Begum Musammet Rasheda, Khan Md Shafiqul Islam, Sayeed Abu, Kundu Satyajit, Hossen Md Munnaf, Banna Md Hasan Al, Christopher Enryka, Hasan M Tasdik, Saba Sabrina, Kormoker Tapos
Department of Agricultural Economics and Social Sciences, Chattogram Veterinary and Animal Sciences University, Chattogram-4225, Bangladesh.
Department of Food Microbiology, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali- 8602, Bangladesh.
J Affect Disord Rep. 2021 Apr;4:100103. doi: 10.1016/j.jadr.2021.100103. Epub 2021 Feb 1.
The rapid spread of novel corona virus disease (COVID-19) coupled with inefficient testing capacities in Bangladesh has resulted in a number of deaths from COVID-19-like symptoms that have no official test results. This study was the first study that explored the mental health of adults with the most common COVID-19-like symptoms in Bangladesh.
This cross-sectional correlational study gathered data via an online survey to explore the mental health of Bangladeshi adults with symptoms akin to COVID-19. Level of stress, anxiety symptoms, and depressive symptoms were measured with the DASS-21. Chi-square tests and multivariate logistic regression was performed to examine the association of variables.
The prevalence rates of anxiety symptoms and depressive symptoms of the overall population were 26.9% and 52.0% respectively and 55.6% reported mild to extremely severe levels of stress. Multivariate logistic regression determined that respondents with COVID-19-like symptoms reported higher odds for stress level (AOR = 2.043, CI = 1.51 to 2.76), anxiety symptoms (AOR = 2.770, CI = 2.04 to 3.77) and depressive symptoms (AOR = 1.482, CI = 1.12 to 1.96) than asymptomatic respondents.
There was a chance of recall bias as it was not possible to validate the information due to the retrospective design of the study. Recruitment methods only captured internet users, which reduces the generalizability of findings.
Patients with symptoms like those of COVID-19 should be prioritized in the healthcare setting in order to reduce mental health difficulties throughout the pandemic .
新型冠状病毒病（COVID-19）的迅速传播，加上孟加拉国检测能力不足，导致许多出现COVID-19样症状但无官方检测结果的患者死亡。本研究是第一项探讨孟加拉国出现最常见COVID-19样症状的成年人心理健康状况的研究。
这项横断面相关性研究通过在线调查收集数据，以探究有类似COVID-19症状的孟加拉国成年人的心理健康状况。使用DASS-21量表测量压力水平、焦虑症状和抑郁症状。进行卡方检验和多因素逻辑回归分析以检验变量之间的关联。
总体人群中焦虑症状和抑郁症状的患病率分别为26.9%和52.0%，55.6%的人报告有轻度至极其严重的压力水平。多因素逻辑回归分析确定，有COVID-19样症状的受访者出现压力水平（优势比[AOR]=2.043，可信区间[CI]=1.51至2.76）、焦虑症状（AOR=2.770，CI=2.04至3.77）和抑郁症状（AOR=1.482，CI=1.12至1.96）的几率高于无症状受访者。
由于研究采用回顾性设计，无法验证信息，因此存在回忆偏倚的可能性。招募方法仅涵盖互联网用户，这降低了研究结果的普遍性。
在医疗环境中，应优先关注有COVID-19样症状的患者，以减少整个疫情期间的心理健康问题。
