IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i14p4924-d381910.html
   My bibliography  Save this article

Prevalence and Predictors of Anxiety and Depression Symptoms during the COVID-19 Pandemic and Compliance with Precautionary Measures: Age and Sex Matter

Author

Listed:
  • Ioulia Solomou

    (Center for Applied Neuroscience, University of Cyprus, Nicosia 1678, Cyprus
    Department of Psychology, University of Cyprus, Nicosia 2109, Cyprus)

  • Fofi Constantinidou

    (Center for Applied Neuroscience, University of Cyprus, Nicosia 1678, Cyprus
    Department of Psychology, University of Cyprus, Nicosia 2109, Cyprus)

Abstract

Effective management of the global pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (also known as COVID-19), resulted in the implementation of severe restrictions in movement and enforcement of social distancing measures. This study aimed to understand and characterize the psychosocial effects of the COVID-19 pandemic in the general population and to identify risks and protective factors that predict changes in mental health status. In addition, the study investigated compliance with precautionary measures (PM) to halt the spread of the virus. The online anonymous survey collected information on sociodemographic data, compliance with PM, quality of life (QOL), and mental health via the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). A total of 1642 adult participants (71.6% women, 28.4% men) completed the survey in the European island country, Cyprus. A large percentage (48%) reported significant financial concerns and 66.7% significant changes in their QOL. About 41% reported symptoms associated with mild anxiety; 23.1% reported moderate-severe anxiety symptoms. Concerning depression, 48% reported mild and 9.2% moderate-severe depression symptoms. Women, younger age (18–29), student status, unemployment status, prior psychiatric history, and those reporting greater negative impact on their QOL, were at higher risk for increased anxiety and depression symptoms ( p < 0.05). The youngest age group and males also reported lower levels of compliance with PM. Higher compliance with PM predicted lower depression scores ( p < 0.001) but higher anxiety for measures related to personal hygiene. The results of this study provide important data on the effects of the COVID-19 outbreak on mental health and QOL and identify a variety of personal and social determinants that serve as risks and protective factors. Furthermore, it has implications for policy makers demonstrating the need for effective mental health programs and guidance for the implementation of PM as a public health strategy.

Suggested Citation

  • Ioulia Solomou & Fofi Constantinidou, 2020. "Prevalence and Predictors of Anxiety and Depression Symptoms during the COVID-19 Pandemic and Compliance with Precautionary Measures: Age and Sex Matter," IJERPH, MDPI, vol. 17(14), pages 1-19, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4924-:d:381910
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/14/4924/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/14/4924/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Stavros A. Zenios, 2013. "The Cyprus Debt: Perfect Crisis and a Way Forward," Cyprus Economic Policy Review, University of Cyprus, Economics Research Centre, vol. 7(1), pages 3-45, June.
    2. Cuiyan Wang & Riyu Pan & Xiaoyang Wan & Yilin Tan & Linkang Xu & Cyrus S. Ho & Roger C. Ho, 2020. "Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China," IJERPH, MDPI, vol. 17(5), pages 1-25, March.
    3. Mann, John T. & Henneberry, Shida R., 2014. "Online versus Face-to-Face: Students' Preferences for College Course Attributes," Journal of Agricultural and Applied Economics, Cambridge University Press, vol. 46(1), pages 1-19, February.
    4. Linn, M.W. & Sandifer, R. & Stein, S., 1985. "Effects of unemployment on mental and physical health," American Journal of Public Health, American Public Health Association, vol. 75(5), pages 502-506.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Silvia Caterina Maria Tomaino & Sabrina Cipolletta & Zlatina Kostova & Irina Todorova, 2021. "Stories of Life during the First Wave of the COVID-19 Pandemic in Italy: A Qualitative Study," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    2. Muhammad Mainuddin Patwary & Mondira Bardhan & Asma Safia Disha & Md Pervez Kabir & Md. Riad Hossain & Md Ashraful Alam & Md. Zahidul Haque & Sharif Mutasim Billah & Matthew H. E. M. Browning & Russel, 2022. "Mental Health Status of University Students and Working Professionals during the Early Stage of COVID-19 in Bangladesh," IJERPH, MDPI, vol. 19(11), pages 1-14, June.
    3. Marta Ciułkowicz & Błażej Misiak & Dorota Szcześniak & Jolanta Grzebieluch & Julian Maciaszek & Joanna Rymaszewska, 2022. "The Portrait of Cyberchondria—A Cross-Sectional Online Study on Factors Related to Health Anxiety and Cyberchondria in Polish Population during SARS-CoV-2 Pandemic," IJERPH, MDPI, vol. 19(7), pages 1-10, April.
    4. Samara Ahmed & Adil E. Rajput & Akila Sarirete & Asma Aljaberi & Ohoud Alghanem & Abrar Alsheraigi, 2020. "Studying Unemployment Effects on Mental Health: Social Media versus the Traditional Approach," Sustainability, MDPI, vol. 12(19), pages 1-14, October.
    5. Rocío Lavigne-Cervan & Borja Costa-López & Rocío Juárez-Ruiz de Mier & Marta Sánchez-Muñoz de León & Marta Real-Fernández & Ignasi Navarro-Soria, 2021. "Implications of the Online Teaching Model Derived from the COVID-19 Lockdown Situation for Anxiety and Executive Functioning in Spanish Children and Adolescents," IJERPH, MDPI, vol. 18(19), pages 1-15, October.
    6. Fei Qin & Yiqing Song & George P Nassis & Lina Zhao & Yanan Dong & Cuicui Zhao & Yiwei Feng & Jiexiu Zhao, 2020. "Physical Activity, Screen Time, and Emotional Well-Being during the 2019 Novel Coronavirus Outbreak in China," IJERPH, MDPI, vol. 17(14), pages 1-16, July.
    7. Na-Hye Kim & Jung-Min Lee & Eunhye Yoo, 2022. "How the COVID-19 Pandemic Has Changed Adolescent Health: Physical Activity, Sleep, Obesity, and Mental Health," IJERPH, MDPI, vol. 19(15), pages 1-12, July.
    8. Xinqiao Liu & Yifan Zhang & Wenjuan Gao & Xiaojie Cao, 2023. "Developmental trajectories of depression, anxiety, and stress among college students: a piecewise growth mixture model analysis," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-10, December.
    9. Zhiya Hua & Dandan Ma, 2022. "Depression and Perceived Social Support among Unemployed Youths in China: Investigating the Roles of Emotion-Regulation Difficulties and Self-Efficacy," IJERPH, MDPI, vol. 19(8), pages 1-15, April.
    10. Gina Voss & Andreia F. Paiva & Alice Delerue Matos, 2021. "A Study of the Association between the Stringency of Covid-19 Government Measures and Depression in Older Adults across Europe and Israel," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
    11. Mateusz Ciski & Krzysztof Rząsa, 2023. "Multiscale Geographically Weighted Regression in the Investigation of Local COVID-19 Anomalies Based on Population Age Structure in Poland," IJERPH, MDPI, vol. 20(10), pages 1-23, May.
    12. Andrea Alexander & Stephen Fung & Martin Eichler & Nadja Lehwald-Tywuschik & Vasuki Uthayakumar & Sami-Alexander Safi & Christian Vay & Hany Ashmawy & Sinan Kalmuk & Alexander Rehders & Sascha Vaghiri, 2022. "Quality of Life in Patients with Pancreatic Cancer before and during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(6), pages 1-10, March.
    13. José Pais-Ribeiro & Alexandra Ferreira-Valente & Margarida Jarego & Elisabet Sánchez-Rodríguez & Jordi Miró, 2022. "COVID-19 Pandemic in Portugal: Psychosocial and Health-Related Factors Associated with Psychological Discomfort," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    14. Alessandro Germani & Livia Buratta & Elisa Delvecchio & Claudia Mazzeschi, 2020. "Emerging Adults and COVID-19: The Role of Individualism-Collectivism on Perceived Risks and Psychological Maladjustment," IJERPH, MDPI, vol. 17(10), pages 1-15, May.
    15. Joanna Baj-Korpak & Kamil Zaworski & Ewa Szymczuk & Andrei Shpakou, 2022. "Physical Activity and Mental Health of Medical Students from Poland and Belarus-Countries with Different Restrictive Approaches during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(21), pages 1-15, October.
    16. Gülsen Erden & Asil Ali Özdoğru & Sami Çoksan & Hale Ögel-Balaban & Yakup Azak & İlkiz Altınoğlu-Dikmeer & Aysun Ergül-Topçu & Yeşim Yasak & Gözde Kıral-Uçar & Seda Oktay & Pelin Karaca-Dinç & Ezgi Di, 2022. "Social Contact, Academic Satisfaction, COVID-19 Knowledge, and Subjective Well-being Among Students at Turkish Universities: a Nine-University Sample," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(4), pages 2017-2039, August.
    17. Marc-Andre Pigeon & L. Randall Wray, "undated". "Down and Out in the United States, An Inside Look at the Out of the Labor Force Population," Economics Public Policy Brief Archive ppb_54, Levy Economics Institute.
    18. Mevlut Okan Aydin & Guven Ozkaya & Ilker Mustafa Kafa & Shafiul Haque & Zuleyha Alper, 2023. "Hopelessness among Medical Students Caused Due to COVID-19 Pandemic Linked Educational Hiatus: A Case Study of Bursa Uludag University, Türkiye," Sustainability, MDPI, vol. 15(4), pages 1-15, February.
    19. Gregory Knell & Michael C. Robertson & Erin E. Dooley & Katie Burford & Karla S. Mendez, 2020. "Health Behavior Changes During COVID-19 Pandemic and Subsequent “Stay-at-Home” Orders," IJERPH, MDPI, vol. 17(17), pages 1-16, August.
    20. Chunli Wei & Qingqing Li & Ziyi Lian & Yijun Luo & Shiqing Song & Hong Chen, 2022. "Variation in Public Trust, Perceived Societal Fairness, and Well-Being before and after COVID-19 Onset—Evidence from the China Family Panel Studies," IJERPH, MDPI, vol. 19(19), pages 1-14, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4924-:d:381910. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.