Beliefs towards the COVID-19 pandemic among patients with emotional disorders in China.

anxiety cross-sectional studies depression mental health psychology, clinical

Journal

General psychiatry
ISSN: 2517-729X
Titre abrégé: Gen Psychiatr
Pays: England
ID NLM: 101735271

Informations de publication

Date de publication:
2020
Historique:
received: 30 03 2020
revised: 11 05 2020
accepted: 17 05 2020
entrez: 24 6 2020
pubmed: 24 6 2020
medline: 24 6 2020
Statut: epublish

Résumé

The novel coronavirus disease 2019 (COVID-19) pandemic has given rise to fear and panic in the public. Although hospitals in China reduced outpatient visits and restricted inpatient admission to lower the risk of transmission of COVID-19, this has significantly affected patients in need of medical attention, for example, patients with emotional disorders. This study aimed to compare the beliefs towards COVID-19 among outpatients with emotional disorders (ie, anxiety or depression) with those of family caregivers and the general public and examine factors that shape the beliefs towards COVID-19 among outpatients with emotional disorders. Survey data from 570 outpatients with anxiety or depression disorders, 449 family caregivers and 470 general public subjects were collected. Multiple stepwise regression analyses were used to describe participants' level of concern, prevention attitude and positive expectations towards the COVID-19 outbreak. About 70.9% of outpatients had to postpone their mental health treatment; 43.2% of patients admitted that their mental health was adversely affected by the COVID-19 outbreak-these patients tended to be older, male and less educated. After controlling for age and education level, outpatients with emotional disorders had significantly lower levels of concerns but more negative expectations towards COVID-19, compared with family caregivers and the public. Multivariate linear stepwise regression analysis showed that age, education and the perception of the impact of COVID-19 on one's existing mental illness were significantly associated with outpatients' beliefs about the epidemic. Outpatients with anxiety or depression disorders were relatively less focused on the COVID-19 outbreak, but the impact of the infection was found to be independently associated with their beliefs towards COVID-19. In addition, outpatients who were older and of low educational levels particularly held more negative beliefs about the epidemic, which may place them at a higher risk for poor mental health.

Sections du résumé

BACKGROUND BACKGROUND
The novel coronavirus disease 2019 (COVID-19) pandemic has given rise to fear and panic in the public. Although hospitals in China reduced outpatient visits and restricted inpatient admission to lower the risk of transmission of COVID-19, this has significantly affected patients in need of medical attention, for example, patients with emotional disorders.
AIMS OBJECTIVE
This study aimed to compare the beliefs towards COVID-19 among outpatients with emotional disorders (ie, anxiety or depression) with those of family caregivers and the general public and examine factors that shape the beliefs towards COVID-19 among outpatients with emotional disorders.
METHODS METHODS
Survey data from 570 outpatients with anxiety or depression disorders, 449 family caregivers and 470 general public subjects were collected. Multiple stepwise regression analyses were used to describe participants' level of concern, prevention attitude and positive expectations towards the COVID-19 outbreak.
RESULTS RESULTS
About 70.9% of outpatients had to postpone their mental health treatment; 43.2% of patients admitted that their mental health was adversely affected by the COVID-19 outbreak-these patients tended to be older, male and less educated. After controlling for age and education level, outpatients with emotional disorders had significantly lower levels of concerns but more negative expectations towards COVID-19, compared with family caregivers and the public. Multivariate linear stepwise regression analysis showed that age, education and the perception of the impact of COVID-19 on one's existing mental illness were significantly associated with outpatients' beliefs about the epidemic.
CONCLUSION CONCLUSIONS
Outpatients with anxiety or depression disorders were relatively less focused on the COVID-19 outbreak, but the impact of the infection was found to be independently associated with their beliefs towards COVID-19. In addition, outpatients who were older and of low educational levels particularly held more negative beliefs about the epidemic, which may place them at a higher risk for poor mental health.

Identifiants

pubmed: 32574346
doi: 10.1136/gpsych-2020-100231
pii: gpsych-2020-100231
pmc: PMC7287490
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e100231

Informations de copyright

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Clin Psychol Rev. 2008 Apr;28(4):676-91
pubmed: 18006196
Thorax. 2013 Feb;68(2):171-6
pubmed: 23242947
Iran J Public Health. 2014 Jul;43(7):903-12
pubmed: 25909058
Curr Opin Pulm Med. 2010 May;16(3):217-25
pubmed: 20375783
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
BMC Med Ethics. 2016 Aug 18;17(1):49
pubmed: 27538685
Lancet. 2020 Feb 15;395(10223):514-523
pubmed: 31986261
Lancet Psychiatry. 2020 Apr;7(4):e21
pubmed: 32199510
Clinics (Sao Paulo). 2011;66(2):233-8
pubmed: 21484039
Noro Psikiyatr Ars. 2017 Jun;54(2):125-130
pubmed: 28680309
Psychol Bull. 2002 Jul;128(4):638-62
pubmed: 12081086
BMC Psychiatry. 2018 Nov 20;18(1):367
pubmed: 30453932

Auteurs

Yining Gao (Y)

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Fei Sun (F)

School of Social Work, Michigan State University, East Lansing, Michigan, USA.

Wenwen Jiang (W)

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Yuan Fang (Y)

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Ling Yue (L)

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Xiang Lin (X)

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Xia Li (X)

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Classifications MeSH