The COVID-19 pandemics caused an unprecedented mortality, distress, and globally poses a challenge to mental resilience. To our knowledge, this is the first study that aimed to investigate the psychological distress among the adult general population across 13 countries. This cross-sectional study was conducted through online survey by recruiting 7091 respondents. Psychological distress was evaluated with COVID-19 Peritraumatic Distress Index (CPDI). The crude prevalence of psychological distress due to COVID-19 is highest in Vietnam, followed by Egypt, and Bangladesh. Through Multivariate Logistic Regression Analysis, the respondents from Vietnam holds the highest level of distress, while the respondents from Sri Lanka holds the lowest level of distress with reference to Nepal.Female respondents had higher odds of having reported psychological distress, and those with tertiary education were less likely to report psychological distress compared to those with lower level of education. The findings indicate that psychological distress is varies across different countries. Therefore, different countries should continue the surveillance on psychological consequences through the COVID-19 pandemic to monitor the burden and to prepare for the targeted mental health support interventions according to the need. The coping strategies and social support should be provided especially to the lower educational attainment group.
BACKGROUND: During the coronavirus disease 2019 (COVID-19) pandemic, psychological reactions of the population play a critical role in both the spread of the disease and the occurrence of emotional distress and social disorder.
AIM: This study aimed to measure the prevalence and severity of psychological distress to evaluate the current mental health burden on society that leads to the provision of a concrete basis for tailoring and implementing relevant mental health intervention policies to efficiently and effectively respond to the challenges brought by the pandemic.
METHODS: An anonymous, internet-based, cross-sectional survey was conducted from March to April 2020. In this regard, a structured online questionnaire was utilized to collect sociodemographic data and the COVID-19 Peritraumatic Distress Index (CPDI). Descriptive statistics were used to summarize the sociodemographic and prevalence of CPDI among respondents. Logistic regression analysis was performed to identify significant predictors of distress.
RESULTS: Most of the respondents did not feel distressed about COVID-19 (52.1%), whereas 39.5% and 8.4% had mild-to-moderate and severe distress. The regression analysis demonstrated that higher religion and faithfulness levels, lower levels of education, and living in Mindanao (unlike those living in the Visayas) were associated with lower levels of psychological distress among the Filipino respondents during the COVID-19 pandemic.
CONCLUSIONS: Policy-makers and practitioners in the in Filipino society need to consider key factors such as religion, education, and the region where they live in to reduce psychological distress among Filipinos.
Background: COVID-19 pandemic has caused an extraordinary situation, especially for the healthcare workers (HCWs), leading to increased psychological stress. The aim of the study was to estimate the prevalence of different grades of anxiety and depression across different centers in the Philippines and identify demographic factors associated with them.
Design and Method: A cross-sectional, web-based, multi-center study was conducted among HCWs of Philippines from April 20- May 20, 2020. The study instruments used were the Generalized Anxiety Disorder (GAD-7) scale and Patient Health Questionnaire (PHQ-9). Risk perception scores were analyzed using Mann-Whitney and Kruskal-Wallis test. Logistic regression was done to identify factors significantly associated with symptoms of anxiety and depression determined.
Results: A total of 516 HCWs were included in the study. Most of them have anxiety symptoms (70.74%), but only half of them have symptoms of depression (50.97%). In addition, gender, age, marital status, living status, occupation, work premises, and availability of mental health services were significantly associated with the participants’ anxiety symptoms; In contrast, gender, marital status, occupation, and work premises were significantly associated with depression symptoms.
Conclusion: This study reiterates the fact and demonstrates that COVID-19 has disrupted the mental well-being of HCWs in the Philippines. Majority of HCW was psychologically affected by COVID-19. Therefore, there is a dire need to address mental illness amongst HCWs and frame guidelines based on proven algorithms to overcome these mental illnesses.
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