Cited by 1,405COVID-19 and Mental HealthMaternal Mental Health During Pregnancy and PostpartumAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: the importance of gender

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Özdin, Selçuk, Bayrak Özdin, Şükriye·2020·International Journal of Social Psychiatry

Abstract

Background: The COVID-19 pandemic is having negative effects on societies’ mental health. Both the pandemic and the measures taken to combat it can affect individuals’ mental health. Aims: The purpose of this study was to evaluate the levels of depression, anxiety and health anxiety in Turkish society during the COVID-19 pandemic, and to examine the factors affecting these. Method: The study was performed using an online questionnaire. Participants were asked to complete a sociodemographic data form, the Hospital Anxiety and Depression Scale (HADS) and the Health Anxiety Inventory (HAI). The effects on depression, anxiety and health anxiety levels of factors such as age, sex, marital status, living with an individual aged above 60, the presence of a new Coronavirus+ patient among friends or relatives, previous and current psychiatric illness and presence of accompanying chronic disease were then investigated. Results: In terms of HADS cut-off points, 23.6% ( n = 81) of the population scored above the depression cut-off point, and 45.1% ( n = 155) scored above the cut-off point for anxiety. In regression analysis, female gender, living in urban areas and previous psychiatric illness history were found as risk factors for anxiety; living in urban areas was found as risk factor for depression; and female gender, accompanying chronic disease and previous psychiatric history were found as risk factors for health anxiety. Conclusion: The results of this cross-sectional study suggest that the groups most psychologically affected by the COVID-19 pandemic are women, individuals with previous psychiatric illness, individuals living in urban areas and those with an accompanying chronic disease. Priority might therefore be attached to these in future psychiatric planning.

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Crossref · 10.1177/0020764020927051

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  • Current medical disease, including psychiatric disorders and substance abuse, was linked to a higher likelihood of depression and/or anxiety.

    “Current medical disease (including psychiatric disorders and substance abuse) (Zhang et al., 2020b, Wang et al., 2020a, Ozdin and Bayrak Ozdin, 2020), and a past medical history (including psychiatric history and substance abuse) (Wang et al., 2020a, Mazza et al., 2020, Li et al., 2020c, Ozdin and Bayrak Ozdin, 2020) were associated with/increased the risk of depression and/or anxiety.”

    From COVID-19 pandemic and mental health consequences: Systematic review of the current evidence (2020) · cites this paper as Ozdin and Bayrak Ozdin, 2020

    The Results report higher depression scores among participants with current psychiatric illness or chronic disease, and higher anxiety scores among those with current psychiatric illness. The paper does not identify substance abuse as a studied condition, and its adjusted analysis does not establish current medical disease as a risk factor for depression or anxiety; the claim is supported as an association, not across every condition it names. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • Mental health issues including depression, stress, anxiety, fear, physical isolation and feeling alone, behavioral issues, possible posttraumatic stress disorders, and burnout can affect large numbers of individuals if these issues are not well addressed during COVID-19.

    “Furthermore, mental health issues including depression, stress, anxiety (3-8), fear (9-11), physical isolation and feeling alone (12), behavioral issues (4,13), possible posttraumatic stress disorders (3), and burnout (14) can affect large numbers of individuals if these issues are not well addressed.”
  • Previous studies found females to be more prone to feeling anxious and depressed during COVID-19.

    “This finding differs from previous studies which found females to be more prone to feeling anxious (Ebrahim et al., 2020; Liu N. et al., 2020; Özdin and Bayrak Özdin, 2020) and depressed (Özdin and Bayrak Özdin, 2020) during COVID-19.”
  • Even before the pandemic, women had higher prevalence of anxiety, depressive, and eating pathology symptoms.

    “women experienced higher prevalence rates of anxiety, depressive, and eating pathology symptoms even prior to the pandemic”
  • Previous studies from Turkey, Spain, and Italy reported that chronic disease was associated with higher levels of psychological distress.

    “This contrasts with previous studies from Turkey conducted in April 2020 [24], from Spain conducted in March 2020 [25] and from Italy conducted in March 2020 [26], which all reported that chronic disease was associated with higher levels of psychological distress.”

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Authors
Özdin, S., & Bayrak Özdin, Ş.
Affiliations
  • Ondokuz Mayıs University (TR)
  • Rasathane Family Health Center, Samsun, Turkey
Corresponding author
Özdin, Selçuk
Venue
International Journal of Social Psychiatry
Published
2020-05-08
Volume
66
Issue
5
Pages
504-511
ISSN
  • 0020-7640 (ISSN-L)
  • 1741-2854
OpenAlex
W3023698214
Cited by
1,405
References
30
Citations by year
2026: 20 · 2025: 67 · 2024: 120 · 2023: 214 · 2022: 397 · 2021: 447 · 2020: 140
FWCI
119.67
Type
journal article
Language
en
Open access
Locations
  • International Journal of Social Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (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 › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
COVID-19 pandemic, anxiety, depression, health anxiety, gender differences, risk factors, psychiatric history, chronic disease, urban residence, Turkish population, mental health
MeSH terms
Betacoronavirus, COVID-19, SARS-CoV-2, Anxiety, Attitude to Health, Mental Disorders, Cross-Sectional Studies, Depression, Female, Humans, Male, Mental Health, Middle Aged, Pneumonia, Viral, Surveys and Questionnaires, Risk Factors, Self-Assessment, Sex Factors, Socioeconomic Factors, Turkey, Urban Population, Comorbidity, Causality, Coronavirus Infections, Pandemics

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