COVID-19 and mental health in Brazil: Psychiatric symptoms in the general population

Public health interventions at general population level are imperative in order to decrease the spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), but they may contribute to widespread emotional distress and increased risk for psychiatric illnesses. We report on the results...

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Vydáno v:Journal of psychiatric research Ročník 132; s. 32 - 37
Hlavní autoři: Goularte, Jeferson Ferraz, Serafim, Silvia Dubou, Colombo, Rafael, Hogg, Bridget, Caldieraro, Marco Antonio, Rosa, Adriane Ribeiro
Médium: Journal Article
Jazyk:angličtina
Vydáno: England Elsevier Ltd 01.01.2021
Témata:
Adult
Anxiety
Anxiety - epidemiology
Behavioral Symptoms - epidemiology
Brazil
Brazil - epidemiology
COVID-19
Cross-Sectional Studies
Depression
Depression - epidemiology
Female
Humans
Male
Mental health
Middle Aged
Physical Distancing
Post-traumatic stress disorder
Severity of Illness Index
Short Communication
Sleep Wake Disorders - epidemiology
Socioeconomic Factors
Stress Disorders, Post-Traumatic - epidemiology
Young Adult
Brazil
COVID-19
Brazil
Depression
Anxiety
Mental health
Post-traumatic stress disorder
ISSN:0022-3956, 1879-1379, 1879-1379
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Shrnutí:Public health interventions at general population level are imperative in order to decrease the spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), but they may contribute to widespread emotional distress and increased risk for psychiatric illnesses. We report on the results of an investigation into the occurrence and determinants of psychiatric symptoms among the Brazilian general population (N = 1996). We assessed sociodemographic variables and general mental health (DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure), depression (PROMIS depression v.8a), anxiety (PROMIS anxiety v.8a), and post-traumatic stress symptoms (Impact of Event Scale-IES-R scale) using an online web-based survey. Anxiety (81.9%), depression (68%), anger (64.5%), somatic symptoms (62.6%) and sleep problems (55.3%) were the most common psychiatric symptoms. Younger age, female gender, low income, lower level of education, longer period of social distancing, and self-reported history of previous psychiatric illness were strongly associated with higher severity of symptoms. Our results support the negative impact of the COVID-19 pandemic on the mental health of the Brazilian population. The high prevalence of psychiatric symptoms observed in our sample indicates that the mental health impact of the COVID-19 pandemic should be considered a public health problem in Brazil. The health systems and individual clinicians must be prepared to offer and implement specific interventions in order to identify and treat psychiatric issues.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0022-3956
1879-1379
1879-1379
DOI:10.1016/j.jpsychires.2020.09.021