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Psychological Impact and Predisposing Factors of the Coronavirus Disease 2019 (COVID-19) Pandemic on General Public in China

16 Pages Posted: 23 Mar 2020

See all articles by Dan Liu

Dan Liu

Peking University - HuiLongGuan Clinical Medical School

Yanping Ren

Capital Medical University - Beijing Anding Hospital

Fang Yan

Capital Medical University - Beijing Anding Hospital

Yuqing Li

Beijing Center for Disease Control and Prevention

Xuejing Xu

Temple University

Xin Yu

Peking University - Sixth Hospital

Wei Qu

Peking University - HuiLongGuan Clinical Medical School

Zhiren Wang

Peking University - Beijing HuiLongGuan Hospital

Baopeng Tian

Peking University - HuiLongGuan Clinical Medical School

Fude Yang

Peking University - Beijing HuiLongGuan Hospital

Yin Yao

Fudan University - Department of Biostatistics

Yunlong Tan

Peking University - HuiLongGuan Clinical Medical School

Ronghuan Jiang

Government of the People's Republic of China - First Medical Center

Shuping Tan

Peking University - Beijing HuiLongGuan Hospital

More...

Abstract

Background: The pandemic of COVID-19 posed an unprecedented threat and cascade of challenges to the general public in China, especially in the outbreak-affected severely city, Wuhan. The psychological impact of the public in response to the epidemic disasters as well as the predisposing factors analysis are desperately needed.

Methods: Self-administered questionnaires were distributed online to the general population of different regions from January 30 to February 13, 2020.The Self-Reporting Questionnaire-20, Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 were used to identify psychological distress. The logistic regression analyses were performed to figure out the risk factors of the positive detection rate of psychological abnormality.

Results: 14,592 respondents who were evaluated on psychological status in 31 provinces, autonomous regions, municipalities of China were included in the study, with a positive detection rate of SRQ-20, PHQ-9, GAD-7 being 33.2%, 53.5%, 44.6%, respectively. The male gender (OR=0.812,95%CI:0.748~0.881,P<0.001), advanced degree of education (OR=0.723,95%CI:0.649~0.805,P<0.001), student (OR=0.816,95%CI:0.695~0.958,P=0.009) were viewed as the protective factors of post-catastrophe stress. While young in age(OR=1.843,95%CI:1.669~2.034,P<0.001), divorced status (OR=1.486,95%CI:1.252~1.769,P<0.001), being in poor physical condition (OR=18.889,95%CI:7.419~48.094,P<0.001) were the predisposing factors of it. The risk factors for state anxiety and depression underlying the shadow of the COVID-19 epidemic were similar to those of acute stress, notwithstanding there was no significance in the positive detection rate of depression between the genders and no differences in anxiety of diverse educational levels.

Conclusion: These results shed lights on the necessity for emergency medical health system to pay attention to the extent of stress and psychological distress among the general public during and even after the biodisaster, which contributed to the targeted psychological services and rescues being put into effect timely.

Funding Statement: This work was supported by Beijing Municipal Science &Technology Commission grant (Z191100006619104).

Declaration of Interests: There was no conflict of interest to declare.

Ethics Approval Statement: This study has been fully approved by the ethics committee of Beijing Huilongguan Hospital, and the informed consent of the participants was all obtained.

Keywords: Novel coronavirus pneumonia; Corona virus disease 2019(COVID-19); Mental health status; Anxiety; Depression; Risk factors; General population

Suggested Citation

Liu, Dan and Ren, Yanping and Yan, Fang and Li, Yuqing and Xu, Xuejing and Yu, Xin and Qu, Wei and Wang, Zhiren and Tian, Baopeng and Yang, Fude and Yao, Yin and Tan, Yunlong and Jiang, Ronghuan and Tan, Shuping, Psychological Impact and Predisposing Factors of the Coronavirus Disease 2019 (COVID-19) Pandemic on General Public in China (3/7/2020). Available at SSRN: https://ssrn.com/abstract=3551415 or http://dx.doi.org/10.2139/ssrn.3551415

Dan Liu

Peking University - HuiLongGuan Clinical Medical School

China

Yanping Ren

Capital Medical University - Beijing Anding Hospital

China

Fang Yan

Capital Medical University - Beijing Anding Hospital

China

Yuqing Li

Beijing Center for Disease Control and Prevention

Beijing
China

Xuejing Xu

Temple University

Philadelphia, PA 19122
United States

Xin Yu (Contact Author)

Peking University - Sixth Hospital

No. 38 Xueyuan Road
Haidian District
Beijing, Beijing 100871
China

Wei Qu

Peking University - HuiLongGuan Clinical Medical School

China

Zhiren Wang

Peking University - Beijing HuiLongGuan Hospital

China

Baopeng Tian

Peking University - HuiLongGuan Clinical Medical School

China

Fude Yang

Peking University - Beijing HuiLongGuan Hospital ( email )

China

Yin Yao

Fudan University - Department of Biostatistics

Shanghai, 200433
China

Yunlong Tan

Peking University - HuiLongGuan Clinical Medical School

China

Ronghuan Jiang

Government of the People's Republic of China - First Medical Center

Beijing, 100853
China

Shuping Tan

Peking University - Beijing HuiLongGuan Hospital ( email )

China

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