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印度尼西亚新冠疫情初期的焦虑情绪及其相关因素

Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia.

作者信息

Anindyajati Gina, Wiguna Tjhin, Murtani Belinda Julivia, Christian Hans, Wigantara Ngurah Agung, Putra Anggi Aviandri, Hanafi Enjeline, Minayati Kusuma, Ismail Raden Irawati, Kaligis Fransiska, Savitri Ary I, Uiterwaal Cuno S P M, Diatri Hervita

机构信息

Department of Psychiatry, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

The Center for Clinical Epidemiology and Evidence-Based Medicine Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

出版信息

Front Psychiatry. 2021 Mar 10;12:634585. doi: 10.3389/fpsyt.2021.634585. eCollection 2021.

Abstract

Coronavirus disease 2019 (COVID-19) is caused by a novel coronavirus which has not been identified previously in humans. The disease leads to respiratory problems, systemic disorders, and death. To stop the virus transmission, physical distancing was strongly implemented, including working and school from home (WFH & SFH). The limitation altered daily routines and needs advanced to adapt. Many have felt uncomfortable and this could have triggered anxiety symptoms. This study aimed to evaluate the proportion of significant anxiety symptoms and its association with COVID-19-related situations in an Indonesian context during the initial months of the pandemic. An online community survey was distributed through social media and communication platforms, mainly WhatsApp, targeting people >18 years old in Indonesia. Anxiety symptoms were assessed using Generalized Anxiety Disorder-7 (Indonesian Version). Demographical data and information on social situation related to the COVID-19 pandemic were collected. The proportion of clinically significant anxiety symptoms was calculated and the association with demographic and social factors was assessed using chi square test (χ) and logistic regression for multivariate analysis. Out of 1215 subjects that completed the survey, 20.2% ( = 245) exhibited significant anxiety symptoms. Several factors, such as age (AOR = 0.933 CI 95% = 0.907-0.96), sex (AOR = 1.612 CI 95% = 1.097-2.369), medical workers (AOR = 0.209 CI 95% = 0.061-0.721), suspected case of COVID-19 (AOR = 1.786 CI 95% = 1.001-3.186), satisfaction level of family support (AOR = 3.052 CI 95% = 1.883-4.946), and satisfaction level of co-workers (AOR = 2.523 CI 95% = 1.395-4.562), were associated with anxiety. One out of five Indonesian people could have suffered from anxiety during the COVID-19 pandemic. The riskiest group being young females, people who had suspected cases of COVID-19, and those with less satisfying social support. Nevertheless, health workers were found to have a lesser risk of developing anxiety. Accessible information and healthcare, social connection, supportive environment, and mental health surveillance are important to prevent bigger psychiatric problems post-pandemic.

摘要

2019冠状病毒病(COVID-19)由一种先前未在人类中发现的新型冠状病毒引起。该疾病会导致呼吸问题、全身紊乱及死亡。为阻止病毒传播,人们大力推行保持社交距离措施,包括居家工作和学习(WFH & SFH)。这种限制改变了日常生活,需要人们进一步去适应。许多人感到不适,这可能引发了焦虑症状。本研究旨在评估在疫情最初几个月的印度尼西亚背景下,显著焦虑症状的比例及其与COVID-19相关情况的关联。通过社交媒体和通讯平台(主要是WhatsApp)开展了一项在线社区调查,目标人群为印度尼西亚18岁以上的人群。使用广泛性焦虑障碍-7(印尼语版)评估焦虑症状。收集了人口统计学数据以及与COVID-19大流行相关的社会状况信息。计算出具有临床意义的焦虑症状比例,并使用卡方检验(χ)和逻辑回归进行多变量分析,评估其与人口统计学和社会因素的关联。在完成调查的1215名受试者中,20.2%(n = 245)表现出显著焦虑症状。几个因素与焦虑有关,如年龄(调整后比值比[AOR]=0.933,95%置信区间[CI]=0.907 - 0.96)、性别(AOR = 1.612,95%CI = 1.097 - 2.369)、医护人员(AOR = 0.209,95%CI = 0.061 - 0.721)、COVID-19疑似病例(AOR = 1.786,95%CI = 1.001 - 3.186)、家庭支持满意度(AOR = 3.052,95%CI = 1.883 - 4.946)以及同事满意度(AOR = 2.523,95%CI = 1.395 - 4.562)。在COVID-19大流行期间,五分之一的印度尼西亚人可能患有焦虑症。风险最高的群体是年轻女性、有COVID-19疑似病例的人以及社会支持不太令人满意的人。然而,发现医护人员患焦虑症的风险较低。可获取的信息和医疗保健、社会联系、支持性环境以及心理健康监测对于预防大流行后出现更严重的精神问题很重要。

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