Abstract

Prior to coronavirus disease (COVID-19), many Australians experienced extreme bushfires, droughts, and floods. A history of experiencing these events might be a risk factor for increased psychological distress during COVID-19. This study aimed to provide insight into the mental health of Australian workers during the initial COVID-19 outbreak, with an additional focus on whether previous disaster exposure and impact from that disaster is a risk factor for increased psychological distress. A snowball recruitment strategy was used. Participants (n = 596) completed an online survey, which included the Depression Anxiety Stress Scales-21, and questions related to mental health and disaster exposure. Overall, 19.2%, 13.4%, and 16.8% of participants were experiencing moderate to extremely severe depression, anxiety, and stress symptoms, respectively. Multiple regression found that higher depression, anxiety, and stress symptoms were associated with a pre-existing mental health diagnosis; only higher stress symptoms were associated with having experienced a disaster, with impact, in addition to COVID-19. People who have experienced impact from an additional disaster might need additional support to protect their mental health during COVID-19. A focus on the cumulative mental health impacts of multiple disasters and the implications for organizational communities where recovery work is undertaken, such as schools and workplaces, is needed.

Highlights

  • Within Australia, the coronavirus disease (COVID-19) pandemic has caused unprecedented disruption to the way most people live, with widespread physical distancing, travel restrictions and border closures, work-from-home mandates, and lockdowns enforced

  • Novel approaches to community intervention need to be explored,[12] in rural and regional Australia where appropriate treatment services are often limited or unavailable.[25]. While these are larger issues that will be considered in other manuscripts, this paper focuses on the mental health of Australian workers during the COVID-19 outbreak

  • This study provides some insight into how the COVID-19 pandemic has impacted the mental health of people living and working in Australia, those who were exposed to a disaster prior to COVID-19

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Summary

Introduction

Within Australia, the coronavirus disease (COVID-19) pandemic has caused unprecedented disruption to the way most people live, with widespread physical distancing, travel restrictions and border closures, work-from-home mandates, and lockdowns enforced. Previous respiratory endemics, such as severe acute respiratory syndrome coronavirus (SARS-CoV), influenza A/H1N1, and the Middle East Respiratory Syndrome (MERS) posed significant psychological consequences onto many population groups, including symptoms of anxiety, depression, and posttraumatic stress disorder.[1] Given the level of upheaval associated with COVID-19, it is likely there will be both an acute and long-term impact on the mental health and well-being of Australian communities, the scale and extent of this is only starting to emerge.[2] The impacts of COVID-19 might be compounded by other recent disasters. The Australian COVID-19 literature has largely focused on COVID-19 in isolation from other disasters

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