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Psychological Factors Associated With Depression And Anxiety During Covid-19 Pandemics Among Outpatients With Depression

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dc.contributor.authorNathratul Ayeshah Binti Zulkiflien_US
dc.contributor.authorNg Chong Guanen_US
dc.contributor.authorNor Zuraida Zainalen_US
dc.contributor.authorTang Song Lingen_US
dc.date.accessioned2024-05-27T14:35:22Z
dc.date.available2024-05-27T14:35:22Z
dc.date.issued2021
dc.date.submitted2021-11-25
dc.description.abstractObjective: Long-term social distancing, isolation, and economic fallout may be significant psychological triggers during pandemic, such as COVID-19, especially for those with underlying psychiatric illness. This study was conducted to address the psychological impact of COVID-19 pandemic among patients with depression based at a teaching hospital in Malaysia. Methods: This is a cross-sectional online study among patients with depression from University Malaya Medical Centre, using Generalized Anxiety Disorder-7 (GAD-7), Montgomery-Åsberg Depression Rating Scale-Self Assessment (MADRS-S), Insomnia Severity Index (ISI), Multidimensional Scale of Perceived Social Support (MSPSS), Knowledge, Attitudes, and Practices (KAP), and Social Media Addiction during COVID-19 Pandemic (SMACOP). Results: One hundred seventy-eight patients participated in this study. The mean total of the KAP score is 12.65 (SD = 2.65), with knowledge section (mean = 7.34 [SD = 2.13]), attitudes section (mean = 2.63 [SD = 0.58]), and practices section (mean = 2.69 [SD = 1.00]). They scored moderately on the MADRS-S (mean = 21.03 [SD = 4.62]) and ISI (mean = 20.25 [SD = 4.62]) but had high GAD-7 scores (mean = 16.8 (SD = 6.27]). From the multiple logistic regression analyses, depressive symptoms of greater severity (MADRS-S 18–34) are significantly associated with more severe insomnia (P < .001, adjusted OR = 9.101, 95% CI: 3.613-22.924). Furthermore, the high anxiety level is associated with the younger age group (P = .029, Adjusted OR = 2.274, 95% CI: 1.090-4.746), greater severity of insomnia (P < .001, Adjusted OR = 22.9, 95% CI: 6.145-85.343), and higher risk of COVID-19 related social media addiction (P = .011, adjusted OR = 2.637, 95% CI: 1.253-5.550). Conclusion: This study demonstrates the high levels of sleep disturbances and anxiety symptoms experienced by outpatients with depression during the COVID-19 pandemic. These are closely linked to the younger age group and at-risk social media addiction related to COVID-19.en_US
dc.identifier.citationZulkifli NA, Chong Guan N, Zainal NZ, Ling TS. Psychosocial factors associated with depression and anxiety during COVID-19 pandemic among outpatients with depression. Alpha Psychiatry. 2021;22(4):185-193en_US
dc.identifier.doi10.5152/alphapsychiatry.2021.21107
dc.identifier.epage193
dc.identifier.issn2757-8038
dc.identifier.issue4
dc.identifier.other2038-12
dc.identifier.spage185
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/3343
dc.identifier.volume22
dc.language.isoenen_US
dc.publisherAlphaPsychiatry Turkey Publisheren_US
dc.relation.ispartofAlpha Psychiatryen_US
dc.subjectDepression, anxiety, COVID-19, social mediaen_US
dc.titlePsychological Factors Associated With Depression And Anxiety During Covid-19 Pandemics Among Outpatients With Depressionen_US
dc.typeArticleen_US
dspace.entity.typePublication

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