Department of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil.
Health Psychology Program, Methodist University of São Paulo, São Paulo, Brazil.
PLoS One. 2021 Feb 3;16(2):e0245868. doi: 10.1371/journal.pone.0245868. eCollection 2021.
The COVID-19 pandemic has become one of the main international concerns regarding its impact on mental health. The present study aims to investigate the prevalence of depression, anxiety, and stress symptoms, and behavioral aspects amidst the COVID-19 pandemic in a Brazilian population. An online survey was administered from May 22 to June 5, 2020 using a questionnaire comprising of sociodemographic information, the Depression, Anxiety, and Stress Scale (DASS-21), and the Coping Strategies Inventory. Participants comprised 3,000 people from Brazil's 26 states and the Federal District, with an average age of 39.8 years, women (83%), married (50.6%), graduates (70.1%) and employees (46.7%). Some contracted the virus (6.4%) and had dead friends or relatives (22.7%). There was more consumption of drugs, tobacco, medication, and food (40.8%). Almost half of participants expressed symptoms of depression (46.4%), anxiety (39.7%), and stress (42.2%). These were higher in women, people without children, students, patients with chronic diseases, and people who had contact with others diagnosed with COVID-19. The existence of a group more vulnerable to situations with a high stress burden requires greater attention regarding mental health during and after the pandemic. That said, it should be emphasized that these findings are preliminary and portray a moment still being faced by many people amid the pandemic and quarantine measures. Therefore, we understand that the magnitude of the impacts on mental health will only be more specific with continuous studies after total relaxation of the quarantine.
COVID-19 大流行已成为人们关注的主要国际问题之一,因为它对人们的心理健康造成了影响。本研究旨在调查巴西人群在 COVID-19 大流行期间抑郁、焦虑和压力症状以及行为方面的流行情况。 2020 年 5 月 22 日至 6 月 5 日期间,通过在线调查的方式对 3000 名参与者进行了问卷调查,问卷内容包括社会人口学信息、抑郁、焦虑和压力量表(DASS-21)以及应对策略量表。参与者来自巴西 26 个州和联邦区,平均年龄为 39.8 岁,女性(83%),已婚(50.6%),本科及以上学历(70.1%),上班族(46.7%)。其中,6.4%的参与者感染了新冠病毒,22.7%的参与者有朋友或亲戚死于新冠病毒。40.8%的参与者表示自己增加了药物、烟草、药物和食物的摄入。近一半的参与者(46.4%)表示出现了抑郁症状,39.7%表示出现了焦虑症状,42.2%表示出现了压力症状。女性、没有孩子的人、学生、患有慢性疾病的人和与确诊 COVID-19 患者有过接触的人症状更为明显。这些结果表明,存在一个更容易受到高压力负担影响的群体,因此在大流行期间和之后需要更加关注心理健康。需要强调的是,这些发现只是初步的,反映了许多人在大流行和隔离措施期间正在经历的情况。因此,我们理解,只有在隔离完全放松后进行持续研究,才能更准确地了解对心理健康的影响程度。