Comparison of Mental Health Status between Two Periods during Coronavirus Disease 2019 Pandemic in Iranian Adult Population

Authors

  • Seyed-Taghi Heydari 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Arash Mani 1. Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  • AliReza Estedlal 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Ali Akbary 3. Department of Psychiatry, Faculty of Medicine, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran
  • Taraneh Estedlal 4. Department of Operative Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
  • Sara Ouladinejad-Rodbali 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Saeed Shahabi 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Seyede-Zahra Ghaemi 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Leila Zarei 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  • Kamran Bagheri-Lankarani 2. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran

DOI:

https://doi.org/10.31661/gmj.v10i.2199

Keywords:

Mental Health, COVID-19, Trend, Pandemics, Iran

Abstract

Background: One unprecedented year after the coronavirus disease 2019 (COVID-19), the pandemic is no longer a short-term stressor; the unremitting/chronic effects of COVID-19 disease is likely to cause impaired physical and mental health upon population and the implemented public health and social measures to limit transmission and reduce mortality and morbidity from COVID-19 expose many people to social isolation, job loss, and economic recession. This study aims to compare mental status and four mental symptoms (somatization, anxiety, depression, and social functions) between two periods during the first year of the COVID-19 pandemic. Materials and Methods: Current study consists of two cross-sectional mental health surveys on the Iranian adult population carried out in two periods of March to April 2020 and December 2020 to February 2021 in two important Provinces of Iran (Fars and Khorasan Razavi). In the first survey, 1337 individuals participated in the study and completed the General Health Questionnaire-28, while in the second survey, 1205 participants completed the same questionnaire. Results: Among 1337 participants of the first survey, there were 876 (65.5%) females and 461 (34.5%) males with an average age of 37.41±10.58 years. In the second survey, there were 1205 participants with mean age of 33.79±19.57 years. The rates of females and males were 57.7% and 42.3%, respectively. Compared to the first survey, the second one showed that poor mental health condition that was 1.40 (95% confidence interval: 1.17-1.67) times higher based on the age, sex, education, marital status, economic, alcohol, cigarette, water-pipe, and sedative (P<0.001). Conclusion: Poor mental health status has increased during the first year of the COVID-19 pandemic. These results revealed that the COVID-19 pandemic was a chronic stressor faced by people every day; therefore, more robust mental health-related considerations must be implemented. [GMJ.2021;10:e2199]

References

https://covid19.who.int/https://doi.org/10.46945/bpj.10.1.03.01 Marin MF, Lord C, Andrews J, Juster RP, Sindi S, Arsenault-Lapierre G, et al. Chronic stress, cognitive functioning and mental health. Neurobiol Learn Mem. 2011;96(4):583-95. https://doi.org/10.1016/j.nlm.2011.02.016PMid:21376129 Mohr C, Braun S, Bridler R, Chmetz F, Delfino JP, Kluckner VJ, et al. Insufficient coping behavior under chronic stress and vulnerability to psychiatric disorders. Psychopathology. 2014;47(4):235-43. https://doi.org/10.1159/000356398PMid:24435022 Ghadir MR, Ebrazeh A, Khodadadi J, Zamanlu M, Shams S, Nasiri M, et al. The COVID-19 Outbreak in Iran; The First Patient with a Definite Diagnosis. Arch Iran Med. 2020;23(7):503-4. https://doi.org/10.34172/aim.2020.48PMid:32657602 Salimi R, Gomar R, Heshmati B. The COVID-19 outbreak in Iran. J Glob Health. 2020;10(1). https://doi.org/10.7189/jogh.10.010365PMid:32566156 PMCid:PMC7296218 Venkatesan P. COVID-19 in Iran: round 2. Lancet Infect Dis. 2020;20(7):784-. https://doi.org/10.1016/S1473-3099(20)30500-4 Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020;277:55-64. https://doi.org/10.1016/j.jad.2020.08.001PMid:32799105 PMCid:PMC7413844 Noorbala AA, Bagheri Yazdi SA, Faghihzadeh S, Kamali K, Faghihzadeh E, Hajebi A, et al. Trends of Mental Health Status in Iranian Population Aged 15 and above between 1999 and 2015. Arch Iran Med. 2017;20(11 Suppl. 1):S2-s6. Mani A, Estedlal AR, Kamali M, Ghaemi SZ, Zarei L, Shokrpour N, et al. Mental health status during COVID-19 pandemic in Fars Province, Iran: timely measures. BMC Public Health. 2020;20(1):1866. https://doi.org/10.1186/s12889-020-09928-3PMid:33287775 PMCid:PMC7719730 Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health. 2020;16(1):57. https://doi.org/10.1186/s12992-020-00589-wPMid:32631403 PMCid:PMC7338126 Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res. 2020;291:113190. https://doi.org/10.1016/j.psychres.2020.113190PMid:32563745 PMCid:PMC7276119 McEwen BS, Eiland L, Hunter RG, Miller MM. Stress and anxiety: structural plasticity and epigenetic regulation as a consequence of stress. Neuropharmacology. 2012;62(1):3-12. https://doi.org/10.1016/j.neuropharm.2011.07.014PMid:21807003 PMCid:PMC3196296 Hammen C, Kim EY, Eberhart NK, Brennan PA. Chronic and acute stress and the prediction of major depression in women. Depress Anxiety. 2009;26(8):718-23. https://doi.org/10.1002/da.20571PMid:19496077 PMCid:PMC3380803 Tang W, Hu T, Hu B, Jin C, Wang G, Xie C, et al. Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. J Affect Disord. 2020;274:1-7. https://doi.org/10.1016/j.jad.2020.05.009PMid:32405111 PMCid:PMC7217769 Banerjee D. The other side of COVID-19: Impact on obsessive compulsive disorder (OCD) and hoarding. Psychiatry Res. 2020;288:112966. https://doi.org/10.1016/j.psychres.2020.112966PMid:32334276 PMCid:PMC7151248 Brenner MH, Bhugra D. Acceleration of Anxiety, Depression, and Suicide: Secondary Effects of Economic Disruption Related to COVID-19. Front Psychiatry. 2020;11:592467. https://doi.org/10.3389/fpsyt.2020.592467PMid:33384627 PMCid:PMC7771384 Koffman J, Gross J, Etkind SN, Selman L. Uncertainty and COVID-19: how are we to respond? J R Soc Med. 2020;113(6):211-6. https://doi.org/10.1177/0141076820930665PMid:32521198 PMCid:PMC7439590 Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. Int J Surg. 2020;78:185-93. https://doi.org/10.1016/j.ijsu.2020.04.018PMid:32305533 PMCid:PMC7162753 Mousavi SA-M, Hooshyari Z, Ahmadi A. The Most Stressful Events during the COVID-19 Epidemic. Iran J Psychiatry. 2020;15(3):220-7. https://doi.org/10.18502/ijps.v15i3.3814PMid:33193770 PMCid:PMC7603585 Murphy A, Abdi Z, Harirchi I, McKee M, Ahmadnezhad E. Economic sanctions and Iran's capacity to respond to COVID-19. Lancet Public Health. 2020;5(5):e254. https://doi.org/10.1016/S2468-2667(20)30083-9 Takian A, Raoofi A, Kazempour-Ardebili S. COVID-19 battle during the toughest sanctions against Iran. Lancet. 2020;395(10229):1035-6. https://doi.org/10.1016/S0140-6736(20)30668-1 Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997;27(1):191-7. https://doi.org/10.1017/S0033291796004242PMid:9122299 Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med. 1979;9(1):139-45. https://doi.org/10.1017/S0033291700021644PMid:424481 Noorbala A, Mohammad K, Bagheri Yazdi S. Validation of GHQ-28 in Iran. Hakim. 1999;5:101-10. Alegría M, NeMoyer A, Falgàs Bagué I, Wang Y, Alvarez K. Social Determinants of Mental Health: Where We Are and Where We Need to Go. Curr Psychiatry Rep. 2018;20(11):95. https://doi.org/10.1007/s11920-018-0969-9PMid:30221308 PMCid:PMC6181118 Torrens M, Gilchrist G, Domingo-Salvany A. Psychiatric comorbidity in illicit drug users: Substance-induced versus independent disorders. Drug Alcohol Depend. 2011;113(2-3):147-56. https://doi.org/10.1016/j.drugalcdep.2010.07.013PMid:20801586 Twomey CD, Baldwin DS, Hopfe M, Cieza A. A systematic review of the predictors of health service utilisation by adults with mental disorders in the UK. BMJ Open. 2015;5(7). https://doi.org/10.1136/bmjopen-2015-007575PMid:26150142 PMCid:PMC4499684 Naughton F, Ward E, Khondoker M, Belderson P, Marie Minihane A, Dainty J, et al. Health behaviour change during the UK COVID-19 lockdown: Findings from the first wave of the C-19 health behaviour and well-being daily tracker study. Br J Health Psychol. 2021;26(2):624-643. https://doi.org/10.1111/bjhp.12500PMid:33410229 Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C, Sham PC, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Canadian journal of psychiatry Can J Psychiatry. 2007;52(4):233-40. https://doi.org/10.1177/070674370705200405PMid:17500304 Verma S, Mythily S, Chan YH, Deslypere JP, Teo EK, Chong SA. Post-SARS psychological morbidity and stigma among general practitioners and traditional Chinese medicine practitioners in Singapore. Ann Acad Med Singap. 2004;33(6):743-8. Liu X, Kakade M, Fuller CJ, Fan B, Fang Y, Kong J, et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry. 2012;53(1):15-23. https://doi.org/10.1016/j.comppsych.2011.02.003PMid:21489421 PMCid:PMC3176950 Sim K, Chua HC. The psychological impact of SARS: a matter of heart and mind. CMAJ. 2004;170(5):811. https://doi.org/10.1503/cmaj.1032003PMid:14993176 PMCid:PMC343855 Nickell LA, Crighton EJ, Tracy CS, Al-Enazy H, Bolaji Y, Hanjrah S, et al. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ. 2004;170(5):793-8. https://doi.org/10.1503/cmaj.1031077PMid:14993174 PMCid:PMC343853 Douglas PK, Douglas DB, Harrigan DC, Douglas KM. Preparing for pandemic influenza and its aftermath: mental health issues considered. Int J Emerg Ment Health. 2009;11(3):137-44. Noorbala AA, Yazdi SAB, Faghihzadeh S, Kamali K, Faghihzadeh E, Hajebi A, et al. A Survey on Mental Health Status of Adult Population Aged 15 and above in the Province of South Khorasan, Iran. Arch Iran Med. 2017;20(13):S111-S4. Noorbala AA, Yazdi SAB, Faghihzadeh S, Kamali K, Faghihzadeh E, Hajebi A, et al. A survey on mental health status of adult population aged 15 and above in the province of North Khorasan, Iran. Arch Iran Med. 2017;20(13):S87-S90. Bozdağ F. The psychological effects of staying home due to the COVID-19 pandemic. J Gen Psychol. 2021;148(3):226-248. https://doi.org/10.1080/00221309.2020.1867494PMid:33397214 Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. https://doi.org/10.1016/S0140-6736(20)30460-8 Brodeur A, Clark AE, Fleche S, Powdthavee N. COVID-19, lockdowns and well-being: Evidence from Google Trends. J Public Econ. 2021;193:104346. https://doi.org/10.1016/j.jpubeco.2020.104346PMid:33281237 PMCid:PMC7703221 Pierce M, Hope H, Ford T, Hatch S, Hotopf M, John A, Kontopantelis E, Webb R, Wessely S, McManus S, Abel KM. Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry. 2020;7(10):883-892. https://doi.org/10.1016/S2215-0366(20)30308-4 Guan W-j, Ni Z-y, Hu Y, Liang W-h, Ou C-q, He J-x, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708-20. https://doi.org/10.1056/NEJMoa2002032PMid:32109013 PMCid:PMC7092819 Oran DP, Topol EJ. Prevalence of Asymptomatic SARS-CoV-2 Infection: A Narrative Review. Ann Intern Med. 2020;173(5):362-367. https://doi.org/10.7326/M20-3012PMid:32491919 PMCid:PMC7281624 Chaturvedi SK. Health anxiety, health-related life events, and somatization during COVID-19 pandemic can increase chronic pain. Pain. 2020;161(11):2652. https://doi.org/10.1097/j.pain.0000000000002061PMid:33065698 Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):300-2. https://doi.org/10.1016/S2215-0366(20)30073-0 Wijesooriya NR, Mishra V, Brand PLP, Rubin BK. COVID-19 and telehealth, education, and research adaptations. Paediatr Respir Rev. 2020;35:38-42. https://doi.org/10.1016/j.prrv.2020.06.009PMid:32653468 PMCid:PMC7301824

Published

2021-12-17

How to Cite

Heydari, S.-T., Mani, A., Estedlal, A., Akbary, A., Estedlal, T., Ouladinejad-Rodbali, S., … Bagheri-Lankarani, K. (2021). Comparison of Mental Health Status between Two Periods during Coronavirus Disease 2019 Pandemic in Iranian Adult Population: . Galen Medical Journal, 10, e2199. https://doi.org/10.31661/gmj.v10i.2199

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Original Article