Factors associated with comorbidity for depression, anxiety, and stress screening in a sample of university’s community during the COVID-19 pandemic
Keywords:
Anxiety, Comorbidity, COVID-19 pandemic, Depression, StressAbstract
Objective
This study presents the prevalence and factors associated with comorbidity in screening for depression, anxiety, and stress during the COVID-19 pandemic.
Method
A cross-sectional descriptive/exploratory study used self-reported DASS-21 to screen for mental health.
Results
In an online sample, 14.48% (n = 260), 12.42% (n = 223), and 31.12% (n = 559) illegible of participants were screened, respectively, positive for only one, for only two and for all the three outcomes. Being student, having children, using substances, reporting COVID-19 symptoms, reporting worsened emotional state, and previous mental disorders were associated with comorbidity for depression, anxiety, and stress.
Conclusion
Individuals from the studied university’s community experienced psychological disorders, as measured by levels of anxiety, depression, and stress and comorbidity for these outcomes, probably as Covid-19’s initial psychological impact.
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References
Ahmed, Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., & Ahmad, A. (2020). Epidemic of COVID-19 in China and associated Psychological Problems. Asian Journal of Psychiatry, 51, e102092.
Alsolais, A., Alquwez, N., Alotaibi, K. A., Alqarni, A. S., Almalki, M., Alsolami, F., Almazan, J., & Cruz, J. P. (2021). Risk perceptions, fear, depression, anxiety, stress and coping among Saudi nursing students during the COVID-19 pandemic. Journal of Mental Health, 30(2), 194-201. https://doi.org/10.1080/09638237.2021.1922636
Anker, J. J., & Kushner, M. G. (2019). Co-occurring alcohol use disorder and anxiety. Alcohol Research: Current Reviews, 40(1), e03. https://doi.org/https://doi.org/10.35946/arcr.v40.1.03
Anthenelli, R. M. (2012). Overview: Stress and alcohol use disorders revisited. Alcohol Research: Current Reviews, 34(4), 386-390.
Baptista, C. J., & Martins, A. M. (2022). Screening for Depression, Anxiety, and Stress in the initial and middle stages of the COVID-19 pandemic in a university’s community in the Mid-West Brazil, 2020. Research, Society and Development, 11(12), e17111233588. https://doi.org/10.33448/rsd-v11i12.33588
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395, 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934.
De Boni, R. B., Balanzá-Martínez, V., Mota, J. C., de Azevedo Cardoso, T., Ballester, P., Atienza-Carbonell, B., Bastos, F. I., & Kapczinski, F. (2020). Depression, Anxiety, and Lifestyle among Essential Workers: A Web Survey from Brazil and Spain during the COVID-19 Pandemic. Journal of Medical Internet Research, 22(10), e22835. https://doi.org/10.2196/22835
Du, J., Dong, L., Wang, T., Yuan, C., Fu, R., Zhang, L., Liu, B., Zhang, M., Yin, Y., Qin, J., Bouey, J., Zhao, M., & Li, X. (2020). Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. General Hospital Psychiatry, 67, 144-145. https://doi.org/10.1016/j.genhosppsych.2020.03.011
Elbogen, E. B., Lanier, M., Blakey, S. M., Wagner, H. R., & Tsai, J. (2021). Suicidal ideation and thoughts of selfharm during the COVID-19 pandemic: The role of COVID-19-related stress, social isolation, and financial strain. Depression and Anxiety, 38, 739-748. https://doi.org/10.1002/da.23162
Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Wang, Y., Fu, H., & Dai, J. (2020). Mental health problems and social media exposure during COVID-19 outbreak. Plos One, 15(4), e0231924. https://doi.org/10.1371/journal.pone.0231924
Gorrochategi, M. P., Munitis, A. E., Santamaria, M. D., & Etxebarria, N. O. (2020). Stress, Anxiety, and Depression in People Aged Over 60 in the COVID-19 Outbreak in a Sample Collected in Northern Spain. American Journal of Geriatric Psychiatry, 28(9), 993-998.
Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Research, 288, 112954. https://doi.org/10.1016/j.psychres.2020.112954
Hyland, P., Shevlin, M., McBride, O., Murphy, J., Karatzias, T., Bentall, R. P., Martinez, A., & Vallières, F. (2020). Anxiety and depression in the Republic of Ireland during the COVID-19 pandemic. Acta Psychiatrica Scandinavica, 142(3), 249-256. https://doi.org/10.1111/acps.13219
Keyes, K. M., Hatzenbuehler, M. l., Grant, B. F., & Hasin, D. S. (2012). Stress and alcohol epidemiologic evidence. Alcohol Research: Current Reviews, 34(4), 391-400.
Kim, H., Rackoff, G. N., Fitzsimmons-Craft, E. E., Shin, K. E., Zainal, N. H., Schwob, J. T., Eisenberg, D., Wilfley, D. E., Taylor, C. B., & Newman, M. G. (2022). College Mental Health Before and During the COVID-19 Pandemic: Results From a Nationwide Survey. Cognitive Therapy and Research, 46, 1-10. https://doi.org/10.1007/s10608-021-10241-5
Kursa, M. B., & Rudnicki, W. R. (2010). Feature Selection with the Boruta Package. Journal of Statistical Software, 36(11), 1-13. https://doi.org/10.18637/jss.v036.i11
Lees, B., Meredith, L. R., Kirkland, A. E., Bryant, B. E., & Squeglia, L. M. (2020). Effect of alcohol use on the adolescent brain and behavior. Pharmacology Biochemistry and Behavior, 192, 172906. https://doi.org/10.1016/j.pbb.2020.172906
Leong Bin Abdullah, M. F. I., Ahmad Yusof, H., Mohd Shariff, N., Hami, R., Nisman, N. F., & Law, K. S. (2021). Depression and anxiety in the Malaysian urban population and their association with demographic characteristics, quality of life, and the emergence of the COVID-19 pandemic. Current Psychology, 40, 6259-6270. https://doi.org/10.1007/s12144-021-01492-2
Li, G., Miao, J., Wang, H., Xu, S., Sun, W., Fan, Y., Zhang, C., Zhu, S., Zhu, Z., & Wang, W. (2020). Psychological impact on women health workers involved in COVID-19 outbreak in Wuhan: A cross-sectional study. Journal of Neurology, Neurosurgery and Psychiatry, 91(8), 895-897. https://doi.org/10.1136/jnnp-2020-
Ma, Z., Zhao, J., Li, Y., Chen, D., Wang, T., Zhang, Z., Chen, Z., Yu, Q., Jiang, J., Fan, F., & Liu, X. (2020). Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China. Epidemiology and Psychiatric Sciences, 29, e181. https://doi.org/10.1017/S2045796020000931
Mamun, M. A., Sakib, N., Gozal, D., Bhuiyan, A. I., Hossain, S., Bodrud-Doza, M., Mamun, F. Al, & Hosen, I. (2021). The COVID-19 pandemic and serious psychological consequences in Bangladesh: A population-based nationwide study. Journal of Affective Disorders, 279, 462-472. https://doi.org/10.1016/j.jad.2020.10.036
Marijanović, I., Kraljević, M., Buhovac, T., Cerić, T., Abazović, A. M., Alidžanović, J., Gojković, Z., & Sokolović, E. (2021). Use of the depression, anxiety and stress scale (DASS-21) questionnaire to assess levels of depression, anxiety, and stress in healthcare and administrative staff in 5 oncology institutions in Bosnia and Herzegovina during the 2020 COVID-19 pandemic. Medical Science Monitor, 27, e930812. https://doi.org/10.12659/MSM.930812
Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C., & Roma, P. (2020). A nationwide survey of psychological distress among italian people during the covid-19 pandemic: Immediate psychological responses and associated factors. International Journal of Environmental Research and Public Health, 17(9), 3165. https://doi.org/10.3390/ijerph17093165
Ministério das Comunicações (Brasil). (2021, April 14). Pesquisa mostra que 82,7% dos domicílios brasileiros têm acesso à internet. Dados são referentes a 2019 e representam um crescimento de 3,6 pontos percentuais em relação a 2018. Retrieved Feb. 16, 2024, from https://www.gov.br/mcom/pt-br/noticias/2021/abril/pesquisa-mostra-que-82-7-dos-domicilios-brasileiros-tem-acesso-a-internet
Mishra, J., Samanta, P., Panigrahi, A., Dash, K., Behera, M. R., & Das, R. (2023). Mental Health Status, Coping Strategies During Covid-19 Pandemic Among Undergraduate Students of Healthcare Profession. International Journal of Mental Health and Addiction, 21, 562-574. https://doi.org/10.1007/s11469-021-00611-1
Moghanibashi-Mansourieh, A. (2020). Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian Journal of Psychiatry, 51, 102076. https://doi.org/10.1016/j.ajp.2020.102076
Mosheva, M., Gross, R., Hertz-Palmor, N., Hasson-Ohayon, I., Kaplan, R., Cleper, R., Kreiss, Y., Gothelf, D., & Pessach, I. M. (2021). The association between witnessing patient death and mental health outcomes in frontline COVID-19 healthcare workers. Depression and Anxiety, 38(4), 468-479. https://doi.org/10.1002/da.23140
Natalia, D., & Syakurah, R. A. (2021). Mental health state in medical students during COVID-19 pandemic. Journal of Education and Health Promotion, 10(1), 1-6. https://doi.org/10.4103/jehp.jehp_1296_20
Ozamiz-Etxebarria, N., Dosil-Santamaria, M., Picaza-Gorrochategui, M., & Idoiaga-Mondragon, N. (2020). Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. Cadernos de Saude Publica, 36(4), 1-9. https://doi.org/10.1590/0102-311X00054020
Özdin, S., & Bayrak Özdin, Ş. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry, 66(5), 504-511. https://doi.org/10.1177/0020764020927051
Ruengorn, C., Awiphan, R., Wongpakaran, N., Wongpakaran, T., & Nochaiwong, S. (2021). Association of job loss, income loss, and financial burden with adverse mental health outcomes during coronavirus disease 2019 pandemic in Thailand: A nationwide cross-sectional study. Depression and Anxiety, 38(6), 648-660. https://doi.org/10.1002/da.23155
Shi, L., Lu, Z.-A., Que, J.-Y., Huang, X.-L., Liu, L., Ran, M.-S., Gong, Y.-M., Yuan, K., Yan, W., Sun, Y.-K., Shi, J., Bao, Y.-P., & Lu, L. (2020). Prevalence of and Risk Factors Associated With Mental Health Symptoms Among the General Population in China During the Coronavirus Disease 2019 Pandemic. AMA Network Open, 3(7), e2014053. https://doi.org/10.1001/jamanetworkopen.2020.14053
Silva, M., Resurrección, D. M., Antunes, A., Frasquilho, D., & Cardoso, G. (2018). Impact of economic crises on mental health care: A systematic review. Epidemiology and Psychiatric Sciences, 29(e7), 1-13. https://doi.org/10.1017/S2045796018000641
Sinha, R. (2012). How does stress lead to risk of alcohol relapse? Alcohol Research: Current Reviews, 34(4), 432-440.
Thombs, B. D., Kwakkenbos, L., Levis, A. W., & Benedetti, A. (2018). Addressing overestimation of the prevalence of depression based on self-report screening questionnaires. Canadian Medical Association Journal, 190(2), E44–E49. https://doi.org/10.1503/cmaj.170691
Uutela, A. (2010). Economic crisis and mental health. Current Opinion in Psychiatry, 23, 127-130. https://doi.org/10.1097/YCO.0b013e328336657d
Verma, S., & Mishra, A. (2020). Depression, anxiety, and stress and socio-demographic correlates among general Indian public during COVID-19. International Journal of Social Psychiatry, 66(8), 756-762. https://doi.org/10.1177/0020764020934508
Vignola, R. C. B., & Tucci, A. M. (2014). Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. Journal of Affective Disorders, 155(1), 104-109. https://doi.org/10.1016/j.jad.2013.10.031
Vindegaard, N., & Benros, M. E. (2020). COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain, Behavior, and Immunity, 89, 531-542. https://doi.org/10.1016/j.bbi.2020.05.048
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. https://doi.org/doi:10.3390/ijerph17051729
Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W., Gill, H., & Phan, L. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Elsevier Connect, 277, 55-64.
Zhao, Y., Jin, Y., Rao, W., Li, W., & Zhao, N. (2021). The prevalence of psychiatric comorbidities during the SARS and COVID-19 epidemics: A systematic review and meta-analysis of observational studies. Journal of Affective Disorders, 287, 145-157. https://doi.org/10.1016/j.jad.2021.03.016
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