Campos Juliana Alvares Duarte Bonini, Martins Bianca Gonzalez, Campos Lucas Arrais, Marôco João, Saadiq Rayya Ahmed, Ruano Rodrigo
School of Pharmaceutical Sciences, São Paulo State University (UNESP), Campus Araraquara, São Paulo 14800-903, Brazil.
School of Dentistry, São Paulo State University (UNESP), Campus Araraquara, São Paulo 14801-903, Brazil.
J Clin Med. 2020 Sep 15;9(9):2976. doi: 10.3390/jcm9092976.
Isolation measures used to contain epidemics generate social interaction restrictions and impose changes in routines of the public that increase negative psychological outcomes. Anxiety and depression are the most common symptoms.
To evaluate the mental health of the Brazilian population during the SARs-CoV-2 pandemic and its relationship with demographic and health characteristics.
Adults from all Brazilian States participated ( = 12,196; women: 69.8%, mean age = 35.2 years). The Depression, Anxiety and Stress Scale, and the Impact of Event Scale-revised were used (online survey). Data validity and reliability were verified by confirmatory factor analysis and ordinal alpha coefficient. The probability of presenting psychological symptoms was calculated by multiple logistic regression and odds ratio (OR) (0 = without symptoms, 1 = with mild, moderate, and severe levels of symptoms).
High prevalence of depression (61.3%), anxiety (44.2%), stress (50.8%), and psychological impact (54.9%) due to the isolation experienced from the pandemic was found. Younger individuals (OR = 1.58-3.58), those that felt unsafe (OR = 1.75-2.92), with a previous diagnosis of mental health (OR = 1.72-2.64) and/or had general health problems before the pandemic (OR = 1.17-1.51), who noticed changes in their mental state due to the pandemic context (OR = 2.53-9.07), and excessively exposed to the news (OR = 1.19-2.18) were at increased risk of developing symptoms. Women (OR = 1.35-1.65) and those with lower economic status (OR = 1.38-2.69) were more likely to develop psychological symptoms. Lower educational levels increased the likelihood of depressive (OR = 1.03-1.34) and intrusive symptoms (OR = 1.09-1.51). : The pandemic and related factors can have a high impact on the mental health of the population. Demographic characteristics can influence the occurrence of psychological symptoms.
用于控制疫情的隔离措施会限制社会互动，并使公众的日常生活发生变化，从而增加负面心理影响。焦虑和抑郁是最常见的症状。
评估巴西人群在新冠疫情期间的心理健康状况及其与人口统计学和健康特征的关系。
来自巴西所有州的成年人参与了研究（n = 12196；女性：69.8%，平均年龄 = 35.2岁）。使用了抑郁、焦虑和压力量表以及修订版事件影响量表（在线调查）。通过验证性因素分析和有序alpha系数验证数据的有效性和可靠性。通过多元逻辑回归和优势比（OR）计算出现心理症状的概率（0 = 无症状，1 = 有轻度、中度和重度症状）。
发现由于疫情隔离，抑郁（61.3%）、焦虑（44.2%）、压力（50.8%）和心理影响（54.9%）的患病率很高。较年轻的个体（OR = 1.58 - 3.58）、感到不安全的个体（OR = 1.75 - 2.92）、之前有心理健康诊断的个体（OR = 1.72 - 2.64）和/或在疫情之前有一般健康问题的个体（OR = 1.17 - 1.51）、因疫情环境注意到自己心理状态变化的个体（OR = 2.53 - 9.07）以及过度接触新闻的个体（OR = 1.19 - 2.18）出现症状的风险增加。女性（OR = 1.35 - 1.65）和经济地位较低的个体（OR = 1.38 - 2.69）更有可能出现心理症状。较低的教育水平增加了抑郁（OR = 1.03 - 1.34）和侵入性症状（OR = 1.09 - 1.51）的可能性。结论：疫情及相关因素可能对人群的心理健康产生重大影响。人口统计学特征会影响心理症状的发生。
