Violência mental: ansiedade e depressão durante a pandemia de COVID-19 no Brasil
Resumo
Buscou-se avaliar a frequência de ansiedade e depressão e seus fatores associados ao longo da pandemia de COVID-19. Estudo transversal exploratório envolvendo 1.057 participantes, sendo aplicados os questionários GAD-7 e PHQ-9, através de Plataforma Google Forms, com amostragem bola de neve. A média de idade foi de 38 ± 14 anos, sendo 78% mulheres, provindos de 21 Estados brasileiros. Quarenta e dois por cento dos participantes tiveram escore GAD-7 ≥ 10, cerca de 53% teve escore PHQ-9 ≥ 10. Principais fatores de risco incluíram: gênero feminino, ser jovem, casado ou com companheiro, consumir bebidas alcoólicas, problemas psiquiátricos prévios, utilizar medicação para dormir, dormir menos de 8 horas, percepção negativa sobre COVID-19, estar em isolamento social, pesadelos frequentes e ideação suicida. O Brasil mantém-se com altos níveis de ansiedade e depressão durante a pandemia em associação com ideação suicida.Referências
1. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E, Villamizar-Peña R, Holguin-Rivera Y, Escalera-Antezana JP, et al. Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel Med Infect Dis. 2020;34 (February).
2. Lau H, Khosrawipour V, Kocbach P, Mikolajczyk A, Schubert J, Bania J, et al. The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. J Travel Med [Internet]. 2021;27(3):1-7.
3. World Health Organization. Depression and Other Common Mental Disorders Global Health Estimates [Internet]. Vol. 48. 2017. Available from: https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf?sequence=1&isAllowed=y
4. Bizerra, HKA. et al. Isolation Strategies and the Impact of COVID-19 on the Brazilian Economy. XX USP International Conference in Accouting. Accouting as a Governance mechanism, 2020; [homepage na internet].
5. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Washington DC. 5th ed., 2013.
6. Silva MT, Roa MC, Martins SS, Silva ATC da, Galvao TF. Generalized anxiety disorder and associated factors in adults in the Amazon, Brazil: A population-based study. J Affect Disord. 2018;236(August 2019):180-6.
7. Barros MB de A, Lima MG, Malta DC, Szwarcwald CL, Azevedo RCS de, Romero D, et al. Report on sadness/depression, nervousness/anxiety and sleep problems in the Brazilian adult population during the COVID-19 pandemic. Epidemiol e Serv saude Rev do Sist Unico Saude do Bras [Internet]. 2020;29(4):e2020427. Available from: https://www.scielo.br/pdf/ress/v29n4/en_2237-9622-ress-29-04-e2020427.pdf
8. Twenge JM, Joiner TE. U.S. Census Bureau-assessed prevalence of anxiety and depressive symptoms in 2019 and during the 2020 COVID-19 pandemic. Depress Anxiety. 2020;37(10):954-6.
9. Liu CH, Zhang E, Wong GTF, Hyun S, Hahm HC. Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Res [Internet]. 2020;290(January). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263263/pdf/main.pdf
10. Bäuerle A, Teufel M, Musche V, Weismüller B, Kohler H, Hetkamp M, et al. Increased generalized anxiety, depression and distress during the COVID-19 pandemic: A cross-sectional study in Germany. J Public Heal (United Kingdom). 2020;42(4):672-8.
11. Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom [Internet]. 2020;89(4):242-50. Available from: https://www.karger.com/Article/Pdf/507639
12. Silva Neto RM, Benjamim CJR, Carvalho PM de M, Rolim Neto ML. Psychological effects caused by the COVID-19 pandemic in health professionals: A systematic review with meta-analysis. Prog Neuropsychopharmacol Biol Psychiatry. 2020;104(January).
13. Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PLoS One [Internet]. 2020;15(4):1-10. Available from: http://dx.doi.org/10.1371/journal.pone.0231924
14. Galindo-Vázquez O, Ramírez-Orozco M, Costas-Muñiz R, Mendoza-Contreras LA, Calderillo-Ruíz G, Meneses-García A. Síntomas de ansiedad, depresión y conductas de autocuidado durante la pandemia de COVID-19 en la población general. Gac Med Mex [Internet]. 2020;156(4):298-305. Available from: https://gacetamedicademexico.com/files/es/gmm_20_156_4_298-305.pdf
15. Solomou I, Constantinidou F. Prevalence and predictors of anxiety and depression symptoms during the COVID-19 pandemic and compliance with precautionary measures: Age and sex matter. Int J Environ Res Public Health. 2020;17(14):1-19.
16. Gualano MR, Moro G Lo, Voglino G, Bert F, Siliquini R. Effects of COVID-19 lockdown on mental health and sleep disturbances in Italy. Int J Environ Res Public Health [Internet]. 2020;17(13):1-13. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369943/pdf/ijerph-17-04779.pdf
17. Bulloch AG, Williams JV, Lavorato DH, Patten SB. The relationship between major depression and marital disruption is bidirectional. Depress Anxiety. 2009;26(12):1172-7.
18. Bulloch AGM, Williams JVA, Lavorato DH, Patten SB. The depression and marital status relationship is modified by both age and gender. J Affect Disord [Internet]. 2017;223(September 2016):65-8. Available from: https://daneshyari.com/article/preview/5721793.pdf
19. Moreira-Almeida A, Neto FL, Koenig HG. Religiosidade e saúde mental: uma revisão. Rev Bras Psiquiatr [Internet]. 2014;28(3):239-57. Available from: https://www.scielo.br/pdf/rbp/v28n3/2277.pdf
20. Charlet K, Heinz A. Harm reduction-a systematic review on effects of alcohol reduction on physical and mental symptoms. Addict Biol. 2017;22(5):1119-59.
21. Fluharty M, Taylor AE, Grabski M, Munafò MR. The association of cigarette smoking with depression and anxiety: A systematic review. Nicotine Tob Res [Internet]. 2017;19(1):3-13. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5157710/pdf/ntw140.pdf
22. Blake MJ, Trinder JA, Allen NB. Mechanisms underlying the association between insomnia, anxiety, and depression in adolescence: Implications for behavioral sleep interventions. Clin Psychol Rev [Internet]. 2018;63(May):25-40. Available from: https://doi.org/10.1016/j.cpr.2018.05.006
23. Naser AY, Dahmash EZ, Al-Rousan R, Alwafi H, Alrawashdeh HM, Ghoul I, et al. Mental health status of the general population, healthcare professionals, and university students during 2019 coronavirus disease outbreak in Jordan: A cross-sectional study. Brain Behav. 2020;10(8):1-13.
24. Islam MS, Ferdous MZ, Potenza MN. Panic and generalized anxiety during the COVID-19 pandemic among Bangladeshi people: An online pilot survey early in the outbreak. J Affect Disord [Internet]. 2020;276(July):30-7. Available from: https://doi.org/10.1016/j.jad.2020.06.049
25. Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, et al. Depression, anxiety and stress during COVID-19: Associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. Int J Environ Res Public Health [Internet]. 2020;17(11):1-13. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312903/pdf/ijerph-17-04065.pdf
26. Killgore WDS, Cloonan SA, Taylor EC, Allbright MC, Dailey NS. Trends in suicidal ideation over the first three months of COVID-19 lockdowns. Psychiatry Res [Internet]. 2020;293(January). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430225/pdf/main.pdf
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