Characteristic Features of Impact of COVID-19 Pandemics on Mental Health of Population of Different Countries: Results of Cross-Sectional Online Studies in Albania, India, Iran and Nigeria

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Abstract

BACKGROUND: The coronavirus infection of 2019 (COVID-19) produced an incontestable impact on the mental health of people around the world. This impact is conditioned by a complex interrelation of social, cultural, economic and COVID-19-associated factors. However, insufficient data on comparison of parameters of mental health of the population in different countries limits our understanding of these interrelations.

AIM: To evaluate and compare the frequency of mental health disorders (general problems and problems related to COVID-19) and their correlations in four countries: Albania, India, Iran and Nigeria.

MATERIALS AND METHODS: In this study, the problems of mental health of the population of four countries (Albania, India, Iran and Nigeria) were investigated. The participants were selected in the period from July 07, 2020 to November 13, 2020. The study used a cross-check anonymous online questioning to assess the degree of depression, anxiety and insomnia, which included “Patient Health Questionnaire” (PHQ-9), “Generalized Anxiety Disorder” 7 (GAD-7) questionnaire and Insomnia Severity Index (ISI). To assess the mental health problems associated with COVID-19, the survey included Corona Anxiety Scale (CAS), Obsession with COVID-19 Scale (OCS) and Fear of COVID-19 Scale (FCV-19S). To analyze the data, ꭓ2, Kruskal–Wallis tests and multiple linear regression were used.

RESULTS: In general, the prevalence of general anxiety, depression, insomnia and COVID-19-associated anxiety, was higher among the Iranian population compared to the other three countries. Risk factors for increased anxiety about the new coronavirus infection were fear, depression, trouble and age; however, these factors were different in the four studied countries. The parameter was highest (47%) in the Albanian population and lowest (20%) in India.

CONCLUSIONS: This study shows different prevalence of psychological health disorders during the ongoing pandemics, including problems associated with COVID-19, in different countries. Therefore, healthcare policy and measures adopted in different countries, should be adapted to specific needs of the country rather than be based on the universal global responsive measures.

About the authors

Elona Dashi

University Hospital Center “Mother Theresa”

Email: elonadashi@gmail.com
ORCID iD: 0000-0002-9280-2734

MD

Albania, Tirana

Bita Vahdani

Qazvin University of Medical Sciences

Email: bita.vahdani@gmail.com
ORCID iD: 0000-0002-5727-8359

MD

Iran, Islamic Republic of, Qazvin

Ashish Chepure

Vilasrao Deshmukh Government Institute of Medical Sciences

Email: ashu.chepure@gmail.com
ORCID iD: 0000-0003-2286-2050

MD, MBBS

India, Latur, Maharashtra

Nafisatu Hayatudeen

Federal Neuropsychiatric Hospital

Email: nhayatudeen@gmail.com
ORCID iD: 0000-0002-9502-3971

MBBS, FWACP

Nigeria, Kaduna, Kaduna State

Padma Kumari

BKL Walawalkar Rural Medical College

Email: skpadma444@gmail.com
ORCID iD: 0000-0002-4026-5172

MD, MBBS

India, Ratnagiri, Maharashtra

Sara Farhang

Tabriz University of Medical Sciences

Email: farhangs@tbzmed.ac.ir
ORCID iD: 0000-0001-8552-138X

MD

Iran, Islamic Republic of, Tabriz

Rodrigo Ramalho

School of Population Health, University of Auckland

Email: r.ramalho@auckland.ac.nz
ORCID iD: 0000-0002-2372-6854

MD, PhD

New Zealand, Auckland

Ishwar Patil

BKL Walawalkar Rural Medical College

Email: ipp8507@gmail.com
ORCID iD: 0000-0002-0426-8309

MA

India, Ratnagiri, Maharashtra

Mahnaz Majidi

Qazvin University of Medical Sciences

Email: m.majidi@qums.ac.ir
ORCID iD: 0000-0001-7498-571X

MD

Iran, Islamic Republic of, Qazvin

Ramdas Ransing

BKL Walawalkar Rural Medical College

Author for correspondence.
Email: ramdas_ransing123@yahoo.co.in
ORCID iD: 0000-0002-5040-5570

MD, MBBS

India, Ratnagiri, Maharashtra

Enita Metaj

University Hospital Center “Mother Theresa”

Email: enitametaj@gmail.com
ORCID iD: 0000-0003-4975-8739

MD

Albania, Tirana

Umar Baba Musami

Federal Neuro-Psychiatric Hospital Maiduguri; University of Maiduguri

Email: ubmusami@gmail.com
ORCID iD: 0000-0003-3540-4120

MBBS, MSc GMH (UK), FWACP

Nigeria, Maiduguri, Borno State; Maiduguri, Borno State

Adesokun Fisayo

University of Port Harcourt Teaching Hospital

Email: adesaayo@gmail.com
ORCID iD: 0000-0002-2849-3420

MBBS, FWACP

Nigeria, Port Harcourt, Rivers State

Izuchukwu Metu

University of Port Harcourt Teaching Hospital

Email: charlesizar@gmail.com
ORCID iD: 0000-0002-4581-8741

MBBS, MWACP

Nigeria, Port Harcourt, Rivers State

Apurva Ungratwar

Vilasrao Deshmukh Government Institute of Medical Sciences

Email: apurvakarmveer@gmail.com
ORCID iD: 0000-0001-7515-6112

MBBS, DPM, DNB

India, Latur, Maharashtra

Sajjadur Rehman

Lady Hardinge Medical College

Email: sajjadur25@gmail.com
ORCID iD: 0000-0002-3134-5330

MBBS, DPM, DNB

India, New Delhi

Valbona Alikaj

University Hospital Center “Mother Theresa”; Tirana Medical University

Email: alikajv@yahoo.com
ORCID iD: 0000-0001-5849-0557

MD

Albania, Tirana; Tirana

Tamuno-Wari Numbere

Department of Public Health, Rivers State Ministry of Health

Email: warinumbere@gmail.com
ORCID iD: 0000-0002-2836-6157
Nigeria, Port Harcourt, Rivers State

Frances Adiukwu

University of Port Harcourt Teaching Hospital; University of Port Harcourt

Email: Francesadiukwu@gmail.com
ORCID iD: 0000-0001-5543-1746

MBBS, FWACP

Nigeria, Port Harcourt, Rivers State; Port Harcourt, Rivers State

References

  1. Ransing R., Adiukwu F., Pereira–Sanchez V., et al. Mental Health Interventions during the COVID-19 Pandemic: A Conceptual Framework by Early Career Psychiatrists // Asian Journal of Psychiatry. 2020. Vol. 51. P. 102085. doi: 10.1016/j.ajp.2020.102085
  2. Roy A., Singh A.K., Mishra S., et al. Mental health implications of COVID-19 pandemic and its response in India // The International Journal of Social Psychiatry. 2021. Vol. 67, № 5. P. 587–600. doi: 10.1177/0020764020950769
  3. Hoyer C., Ebert A., Szabo K., et al. Decreased utilization of mental health emergency service during the COVID-19 pandemic // European Archives of Psychiatry and Clinical Neuroscience. 2021. Vol. 271, № 2. P. 377–379. doi: 10.1007/s00406-020-01151-w
  4. Magamela M.R., Dzinamarira T., Hlongwa M. COVID-19 consequences on mental health: An African perspective // The South African Journal of Psychiatry. 2021. Vol. 27. P. 1611. doi: 10.4102/sajpsychiatry.v27i0.1611
  5. Olff M., Primasari I., Qing Y., et al. Mental health responses to COVID-19 around the world // European Journal of Psychotraumatology. 2021. Vol. 12, № 1. P. 1929754. doi: 10.1080/20008198.2021.1929754
  6. Hassannia L., Taghizadeh F., Moosazadeh M., et al. Anxiety and Depression in Health Workers and General Population During COVID-19 in IRAN: A Cross-Sectional Study // Neuropsychopharmacology Repots. 2021. Vol. 41, № 1. P. 40–49. doi: 10.1002/npr2.12153
  7. Pouralizadeh M., Bostani Z., Maroufizadeh S., et al. Anxiety and depression and the related factors in nurses of Guilan University of Medical Sciences hospitals during COVID-19: A web-based cross-sectional study // International Journal of Africa Nursing Sciences. 2020. Vol. 13. P. 100233. doi: 10.1016/j.ijans.2020.100233
  8. Gupta B., Sharma V., Kumar N., et al. Anxiety and Sleep Disturbances Among Health Care Workers During the COVID-19 Pandemic in India: Cross-Sectional Online Survey // JMIR Public Health and Surveillance. 2020. Vol. 6, № 4. P. e24206. doi: 10.2196/24206
  9. Hosseinzadeh–Shanjani Z., Hajimiri K., Rostami B., et al. Stress, Anxiety, and Depression Levels Among Healthcare Staff During the COVID-19 Epidemic // Basic and Clinical Neuroscience. 2020. Vol. 11, № 2. P. 163–170. doi: 10.32598/bcn.11.covid19.651.4
  10. Xiong J., Lipsitz O., Nasri F., et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review // Journal of Affective Disorders. 2020. Vol. 277. P. 55–64. doi: 10.1016/j.jad.2020.08.001
  11. Luo M., Guo L., Yu M., et al. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public ― A systematic review and meta-analysis // Psychiatry Research. 2020. Vol. 291. P. 113190. doi: 10.1016/j.psychres.2020.113190
  12. Suryakumari V.B.P., Pallavi Reddy Y., Yadav S.S., et al. Assessing Fear and Anxiety of Corona Virus Among Dental Practitioners // Disaster Medicine and Public Health Preparedness. 2022. Vol. 16, № 2. P. 555–560. doi: 10.1017/dmp.2020.350
  13. Lin C.–Y., Broström A., Griffiths M.D., et al. Investigating mediated effects of fear of COVID-19 and COVID-19 misunderstanding in the association between problematic social media use, psychological distress, and insomnia // Internet Interventions. 2020. Vol. 21. P. 100345. doi: 10.1016/j.invent.2020.100345
  14. Ransing R., Ramalho R., Orsolini L., et al. Can COVID-19 related mental health issues be measured? // Brain, Behavior, and Immunity. 2020. Vol. 88. P. 32–34. doi: 10.1016/j.bbi.2020.05.049
  15. Chen S.X., Ng J.C.K., Hui B.P.H., et al. Dual impacts of coronavirus anxiety on mental health in 35 societies // Scientific Reports. 2021. Vol. 11, № 1. P. 8925. doi: 10.1038/s41598-021-87771-1
  16. Kroenke K., Spitzer R.L., Williams J.B. The PHQ‐9: validity of a brief depression severity measure // Journal of General Internal Medicine. 2001. Vol. 16, № 9. P. 606–613. doi: 10.1046/j.1525-1497.2001.016009606.x
  17. Spitzer R.L., Kroenke K., Williams J.B.W., et al. A brief measure for assessing generalized anxiety disorder: the GAD-7 // Archives of Internal Medicine. 2006. Vol. 166, № 10. P. 1092–1097. doi: 10.1001/archinte.166.10.1092
  18. Morin C.M., Belleville G., Bélanger L., et al. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response // Sleep. 2011. Vol. 34, № 5. P. 601–608. doi: 10.1093/sleep/34.5.601
  19. Lee S.A. Replication analysis of the coronavirus anxiety scale // The Journal of Psychiatry and Neurological Sciences. 2020. Vol. 33. P. 203–205. doi: 10.14744/dajpns.2020.00079
  20. Lee S.A. How much “Thinking” about COVID-19 is clinically dysfunctional? // Brain, Behavior, and Immunity. 2020. Vol. 87. P. 97–98. doi: 10.1016/j.bbi.2020.04.067
  21. Ahorsu D.K., Lin C.–Y., Imani V., et al. The Fear of COVID-19 Scale: Development and Initial Validation // International Journal of Mental Health and Addiction. 2022. Vol. 20, № 3. P. 1537–1545. doi: 10.1007/s11469-020-00270-8
  22. WHO | Process of translation and adaptation of instruments [Internet]. Available at: https://www.who.int/substance_abuse/research_tools/translation/en/. Accessed: 2022 January 22.
  23. Bastien C.H., Vallières A., Morin C.M. Validation of the Insomnia Severity Index as an outcome measure for insomnia research // Sleep Medicine. 2001. Vol. 2, № 4. P. 297–307. doi: 10.1016/s1389-9457(00)00065-4
  24. Mechili E.A., Saliaj A., Kamberi F., et al. Is the mental health of young students and their family members affected during the quarantine period? Evidence from the COVID-19 pandemic in Albania // Journal of Psychiatric and Mental Health Nursing. 2021. Vol. 28, № 3. P. 317–325. doi: 10.1111/jpm.12672
  25. Kamberi F., Jaho J., Mechili E.A., et al. Effect of Covid-19 pandemic on mental health among Albanian people residing in the country and abroad ― Implications for mental care // Archives of Psychiatric Nursing. 2020. Vol. 34, № 6. P. 507–512. doi: 10.1016/j.apnu.2020.08.003
  26. Verma K. The mental health impact of the COVID-19 epidemic on college students in India // Asian Journal of Psychiatry. 2020. Vol. 53. P. 102398. doi: 10.1016/j.ajp.2020.102398
  27. Grover S., Sahoo S., Mehra A., et al. Psychological impact of COVID-19 lockdown: An online survey from India // Indian Journal of Psychiatry. 2020. Vol. 62, № 4. P. 354–362. doi: 10.4103/psychiatry.IndianJPsychiatry_427_20
  28. Agberotimi S.F., Akinsola O.S., Oguntayo R., et al. Interactions Between Socioeconomic Status and Mental Health Outcomes in the Nigerian Context Amid COVID-19 Pandemic: A Comparative Study // Frontiers in Psychology. 2020. Vol. 11. P. 559819. doi: 10.3389/fpsyg.2020.559819
  29. Olaseni A.O., Akinsola O.S., Agberotimi S.F., et al. Psychological distress experiences of Nigerians during Covid-19 pandemic; the gender difference // Social Sciences & Humanities Open. 2020. Vol. 2, № 1. P. 100052. doi: 10.1016/j.ssaho.2020.100052
  30. Lahiri A., Jha S.S., Acharya R., et al. Correlates of insomnia among the adults during COVID19 pandemic: evidence from an online survey in India // Sleep Medicine. 2021. Vol. 77. P. 66–73. doi: 10.1016/j.sleep.2020.11.020

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2. Fig. 1. Registered frequency of depression, anxiety and insomnia across four countries.

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Copyright (c) 2022 Dashi E., Vahdani B., Chepure A., Hayatudeen N., Kumari P., Farhang S., Ramalho R., Patil I., Majidi M., Ransing R., Metaj E., Baba Musami U., Fisayo A., Metu I., Ungratwar A., Rehman S., Alikaj V., Numbere T., Adiukwu F.

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