Department of Psychiatry, Government Medical College, Kozhikode, Kerala, 673008, India.
Medical College Hospital Unit, Cheroopa, Department of Community Medicine, Government Medical College, Kozhikode, Kerala, 673008, India.
Asian J Psychiatr. 2021 Oct;64:102812. doi: 10.1016/j.ajp.2021.102812. Epub 2021 Aug 14.
Following the declaration of Coronavirus disease-2019 as a pandemic, a nation-wide lockdown was announced in India. This led to increase in psychological problems, especially in women.
To assess the prevalence of psychological problems and domestic violence (DV) in married women during the pandemic and lockdown in a panchayat in Southern India and to study the association of socio-demographic and clinical variables with psychological problems.
A cross-sectional study was undertaken in 209 married women of 18-55 years residing in a village panchayat of northern Kerala, India. Socio-demographic variables and clinical variables, like depressive symptoms, anxiety symptoms, perceived stress and DV, among others, were evaluated. The participants were interviewed by trained community health workers in the post-lockdown period.
The prevalence of depressive symptoms was found to be 10.0 %, anxiety symptoms 7.2 % and perceived stress 66.0 %. Severe DV was reported by 6.2 %; but at least one form of DV was experienced by 25.8 % of the women. Significant positive correlation was observed for DV with depression and anxiety. DV was also found to be a significant predictor of depression (adjusted OR [aOR] = 4.26, P = 0.006) and anxiety (aOR=4.34, P=0.02). Being a homemaker (aOR=4.51, P = 0.03) and having past history of mental illness (aOR=5.39, P = 0.03) were also found to increase the risk for depression significantly.
There is a high prevalence of psychological problems in married women during the pandemic and lockdown. DV was found to be a significant predictor of depression and anxiety in this population.
随着 2019 年冠状病毒病被宣布为大流行，印度宣布全国封锁。这导致心理健康问题增加，尤其是在女性中。
评估在印度南部一个乡村自治市，大流行和封锁期间已婚女性心理问题和家庭暴力（DV）的发生率，并研究社会人口统计学和临床变量与心理问题的相关性。
在印度喀拉拉邦北部的一个村庄自治市，对 209 名 18-55 岁的已婚女性进行了横断面研究。评估了社会人口统计学变量和临床变量，如抑郁症状、焦虑症状、感知压力和 DV 等。在封锁后，由经过培训的社区卫生工作者对参与者进行访谈。
发现抑郁症状的患病率为 10.0%，焦虑症状为 7.2%，感知压力为 66.0%。严重的 DV 报告率为 6.2%；但至少有一种形式的 DV 被 25.8%的女性经历过。DV 与抑郁和焦虑呈显著正相关。DV 也被发现是抑郁（调整后的 OR [aOR]=4.26，P=0.006）和焦虑（aOR=4.34，P=0.02）的显著预测因子。作为家庭主妇（aOR=4.51，P=0.03）和过去有精神病史（aOR=5.39，P=0.03）也被发现显著增加了抑郁的风险。
在大流行和封锁期间，已婚女性中存在较高的心理问题发生率。DV 被发现是该人群中抑郁和焦虑的一个重要预测因子。
