Prevalence and factors associated with anxiety and depression symptoms in adults from Chihuahua City, Mexico during COVID-19 pandemic and lockdown measures
Prevalencia y factores asociados a síntomas de ansiedad y depresión en adultos de la ciudad de Chihuahua, México durante la pandemia COVID-19 y las medidas de aislamiento
DOI:
https://doi.org/10.54167/tecnociencia.v16i1.889Keywords:
COVID-19, SARS-CoV-2, mental health, quarantine, social distancingAbstract
Introduction: Levels of anxiety and depression have increased internationally during the COVID-19 pandemic. Objective: To determine the prevalence of anxiety and depression symptoms and identify their associated factors including lockdown measures in the general population over 18 years from Chihuahua, Chihuahua, Mexico during the COVID-19 pandemic. Method: Cross-sectional study, with online survey and snowball sampling. The GAD-7 (anxiety), PHQ-9 (depression) and Likert (social distancing measures) scales were used. Frequencies, measures of central tendency and dispersion were calculated; a bivariate analysis was performed with odds ratio as a measure of association between those with the presence and absence of anxiety and depression symptoms; for the total population and stratifying by sex, calculating the degree of association between the categorical variables using Fisher's exact test and Chi2, considering a p<.05. Results: From 377 participants, 46% had symptoms of anxiety and 43% depressive symptoms. Being a woman, single, young, student, not exercising, smoking, alcohol consumption, practicing social distancing measures, the history of a previous mental disorder or mental health care, were associated with the presence of symptoms of anxiety and/or depression. Discussion and conclusion: High prevalence of anxiety and depression symptoms were found, justifying a follow-up of the mental health of the population.
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Alkhamees, A. A., Alrashed, S. A., Alzunaydi, A. A., Almohimeed, A. S., & Aljohani, M. S. (2020). The psychological impact of COVID-19 pandemic on the general population of Saudi Arabia. Comprehensive Psychiatry, 102, 152192. https://doi.org/10.1016/j.comppsych.2020.152192
Bommelé, J., Hopman, P., Hipple Walters, B., Geboers, C., Croes, E., Fong, G., Quah, A., & Willemsen, M. (2020). The double-edged relationship between COVID-19 stress and smoking: Implications for smoking cessation. Tobacco Induced Diseases, 18(July). https://doi.org/10.18332/tid/125580
Castro Silva, E., Benjet, C., Juárez García, F., Jurado Cárdenas, S., Lucio Gómez-Maqueo, M. E., & Valencia Cruz, A. (2016). Adaptación y propiedades psicométricas del Inventory of Statements About Self-injury en estudiantes mexicanos. Acta de Investigación Psicológica, 6(3), 2544–2551. https://doi.org/10.1016/j.aipprr.2016.08.004
Cerecero-García, D., Macías-González, F., Arámburo-Muro, T., & Bautista-Arredondo, S. (2020). Síntomas depresivos y cobertura de diagnóstico y tratamiento de depresión en población mexicana. Salud Pública de México, 62(6, Nov-Dic), 840–850. https://doi.org/10.21149/11558
Chodkiewicz, J., Talarowska, M., Miniszewska, J., Nawrocka, N., & Bilinski, P. (2020). Alcohol Consumption Reported during the COVID-19 Pandemic: The Initial Stage. International Journal of Environmental Research and Public Health, 17(13), 4677. https://doi.org/10.3390/ijerph17134677
Dirección General de Epidemiología de la Secretaría de Salud [DGE]. (2021). Boletín epidemiológico, sistema nacional de vigilancia epidemiológica, número 53. Retrieved from https://bit.ly/3DETveA
Familiar, I., Ortiz-Panozo, E., Hall, B., Vieitez, I., Romieu, I., Lopez-Ridaura, R., & Lajous, M. (2015). Factor structure of the Spanish version of the Patient Health Questionnaire-9 in Mexican women: Factor Structure PHQ-9 in Mexican Women. International Journal of Methods in Psychiatric Research, 24(1), 74–82. https://doi.org/10.1002/mpr.1461
Flores-Torres, M. H., Murchland, A. R., Espinosa-Tamez, P., Jaen, J., Brochier, M., Bautista-Arredondo, S., Lamadrid-Figueroa, H., Lajous, M., & Koenen, K. (2021). Prevalence and Correlates of Mental Health Outcomes During the SARS-Cov-2 Epidemic in Mexico City and Their Association With Non-adherence to Stay-At-Home Directives, June 2020. International Journal of Public Health, 66, 620825. https://doi.org/10.3389/ijph.2021.620825
Galindo-Vázquez, O., Ramírez-Orozco, M., Costas-Muñiz, R., Mendoza-Contreras, L. A., Calderillo-Ruíz, G., & Meneses-García, A. (2020). Síntomas de ansiedad, depresión y conductas de autocuidado durante la pandemia de COVID-19 en la población general. Gaceta de México, 156(4), 4607. https://doi.org/10.24875/GMM.20000266
Genis-Mendoza, A. D., Martínez-Magaña, J. J., López-Narváez, M. L., González-Castro, T. B., Juárez-Rojop, I. E., Nicolini, H., Tovilla-Zárate, C. A., & Castillo-Avila, R. G. (2021). Mental Health Problems Due to Social Isolation During the COVID-19 Pandemic in a Mexican Population. Frontiers in Public Health, 9, 703450. https://doi.org/10.3389/fpubh.2021.703450
Gobierno del Estado de Chihuahua (2020, 25 de marzo). Acuerdo N° 049/2020, por medio del cual se emiten diversas disposiciones en materia sanitaria relacionadas con la enfermedad COVID-19. Artículo Octavo. Chihuahua, México: Periódico Oficial del Gobierno del Estado de Chihuahua, N° 25. http://www.chihuahua.gob.mx/atach2/periodicos/po025_2020_.pdf
Gobierno del Estado de Chihuahua. (2020). Regresa Chihuahua al rojo con sanciones ejemplares. Retrieved from https://bit.ly/3LxoY51
Instituto Nacional de Estadística y Geografía [INEGI]. (2019). Estadísticas a propósito del día mundial para la prevención del suicidio. Retrieved from https://bit.ly/3qXHZWp
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Marroquín, B., Vine, V., & Morgan, R. (2020). Mental health during the COVID-19 pandemic: Effects of stay-at-home policies, social distancing behavior, and social resources. Psychiatry Research, 293, 113419. https://doi.org/10.1016/j.psychres.2020.113419
Medina-Mora, M. E., Borges, G., Muñoz, C. L., Benjet, C., Jaimes, J. B., Bautista, C. F.,…Aguilar-Gaxiola, S. (2003). Prevalencia de trastornos mentales y uso de servicios: resultados de la Encuesta Nacional de Epidemiología Psiquiátrica en México. Salud Mental, 26(4), 16. https://bit.ly/3vlaVt1
Ozamiz-Etxebarria, N., Idoiaga Mondragon, N., Dosil Santamaría, M., & Picaza Gorrotxategi, M. (2020). Psychological Symptoms During the Two Stages of Lockdown in Response to the COVID-19 Outbreak: An Investigation in a Sample of Citizens in Northern Spain. Frontiers in Psychology, 11, 1491. https://doi.org/10.3389/fpsyg.2020.01491
Özdin, S., & Bayrak Özdin, Ş. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry, 66(5), 504–511. https://doi.org/10.1177/0020764020927051
Palgi, Y., Shrira, A., Ring, L., Bodner, E., Avidor, S., Bergman, Y.,… Hoffman, Y. (2020). The loneliness pandemic: Loneliness and other concomitants of depression, anxiety and their comorbidity during the COVID-19 outbreak. Journal of Affective Disorders, 275, 109–111. https://doi.org/10.1016/j.jad.2020.06.036
Rodríguez-Hernández, C., Medrano-Espinosa, O., & Hernández-Sánchez, A. (2021). Salud mental de los mexicanos durante la pandemia de COVID-19. Gaceta de México, 157(3), 6195. https://doi.org/10.24875/GMM.20000612
Rossi, R., Socci, V., Talevi, D., Mensi, S., Niolu, C., Pacitti, F.,…Di Lorenzo, G. (2020). COVID-19 Pandemic and Lockdown Measures Impact on Mental Health Among the General Population in Italy. Frontiers in Psychiatry, 11, 790. https://doi.org/10.3389/fpsyt.2020.00790
Schuch, F. B., Bulzing, R. A., Meyer, J., Vancampfort, D., Firth, J., Stubbs, B.,…Smith, L. (2020). Associations of moderate to vigorous physical activity and sedentary behavior with depressive and anxiety symptoms in self-isolating people during the COVID-19 pandemic: A cross-sectional survey in Brazil. Psychiatry Research, 292, 113339. https://doi.org/10.1016/j.psychres.2020.113339
Smith, B., & Lim, M. (2020). How the COVID-19 pandemic is focusing attention on loneliness and social isolation. Public Health Research & Practice, 30(2). https://doi.org/10.17061/phrp3022008
Smith, L., Jacob, L., Yakkundi, A., McDermott, D., Armstrong, N. C., Barnett, Y.,…Tully, M. A. (2020). Correlates of symptoms of anxiety and depression and mental wellbeing associated with COVID-19: A cross-sectional study of UK-based respondents. Psychiatry Research, 291, 113138. https://doi.org/10.1016/j.psychres.2020.113138
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092. https://doi.org/10.1001/archinte.166.10.1092
Suárez, V., Suarez Quezada, M., Oros Ruiz, S., & Ronquillo De Jesús, E. (2020). Epidemiología de COVID-19 en México: Del 27 de febrero al 30 de abril de 2020. Revista Clínica Española, S0014256520301442. https://doi.org/10.1016/j.rce.2020.05.007
Tang, F., Liang, J., Zhang, H., Kelifa, M. M., He, Q., & Wang, P. (2020). COVID-19 related depression and anxiety among quarantined respondents. Psychology & Health, 1–15. https://doi.org/10.1080/08870446.2020.1782410
Toledo-Fernández, A., Betancourt-Ocampo, D., Romo-Parra, H., Reyes-Zamorano, E., & González-González, A. (2020). A cross-sectional survey of psychological distress in a Mexican sample during the second phase of the COVID-19 pandemic [Preprint]. Open Science Framework. https://doi.org/10.31219/osf.io/wzqkh
Tull, M. T., Edmonds, K. A., Scamaldo, K. M., Richmond, J. R., Rose, J. P., & Gratz, K. L. (2020). Psychological Outcomes Associated with Stay-at-Home Orders and the Perceived Impact of COVID-19 on Daily Life. Psychiatry Research, 289, 113098. https://doi.org/10.1016/j.psychres.2020.113098
Wang, X., Hegde, S., Son, C., Keller, B., Smith, A., & Sasangohar, F. (2020). Investigating Mental Health of US College Students During the COVID-19 Pandemic: Cross-Sectional Survey Study. Journal of Medical Internet Research, 22(9), e22817. https://doi.org/10.2196/22817
World Health Organization [WHO]. (2020). Healthy At Home-Mental health. Looking after our mental health. Retrieved from https://bit.ly/3qWpOjW
World Medical Association (2013). Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA, 310(20), 2191. https://doi.org/10.1001/jama.2013.281053







