Factors associated with stress, anxiety, and depression during social distancing in Brazil



Document title: Factors associated with stress, anxiety, and depression during social distancing in Brazil
Journal: Revista de saude publica
Database:
System number: 000535767
ISSN: 0034-8910
Authors: 1
3
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4
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4
1
1
3
Institutions: 1Instituto de Medicina Integral Prof. Fernando Figueira, Centro de Atenção à Mulher, Recife, Pernambuco. Brasil
2Universidade Federal de Pernambuco, Departamento Materno Infantil, Recife, Pernambuco. Brasil
3Universidade Católica de Pernambuco, Centro de Ciências Biológicas e da Saúde, Recife, Pernambuco. Brasil
4Faculdade Pernambucana de Saúde, Recife, Pernambuco. Brasil
Year:
Volumen: 55
Country: Brasil
Language: Inglés
English abstract OBJECTIVE To estimate the prevalence of clinical signs and symptoms of severe/extreme stress, anxiety, and depression, as well as their associated factors, among Brazilians during social distancing. METHODS This is a cross-sectional study conducted in April/May 2020 with 3,200 Brazilians over 18 years old. Respondents’ sociodemographic and clinical data were collected using an online questionnaire, which also included the 21-item Depression, Anxiety and Stress Scale (DASS-21) to assess emotional symptoms. Unadjusted and adjusted prevalence ratios and their respective 95% confidence intervals were estimated using Poisson regression models with robust variance. RESULTS Our results show the prevalence of severe/extreme stress was 21.5%, anxiety 19.4%, and depression 21.5%. In the final model, sociodemographic, clinical, and Covid-19-related factors were associated with severe/extreme stress, anxiety, and depression in Brazilians during social distancing due to the Covid-19 pandemic. We found the main factors associated with severe/extreme depression to be young women, brown, single, not religious, sedentary, presenting reduced leisure activities, history of anxiety and depression, increased medication use, and Covid-19 symptoms. CONCLUSION This study may help develop and systematically plan measures aimed to prevent, early identify, and properly manage clinical signs and symptoms of stress, anxiety, and depression during the Covid-19 pandemic.
Keyword: Mental Disorders, epidemiology,
Stress, Psychological,
Social Isolation,
Coronavirus Infections,
Health Surveys
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