Mental Health of the General Population during the 2019 Coronavirus Disease (COVID-19) Pandemic: A Tale of Two Developing Countries

IF 1.2 Q4 PSYCHIATRY
Cuiyan Wang, M. Fardin, M. Shirazi, R. Pan, Xiaoyang Wan, Yilin Tan, Linkang Xu, R. McIntyre, B. Tran, Travis T C Quek, S. F. Husain, Jiayun Wang, C. Ho, R. Ho
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引用次数: 53

Abstract

Background: This study aimed to compare the severity of psychological impact, anxiety and depression between people from two developing countries, Iran and China, and to correlate mental health parameters with variables relating to the COVID-19 pandemic. Although China and Iran are developing countries based on the World Bank’s criteria, these two countries are different in access to resources and health care systems. We hypothesized that Iranians would show higher levels of depression, anxiety and stress as compared to Chinese. Methods: This study collected information related to the COVID-19 pandemic including physical health, precautionary measures and knowledge about the pandemic. We also used validated questionnaires such as the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) to assess the mental health status. Results: There were a total of 1411 respondents (550 from Iran; 861 from China). The mean IES-R scores of respondents from both countries were above the cut-off for post-traumatic stress disorder (PTSD) symptoms. Iranians had significantly higher levels of anxiety and depression (p < 0.01). Significantly more Iranians believed COVID-19 was transmitted via contact, practised hand hygiene, were unsatisfied with health information and expressed less confidence in their doctors, but were less likely to wear a facemask (p < 0.001). Significantly more Iranians received health information related to COVID-19 via television while Chinese preferred the Internet (p < 0.001). Conclusions: This cross-country study found that Iranians had significantly higher levels of anxiety and depression as compared to Chinese. The difference in reported measures between respondents from Iran and China were due to differences in access to healthcare services and governments’ responses to the pandemic.
2019冠状病毒病(COVID-19)大流行期间普通人群的心理健康:两个发展中国家的故事
背景:本研究旨在比较伊朗和中国这两个发展中国家人群的心理影响、焦虑和抑郁的严重程度,并将心理健康参数与新冠肺炎大流行相关变量相关联。尽管根据世界银行的标准,中国和伊朗是发展中国家,但这两个国家在获得资源和医疗保健系统方面有所不同。我们假设,与中国人相比,伊朗人会表现出更高水平的抑郁、焦虑和压力。方法:本研究收集了与新冠肺炎大流行相关的信息,包括身体健康、预防措施和有关大流行的知识。我们还使用了经验证的问卷,如事件影响量表修订版(IES-R)和抑郁、焦虑和压力量表(DAS-21)来评估心理健康状况。结果:共有1411名受访者(550名来自伊朗;861名来自中国)。两国受访者的平均IES-R得分均高于创伤后应激障碍(PTSD)症状的临界值。伊朗人的焦虑和抑郁水平显著较高(p<0.01)。显著更多的伊朗人认为新冠肺炎是通过接触传播的,坚持手部卫生,对健康信息不满意,对医生不太信任,但不太可能戴口罩(p<0.001)。显著更多的伊朗人通过电视获得与新冠肺炎相关的健康信息,而中国人更喜欢互联网(p<0.01)。结论:这项跨国研究发现,与中国人相比,伊朗人的焦虑和抑郁水平显著更高。伊朗和中国受访者报告的衡量标准存在差异,是由于在获得医疗服务和政府应对疫情方面存在差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.90
自引率
0.00%
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审稿时长
11 weeks
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