Psychological impact of COVID-19 pandemic in the Philippines
Open accessAbstract
Background The 2019 coronavirus disease (COVID-19) pandemic poses a threat to societies' mental health. This study examined the prevalence of psychiatric symptoms and identified the factors contributing to psychological impact in the Philippines.Methods A total of 1879 completed online surveys were gathered from March 28-April 12, 2020. Collected data included socio-demographics, health status, contact history, COVID-19 knowledge and concerns, precautionary measures, information needs, the Depression, Anxiety and Stress Scales (DASS-21) and the Impact of Events Scale-Revised (IES-R) ratings.Results The IES-R mean score was 19.57 (SD=13.12) while the DASS-21 mean score was 25.94 (SD=20.59). In total, 16.3% of respondents rated the psychological impact of the outbreak as moderate-to-severe; 16.9% reported moderate-to-severe depressive symptoms; 28.8% had moderate-to-severe anxiety levels; and 13.4% had moderate-to-severe stress levels. Female gender; youth age; single status; students; specific symptoms; recent imposed quarantine; prolonged home-stay; and reports of poor health status, unnecessary worry, concerns for family members, and discrimination were significantly associated with greater psychological impact of the pandemic and higher levels of stress, anxiety and depression (p<0.05). Adequate health information, having grown-up children, perception of good health status and confidence in doctors' abilities were significantly associated with lesser psychological impact of the pandemic and lower levels of stress, anxiety and depression (p<0.05).Limitations An English online survey was used.Conclusion During the early phase of the pandemic in the Philippines, one-fourth of respondents reported moderate-to-severe anxiety and one-sixth reported moderate-to-severe depression and psychological impact. The factors identified can be used to devise effective psychological support strategies.
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COVID-19 survivors in other countries have similar psychological status.
“COVID-19 survivors in other countries have similar psychological status [11–13].”
From Mindfulness-based online intervention on mental health and quality of life among COVID-19 patients in China: an intervention design (2021) · cites this paper as [13]
The Discussion (page unavailable) compares pandemic-related psychological outcomes in the Philippine general-population survey with reports from elsewhere. It says respondents in China had worse psychological impact, rather than similar status. The paper does not make this comparison among COVID-19 survivors. (LLM, conf=0.79)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredCOVID-19 can cause increased psychological symptoms such as PTSD, depression, and anxiety in patients.
“Evidence suggests that this disease has psychological consequences on healthcare workers, students, psychiatric patients and general workers, especially for COVID-19 patients [4–13].”
From Mindfulness-based online intervention on mental health and quality of life among COVID-19 patients in China: an intervention design (2021) · cites this paper as [13]
The Discussion reports depression and anxiety symptoms in the Philippine general-population survey and cites PTSD symptoms in a Chinese general-population study. The Introduction says patients with confirmed or suspected COVID-19 may experience fear, but the paper does not establish that COVID-19 patients experience the claimed combination of PTSD, depression, and anxiety. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIn Vietnam and the Philippines, 22.6% and 16.3% of respondents reported clinically concerning levels of psychological impact.
“In addition, 22.6% and 16.3% of respondents reported clinically concerning levels of psychological impact in Vietnam and the Philippines, the Asian countries with similar cultural context as China [12, 13].”
From Mindfulness-based online intervention on mental health and quality of life among COVID-19 patients in China: an intervention design (2021) · cites this paper as [13]
COVID-19 pandemic was reported to have a psychological impact on the students.
“COVID-19 pandemic was reported to have a psychological impact on the students [51–53].”
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- Authors
- Tee, M. L., Tee, C. A., Anlacan, J. P., Aligam, K. J. G., Reyes, P. W. C., Kuruchittham, V., & Ho, R. C.
- Affiliations
- University of the Philippines Manila (PH)
- University of the Philippines Diliman (PH)
- Southeast Asia One Health University Network (TH)
- National University of Singapore (SG)
- Corresponding author
- Tee, Michael L.
- Tee, Cherica A.
- ORCID
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 277
- Pages
- 379-391
- ISSN
- 0165-0327 (ISSN-L)
- PMC
- PMC7444468
- OpenAlex
- W3080207218
- Cited by
- 634
- References
- 24
- Citations by year
- 2026: 14 · 2025: 32 · 2024: 69 · 2023: 127 · 2022: 185 · 2021: 185 · 2020: 22
- FWCI
- 51.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- COVID-19 pandemic, psychological impact, depression, anxiety, stress, psychiatric symptoms, quarantine, home confinement, health information, perceived discrimination, psychological support, Philippines
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adolescent, Adult, Age Factors, Anxiety, Child, Depression, Female, Health Personnel, Health Status, Humans, Male, Mental Health, Middle Aged, Philippines, Pneumonia, Viral, Surveys and Questionnaires, Sex Factors, Single Person, Stress, Psychological, Students, Prevalence, Coronavirus Infections, Young Adult, Pandemics
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