Adamovic Miljan, Nikolovski Srdjan, Milojevic Stefan, Zdravkovic Nebojsa, Markovic Ivan, Djokic Olivera, Tomic Slobodan, Burazor Ivana, Zivkov Saponja Dragoslava, Gacic Jasna, Petkovic Jelena, Knezevic Snezana, Spiler Marko, Svetozarevic Snezana, Adamovic Ana
Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Department of Pathology and Laboratory Medicine, Loyola University Chicago Medical Center, Maywood, IL 60153, USA.
Behav Sci (Basel). 2025 Jul 11;15(7):939. doi: 10.3390/bs15070939.
Infectious disease outbreaks amplify the influence of stressors on psychological conditions. The purpose of this study was to analyze the disturbing influence of COVID-19 outbreak-related information and the influence of trust on the Serbian healthcare system and COVID-19 preventive measures on anxiety and depression. An anonymous online questionnaire assessing the demographic information, disturbance level and causes, and levels of anxiety and depression has been distributed to the participants, divided into student and non-student groups. The non-student group was further divided into healthcare, military, and education workers. Anxiety and depression levels, as well as the level of decreased trust in COVID-19-related preventive measures, were higher among students compared to non-students ( = 0.011). Higher anxiety and depression levels, and higher influence of the COVID-19 outbreak on those levels, were observed in education and healthcare workers, compared to military personnel. Medical doctors reported a higher level of trust in the healthcare system compared to nurses ( = 0.023). Trust in the healthcare system increased more frequently compared to the pre-vaccination period among medical doctors, compared to nurses ( = 0.040). Higher anxiety and depression and lower public trust levels in students and workers in education and the healthcare sector indicate a need to focus on these important society members during public health emergencies.
传染病爆发会放大压力源对心理状况的影响。本研究的目的是分析与新冠疫情爆发相关信息的干扰影响以及信任对塞尔维亚医疗系统和新冠疫情预防措施的影响，以及它们对焦虑和抑郁的影响。一份评估人口统计学信息、干扰程度及原因、焦虑和抑郁水平的匿名在线问卷已分发给参与者，参与者分为学生组和非学生组。非学生组进一步分为医疗工作者、军事人员和教育工作者。与非学生相比，学生的焦虑和抑郁水平以及对新冠疫情相关预防措施的信任度下降水平更高（P = 0.011）。与军事人员相比，教育工作者和医疗工作者的焦虑和抑郁水平更高，且新冠疫情爆发对这些水平的影响更大。与护士相比，医生对医疗系统的信任度更高（P = 0.023）。与护士相比，医生在接种疫苗前对医疗系统的信任度增加更为频繁（P = 0.040）。学生以及教育和医疗部门工作人员中较高的焦虑和抑郁水平以及较低的公众信任度表明，在突发公共卫生事件期间需要关注这些重要的社会成员。
