Department of Neuropsychiatry, Federal University of Santa Maria, Santa Maria, Brazil; Educational Actions Coordination, Federal University of Santa Maria, Santa Maria, Brazil; University Hospital of Santa Maria, Santa Maria, Brazil; Postgraduate Program in Psychiatry and Medical Psychology, Federal University of São Paulo, São Paulo, Brazil.
Departmento de Ciências Médicas, Universidade Nove de Julho, São Paulo, Brazil.
J Affect Disord. 2022 Aug 1;310:441-451. doi: 10.1016/j.jad.2022.05.052. Epub 2022 May 13.
The rise in mental health problems in the population directly or indirectly because of the coronavirus disease 2019 (COVID-19) pandemic is a major concern. The aim of this study was to investigate and compare independent predictors of symptoms of stress, anxiety, depression, and posttraumatic stress disorder (PTSD) in Brazilians one month after the implementation of measures of social distancing.
This cross-sectional study was performed using a web-based survey. The Depression, Anxiety, and Stress Scale (DASS-21) and PTSD Checklist for DSM-5 (PCL-5) were the outcomes. Data were gathered regarding demographics, social distancing, economic problems, exposure to the news of the pandemic, psychiatric history, sleep disturbances, traumatic situations, and substance use. The Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) was also administered. The predictors of the symptoms were investigated using hierarchical multiple linear regression.
Of a sample of 3587 participants, approximately two-thirds considered that their mental health worsened after the beginning of the social restriction measures. The most important predictors of the symptoms investigated were the intensity of the distress related to the news of the pandemic, younger age, current psychiatric diagnosis, trouble sleeping, emotional abuse or violence, and economic problems.
These results confirmed the hypothesis that the pandemic impacted the mental health of the population and indicated that the level of distress related to the news was the most important predictor of psychological suffering.
由于 2019 年冠状病毒病（COVID-19）大流行，人口中心理健康问题的直接或间接增加是一个主要关注点。本研究旨在调查和比较在实施社会隔离措施一个月后，巴西人出现应激、焦虑、抑郁和创伤后应激障碍（PTSD）症状的独立预测因素。
这是一项使用基于网络的调查进行的横断面研究。采用抑郁、焦虑和压力量表（DASS-21）和DSM-5 创伤后应激障碍检查表（PCL-5）作为结局。收集了人口统计学、社会隔离、经济问题、接触大流行新闻、精神病史、睡眠障碍、创伤情况和物质使用方面的数据。还进行了酒精使用障碍识别测试 - 消费（AUDIT-C）。使用分层多元线性回归分析症状的预测因素。
在 3587 名参与者中，约有三分之二的人认为在开始实施社会限制措施后，他们的心理健康状况恶化。症状的最重要预测因素是与大流行新闻相关的困扰程度、年龄较小、当前精神科诊断、睡眠困难、情感虐待或暴力以及经济问题。
这些结果证实了这样一种假设，即大流行对人口的心理健康产生了影响，并表明与新闻相关的困扰程度是心理痛苦的最重要预测因素。
