Mental Health Consequences of the Coronavirus 2020 Pandemic (COVID-19) in Spain. A Longitudinal Study

Clara González-Sanguino, Berta Ausín, Miguel Ángel Castellanos, Jesús Saiz, Aída López-Gómez, Carolina Ugidos, Manuel Muñoz, Clara González-Sanguino, Berta Ausín, Miguel Ángel Castellanos, Jesús Saiz, Aída López-Gómez, Carolina Ugidos, Manuel Muñoz

Abstract

Background: Covid-19 remains a pandemic that most countries in the world are still dealing with. This is study aims to report the psychological impact of Covid-19 over time on the Spanish population. Methods: A longitudinal study (N = 1041) was carried out with two measurements: after 2 and 5 weeks starting from the declaration of the state of emergency in Spain. The presence of depressive symptoms, anxiety, and posttraumatic stress disease (PTSD) was evaluated by means of screening tests. Sociodemographic data, variables about Covid-19, loneliness, spiritual well-being, social support, discrimination, and a sense of belonging were collected. Results: The data showed how depressive symptomatology increased significantly over time, while anxiety and PTSD did not show statistically significant changes. Spiritual well-being and loneliness were the main predictors of psychological impact. A younger age was a significant predictor of depression and anxiety, while female gender was associated with anxiety and PTSD. Conclusions: The impact of the pandemic is sustained over time, even increasing in depression, and vulnerable groups that need greater psychological health support could be identified.

Keywords: COVID-19; anxiety; depression; postraumatic stress disorder; quarantine.

Copyright © 2020 González-Sanguino, Ausín, Castellanos, Saiz, López-Gómez, Ugidos and Muñoz.

Figures

Figure 1
Figure 1
Mixed longitudinal models for depression (PHQ-2), anxiety (GAD-2), and PTSD (PCL-C-2) over time. The mixed longitudinal models presented significant time effect for the variable Phq2 (B = 0.31, p < 0.01) but not for the variables Gad2 (B = −0.014, p = 0.752) and PCL-C-2 (B = −0.072, p = 0.193). The standard deviations for the random slopes were 1.04, 1.18, and 1.49, respectively.

References

    1. Health Alert Emergency Coordination Centre G of S Actualización no 89. Enfermedad por el Covid-19. Madrid: (2020).
    1. Liu J, Zhu Q, Fan W, Makamure J, Zheng C, Wang J. Online mental health survey in a medical college in China during the COVID-19 outbreak. Front Psychiatry. (2020) 11:459 10.3389/fpsyt.2020.00459
    1. Zhu J, Sun L, Zhang L, Wang H, Fan A, Yang B, et al. . Prevalence and influencing factors of anxiety and depression symptoms in the first-line medical staff fighting against COVID-19 in gansu. Front Psychiatry. (2020) 11:386. 10.3389/fpsyt.2020.00386
    1. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. (2020) 88:901–7. 10.1016/j.bbi.2020.05.026
    1. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. . Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. (2020) 17:1729. 10.3390/ijerph17051729
    1. Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. . Survey of insomnia and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Front Psychiatry. (2020) 11:306. 10.3389/fpsyt.2020.00306
    1. González-Sanguino C, Ausín B, ÁngelCastellanos M, Saiz J, López-Gómez A, Ugidos C, Muñoz M. Mental health consequences during the initial stage of the 2020 coronavirus pandemic (COVID-19) in Spain. Brain Behav Immun. (2020) 87:172–6. 10.1016/j.bbi.2020.05.040
    1. Wang C, Pan R, Wan X, Tan Y, Xu L, McIntyre RS, et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain Behav Immun. (2020) 87:40–8. 10.1016/j.bbi.2020.04.028
    1. Henderson C, Evans-Lacko S, Flach C, Thornicroft G. Responses to mental health stigma questions: the importance of social desirability and data collection method. Can J Psychiatry. (2012) 57:152–60. 10.1177/070674371205700304
    1. Kroenke K, Spitzer RL, Williams JBW, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. (2009) 50:613–21. 10.1176/appi.psy.50.6.613
    1. Diez-Quevedo C, Rangil T, Sanchez-Planell L, Kroenke K, Spitzer RL. Validation and utility of the patient health questionnaire in diagnosing mental disorders in 1003 general hospital Spanish inpatients. Psychosom Med. (2001) 63:679–86. 10.1097/00006842-200107000-00021
    1. Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. (2006) 166:1092–7. 10.1001/archinte.166.10.1092
    1. Garcia-Campayo J, Navarro-Gil M, Andrés E, Montero-Marin J, López-Artal L, Demarzo MMP. Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health Qual Life Outcomes. (2014) 12:4. 10.1186/1477-7525-12-4
    1. Lang AJ, Stein MB. An abbreviated PTSD checklist for use as a screening instrument in primary care. Behav Res Ther. (2005) 43:585–94. 10.1016/j.brat.2004.04.005
    1. Weathers FW, Litz BT, Herman DS, Huska JA, Keane TM. The PTSD Checklist (PCL): reliability, validity, and diagnostic utility. In: Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. San Antonio, TX: (1993).
    1. Scheim AI, Bauer GR. The intersectional discrimination index: development and validation of measures of self-reported enacted and anticipated discrimination for intercategorical analysis. Soc Sci Med. (2019) 226:225–35. 10.1016/j.socscimed.2018.12.016
    1. Russell DW. UCLA Loneliness Scale (Version 3): reliability, validity, and factor structure. J Pers Assess. (1996) 66:20–40. 10.1207/s15327752jpa6601_2
    1. Velarde-Mayol C, Fragua-Gil S, García-de-Cecilia JM. Validación de la escala de soledad de UCLA y perfil social en la población anciana que vive sola. Semergen. (2016) 42:177–83. 10.1016/j.semerg.2015.05.017
    1. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. (1988) 52:30–41. 10.1207/s15327752jpa5201_2
    1. Landeta O, Zumalde EC. Adaptación y validación de la escala multidimensional de apoyo social percibido. Ansiedad Estrés. (2002) 8:173–82.
    1. Zinnbauer BJ, Pargament KI, Scott AB. The emerging meanings of religiousness and spirituality: problems and prospects. J Pers. (1999) 67:889–919. 10.1111/1467-6494.00077
    1. Cella D, Hernandez L, Bonomi AE, Corona M, Vaquero M, Shiomoto G, et al. . Spanish language translation and initial validation of the functional assessment of cancer therapy quality-of-life instrument. Med Care. (1998) 36:1407–18. 10.1097/00005650-199809000-00012
    1. NEFF KD. The development and validation of a scale to measure self-compassion. Self Identity. (2003) 2:223–50. 10.1080/15298860309027
    1. Hernán Montalbán MJ, Rodríguez Moreno SI. La Soledad No Deseada en la Ciudad de Madrid. Informe de Resultados. Technical report Madrid (2017).
    1. Planchuelo-Gómez Á, Odriozola-González P, Irurtia MJ, de Luis-García R. Longitudinal evaluation of the psychological impact of the COVID-19 crisis in Spain. J Affect Disord. (2020) 277:842–9. 10.1016/j.jad.2020.09.018
    1. Hall RCW, Hall RCW, Chapman MJ. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen Hosp Psychiatry. (2008) 30:446–52. 10.1016/j.genhosppsych.2008.05.003
    1. Milman E, Lee SA, Neimeyer RA. Social isolation as a means of reducing dysfunctional coronavirus anxiety and increasing psychoneuroimmunity. Brain Behav Immun. (2020) 87:138–9. 10.1016/j.bbi.2020.05.007
    1. Goyal K, Chauhan P, Chhikara K, Gupta P, Singh MP. Fear of COVID 2019: first suicidal case in India ! Asian J Psychiatr. (2020) 49:101989. 10.1016/j.ajp.2020.101989
    1. Mamun MA, Ullah I. COVID-19 suicides in Pakistan, dying off not COVID-19 fear but poverty? - The forthcoming economic challenges for a developing country. Brain Behav Immun. (2020) 87:163–6. 10.1016/j.bbi.2020.05.028
    1. Losada Baltar A, Márquez-González M, Pachana NA, Wetherell JL, Fernández-Fernández V, Nogales-González C, et al. . Behavioral correlates of anxiety in well-functioning older adults. Int Psychogeriatrics. (2015) 27:1135–46. 10.1017/S1041610214001148
    1. Ko N-Y, Lu W-H, Chen Y-L, Li D-J, Wang P-W, Hsu S-T, et al. . COVID-19-related information sources and psychological well-being: an online survey study in Taiwan. Brain Behav Immun. (2020) 87:172–6. 10.1016/j.bbi.2020.05.019
    1. Alon TM, Doepke M, Olmstead-Rumsey J, Tertilt M. The Impact of COVID-19 on Gender Equality (No. w26947). National Bureau of Economic Research; (2020).
    1. Ausín B, González-Sanguino C, Castellanos MÁ, Muñoz M. Gender-related differences in the psychological impact of confinement as a consequence of COVID-19 in Spain. J Gend Stud. (2020) [Epub ahead of print]. 1–10. 10.1080/09589236.2020.1799768.
    1. Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. . Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun. (2020) 88:916–9. 10.1016/j.bbi.2020.03.007
    1. Meda N, Slongo I. Caution when linking COVID-19 to mental health consequences. Brain Behav Immun. (2020) 87:152. 10.1016/j.bbi.2020.05.018

Source: PubMed

3
Sottoscrivi