Abstract

This research seeks to explore the impact of COVID-19 on depressive symptoms, analyzing discrepancies of sexual orientation in a Portuguese-speaking sample. 1590 individuals participated, of which 63% were women, and 88% self-identified as straight. Participants responded to the depression sub-scale of the Beck Symptoms Iventory-18, the fear of COVID-19 scale and the COVID-19 negative impact scale. Depressive symptoms observed were higher than expected, and several significant differences were obtained: women and self-identified bisexual participants had higher levels of depressive symptoms compared to male and straight and gay or lesbian participants. Depressive symptoms negatively correlated with age and positively correlated with COVID-19 aggravated responses, fear of COVID-19, and negative impact of COVID-19. Hierarchical linear regression analysis showed that age, gender and sexual orientation explained 6% of the variance of depressive symptoms, and when fear and the negative impact of COVID-19 was added, the model explained 23% of results. This study provides an important contribution to the understanding of factors arising from the pandemic that may have an impact on the mental health of sexual minorities.

Highlights

  • Corona Virus Disease 2019 (COVID-19), caused by the SARS-CoV-2 virus, manifests itself as a severe acute respiratory syndrome [1]

  • Several studies that investigated mental health showed a higher prevalence of depression, anxiety and insomnia in the population during the outbreak of COVID-19, concluding that the pandemic had a negative impact on the mental health of the population [8,9,10]

  • Longitudinal methodologies would be important to assess the long-term impact of the COVID-19 pandemic on depressive symptoms in sexual minority groups. This was an important contribution to the analysis of how the COVID-19 pandemic has unevenly affected the mental health of the world population

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Summary

Introduction

Corona Virus Disease 2019 (COVID-19), caused by the SARS-CoV-2 virus, manifests itself as a severe acute respiratory syndrome [1]. As of early March 2021, the SARS-CoV-2 virus had infected approximately 115,660,000 people worldwide, and nearly 2,572,000 died from complications of the disease [5]. Since it was declared a pandemic, the spread of COVID-19 has been the focus of attention for governments and populations [6], having turned into a crisis at various levels with consequences worldwide [7]. Several studies that investigated mental health showed a higher prevalence of depression, anxiety and insomnia in the population during the outbreak of COVID-19, concluding that the pandemic had a negative impact on the mental health of the population [8,9,10]. In Portugal, several investigations have shown that participants revealed significantly high levels of depression [12] and sadness during lockdown [13]

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