Anna Klimkiewicz1,2,3, Joanna Jasionowska3, Adrianna Schmalenberg2,4, Jakub Klimkiewicz5, Agata Jasińska6, Andrzej Silczuk7. 1. Department of Psychiatry, Medical University of Warsaw, Nowowiejska St. 27, 00-665 Warsaw, Poland. 2. Psychomedic Clinic, Jastrzebowskiego St. 24, 02-783 Warsaw, Poland. 3. Nowowiejski Psychiatric Hospital, Nowowiejska St. 27, 00-665 Warsaw, Poland. 4. Department of Psychology, SWPS University, Chodakowska St. 19/31, 03-815 Warsaw, Poland. 5. Military Institute of Medicine, Szaserow St. 128, 04-141 Warsaw, Poland. 6. Department of Science and Technology Transfer, Medical University of Warsaw, Żwirki i Wigury St. 61, 02-091 Warsaw, Poland. 7. Institute of Psychiatry and Neurology, Addiction Prevention and Treatment Team, Sobieskiego St. 9, 02-957 Warsaw, Poland.
Abstract
BACKGROUND: The COVID-19 pandemic and limited access to healthcare professionals pose a serious risk of worsening mental conditions. This study was designed to examine the changes in symptoms of insomnia and depression during the pandemic as compared to before the pandemic, as well as the factors correlated with abovementioned mental state deterioration. METHODS: The study was conducted from 1 April to 15 May 2020, on 212 psychiatric outpatients and 207 healthy controls. Participants completed a survey focused on symptoms during and prior to COVID-19 (the Beck Depression Inventory, the Athens Insomnia Scale). The following correlations were analyzed: demographics, social support, work status, income, and possible participants' and their relatives' COVID-19 diagnoses. RESULTS: Insomnia and depression severity intensified during the pandemic in both groups and were associated with age, gender, education, employment, and financial status. No correlations between social support nor becoming sick with COVID-19 and insomnia or depression were observed. Maintaining work and enough money for one's own needs were found to be significant protective factors of depression (OR 0.37 and 0.29, respectively). CONCLUSIONS: Exacerbation of insomnia and depression during the pandemic needs to be addressed. Economic crisis seems to influence mental state even more than COVID diagnosis among study subjects/relatives.
BACKGROUND: The COVID-19 pandemic and limited access to healthcare professionals pose a serious risk of worsening mental conditions. This study was designed to examine the changes in symptoms of insomnia and depression during the pandemic as compared to before the pandemic, as well as the factors correlated with abovementioned mental state deterioration. METHODS: The study was conducted from 1 April to 15 May 2020, on 212 psychiatric outpatients and 207 healthy controls. Participants completed a survey focused on symptoms during and prior to COVID-19 (the Beck Depression Inventory, the Athens Insomnia Scale). The following correlations were analyzed: demographics, social support, work status, income, and possible participants' and their relatives' COVID-19 diagnoses. RESULTS:Insomnia and depression severity intensified during the pandemic in both groups and were associated with age, gender, education, employment, and financial status. No correlations between social support nor becoming sick with COVID-19 and insomnia or depression were observed. Maintaining work and enough money for one's own needs were found to be significant protective factors of depression (OR 0.37 and 0.29, respectively). CONCLUSIONS: Exacerbation of insomnia and depression during the pandemic needs to be addressed. Economic crisis seems to influence mental state even more than COVID diagnosis among study subjects/relatives.
Entities:
Keywords:
COVID-19; depression; economic crisis; employment; insomnia; social support
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