Cluster of competence "Health & Environment", Moulay Ismail University of Meknes, Meknes 50 000, Morocco; Centre for Environment and Health, Department of Public Health and Primary Care, KU Leuven (University of Leuven), Leuven 3000, Belgium.
Cluster of competence "Health & Environment", Moulay Ismail University of Meknes, Meknes 50 000, Morocco.
J Affect Disord. 2022 Jul 1;308:343-352. doi: 10.1016/j.jad.2022.04.052. Epub 2022 Apr 13.
The SARS-CoV-2 pandemic's unpredictability and ambiguity, combined with the lockdown, social distancing, containment measures, and economic impact could increase the risk of mental health issues.
To assess the magnitude of mental health outcomes and risk factors among Moroccans, using an online survey, during the SARS-CoV-2 outbreak.
This cross-sectional, survey-based study collected demographic data and mental health measurements from 11,123 participants. The degree of depression, anxiety, and insomnia symptoms were assessed by the 9-item Patient Health Questionnaire, the 7-items Generalized Anxiety disorder, and the 7-items Insomnia Severity Index.
The survey was completed by 11,123 individuals out of a total of 15,008 contacts. 7315 (65.8%) were women, and 7182 (64.6%) were aged 18 to 34. A significant proportion of respondents experienced depression (5894 [53%]), anxiety (5544 [49.8%]), and insomnia (4410 [39.6%]). Multivariable logistic regression analysis showed that being a woman, being married, and being a parent of children aged less than five years were associated with severe symptoms of depression and anxiety (e.g. severe depression among women vs. men (OR, 1.19; 95%CI, 1.06-1.33; P = .003), severe depression among married compared to unmarried respondents (OR, 1.92; 95%CI, 1.71-2.16; P < .000), e.g. severe anxiety among women vs. men (OR, 1.40; 95%CI, 1.24-1.58; <0.000), severe anxiety among married people compared to unmarried (OR, 1.14; 95%CI, 1.00-1.28; P < .003).
Our findings reported a significant mental health burden on the general public during the COVID-19 lockdown. In addition to efforts deployed to prevent the spread of the disease, timely and culturally-specific mental health care needs to be developed urgently.
SARS-CoV-2 大流行的不可预测性和模糊性，加上封锁、社交距离、遏制措施和经济影响，可能会增加心理健康问题的风险。
使用在线调查评估摩洛哥人在 SARS-CoV-2 爆发期间的心理健康结果和危险因素的严重程度。
这是一项横断面、基于调查的研究，从 11123 名参与者中收集了人口统计学数据和心理健康测量数据。使用 9 项患者健康问卷、7 项广泛性焦虑症和 7 项失眠严重程度指数评估抑郁、焦虑和失眠症状的严重程度。
在总共 15008 个联系人中，有 11123 人完成了调查。7315 人（65.8%）为女性，7182 人（64.6%）年龄在 18 至 34 岁之间。相当一部分受访者经历了抑郁（5894[53%]）、焦虑（5544[49.8%]）和失眠（4410[39.6%]）。多变量逻辑回归分析表明，女性、已婚和有 5 岁以下子女的父母与严重的抑郁和焦虑症状有关（例如，女性与男性相比严重抑郁（OR，1.19；95%CI，1.06-1.33；P=0.003），已婚受访者与未婚受访者相比严重抑郁（OR，1.92；95%CI，1.71-2.16；P<0.000），例如，女性与男性相比严重焦虑（OR，1.40；95%CI，1.24-1.58；<0.000），已婚者与未婚者相比严重焦虑（OR，1.14；95%CI，1.00-1.28；P<0.003）。
我们的研究结果报告了 COVID-19 封锁期间公众的显著心理健康负担。除了部署努力预防疾病传播外，还需要紧急制定及时和特定文化的心理健康护理。
