Prevalence, risk factors and clinical correlates of depression in quarantined population during the COVID-19 outbreak

Peng, Min; Mo, Bei-Rong; Liu, Yansong; Xu, Mingming; Song, Xinran; Liu, Luyu; Fang, Yeqing; Guo, Tianyou; Ye, Jinying; Yu, Ziming; Deng, Qiwen; Zhang, Xiangyang

doi:10.1016/j.jad.2020.06.035

Cited by 112 publications

(120 citation statements)

References 46 publications

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“…Our measurements showed that COVID-19 lockdown resulted in a significant 1.4-and 5.5-fold increase in stress levels and depressive symptoms, respectively. The observed increase in stress levels and severity of depressive symptoms is consistent with reported cross-sectional (26,46,47) and longitudinal (15,17,19) general population studies. In agreement with previous reports (48,49), we found a more pronounced impact of the COVID-19 lockdown on the mental health of women.…”

Section: Discussionsupporting

confidence: 90%

Risk Factors Underlying COVID-19 Lockdown-Induced Mental Distress

et al. 2020

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Recent reports suggest that the COVID-19 lockdown resulted in changes in mental health, however, potential age-related changes and risk factors remain unknown. We measured COVID-19 lockdown-induced stress levels and the severity of depressive symptoms prior to and during the COVID-19 lockdown in different age groups and then searched for potential risk factors in a well-characterized general population-based sample. A total of 715 participants were tested for mental distress and related risk factors at two time-points, baseline testing prior to COVID-19 and follow-up testing during COVID-19, using a battery of validated psychological tests including the Perceived Stress Scale and the Patient Health Questionnaire. Longitudinal measurements revealed that the prevalence of moderate to high stress and the severity of depressive symptoms increased 1.4- and 5.5-fold, respectively, during the COVID-19 lockdown. This surge in mental distress was more severe in women, but was present in all age groups with the older age group exhibiting, cross-sectionally, the lowest levels of mental distress prior to and during the lockdown. Illness perception, personality characteristics such as a feeling of loneliness, and several lifestyle components were found to be associated with a significant increase in mental distress. The observed changes in mental health and the identified potential risk factors underlying these changes provide critical data justifying timely and public emergency-tailored preventive, diagnostic, and therapeutic mental health interventions, which should be integrated into future public health policies globally.

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Section: Discussionsupporting

confidence: 90%

Risk Factors Underlying COVID-19 Lockdown-Induced Mental Distress

et al. 2020

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“…In the COVID-19 era, social distancing, increasing joblessness and limited access to mental health services, mental health burden is bound to aggravate during and beyond the pandemic (110). Several surveys on general public have reported increase in COVID-19 related depression, anxiety, and stress owing to the psychosocial stressors (114)(115)(116)(117). Among healthcare workers, clinical symptoms of depression, anxiety, insomnia, and distress have been reported with a prevalence rate higher than the general public (27).…”

Section: Impact On Mental Healthmentioning

confidence: 99%

Call for Action to Address Equity and Justice Divide During COVID-19

et al. 2020

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The coronavirus 2019 disease (COVID-19) is deepening the inequity and injustice among the vulnerable communities. The current study aims to present an overview of the impact of COVID-19 on equity and social justice with a focus on vulnerable communities. Vulnerable communities include, but not limited to, healthcare workers, those from lower socioeconomic backgrounds, ethnic or minority groups, immigrants or refugees, justice-involved populations, and people suffering from chronic diseases or mental illness. The implications of COVID-19 on these communities and systemic disparities beyond the current pandemic are also discussed. People from vulnerable communities' experience disproportionately adverse impacts of COVID-19. COVID-19 has exacerbated systemic disparities and its long-term negative impact on these populations foretell an impending crisis that could prevail beyond the COVID-19 era. It is onerous that systemic issues be addressed and efforts to build inclusive and sustainable societies be pursued to ensure the provision of universal healthcare and justice for all. Without these reinforcements, we would not only compromise the vulnerable communities but also severely limit our preparedness and response to a future pandemic.

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“…For example, a survey study conducted by Shi et al (2020) with 56,679 Chinese participants reported 27.9% of the general population had depressive symptoms. A previous study from Shenzhen suggested that the prevalence of depressive symptom was 6.2% in the general population quarantined (Peng et al, 2020), performing in subjects with quarantine experience.…”

Section: Introductionmentioning

confidence: 97%

Prevalence and Associated Factors for Depressive Symptomatology in Chinese Adults During COVID-19 Epidemic

Peng

Lai

et al. 2020

Front. Psychol.

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Background: The coronavirus disease 2019 (COVID-19) has been rapidly transmitted worldwide, which contributed to various psychological problems (such as fear, depression, and anxiety) among the general population in China. The purpose of this study is to investigate the prevalence and associated factors of depressive symptoms among Chinese adults.Methods: A cross-sectional study of Chinese adults was conducted during 17–29 February 2020. Symptoms of depression were assessed using the Center for Epidemiologic Studies Depression scale (CES-D).Results: A total of 3,399 respondents were included in the analysis. It was observed that 14.2% (481/3,399) of the participants were screened positive for depressive symptoms. In a multivariate logistic regression analysis, older age (OR = 0.98; 95% CI, 0.97–0.99), smoking (OR = 1.57; 95% CI, 1.10–2.26), self-rated health (good: OR = 0.49; 95% CI, 0.37–0.66; fairly: OR = 0.60; 95% CI, 0.45–0.80), having greater support scores (OR = 0.95; 95% CI, 0.94–0.96), knowledge about the main symptom of COVID-19 (very clearly: OR = 0.58; 95% CI, 0.42–0.79; relatively clearly: OR = 0.59; 95% CI, 0.44–0.79), and staying in Wuhan within 3 months before the outbreak of epidemic (OR = 1.78; 95% CI, 1.34–2.38) were associated with depressive symptoms.Conclusion: A considerable proportion of the general population in China had depressive symptoms during the COVID-19 epidemic. Routine screening and targeted interventions for depression are needed among high-risk depressed individuals during the COVID-19 epidemic.

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Prevalence, risk factors and clinical correlates of depression in quarantined population during the COVID-19 outbreak

Cited by 112 publications

References 46 publications

Risk Factors Underlying COVID-19 Lockdown-Induced Mental Distress

Risk Factors Underlying COVID-19 Lockdown-Induced Mental Distress

Call for Action to Address Equity and Justice Divide During COVID-19

Prevalence and Associated Factors for Depressive Symptomatology in Chinese Adults During COVID-19 Epidemic

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