Anxiety and depression during the national state of emergency for COVID-19: the reality of a Family Health Unit
DOI:
https://doi.org/10.32385/rpmgf.v37i6.13049Keywords:
Anxiety, COVID-19, Depression, Pandemics, SARS-CoV-2Abstract
Introduction: A few months have passed since the first case of COVID-19 disease in Portugal was confirmed. The rapid progression of this pandemic has led to several changes in the daily lives of the users of the Family Health Unit (FHU) Santiago de Leiria, probably with an impact on their mental health. The aim of our work is to determine the degrees of anxiety and depression of the users of the FHU Santiago de Leiria during a state of national emergency.
Study design: Cross-sectional descriptive study, with an analytical component.
Population: Users of the FHU Santiago de Leiria.
Methods: The study was carried out through an online questionnaire consisting of a sociodemographic survey, the Hospital Anxiety and Depression Scale (HADS), and a question related to social support, sent to 1,000 users of the family health unit on April 9, 2020, and valid for submission of responses until May 1, 2020.
Results: Of the 285 individuals who participated, 47% had symptoms of anxiety and 32% depressive symptoms. Individuals of the feminine gender, who had concluded high school or college, presented higher levels of both anxiety and depressive symptoms. Individuals with lower levels of education, unemployed, and lay-off workers presented with a higher prevalence of anxiety. Among respondents, 89.1% reported having the necessary social support. Conclusion: Our work demonstrates a high prevalence of symptoms of anxiety and depression, with greater expression in females. From this premise, new strategies to improve the mental health of users should arise to prevent further damage caused by COVID-19.
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References
Lauer SA, Grantz KH, Bi Q, Jones FK, Zheng Q, Meredith HR, et al. The incubation period of coronavirus disease 2019 (COVID-19) from publicly reported confirmed cases: estimation and application. Ann Intern Med. 2020;172(9):577-82.
World Health Organization. Coronavirus disease 2019 (COVID-19): situation report – 54 (14 March 2020) [homepage]. Geneva: WHO; 2020. Available from: https://apps.who.int/iris/handle/10665/331478
World Health Organization. Coronavirus disease 2019 (COVID-19): situation report – 51 (11 March 2020) [homepage]. Geneva: WHO; 2020. Available from: https://apps.who.int/iris/handle/10665/331475
Direção-Geral da Saúde. Casos de infeção por novo coronavírus (COVID-19): comunicado n.º C160_75_v1, de 02/03/2020. Lisboa: DGS; 2020.
Machado RS, editor. Plano nacional de preparação e resposta à doença por novo coronavírus (COVID-19) [Internet]. Lisboa: Direção-Geral da Saúde; 2020. Available from: https://covid19.min-saude.pt/wp-content/uploads/2020/03/Plano-Nacional.pdf
Decreto-Lei n.º 2-A/2020, de 20 de março. Diário da República. 1ª Série(57 Suppl 1).
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.
European Center for Disease Prevention and Control. Coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK – seventh update [homepage]. Stockholm: EDC; 2020. Available from: https://www.ecdc.europa.eu/en/publications-data/rapid-risk-assessment-coronavirus-disease-2019-covid-19-pandemic
Asmundson GJ, Taylor S. Coronaphobia: fear and the 2019-nCoV outbreak. J Anxiety Disord. 2020;70:102196.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20.
Fernandes AC. Avaliação da eficácia de um programa de intervenção psicológica breve em pacientes pós-síndroma coronária aguda [dissertation]. Braga: Escola de Psicologia, Universidade do Minho; 2012.
Sousa C, Pereira MG. Morbilidade psicológica e representações da doença em pacientes com esclerose múltipla: estudo de avaliação da “Hospital Anxiety and Depression Scale” (HADS) [Psychological morbidity and illness representation in patients with multiple sclerosis: validation study of the ‘Hospital Anxiety and Depression Scale’ (HADS)]. Psicol Saúde Doenç. 2008;9(2):283-98. Portuguese
Ritchie H, Roser M. Mental health. In: Our World in Data.org [homepage]; 2018. Available from: https://ourworldindata.org/mental-health
Shi L, Lu ZA, Que JY, Huang XL, Liu L, Ran MS, et al. Prevalence of risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic. JAMA Netw Open. 2020;3(7):e2014053.
Solomou I, Constantinidou F. Prevalence and predictors of anxiety and depression symptoms during the covid-19 pandemic and compliance with precautionary measures: age and sex matter. Int J Environ Res Public Health. 2020;17(14):4924.
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