Department of Physiology, College of Medicine, University of the Philippines Manila, Taft Avenue, Manila 1000, Philippines; Philippine One Health University Network.
Department of Pediatrics, College of Medicine, University of the Philippines Manila, Taft Avenue, Manila 1000, Philippines.
J Affect Disord. 2020 Dec 1;277:379-391. doi: 10.1016/j.jad.2020.08.043. Epub 2020 Aug 24.
The 2019 coronavirus disease (COVID-19) pandemic poses a threat to societies' mental health. This study examined the prevalence of psychiatric symptoms and identified the factors contributing to psychological impact in the Philippines.
A total of 1879 completed online surveys were gathered from March 28-April 12, 2020. Collected data included socio-demographics, health status, contact history, COVID-19 knowledge and concerns, precautionary measures, information needs, the Depression, Anxiety and Stress Scales (DASS-21) and the Impact of Events Scale-Revised (IES-R) ratings.
The IES-R mean score was 19.57 (SD=13.12) while the DASS-21 mean score was 25.94 (SD=20.59). In total, 16.3% of respondents rated the psychological impact of the outbreak as moderate-to-severe; 16.9% reported moderate-to-severe depressive symptoms; 28.8% had moderate-to-severe anxiety levels; and 13.4% had moderate-to-severe stress levels. Female gender; youth age; single status; students; specific symptoms; recent imposed quarantine; prolonged home-stay; and reports of poor health status, unnecessary worry, concerns for family members, and discrimination were significantly associated with greater psychological impact of the pandemic and higher levels of stress, anxiety and depression (p<0.05). Adequate health information, having grown-up children, perception of good health status and confidence in doctors' abilities were significantly associated with lesser psychological impact of the pandemic and lower levels of stress, anxiety and depression (p<0.05).
An English online survey was used.
During the early phase of the pandemic in the Philippines, one-fourth of respondents reported moderate-to-severe anxiety and one-sixth reported moderate-to-severe depression and psychological impact. The factors identified can be used to devise effective psychological support strategies.
2019 年冠状病毒病（COVID-19）大流行对社会心理健康构成威胁。本研究调查了菲律宾精神症状的流行情况，并确定了导致心理影响的因素。
2020 年 3 月 28 日至 4 月 12 日期间，共收集了 1879 份完成的在线调查。收集的数据包括社会人口统计学、健康状况、接触史、COVID-19 知识和关注点、预防措施、信息需求、抑郁、焦虑和压力量表（DASS-21）和修订后的事件影响量表（IES-R）评分。
IES-R 的平均得分为 19.57（SD=13.12），而 DASS-21 的平均得分为 25.94（SD=20.59）。总共有 16.3%的受访者将疫情对心理的影响评为中度至重度；16.9%报告中度至重度抑郁症状；28.8%有中度至重度焦虑；13.4%有中度至重度压力。女性；青年年龄；单身；学生；特定症状；最近被隔离；长期居家；以及健康状况不佳、过度担忧、对家庭成员的担忧和歧视的报告，与大流行对心理的更大影响以及更高水平的压力、焦虑和抑郁显著相关（p<0.05）。充足的健康信息、有成年子女、对健康状况的良好感知和对医生能力的信心，与大流行对心理的较小影响以及较低水平的压力、焦虑和抑郁显著相关（p<0.05）。
使用了英文在线调查。
在菲律宾大流行的早期阶段，四分之一的受访者报告有中度至重度焦虑，六分之一的受访者报告有中度至重度抑郁和心理影响。确定的因素可用于制定有效的心理支持策略。
