巴西COVID-19大流行中的焦虑:一项纵向研究

Rafael C. Martins, Thales R. Almeida, Lauro M. Demenech, Lucas N, Silva
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引用次数: 0

摘要

目的:纵向测量新冠肺炎大流行期间两个时间点的焦虑患病率及其相关因素。方法:通过在线问卷对485名巴西人进行纵向观察研究。使用卡方检验(调查分类变量与结果之间的关系)、学生t检验(分析数值变量与结果之间的关系)和收入变量的Mann-Whitney检验来评估社会人口统计学特征、个人健康特征、压力和焦虑。采用均值、标准差和患病率进行描述性分析。结果:在第一次数据收集期间(T1), 20.6%的受访者存在临床相关焦虑,而在第二次数据收集期间,22.7%的参与者存在临床显著焦虑。在分析的时间段中,15.6%在第一次数据收集中没有焦虑的参与者在第二个时间段中出现了临床显著的焦虑,而在第一次焦虑的参与者中有50%在最后一个时间段没有临床显著的焦虑。有可能确定焦虑发生率与24岁以下、受教育程度较低、对COVID-19的高度恐惧、低体力活动、高压力和家庭收入较低之间的显著关联。与此同时,康复率与受教育程度高、没有家庭成员死于新冠肺炎、压力水平低和家庭收入高之间存在显著关联。结论:尽管巴西人焦虑症状的患病率很高,但社会人口统计学和行为因素可以被确定为临床显著焦虑症状发展的危险因素和保护因素。关键词:流行病,COVID-19,焦虑,心理健康。
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Ansiedade na Pandemia de COVID-19 no Brasil: Um Estudo Longitudinal
Objective: To measure the prevalence of anxiety longitudinally at two time points during the COVID-19 pandemic, as well as the associated factors. Method: A longitudinal observational study was conducted with 485 participants brazilians through a online questionnaire. Sociodemographic characteristics, individual health characteristics, stress, and anxiety were assessed using Chi-Square tests (to investigate the relationship between categorical variables and the outcome), Student's t-tests (to analyze the relationship between numerical variables and the outcome), and the Mann-Whitney test for the income variable.. Descriptive analysis was performed using means, standard deviation, and prevalence. Results: During the first data collection period (T1), 20.6% of respondents had clinically relevant anxiety, while in the second data collection period, 22.7% of participants had clinically significant anxiety. Among the analyzed periods, 15.6% of participants who did not have anxiety in the first data collection developed clinically significant anxiety in the second period, and 50% of those who were anxious in the first moment did not have clinically significant anxiety in the final period. It was possible to identify significant associations between the incidence of anxiety and being up to 24 years old, lower education level, high levels of fear of COVID-19, low physical activity, high levels of stress, and lower family income. At the same time, significant associations were observed between the incidence of recovery and higher education level, not having lost family members to COVID-19, lower levels of stress, and higher family income. Conclusion: Despite the high prevalence of anxious symptomatology among Brazilians, sociodemographic and behavioral factors could be identified as risk and protective factors for the development of clinically significant anxious symptomatology. Keywords: Pandemics, COVID-19, anxiety, mental health.
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