Abstract
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Aim
The ongoing COVID-19 outbreak has not only had an impact on physical health but also on psychological health. The aim of this study was to measure the prevalence and severity of psychological distress in the community due to the COVID-19 pandemic.
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Methods
This cross-sectional survey was conducted in February and March 2020 in Tehran, Iran. We analyzed demographic characteristics and assessed depression, anxiety, and stress levels in 241 people using convenience sampling and the DASS-21 questionnaire. All statistical analyses were performed using R.
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Results
The study population included 241 community-dwelling participants, of whom 145 were women and 96 were males. The mean age was 49.16 ± 8.01 years. Approximately two-thirds of participants (n = 158) reported no history of comorbid illness. The mean scores of depression and stress were at a “severe” level, while anxiety levels were at an “extremely severe” level. The prevalence of severe and extremely severe depression readings was 51.45 and 38.17%, respectively. In the anxiety subscale, the prevalence of severe and extremely severe depression was 95.90 and 4.1%, and in the stress subscale the prevalence was 48.97 and 4.98%, respectively.
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Conclusion
In this study, people reported experiencing severe and extremely severe psychological distress. Therefore, there is an urgent need to implement mental health intervention policies to cope with this ongoing challenge. We suggest that the incorporation of molecular biomarker tests into the algorithm could aid in assessment of patients and guide the most appropriate therapeutic response.
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References
Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T et al (2020) Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 7(3):228–229
Fedson DS (2015) A practical treatment for patients with Ebola virus disease. J Infect Dis 211(4):661–662
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N et al (2020) The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 395(10227):912–920
Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM (2020) Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry Clin Neurosci 74(4):281–282
Jeong H, Yim HW, Song YJ, Ki M, Min JA, Cho J et al (2016) Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiol Health 38:e2016048. https://doi.org/10.4178/epih.e2016048
Chua SE, Cheung V, Cheung C, McAlonan GM, Wong JW, Cheung EP et al (2004) Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. Can J Psychiatr 49(6):391–393
Han KM, Kim KH, Lee M, Lee SM, Ko YH, Paik JW (2017) Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea. J Affect Disord 219:31–36
Kasiulevičius V, Šapoka V, Filipavičiūtė R (2006) Sample size calculation in epidemiological studies. Geron 7(4):225–231
Lovibond PF (1998) Long-term stability of depression, anxiety, and stress syndromes. J Abnorm Psychol 107(3):520–526
Sahebi A, Asghari MJ, Salari R (2005) Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. J Dev Psychol http://jip.azad.ac.ir/article_512443_en.html
Chan RC, Xu T, Huang J, Wang Y, Zhao Q, Shum DH et al (2012) Extending the utility of the depression anxiety stress scale by examining its psychometric properties in Chinese settings. Psychiatry Res 200(2–3):879–883
Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y (2020) A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatry 33(2):e100213. https://doi.org/10.1136/gpsych-2020-100213
Cheng SK, Wong C, Tsang J, Wong K (2004) Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS). Psychol Med 34(7):1187–1195
Rubin GJ, Wessely S (2020) The psychological effects of quarantining a city. BMJ 368:m313. https://doi.org/10.1136/bmj.m313
Roberts T, Esponda GM, Krupchanka D, Shidhaye R, Patel V, Rathod S (2018) Factors associated with health service utilisation for common mental disorders: a systematic review. BMC Psychiatry 18(1):262
Sareen J, Erickson J, Medved MI, Asmundson GJ, Enns MW, Stein M et al (2013) Risk factors for post-injury mental health problems. Depress Anxiety 30(4):321–327
Cheng C, Huang J, Baoyong L (2014) Psychological health diathesis assessment system: a nationwide survey of resilient trait scale for Chinese adults. Stud Psychol Behav 12:735–742
World Health Organization (2020) Coronavirus disease 2019 (COVID-19): situation report, 51. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10
Bao Y, Sun Y, Meng S, Shi J, Lu L (2020) 2019-nCoV epidemic: address mental health care to empower society. Lancet 395(10224):e37–e38
Duan L, Zhu G (2020) Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry 7(4):300–302
Aardal-Eriksson E, Eriksson TE, Holm AC, Lundin T (1999) Salivary cortisol and serum prolactin in relation to stress rating scales in a group of rescue workers. Biol Psychiatry 46(6):850–855
Rai B, Kaur J, Foing BH (2012) Salivary amylase and stress during stressful environment: three Mars analog mission crews study. Neurosci Lett 518(1):23–26
Levada OA, Troyan AS (2018) Poststroke depression biomarkers: a narrative review. Front Neurol 9:577. https://doi.org/10.3389/fneur.2018.00577
Quagliato LA, Nardi AE (2018) Cytokine alterations in panic disorder: a systematic review. J Affect Disord 228:91–96
Peng S, Li W, Lv L, Zhang Z, Zhan X (2018) BDNF as a biomarker in diagnosis and evaluation of treatment for schizophrenia and depression. Discov Med 26(143):127–136
Acknowledgments
Thanks to guidance and advice from the Clinical Research Development Unit of Baqiyatallah Hospital.
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The authors declare no conflict of interest with respect to the authorship and publication of this article.
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Moayed, M.S. et al. (2021). A Survey of Psychological Distress Among the Community in the COVID-19 Epidemic: A Cross-Sectional Study. In: Guest, P.C. (eds) Clinical, Biological and Molecular Aspects of COVID-19. Advances in Experimental Medicine and Biology(), vol 1321. Springer, Cham. https://doi.org/10.1007/978-3-030-59261-5_22
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DOI: https://doi.org/10.1007/978-3-030-59261-5_22
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