The distress of Iranian adults during the Covid-19 pandemic – More distressed than the Chinese and with different predictors

Jahanshahi, Asghar Afshar; Dinani, Maryam Mokhtari; Madavani, Abbas Nazarian; Li, Jizhen; Zhang, Stephen X.

doi:10.1016/j.bbi.2020.04.081

Cited by 176 publications

(224 citation statements)

References 5 publications

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“…Taken together, the results suggest distinct predictor patterns for healthcare staff's mental health in Iran versus China, resonating with an earlier study of an Iranian public sample (Jahanshahi et al, 2020). Jahanshahi et al (2020) reasoned that "different countries vary in their medical systems, the availability of personal protective equipment (PPE), cultures, labor and employment conditions, the policies of lockdown, the ease of working from home and maintaining a living in a pandemic, and the information in both mainstream and social media". Our results corroborate their suggestions and call for future research to identify mental health predictors for the public and healthcare staff in different countries during the COVID-19 pandemic.…”

supporting

confidence: 85%

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At the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19

Zhang

Liu

Jahanshahi

et al. 2020

Brain, Behavior, and Immunity

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294

255

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This study reports the physical health, mental health, anxiety, depression, distress, and job satisfaction of healthcare staff in Iran when the country faced its highest number of total active COVID-19 cases. In a sample of 304 healthcare staff (doctors, nurses, radiologists, technicians, etc.), we found a sizable portion reached the cutoff levels of disorders in anxiety (28.0%), depression (30.6%), and distress (20.1%). Age, gender, education, access to PPE (personal protective equipment), healthcare institutions (public vs. private), and individual status of COVID-19 infection each predicted some but not all the outcome variables of SF-12, PHQ-4, K6, and job satisfaction. The healthcare workers varied greatly in their access to PPE and in their status of COVID-19 infection: negative (69.7%), unsure (28.0%), and positive (2.3%). The predictors were also different from those identified in previous studies of healthcare staff during the COVID-19 crisis in China. This study helps to identify the healthcare staff in need to enable more targeted help as healthcare staff in many countries are facing peaks in their COVID-19 cases.

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supporting

confidence: 85%

“…COVID-19 hit Iran early and hard (Jahanshahi et al, 2020). The first confirmed case in Iran appeared on 19 February 2020, and active cases rise quickly since then, overwhelming healthcare workers.…”

mentioning

confidence: 99%

At the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19

Zhang

Liu

Jahanshahi

et al. 2020

Brain, Behavior, and Immunity

Self Cite

294

255

View full text Add to dashboard Cite

show abstract

“…The results of this study showed 35.50% of the cases with mild COVID-19 related stress and 9.30% with severe COVID-19 related stress. Similar results were found in Chinese and Iranian population (18,19), but the frequencies were smaller when compared to those obtained in Brazilian population (20). Regarding the obtained values for PHQ-9 and GAD-7, the results of this study showed similar and comparable results with those obtained in Chinese population.…”

Section: Discussionsupporting

confidence: 87%

“…The COVID-19 peritraumatic distress index (CPDI) was rst applied in China (18) and lately validated in other countries (i.e. Brazil, Iran and Peru) (19,20). This instrument was designed for a population to evaluate changes related to mood, behavior, cognitive skills, circadian rhythm and other somatic symptoms due to the COVID-19 pandemic.…”

Section: Covid-19 Peritraumatic Distress Index (Cpdi)mentioning

confidence: 99%

Effects on the mental health after COVID-19 lockdown period: results from a population survey study in Lima, Peru

Krüger-Malpartida

Pedraz-Petrozzi

Arévalo-Flores

et al. 2020

Preprint

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1. The coronavirus disease 2019 (COVID-19) has created a rapid global health crisis, involving different social changes, which brought negative effects in different aspects in the mental health of the population, like the COVID-19 lockdown. The majority of COVID-19 cases concentrate in the region of the Americas, being Peru one of the most affected countries in the region. For this reason, to investigate possible effects related to COVID-19 lockdown, the main objective of this work is to establish a statistical model that could explain through different components the COVID-19 related stress in a population after COVID-19 lockdown of Lima, Peru. In this sense, online questionnaires were carried out in 400 participants, where the values of depressiveness, anxiousness and stress related to COVID-19 were evaluated. Other information related to the participant (e.g. gender, age, district, etc.) was collected through this electronic format. In order to explain the data, an ordinal logistic regression was carried out. From the information obtained, it was found that 35.50% of the participants showed mild stress and 9.30% showed severe stress due to COVID-19. The ordinal logistic regression model showed that the severity of stress due to COVID-19 is positive associated with the variables age, depressiveness and anxiousness, as well with the presence of a deceased relative due to COVID-19. On the other hand, the presence of a family member who was hospitalized for COVID-19 is negatively correlated to the stress produced by COVID-19. Therefore, the data shows that people with older age or who have lost relatives due to COVID-19 show higher levels of stress related to COVID-19. Additionally, participants with higher levels of anxiety and depression are more likely to produce higher levels of stress from COVID-19. These factors play an important role for the intervention of future studies that plan to intervene in the mental health of the population affected by the COVID-19 lockdown.

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“…Women, compared to men, were more likely to report worsened components of anxiety and depression on the HADS. These findings have been replicated, in varying age-groups and from different countries including the UK ( 18 ), Demark ( 14 ), Spain ( 19 , 23 , 43 ), Italy ( 21 ), Turkey ( 44 ) and Iran ( 20 , 22 ). Furthermore, studies conducted on the effects of stress, have consistently reported women to be at increased risk of developing anxiety and depression ( 45 ).…”

Section: Discussionmentioning

confidence: 78%

Associations of Social Isolation with Anxiety and Depression During the Early COVID-19 Pandemic: A Survey of Older Adults in London, UK

et al. 2020

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The COVID-19 pandemic is imposing a profound negative impact on the health and wellbeing of societies and individuals, worldwide. One concern is the effect of social isolation as a result of social distancing on the mental health of vulnerable populations, including older people. Within six weeks of lockdown, we initiated the CHARIOT COVID-19 Rapid Response Study, a bespoke survey of cognitively healthy older people living in London, to investigate the impact of COVID-19 and associated social isolation on mental and physical wellbeing. The sample was drawn from CHARIOT, a register of people over 50 who have consented to be contacted for aging related research. A total of 7,127 men and women (mean age=70.7 [SD=7.4]) participated in the baseline survey, May–July 2020. Participants were asked about changes to the 14 components of the Hospital Anxiety Depression scale (HADS) after lockdown was introduced in the UK, on 23 rd March. A total of 12.8% of participants reported feeling worse on the depression components of HADS (7.8% men and 17.3% women) and 12.3% reported feeling worse on the anxiety components (7.8% men and 16.5% women). Fewer participants reported feeling improved (1.5% for depression and 4.9% for anxiety). Women, younger participants, those single/widowed/divorced, reporting poor sleep, feelings of loneliness and who reported living alone were more likely to indicate feeling worse on both the depression and/or anxiety components of the HADS. There was a significant negative association between subjective loneliness and worsened components of both depression (OR 17.24, 95% CI 13.20, 22.50) and anxiety (OR 10.85, 95% CI 8.39, 14.03). Results may inform targeted interventions and help guide policy recommendations in reducing the effects of social isolation related to the pandemic, and beyond, on the mental health of older people.

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The distress of Iranian adults during the Covid-19 pandemic – More distressed than the Chinese and with different predictors

Cited by 176 publications

References 5 publications

At the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19

At the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19

Effects on the mental health after COVID-19 lockdown period: results from a population survey study in Lima, Peru

Associations of Social Isolation with Anxiety and Depression During the Early COVID-19 Pandemic: A Survey of Older Adults in London, UK

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