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Impact of Social Isolation Strategies Due to COVID-19 on Mental Health and Quality of Life in Brazil

24 Pages Posted: 28 Aug 2020

See all articles by Luciano Magalhães Vitorino

Luciano Magalhães Vitorino

Federal University of Itajuba - Faculty of Medicine of Itajubá-Afya Group

Gerson Hiroshi Yoshinari Júnior

Faculdade de Medicina de Itajuba

Gabriela Gonzaga

Faculdade de Medicina de Itajuba

Isabela Faria Dias

Faculdade de Medicina de Itajuba

Isabela Marum Góes Ribeiro

Faculdade de Medicina de Itajuba

João Pedro Lambert Pereira

Faculdade de Medicina de Itajuba

Alex Bacadini França

Universidade Federal de Sao Carlos Centro de Ciencias Biologicas e da Saude

Faten Al-Zaben

King Abdulaziz University

Harold Koenig

Duke University

Clarissa Trzesniak

Faculdade de Medicina de Itajuba

More...

Abstract

Background: The COVID-19 pandemic forced social distancing to decelerate the virus spread. This study evaluated the impact of social distancing imposed by COVID-19 on Brazilians’ mental health and quality of life (QoL). 

Methods: In this cross-sectional community-based online survey, data from 1,156 volunteers were gathered between May 11 and June 3, 2020. We considered independent variables the sociodemographic and clinical characteristics, the LOT-R for Optimism/Pessimism constructs, and the Brief Scale for Spiritual/Religious Coping. Dependent variables were the PHQ-9 for depressive symptoms; the GAD-7 for anxiety disorder; and the WHOQOL-BREF. The presence of depressive and anxiety disorder was estimated with logistic regression. Multivariate GLM assessed the effects of independent variables on the WHOQOL-BREF domains. 

Outcomes: There was a high prevalence of depressive symptoms (41.9%) and anxiety disorder (29.0%). Negative spiritual/religious coping was positively correlated with depressive symptoms (OR, 2.14; 95%CI, 1.63-2.80; p<0.001) and anxiety (OR, 2.46; 95%CI, 1.90-3.18; p<0.001), and associated with worse social and environmental QoL (p<0.001). Healthcare professionals showed a lower risk of depressive symptoms (OR, 0.71; 95%CI, 0.55-0.93; p<0.001). Participants with friend/family with COVID-19 scored lower on psychological and environmental QoL (p<0.05). Longer social isolation duration decreased risk of anxiety disorder (OR, 0.99; 95%CI, 0.98-0.99; p=0.004). 

Interpretation: We found a higher risk of impaired mental health and QoL in Brazil, which has become the pandemic epicenter. Several factors seem to affect the Brazilian population in a particular way, and this knowledge may contribute to local health policies in dealing with COVID-19 consequences.

Funding Statement: Not applied.

Declaration of Interests: The authors declare no competing interests.

Ethics Approval Statement: The Research Ethics Committee of the Faculty of Medicine of Itajubá, Brazil approved this study (#4,010,466). All participants gave informed consent online. All procedures were carried out under Brazilian ethical regulations and the 1964 Helsinki Declaration

Keywords: COVID-19, Quarantine, mental health, Quality of life, Brazil

Suggested Citation

Vitorino, Luciano Magalhães and Júnior, Gerson Hiroshi Yoshinari and Gonzaga, Gabriela and Dias, Isabela Faria and Ribeiro, Isabela Marum Góes and Pereira, João Pedro Lambert and França, Alex Bacadini and Al-Zaben, Faten and Koenig, Harold and Trzesniak, Clarissa, Impact of Social Isolation Strategies Due to COVID-19 on Mental Health and Quality of Life in Brazil. Available at SSRN: https://ssrn.com/abstract=3666238 or http://dx.doi.org/10.2139/ssrn.3666238

Luciano Magalhães Vitorino (Contact Author)

Federal University of Itajuba - Faculty of Medicine of Itajubá-Afya Group ( email )

Brazil

Gerson Hiroshi Yoshinari Júnior

Faculdade de Medicina de Itajuba ( email )

Gabriela Gonzaga

Faculdade de Medicina de Itajuba ( email )

Isabela Faria Dias

Faculdade de Medicina de Itajuba ( email )

Isabela Marum Góes Ribeiro

Faculdade de Medicina de Itajuba ( email )

João Pedro Lambert Pereira

Faculdade de Medicina de Itajuba ( email )

Alex Bacadini França

Universidade Federal de Sao Carlos Centro de Ciencias Biologicas e da Saude ( email )

Faten Al-Zaben

King Abdulaziz University ( email )

Harold Koenig

Duke University ( email )

100 Fuqua Drive
Durham, NC 27708-0204
United States

Clarissa Trzesniak

Faculdade de Medicina de Itajuba ( email )

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