Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; Youth Research Association, Savar, Dhaka 1342, Bangladesh.
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh.
J Affect Disord. 2020 Nov 1;276:30-37. doi: 10.1016/j.jad.2020.06.049. Epub 2020 Jul 15.
Precisely how the COVID-19 pandemic has impacted mental health worldwide is currently poorly understood. The study aimed to assess panic and anxiety among individuals in the general Bangladesh population early in the COVID-19 outbreak.
A cross-sectional online survey was conducted from March 29 to April 06, 2020, involving 1311 community-dwelling individuals aged between 13 and 63 years and residing in Bangladesh. After providing informed consent, participants completed an online survey assessing socio-demographic variables and using the Panic Disorder Severity Scale and Generalized Anxiety Disorder (GAD-7) to assess panic and anxiety symptomatology, respectively. Binary logistic regression analyses were conducted.
Estimates of panic and generalized anxiety were 79.6%, and 37.3%, respectively. Factors statistically predicting panic were being older (more than 30 years), having higher education (above bachelor), being married, and living with a joint family. Factors statistically predicting generalized anxiety were being female, being older (more than 30 years), having higher education (above bachelor), being married, being a non-governmental employee.
As this study employs the cross-sectional and self-reported measures, causal inferences cannot be indicated. Sampling biases may have influenced estimates of panic and generalized anxiety.
Sizable proportions of respondents reported panic and generalized anxiety in the setting of COVID-19. The findings suggest the need for additional surveillance of panic and generalized anxiety through longitudinal assessments. Evidence-based intervention programs and supportive services to address panic and generalized anxiety appear important for Bangladeshi individuals during this stage (and likely later stages) of the COVID-19 pandemic.
目前，人们对 COVID-19 大流行如何对全球心理健康产生影响知之甚少。本研究旨在评估 COVID-19 疫情早期孟加拉国普通人群中的恐慌和焦虑情况。
2020 年 3 月 29 日至 4 月 6 日，采用横断面在线调查方法，对居住在孟加拉国的 1311 名年龄在 13 至 63 岁之间的社区居民进行了调查。在提供知情同意后，参与者完成了一项在线调查，评估了社会人口统计学变量，并分别使用惊恐障碍严重程度量表和广泛性焦虑障碍量表（GAD-7）评估了惊恐和焦虑症状。进行了二元逻辑回归分析。
惊恐和广泛性焦虑的估计值分别为 79.6%和 37.3%。预测惊恐的统计学因素是年龄较大（超过 30 岁）、受过高等教育（本科以上）、已婚和与大家庭同住。预测广泛性焦虑的统计学因素是女性、年龄较大（超过 30 岁）、受过高等教育（本科以上）、已婚、非政府雇员。
由于本研究采用了横断面和自我报告的测量方法，因此不能表明因果关系。抽样偏差可能会影响惊恐和广泛性焦虑的估计值。
在 COVID-19 背景下，相当比例的受访者报告了惊恐和广泛性焦虑。研究结果表明，需要通过纵向评估来进一步监测惊恐和广泛性焦虑。在 COVID-19 大流行的现阶段（可能还有以后阶段），针对孟加拉国个人，提供基于证据的干预计划和支持性服务来解决惊恐和广泛性焦虑问题显得尤为重要。
