Depression and Anxiety in Hong Kong during COVID-19

Edmond Pui Hang Choi, Bryant Pui Hung Hui, Eric Yuk Fai Wan, Edmond Pui Hang Choi, Bryant Pui Hung Hui, Eric Yuk Fai Wan

Abstract

It has been three months since the first confirmed case of coronavirus disease 2019 (COVID-19) in Hong Kong, and people now have a more complete picture of the extent of the pandemic. Therefore, it is time to evaluate the impacts of COVID-19 on mental health. The current population-based study aimed to evaluate the depression and anxiety of people in Hong Kong during the COVID-19 pandemic. Respondents were randomly recruited and asked to complete a structured questionnaire, including the patient health questionnaire-9 (PHQ-9), the generalized anxiety disorder-7 (GAD-7), the global rating of change scale and items related to COVID-19. Of the 500 respondents included in the study, 19% had depression (PHQ-9 score ≥ 10) and 14% had anxiety (GAD score ≥ 10). In addition, 25.4% reported that their mental health had deteriorated since the pandemic. Multiple logistic regression analysis found that not experiencing the SARS outbreak in 2003, being worried about being infected by COVID-19, being bothered by having not enough surgical masks and being bothered by not being able to work from home were associated with a poorer mental health status. Psychological support, such as brief, home-based psychological interventions, should be provided to citizens during the pandemic.

Keywords: COVID-19; Hong Kong; anxiety; depression; mental health.

Conflict of interest statement

The author declares there is no conflict of interest.

References

    1. Li Q., Guan X., Wu P., Wang X., Zhou L., Tong Y., Ren R., Leung K.S.M., Lau E.H.Y., Wong J.Y., et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N. Engl. J. Med. 2020;382:1199–1207. doi: 10.1056/NEJMoa2001316.
    1. Taylor S. The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease. Cambridge Scholars Publishing; Newcastle upon Tyne, UK: 2019.
    1. Koh D., Meng K.L., Sin E.C., Soo M.K., Qian F., Ng V., Ban H.T., Kok S.W., Wuen M.C., Hui K.T., et al. Risk perception and impact of severe acute respiratory syndrome (SARS) on work and personal lives of healthcare workers in Singapore: What can we learn? Med. Care. 2005;43:676–682. doi: 10.1097/.
    1. Rosling L., Rosling M. Pneumonia causes panic in Guangdong province. BMJ. 2003;326:416. doi: 10.1136/bmj.326.7386.416.
    1. Weiss D.S., Marmar C.R., Metzler T.J., Ronfeldt H.M. Predicting symptomatic distress in emergency services personnel. J. Consult. Clin. Psychol. 1995;63:361–368. doi: 10.1037/0022-006X.63.3.361.
    1. Catalan J., Burgess A., Pergami A., Hulme N., Gazzard B., Phillips R. The psychological impact on staff of caring for people with serious diseases: The case of HIV infection and oncology. J. Psychosom. Res. 1996;40:425–435. doi: 10.1016/0022-3999(95)00527-7.
    1. Chen Q., Liang M., Li Y., Guo J., Fei D., Wang L., He L., Sheng C., Cai Y., Li X., et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7:e15–e16. doi: 10.1016/S2215-0366(20)30078-X.
    1. Low J.G., Wilder-Smith A. Infectious respiratory illnesses and their impact on healthcare workers: A review. Ann. Acad. Med. Singapore. 2005;34:105–110.
    1. Thombs B.D., Bonardi O., Rice D.B., Boruff J.T., Azar M., He C., Markham S., Sun Y., Wu Y., Krishnan A. Curating evidence on mental health during COVID-19: A living systematic review. J. Psychosom. Res. 2020 doi: 10.1016/j.jpsychores.2020.110113. in press.
    1. Yu X., Tam W.W.S., Wong P.T.K., Lam T.H., Stewart S.M. The Patient Health Questionnaire-9 for measuring depressive symptoms among the general population in Hong Kong. Compr. Psychiatry. 2012;53:95–102. doi: 10.1016/j.comppsych.2010.11.002.
    1. Manea L., Gilbody S., McMillan D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): A meta-analysis. Cmaj. 2012;184:E191–E196. doi: 10.1503/cmaj.110829.
    1. Chin W.Y., Chan K.T., Lam C.L., Wong S.Y., Fong D.Y., Lo Y.Y., Lam T.P., Chiu B.C. Detection and management of depression in adult primary care patients in Hong Kong: A cross-sectional survey conducted by a primary care practice-based research network. BMC Fam. Pract. 2014;15:30. doi: 10.1186/1471-2296-15-30.
    1. Plummer F., Manea L., Trepel D., McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: A systematic review and diagnostic metaanalysis. Gen. Hosp. Psychiatry. 2016;39:24–31. doi: 10.1016/j.genhosppsych.2015.11.005.
    1. Löwe B., Decker O., Müller S., Brähler E., Schellberg D., Herzog W., Herzberg P.Y. Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med. Care. 2008;46:266–274. doi: 10.1097/MLR.0b013e318160d093.
    1. Spitzer R.L., Kroenke K., Williams J.B.W., Löwe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch. Intern. Med. 2006;166:1092–1097. doi: 10.1001/archinte.166.10.1092.
    1. Rutter L.A., Brown T.A. Psychometric Properties of the Generalized Anxiety Disorder Scale-7 (GAD-7) in Outpatients with Anxiety and Mood Disorders. J. Psychopathol. Behav. Assess. 2017;39:140–146. doi: 10.1007/s10862-016-9571-9.
    1. Kamper S.J., Maher C.G., Mackay G. Global rating of change scales: A review of strengths and weaknesses and considerations for design. J. Man. Manip. Ther. 2009;17:163–170. doi: 10.1179/jmt.2009.17.3.163.
    1. Gao J., Zheng P., Jia Y., Chen H., Mao Y., Chen S., Wang Y., Fu H., Dai J. Mental health problems and social media exposure during COVID-19 outbreak. PLoS ONE. 2020;15:e0231924. doi: 10.1371/journal.pone.0231924.
    1. Lim G.Y., Tam W.W., Lu Y., Ho C.S., Zhang M.W., Ho R.C. Prevalence of Depression in the Community from 30 Countries between 1994 and 2014 /692/699/476/1414/692/499 article. Sci. Rep. 2018;8:2861. doi: 10.1038/s41598-018-21243-x.
    1. Zhu Z., Xu S., Wang H., Liu Z., Wu J., Li G., Miao J., Zhang C., Yang Y., Sun W. COVID-19 in Wuhan: Immediate Psychological Impact on 5062 Health Workers. medRxiv. 2020 doi: 10.1101/2020.02.20.20025338. preprint.
    1. Guo X., Meng Z., Huang G., Fan J., Zhou W., Ling W., Jiang J., Long J., Su L. Meta-analysis of the prevalence of anxiety disorders in mainland China from 2000 to 2015. Sci. Rep. 2016;6:28033. doi: 10.1038/srep28033.
    1. Chin W.Y., Chan K.T.Y., Lam C.L.K., Lam T.P., Wan E.Y.F. Help-seeking intentions and subsequent 12-month mental health service use in Chinese primary care patients with depressive symptoms. BMJ Open. 2015;5:1–10. doi: 10.1136/bmjopen-2014-006730.
    1. Lee S., Tsang A., Chui H., Kwok K., Cheung E. A community epidemiological survey of generalized anxiety disorder in Hong Kong. Community Ment. Health J. 2007;43:305–319. doi: 10.1007/s10597-006-9077-0.
    1. Lee S.A. Coronavirus anxiety scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44:393–401. doi: 10.1080/07481187.2020.1748481.
    1. Fergusson D.M., Horwood L.J., Boden J.M., Mulder R.T. Impact of a major disaster on the mental health of a well-studied cohort. JAMA Psychiatry. 2014;71:1025–1031. doi: 10.1001/jamapsychiatry.2014.652.
    1. Shultz J.M., Baingana F., Neria Y. The 2014 Ebola outbreak and mental health: Current status and recommended response. JAMA J. Am. Med. Assoc. 2015;313:567–568. doi: 10.1001/jama.2014.17934.
    1. Zhang Z., Shi Z., Wang L., Liu M. One year later: Mental health problems among survivors in hard-hit areas of the Wenchuan earthquake. Public Health. 2011;125:293–300. doi: 10.1016/j.puhe.2010.12.008.
    1. Mak I.W.C., Chu C.M., Pan P.C., Yiu M.G.C., Chan V.L. Long-term psychiatric morbidities among SARS survivors. Gen. Hosp. Psychiatry. 2009;31:318–326. doi: 10.1016/j.genhosppsych.2009.03.001.
    1. Leigh-Hunt N., Bagguley D., Bash K., Turner V., Turnbull S., Valtorta N., Caan W. An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health. 2017;152:157–171. doi: 10.1016/j.puhe.2017.07.035.
    1. Brooks S.K., Webster R.K., Smith L.E., Woodland L., Wessely S., Greenberg N., Rubin G.J. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet. 2020;395:912–920. doi: 10.1016/S0140-6736(20)30460-8.
    1. De Girolamo G., Cerveri G., Clerici M., Monzani E., Spinogatti F., Starace F., Tura G., Vita A. Mental Health in the Coronavirus Disease 2019 Emergency—The Italian Response. JAMA Psychiatry. 2020 doi: 10.1001/jamapsychiatry.2020.1276. in press.
    1. Fiorillo A., Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur. Psychiatry. 2020;63:e32. doi: 10.1192/j.eurpsy.2020.35.
    1. Neria Y., Sullivan G.M. Understanding the mental health effects of indirect exposure to mass trauma through the media. JAMA J. Am. Med. Assoc. 2011;306:1374–1375. doi: 10.1001/jama.2011.1358.
    1. Choi D.H., Yoo W., Noh G.Y., Park K. The impact of social media on risk perceptions during the MERS outbreak in South Korea. Comput. Human Behav. 2017;72:422–431. doi: 10.1016/j.chb.2017.03.004.
    1. Person B., Sy F., Holton K., Govert B., Liang A., Garza B., Gould D., Hickson M., McDonald M., Mejer C., et al. Fear and Stigma: The Epidemic within the SARS Outbreak. Emerg. Infect. Dis. 2004;10:358–363. doi: 10.3201/eid1002.030750.
    1. Soraci P., Ferrari A., Abbiati F.A., Del Fante E., De Pace R., Urso A., Griffiths M.D. Validation and Psychometric Evaluation of the Italian Version of the Fear of COVID-19 Scale. Int. J. Ment. Health Addict. 2020 doi: 10.1007/s11469-020-00277-1. in press.
    1. Ahorsu D.K., Lin C.Y., Imani V., Saffari M., Griffiths M.D., Pakpour A.H. The Fear of COVID-19 Scale: Development and Initial Validation. Int. J. Ment. Health Addict. 2020 doi: 10.1007/s11469-020-00270-8. in press.
    1. Lu Y.C., Shu B.C., Chang Y.Y., Lung F.W. The mental health of hospital workers dealing with severe acute respiratory syndrome. Psychother. Psychosom. 2006;75:370–375. doi: 10.1159/000095443.
    1. Cheng C., Cheung M.W.L. Psychological responses to outbreak of severe acute respiratory syndrome: A prospective, multiple time-point study. J. Pers. 2005;73:261–285. doi: 10.1111/j.1467-6494.2004.00310.x.
    1. Smith G.D., Ng F., Ho Cheung Li W. COVID-19: Emerging compassion, courage and resilience in the face of misinformation and adversity. J. Clin. Nurs. 2020;29:1425–1428. doi: 10.1111/jocn.15231.

Source: PubMed

3
Předplatit