islam-covid19psych-2021.pdf (14.6 MB)
COVID-19: Factors associated with psychological distress, fear, and coping strategies among community members across 17 countries
journal contribution
posted on 2021-01-01, 00:00 authored by Aziz RahmanAziz Rahman, Shariful IslamShariful Islam, P Tungpunkom, F Sultana, S M Alif, B Banik, M Salehin, B Joseph, L Lam, M C Watts, S J Khan, S Ghozy, S Y Chair, W T Chien, C Schönfeldt-Lecuona, N El-Khazragy, I Mahmud, A H Al Mawali, T S Al Maskari, R J Alharbi, A Hamza, M A Keblawi, M Hammoud, A M Elaidy, A D Susanto, A S Bahar Moni, A A AlQurashi, A Ali, A Wazib, C S Sanluang, D H Elsori, F Yasmin, F F Taufik, M Al Kloub, M G Ruiz, M Elsayed, N K Eltewacy, N Al Laham, N Oli, R Abdelnaby, R Dweik, R Thongyu, S Almustanyir, S Rahman, S Nitayawan, S Al-Madhoun, S Inthong, T A Alharbi, T Bahar, T T Ginting, W M CrossAbstract
Background
The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally.
Objectives
We aimed to examine the extent and identify factors associated with psychological distress, fear of COVID-19 and coping.
Methods
We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale), and coping (Brief Resilient Coping Scale) were assessed.
Results
A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% self-identified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which was 46% in Thailand and 91% in Egypt. A quarter (24%) had high levels of fear of COVID-19, which was as low as 9% in Libya and as high as 38% in Bangladesh. More than half (57%) exhibited medium to high resilient coping; the lowest prevalence (3%) was reported in Australia and the highest (72%) in Syria. Being female (AOR 1.31 [95% CIs 1.09-1.57]), perceived distress due to change of employment status (1.56 [1.29-1.90]), comorbidity with mental health conditions (3.02 [1.20-7.60]) were associated with higher levels of psychological distress and fear. Doctors had higher psychological distress (1.43 [1.04-1.97]), but low levels of fear of COVID-19 (0.55 [0.41-0.76]); nurses had medium to high resilient coping (1.30 [1.03-1.65]).
Conclusions
The extent of psychological distress, fear of COVID-19 and coping varied by country; however, we identified few higher risk groups who were more vulnerable than others. There is an urgent need to prioritise health and well-being of those people through well-designed intervention that may need to be tailored to meet country specific requirements.
Background
The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally.
Objectives
We aimed to examine the extent and identify factors associated with psychological distress, fear of COVID-19 and coping.
Methods
We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale), and coping (Brief Resilient Coping Scale) were assessed.
Results
A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% self-identified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which was 46% in Thailand and 91% in Egypt. A quarter (24%) had high levels of fear of COVID-19, which was as low as 9% in Libya and as high as 38% in Bangladesh. More than half (57%) exhibited medium to high resilient coping; the lowest prevalence (3%) was reported in Australia and the highest (72%) in Syria. Being female (AOR 1.31 [95% CIs 1.09-1.57]), perceived distress due to change of employment status (1.56 [1.29-1.90]), comorbidity with mental health conditions (3.02 [1.20-7.60]) were associated with higher levels of psychological distress and fear. Doctors had higher psychological distress (1.43 [1.04-1.97]), but low levels of fear of COVID-19 (0.55 [0.41-0.76]); nurses had medium to high resilient coping (1.30 [1.03-1.65]).
Conclusions
The extent of psychological distress, fear of COVID-19 and coping varied by country; however, we identified few higher risk groups who were more vulnerable than others. There is an urgent need to prioritise health and well-being of those people through well-designed intervention that may need to be tailored to meet country specific requirements.
History
Journal
Globalization and HealthVolume
17Issue
1Article number
ARTN 117Pagination
1 - 19Publisher
BMCLocation
London,EngPublisher DOI
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ISSN
1744-8603eISSN
1744-8603Language
EnglishPublication classification
C1 Refereed article in a scholarly journalUsage metrics
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