Depression, anxiety, and stress in Korean general population during the COVID-19 pandemic
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초록
OBJECTIVES: The aim of this study was to investigate the prevalence and risk factors of poor mental health in the general Korean population during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: This cross-sectional, population-based, online survey-based study was conducted from November 5 to 20, 2020 and included adults aged 20-49 years in Chungnam Province, Korea. A total of 549 adults were included. RESULTS: In total, 18.8% of the participants had symptoms of depression, 10.6% had symptoms of anxiety, and 5.1% had a high level of perceived stress during the COVID-19 pandemic. Higher levels of stress (odds ratio [OR], 3.13; 95% confidence interval [CI], 1.13 to 8.67), anxiety (OR, 2.33; 95% CI, 1.09 to 4.49), and depression (OR, 3.00; 95% CI, 1.64 to 5.50) were found among never married, widowed, divorced, and separated people than among married/cohabiting/partnered participants. Participants who felt increased stress at home during the COVID-19 outbreak reported more depression (OR, 2.45; 95% CI, 1.49 to 4.05) and anxiety (OR, 2.42; 95% CI, 1.31 to 4.50). Women had higher risks of anxiety (OR, 1.97; 95% CI, 1.09 to 3.58) and stress (OR, 6.40; 95% CI, 2.30 to 17.85) than men. Participants with the highest household income were less likely to report symptoms of stress than those with the lowest household income (OR, 0.24; 95% CI, 0.06 to 0.96). CONCLUSIONS: The participants in this study exhibited poor mental health index scores, suggesting that some people are at risk for mental health problems during the COVID-19 pandemic. Being married was independently and significantly associated with a lower likelihood of depression, anxiety, and stress.
Abstract
OBJECTIVES: The aim of this study was to investigate the prevalence and risk factors of poor mental health in the general Korean population during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: This cross-sectional, population-based, online survey-based study was conducted from November 5 to 20, 2020 and included adults aged 20-49 years in Chungnam Province, Korea. A total of 549 adults were included. RESULTS: In total, 18.8% of the participants had symptoms of depression, 10.6% had symptoms of anxiety, and 5.1% had a high level of perceived stress during the COVID-19 pandemic. Higher levels of stress (odds ratio [OR], 3.13; 95% confidence interval [CI], 1.13 to 8.67), anxiety (OR, 2.33; 95% CI, 1.09 to 4.49), and depression (OR, 3.00; 95% CI, 1.64 to 5.50) were found among never married, widowed, divorced, and separated people than among married/cohabiting/partnered participants. Participants who felt increased stress at home during the COVID-19 outbreak reported more depression (OR, 2.45; 95% CI, 1.49 to 4.05) and anxiety (OR, 2.42; 95% CI, 1.31 to 4.50). Women had higher risks of anxiety (OR, 1.97; 95% CI, 1.09 to 3.58) and stress (OR, 6.40; 95% CI, 2.30 to 17.85) than men. Participants with the highest household income were less likely to report symptoms of stress than those with the lowest household income (OR, 0.24; 95% CI, 0.06 to 0.96). CONCLUSIONS: The participants in this study exhibited poor mental health index scores, suggesting that some people are at risk for mental health problems during the COVID-19 pandemic. Being married was independently and significantly associated with a lower likelihood of depression, anxiety, and stress.
참고문헌 (36)
- Shi L, "Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic", JAMA Netw Open, 3, pp.e2014053~ (2020)
- Gasteiger N, "Depression, anxiety and stress during the COVID-19 pandemic : results from a New Zealand cohort study on mental well-being", BMJ Open, 11, pp.e045325~ (2021)
- Bao Y, "2019-nCoV epidemic : address mental health care to empower society", Lancet, 395, pp.e37~e38 (2020)
- Turna J, "Anxiety, depression and stress during the COVID-19 pandemic : results from a cross-sectional survey", J Psychiatr Res, 137, pp.96~103 (2021)
- Xiong J, "Impact of COVID-19 pandemic on mental health in the general population : a systematic review", J Affect Disord, 277, pp.55~64 (2020)
- Shanbehzadeh S, "Physical and mental health complications post-COVID-19 : scoping review", J Psychosom Res, 147, pp.110525~ (2021)
- Ettman CK, "Prevalence of depression symptoms in US adults before and during the COVID-19 pandemic", JAMA Netw Open, 3, pp.e2019686~ (2020)
- Calvano C, "Families in the COVID-19 pandemic : parental stress, parent mental health and the occurrence of adverse childhood experiences-results of a representative survey in Germany", Eur Child Adolesc Psychiatry (2021)[DOI]
- Gadermann AC, "Examining the impacts of the COVID-19 pandemic on family mental health in Canada : findings from a national cross-sectional study", BMJ Open, 11, pp.e042871~ (2021)
- Thomeer MB, "How families matter for health inequality during the COVID-19 pandemic", J Fam Theory Rev, 12, pp.448~463 (2020)
- Jang SN, "Marital status, gender, and depression : analysis of the baseline survey of the Korean Longitudinal Study of Ageing(KLoSA)", Soc Sci Med, 69, pp.1608~1615 (2009)
- Shin C, "Normative data and psychometric properties of the Patient Health Questionnaire-9 in a nationally representative Korean population", BMC Psychiatry, 20, pp.194~ (2020)
- McMillan D, "Defining successful treatment outcome in depression using the PHQ-9 : a comparison of methods", J Affect Disord, 127, pp.122~129 (2010)
- Cassin S, "Psychometric properties of the Patient Health Questionnaire(PHQ-9)as a depression screening tool for bariatric surgery candidates", Psychosomatics, 54, pp.352~358 (2013)
- Ko Minsoo, "Impact of the Coronavirus Disease Pandemic on Mental Health among Local Residents in Korea: a Cross Sectional Study", Journal of Korean Medical Science, 36(46), pp.1~13 (2021), 대한의학회[DOI]
- Ahn JK, "The psychometric properties and clinical utility of the Korean version of GAD-7 and GAD-2", Front Psychiatry, 10, pp.127~ (2019)
- Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166, pp.1092~1097 (2006)
- Cohen S, "A global measure of perceived stress", J Health Soc Behav, 24, pp.385~396 (1983)
- Lee EH, "Korean versions of the Perceived Stress Scale(PSS-14, 10 and 4) : psychometric evaluation in patients with chronic disease", Scand J Caring Sci, 29, pp.183~192 (2015)
- Jung SJ, "Impact of COVID-19 on mental health according to prior depression status : a mental health survey of community prospective cohort data", J Psychosom Res, 148, pp.110552~ (2021)
- 신철민, "Prevalence and Associated Factors of Depression in General Population of Korea: Results from the Korea National Health and Nutrition Examination Survey, 2014", Journal of Korean Medical Science, 32(11), pp.1861~1869 (2017), 대한의학회
- Hong JW, "The prevalence of and factors associated with depressive symptoms in the Korean adults : the 2014 and 2016 Korea National Health and Nutrition Examination Survey", Soc Psychiatry Psychiatr Epidemiol, 56, pp.659~670 (2021)
- Kessler RC, "Epidemiology of women and depression", J Affect Disord, 74, pp.5~13 (2003)
- Thibaut F, "Women’s mental health in the time of Covid-19 pandemic", Front Glob Womens Health, 1, pp.588372~ (2020)
- Horwitz AV, "Becoming married and mental health : a longitudinal study of a cohort of young adults", J Marriage Fam, 58, pp.895~907 (1996)
- Shapiro A, "Marital status and social well-being: are the married always better off?", Soc Indic Res, 88, pp.329~346 (2008)
- Dean DJ, "Cross-cultural comparisons of psychosocial distress in the USA, South Korea, France, and Hong Kong during the initial phase of COVID-19", Psychiatry Res, 295, pp.113593~ (2021)
- Horesh D, "Risk factors for psychological distress during the COVID-19 pandemic in Israel : loneliness, age, gender, and health status play an important role", Br J Health Psychol, 25, pp.925~933 (2020)
- Pieh C, "Relationship quality and mental health during COVID-19 lockdown", PLoS One, 15, pp.e0238906~ (2020)
- Holt-Lunstad J, "Is there something unique about marriage? The relative impact of marital status, relationship quality, and network social support on ambulatory blood pressure and mental health", Ann Behav Med, 35, pp.239~244 (2008)
- Bülow A, "Parenting adolescents in times of a pandemic: changes in relationship quality, autonomy support, and parental control?", Dev Psychol, 57, pp.1582~1596 (2021)
- Beland LP, "Determinants of family stress and domestic violence : lessons from the COVID-19 outbreak", Can Public Policy, 47, pp.439~459 (2021)
- Pirkis J, "Suicide trends in the early months of the COVID-19 pandemic : an interrupted time-series analysis of preliminary data from 21 countries", Lancet Psychiatry, 8, pp.579~588 (2021)
- Lee HS, "Deterioration of mental health despite successful control of the COVID-19 pandemic in South Korea", Psychiatry Res, 295, pp.113570~ (2021)
- Hlatshwako TG, "Online health survey research during COVID-19", Lancet Digit Health, 3, pp.e76~e77 (2021)
- Dighe A, "Response to COVID-19 in South Korea and implications for lifting stringent interventions", BMC Med, 18, pp.321~ (2020)