Factors associated with stress, anxiety, and depression during social distancing in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/183889 |
Resumo: | 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. DESCRIPTORS: Mental Disorders, epidemiology. Stress, Psychological. Social Isolation. Coronavirus Infections. Health Surveys. |
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Revista de Saúde Pública |
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Factors associated with stress, anxiety, and depression during social distancing in BrazilMental Disorders, epidemiologyStress, PsychologicalSocial IsolationCoronavirus InfectionsHealth SurveysOBJECTIVE: 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. DESCRIPTORS: Mental Disorders, epidemiology. Stress, Psychological. Social Isolation. Coronavirus Infections. Health Surveys.Universidade de São Paulo. Faculdade de Saúde Pública2021-04-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/18388910.11606/s1518-8787.2021055003152Revista de Saúde Pública; Vol. 55 (2021); 5Revista de Saúde Pública; Vol. 55 (2021); 5Revista de Saúde Pública; v. 55 (2021); 51518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/183889/170323https://www.revistas.usp.br/rsp/article/view/183889/170324http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSouza, Alex Sandro RollandSouza, Gustavo Fonseca AlbuquerqueSouza, Gabriela AlbuquerqueCordeiro, Ana Lorena NascimentoPraciano, Gabriella Almeida FigueredoAlves, Adricia Cristine de SouzaSantos, Alan Chaves dos Silva Junior, José Roberto Souza, Manuela Barbosa Rodrigues2021-04-06T18:22:45Zoai:revistas.usp.br:article/183889Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2021-04-06T18:22:45Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated with stress, anxiety, and depression during social distancing in Brazil |
title |
Factors associated with stress, anxiety, and depression during social distancing in Brazil |
spellingShingle |
Factors associated with stress, anxiety, and depression during social distancing in Brazil Souza, Alex Sandro Rolland Mental Disorders, epidemiology Stress, Psychological Social Isolation Coronavirus Infections Health Surveys |
title_short |
Factors associated with stress, anxiety, and depression during social distancing in Brazil |
title_full |
Factors associated with stress, anxiety, and depression during social distancing in Brazil |
title_fullStr |
Factors associated with stress, anxiety, and depression during social distancing in Brazil |
title_full_unstemmed |
Factors associated with stress, anxiety, and depression during social distancing in Brazil |
title_sort |
Factors associated with stress, anxiety, and depression during social distancing in Brazil |
author |
Souza, Alex Sandro Rolland |
author_facet |
Souza, Alex Sandro Rolland Souza, Gustavo Fonseca Albuquerque Souza, Gabriela Albuquerque Cordeiro, Ana Lorena Nascimento Praciano, Gabriella Almeida Figueredo Alves, Adricia Cristine de Souza Santos, Alan Chaves dos Silva Junior, José Roberto Souza, Manuela Barbosa Rodrigues |
author_role |
author |
author2 |
Souza, Gustavo Fonseca Albuquerque Souza, Gabriela Albuquerque Cordeiro, Ana Lorena Nascimento Praciano, Gabriella Almeida Figueredo Alves, Adricia Cristine de Souza Santos, Alan Chaves dos Silva Junior, José Roberto Souza, Manuela Barbosa Rodrigues |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Souza, Alex Sandro Rolland Souza, Gustavo Fonseca Albuquerque Souza, Gabriela Albuquerque Cordeiro, Ana Lorena Nascimento Praciano, Gabriella Almeida Figueredo Alves, Adricia Cristine de Souza Santos, Alan Chaves dos Silva Junior, José Roberto Souza, Manuela Barbosa Rodrigues |
dc.subject.por.fl_str_mv |
Mental Disorders, epidemiology Stress, Psychological Social Isolation Coronavirus Infections Health Surveys |
topic |
Mental Disorders, epidemiology Stress, Psychological Social Isolation Coronavirus Infections Health Surveys |
description |
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. DESCRIPTORS: Mental Disorders, epidemiology. Stress, Psychological. Social Isolation. Coronavirus Infections. Health Surveys. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-04-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/183889 10.11606/s1518-8787.2021055003152 |
url |
https://www.revistas.usp.br/rsp/article/view/183889 |
identifier_str_mv |
10.11606/s1518-8787.2021055003152 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/183889/170323 https://www.revistas.usp.br/rsp/article/view/183889/170324 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf text/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 55 (2021); 5 Revista de Saúde Pública; Vol. 55 (2021); 5 Revista de Saúde Pública; v. 55 (2021); 5 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221801922428928 |