Factors associated with stress, anxiety, and depression during social distancing in Brazil
ABSTRACT 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.
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Faculdade de Saúde Pública da Universidade de São Paulo
2021
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oai:scielo:S0034-891020210001002022021-04-06Factors associated with stress, anxiety, and depression during social distancing in BrazilSouza,Alex Sandro RollandSouza,Gustavo Fonseca AlbuquerqueSouza,Gabriela AlbuquerqueCordeiro,Ana Lorena NascimentoPraciano,Gabriella Almeida FigueredoAlves,Adricia Cristine de SouzaSantos,Alan Chaves dosSilva Junior,José RobertoSouza,Manuela Barbosa Rodrigues Mental Disorders, epidemiology Stress, Psychological Social Isolation Coronavirus Infections Health Surveys ABSTRACT 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.info:eu-repo/semantics/openAccessFaculdade de Saúde Pública da Universidade de São PauloRevista de Saúde Pública v.55 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100202en10.11606/s1518-8787.2021055003152 |
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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 |
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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 Factors associated with stress, anxiety, and depression during social distancing in Brazil |
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_sort |
Souza,Alex Sandro Rolland |
title |
Factors associated with stress, anxiety, and depression during social distancing in Brazil |
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 |
description |
ABSTRACT 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. |
publisher |
Faculdade de Saúde Pública da Universidade de São Paulo |
publishDate |
2021 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100202 |
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