市和村庄中，共有 45.58%的个体报告存在 SPD。结果显示，居住区域、就业状况、年龄、教育程度和宗教信仰存在显著差异，但性别无差异。埃博拉病毒病暴露水平（β=0.11，p<0.001；OR=1.12，95%CI[1.08-1.16]）、与埃博拉病毒病相关的污名化（β=0.06，p<0.001；OR=1.06，95%CI[1.05-1.07]）和居住在农村地区（β=0.67，p<0.001；OR=0.51，95%CI[0.36-0.72]）均与 SPD 症状相关。
在高死亡率流行情况下，基于证据的全球心理健康计划应考虑受影响地区的高度心理困扰。
