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Factors associated with psychological distress, fear, and coping strategies during coronavirus disease 2019 pandemic among community members in Nepal

Version 2 2024-06-03, 02:44
Version 1 2024-05-09, 05:36
journal contribution
posted on 2024-06-03, 02:44 authored by Natalia Oli, Nikita Bhattarai, Santripti Shrestha, Muhammad Aziz Rahman
Background: Coronavirus disease 2019 (COVID-19) pandemic had huge impact on social, psychological, and economic well-being of general community people in Nepal. Objectives: To assess the extent of psychological distress, fear, and level of coping strategies among community members in Nepal. Methods: A nationwide analytical cross-sectional study was conducted among Nepali residents aged >=18 years using an online structured questionnaire during 2020 December to 2021 January. Kessler Psychological Distress Scale (K10), Fear of COVID-19 scale (FCV-19S) and Brief Resilient Coping Scale (BRCS) were used in this study. Univariate and multivariate logistic regression analyses were conducted to adjust for potential confounders. Ethical clearance was obtained from institutional review committee of Kathmandu Medical College. Results: Among 311 respondents, 167 (53.7%) were female. Median age (IQR) 31.3 (13) years with age range 18-69 years. Mean age was 31.4 ± 10.3 years. Being above 30 years old (AOR 3.8, 95% CI 2.13-6.84) were associated with higher levels of psychological distress. Being a female (AOR 0.55, CI 95% 0.30-0.99), moderately improved working situation due to change of employment (AOR 0.39, CI 95% 0.20-0.76), having little perceived distress due to change of employment status (AOR 0.52, 95% CI 0.27-0.97), having positive impact of COVID-19 on financial situation (AOR 0.28, 95% CI 0.13-0.61) were associated with lower levels of fear based on the FCV-19S scale. Conclusions: This study identified individuals who were at higher risk of psychological distress, level of fear, and low coping strategies during COVID-19 pandemic in Nepal. These findings would assist in exploring the strategies to support mental health of vulnerable population during pandemic and post-pandemic periods.

History

Journal

Journal of Kathmandu Medical College

Volume

12

Season

Jan-Mar

Pagination

1-9

Location

Kathamandu, Nepal

ISSN

2091-1785

eISSN

2091-1793

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Issue

1

Publisher

Nepal Journals Online

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