Generalized anxiety disorders among the adult population in Basra during the COVID-19 pandemic
Main Article Content
Keywords
COVID-19 pandemic, generalized anxiety disorder, Basrah, Adults
Abstract
Background: Anxiety disorders encompass conditions characterized by excessive fear and anxiety, along with related behavioral disturbances. During epidemics, many individuals experience distress due to immediate health impacts and feelings of loneliness; however, others fear infection, death, or the loss of loved ones. The COVID-19 pandemic in Iraq, part of the global coronavirus disease 2019 outbreak, may have exacerbated anxiety disorders among patients and their families. Aim: This study aims to assess the psychological impact of the COVID-19 pandemic on the adult population in Basra. Methods: A cross-sectional community-based study was conducted using an online survey with a questionnaire available via Google Forms. The questionnaire included socio-demographic and clinical data related to COVID-19, as well as the Generalized Anxiety Disorder 7-item scale to assess anxiety severity. The survey was administered randomly to adult individuals living in Basra, and data collected from 894 participants was analyzed using 22 version of the Statistical Package for the Social Sciences. Chi-square tests were performed to assess associations between variables. Results: Approximately 56.26% of the sample experienced varying degrees of anxiety (mild, moderate, and severe) during the COVID-19 pandemic. The highest prevalence of anxiety was observed among younger residents of Basra districts aged 18–27 years, females, married individuals, and health workers. Conclusion: The study found that 56.26% of participants suffered from varying degrees of anxiety during the COVID-19 pandemic, with about 22.7% experiencing moderate to severe anxiety, indicating a need for further evaluation and management.
References
1. MG Craske,.Diagnostic and statistical manual of mental disorders. 5th ed. 2023 American Psychiatric Association; 2022.
https://www.psychiatry.org/psychiatrists/practice/dsm
2. Walker HK, HW. Clinical methods: the history, physical, and laboratory examinations. 3rd ed. Boston: Butterworths; 1990.
3. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: a web-based cross-sectional survey. MedRxiv. 2020;288:112954.
4. Kelland K [Internet]. U.N. warns of global mental health crisis due to COVID-19 pandemic. 2020. Available from:
https://www.weforum.org/stories/2020/05/united-nations-global-mental-health-crisis-covid19-pandemic/
5. Coronavirus disease (COVID-19). Available from: https://www.unicef.org/mena/coronavirus.
6. coronavirus disease 2019 (COVID-19) -symptoms and causes
Available from: https://www.mayoclinic.org/ar/diseases-conditions/coronavirus/symptoms-causes/syc-20479963.
7. Al-Malkey MK, Al-Sammak MA. Incidence of the COVID-19 in Iraq–implications for travellers. Travel Med Infect Dis. 2020;38:101739.
8. Covid-19 situation update in Iraqi Kurdistan [Internet]. 2020 [cited 2020 Jan 14]. Available from: ov.krd/coronavirus-en.
9. Iraq announces 1st case of COVID-19 in Najaf – world [Internet]. Available from: www.chinadaily.com.cn.
10. Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, et al. First case of 2019 novel coronavirus in the United States. N Engl J Med. 2020;382:929–36.
11. Ries J [Internet]. People with COVID-19 more likely to develop depression, anxiety, and dementia. [cited 2020 Nov 12]. Available from: https://www.healthline.com/health-news/.
12. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health. 2020;16(57).available at:
https://pubmed.ncbi.nlm.nih.gov/32631403/
13. Coronavirus Disease 2019 (COVID-19) : manage anxiety & stress
Available from: www.cdc.gov/coronavirus/2019-ncov.
14. Mental health during the COVID-19 pandemic [Internet]. [cited 2023 Sep 28]. Available from: .https://www.nimh.nih.gov/health/topics/covid-19-and-mental-health
15. Swift Yasgur B.S. ‘Staggering’ increase in COVID-linked depression, anxiety .The hospitaist.org [cited July 31, 2020]. Available from: https://www.the-hospitalist.org/hospitalist/article/226351/depression/staggering-increase-covid-linked-depression-anxiety/
16. Panchal N, Saunders H, Rudowitz R, Cox C. [Internet]. The Implications of COVID-19 for Mental Health and Substance Use. [Published Mar 20, 2023]. Available from: https://www.kff.org/mental-health/issue-brief/the-implications-of-covid-19-for-mental-health-and-substance-use/
17. Taquet M, Luciano S, Geddes JR, Harrison PJ. Bidirectional associations between COVID-19 and psychiatric disorder: retrospective cohort studies of 62,354 COVID-19 cases in the USA. Lancet Psychiatry. 2020. Available from: https://doi.org/10.1016/S2215-0366(20)30462-4.
18. Badinlou F, Lundgren T, Jansson-Fröjmark M. Mental health outcomes following COVID-19 infection: impacts of post-COVID impairments and fatigue on depression, anxiety, and insomnia — a web survey in Sweden. BMC Psychiatry. 2022;22:743. Available from: https://doi.org/10.1186/s12888-022-04405-0
19. Belluck P [Internet]. Covid patients may have increased risk of developing mental health problems. [cited 2022 Feb 16]. Available from: https://www.nytimes.com/2022/02/16/health/covid-depression-anxiety.html.
20. Chen Y, Zhou R, Chen B, Chen H, Li Y, Chen Z , Zhu H, Wang H. Knowledge, perceived beliefs, and preventive behaviors related to COVID-19 among Chinese older adults: cross-sectional web-based survey. 2020 Aug 21. Available from: https://preprints.jmir.org/preprint/23729.
https://www.nlm.nih.gov/bsd/uniform_requir J Med Internet Res. 2020 Dec 31;22(12):e23729. doi: 10.2196/23729.
21. Wang J, Mao Z, Wei D, Liu P, Fan K, Xu Q. et al. Prevalence and associated factors of anxiety among 538,500 Chinese students during the outbreak of COVID-19: a web-based cross-sectional study. Psychiatry Res. 2021 Nov;305:114251. Available from: 10.1016/j.psychres.2021.114251.
https://doi.org/10.1016/j.psychres.2021.114251
22. Alsharji KE. Anxiety and depression during the COVID19 pandemic in Kuwait: the importance of physical activity. Middle East Curr Psychiatry. 2020;27(1):60. Available from: 10.1186/s43045-020-00065-6.
23. Moghanibashi-Mansourieha A. Assessing the anxiety level of the Iranian general population during COVID-19 outbreak. Asian J Psychiatr. 2020 Jun:51:102076. Available from: https://doi.org/10.1016/j.ajp.2020.102076