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Resilience, COVID-19-related stress, anxiety and depression during the pandemic in a large population enriched for healthcare providers.
Barzilay, Ran; Moore, Tyler M; Greenberg, David M; DiDomenico, Grace E; Brown, Lily A; White, Lauren K; Gur, Ruben C; Gur, Raquel E.
  • Barzilay R; University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA. barzilayr@email.chop.edu.
  • Moore TM; Lifespan Brain Institute of the Children's Hospital of Philadelphia and Penn Medicine, Philadelphia, PA, USA. barzilayr@email.chop.edu.
  • Greenberg DM; Children's Hospital of Philadelphia Department of Child Adolescent Psychiatry and Behavioral Sciences, Philadelphia, PA, USA. barzilayr@email.chop.edu.
  • DiDomenico GE; University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
  • Brown LA; Lifespan Brain Institute of the Children's Hospital of Philadelphia and Penn Medicine, Philadelphia, PA, USA.
  • White LK; Bar Ilan University, Ramat Gan, Israel.
  • Gur RC; Lifespan Brain Institute of the Children's Hospital of Philadelphia and Penn Medicine, Philadelphia, PA, USA.
  • Gur RE; University of Pennsylvania Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA.
Transl Psychiatry ; 10(1): 291, 2020 08 20.
Article in English | MEDLINE | ID: covidwho-724023
ABSTRACT
COVID-19 pandemic is a global calamity posing an unprecedented opportunity to study resilience. We developed a brief resilience survey probing self-reliance, emotion-regulation, interpersonal-relationship patterns and neighborhood-environment, and applied it online during the acute COVID-19 outbreak (April 6-15, 2020), on a crowdsourcing research website ( www.covid19resilience.org ) advertised through social media. We evaluated level of stress (worries) regarding COVID-19 (1) contracting, (2) dying from, (3) currently having, (4) family member contracting, (5) unknowingly infecting others with (6) experiencing significant financial burden following. Anxiety (GAD7) and depression (PHQ2) were measured. Totally, 3042 participants (n = 1964 females, age range 18-79, mean age = 39) completed the resilience and COVID-19-related stress survey and 1350 of them (mean age = 41, SD = 13; n = 997 females) completed GAD7 and PHQ2. Participants significantly endorsed more distress about family contracting COVID-19 (48.5%) and unknowingly infecting others (36%), than getting COVID-19 themselves (19.9%), p < 0.0005 covarying for demographics and proxy COVID-19 exposures like getting tested and knowing infected individuals. Patterns of COVID-19 related worries, rates of anxiety (GAD7 > 10, 22.2%) and depression (PHQ2 > 2, 16.1%) did not differ between healthcare providers and non-healthcare providers. Higher resilience scores were associated with lower COVID-19 related worries (main effect F1,3054 = 134.9; p < 0.00001, covarying for confounders). Increase in 1 SD on resilience score was associated with reduced rate of anxiety (65%) and depression (69%), across healthcare and non-healthcare professionals. Findings provide empirical evidence on mental health associated with COVID-19 outbreak in a large convenience sample, setting a stage for longitudinal studies evaluating mental health trajectories following COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pneumonia, Viral / Stress, Psychological / Health Personnel / Coronavirus Infections / Depression / Resilience, Psychological Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Language: English Journal: Transl Psychiatry Year: 2020 Document Type: Article Affiliation country: S41398-020-00982-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pneumonia, Viral / Stress, Psychological / Health Personnel / Coronavirus Infections / Depression / Resilience, Psychological Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Language: English Journal: Transl Psychiatry Year: 2020 Document Type: Article Affiliation country: S41398-020-00982-4