ABSTRACT
The spreading of the Corona Virus Disease 2019 (COVID-19) pandemic could be associated with psychosocial implications. This study, therefore, aimed to investigate the psychosocial disturbances before and during the COVID-19 pandemic. The cross-sectional study included 20,885 participants (12,343 females and 8,542 males) with psychosocial trauma who were selected by the census sampling method from Fars province, Iran. The mean age of participants in this study was 35.76 (7.52). The results showed that the incidence rate for psychosocial disturbances was 150.86 and 273.69 per 100,000 cases prior to and during the COVID-19 pandemic, respectively. Analysis showed that reports of spousal abuse, child abuse, elderly abuse, disability abuse, the violence of other relatives, child labor, divorce petition, acute family dispute, unemployment/financial problems, substance abuse, and health questions about COVID-19 increased significantly during the COVID-19 pandemic. This study shows that the COVID-19 pandemic influences the increase of psychopathology and social pathology. Therefore, recommends a comprehensive assessment to prevent and address the psychosocial consequences associated with COVID-19.
ABSTRACT
BACKGROUND: To our best knowledge, this was the first time to investigate the prevalence and risk factors of psychological disturbances, including depression, anxiety, somatization symptoms, insomnia and suicide, among frontline medical staff, who were working with the COVID-10 infected patients directly. METHODS: Patient Health Questionnaire Depression (PHQ-9), Generalized Anxiety Disorder Questionnaire scale (GAD-7), Symptom Check List-90 (SCL-90) somatization, Insomnia Severity Index (ISI), and the suicidal module of the Mini International Neuropsychiatric Interview were used for online survey. RESULTS: A total of 606 frontline hospital staff and1099 general population were recruited. The prevalence of depression, anxiety, somatization symptoms, insomnia, and suicide risk in frontline medical staffs were 57.6%, 45.4%, 12.0%, 32.0% and 13.0%, respectively. Except for suicide risk, the prevalence of other psychological disorders in frontline medical staff were higher than those in general population (all p<0.01). Among the frontline medical staff, the daily working hours were associated with all psychological disturbance (all p<0.01), women with anxiety (p = 0.02), body mass index (BMI) with anxiety and insomnia (p = 0.02, p = 0.03). Age was negatively associated with depression, anxiety, and insomnia (all p<0.01). Finally, years of working and family income were negatively associated with suicide risk (p = 0.03, p<0.001). CONCLUSION: Our study demonstrates that during the outbreak of COVID-19, the frontline medical staff are more likely to suffer from psychological disturbances than general population. It is noticeable that daily working hours are a risk factor for all measured psychological disturbances, and some other variables may be involved in certain psychological disturbances of frontline medical staff.