Abstract
BackgroundPsychological resilience may reduce the impact of psychological distress to some extent. We aimed to investigate the mental health status of the public during the outbreak of coronavirus disease 2019 (COVID-19) and explore the level and related factors of anxiety and depression.MethodsFrom February 8 to March 9, 2020, 3,180 public completed the Zung’s Self-Rating Anxiety Scale (SAS) for anxiety, Zung’s Self-Rating Depression Scale (SDS) for depression, the Connor–Davidson resilience scale (CD-RISC) for psychological resilience, and the Simplified Coping Style Questionnaire (SCSQ) for the attitudes and coping styles.ResultsThe number of people with depressive symptoms (SDS > 53) was 1,303 (the rate was 41.0%). The number of people with anxiety symptoms (SAS > 50) was 1,184 (the rate was 37.2%). The depressed group and anxiety group had less education, more unmarried and younger age, as well as had significant different in SDS total score (P < 0.001), SAS total score (P < 0.001), CD-RISC total score (P < 0.001), and SCSQ score (P < 0.001). The binary logistic regression showed that female (B = -0.261, P = 0.026), strength (B = -0.079, P = 0.000), and the subscales of active coping style in SCSQ (B = -0.983, P = 0.000) remained protective factors and passive coping style (B = 0.293, P = 0.003) and higher SAS score (B = 0.175, P = 0.000) were risk factors for depression. Optimism (B = -0.041, P = 0.015) in CD-RISC was a protective factor, and passive coping styles (B = 0.483, P = 0.000) and higher SDS score (B = 0.134, P = 0.000) were risk factors for anxiety.LimitationsThis study adopted a cross-sectional design and used self-report questionnaires.ConclusionThe mental health of the public, especially females, the younger and less educational populations, and unmarried individuals, should be given more attention. Individuals with high level of mental resilience and active coping styles would have lower levels of anxiety and depression during the outbreak of COVID-19.
Highlights
Since the start of the global pandemic caused by the novel coronavirus SARS-CoV-2 late in 2019 (COVID-19) pandemic, the total number of cases worldwide has already exceeded the number of confirmed cases in China
The present study aimed to explore the impact and dynamic changes of the mental health of the public in China during the ongoing COVID-19 pandemic, and in particular, to explore the levels of anxiety, depression and related psychological factors, and their relationships to psychological resilience and coping styles
We found that female sex, strength of psychological resilience and active coping style were protective against depression, while passive coping style and anxiety severity were risk factors for depression
Summary
Since the start of the global pandemic caused by the novel coronavirus SARS-CoV-2 late in 2019 (COVID-19) pandemic, the total number of cases worldwide has already exceeded the number of confirmed cases in China Initially severely affected by the outbreak, China has since made significant progress in the prevention and control of the infection that causes COVID-19. The control of the epidemic and efforts to prevent further spread in China has transitioned from anti-proliferation of the virus locally to antiimport of the virus from outside of China’s borders (Ding et al, 2020), in addition to ongoing efforts to continue to prevent a rebound of infections domestically. We aimed to investigate the mental health status of the public during the outbreak of coronavirus disease 2019 (COVID-19) and explore the level and related factors of anxiety and depression
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
