Distress, Depression, Anxiety, and Concerns and Behaviors Related to COVID-19 during the First Two Months of the Pandemic: A Longitudinal Study in Adult MEXICANS
Abstract
1. Introduction
2. Methods
2.1. Study Design and Participants
2.2. Measures
2.2.1. Sociodemographics
2.2.2. Distress
2.2.3. Depression
2.2.4. Anxiety Severity
2.2.5. Concerns and Behaviors Related to COVID-19
2.3. Procedure
2.4. Statistical Analysis
2.5. Ethical Considerations
3. Results
3.1. Flow of Recruitment and Sociodemographic Characteristics
3.2. Within- and between-Waves Difference Analyses
3.3. Correlation Analyses
3.4. Interaction Analyses
4. Discussion
4.1. Longitudinal Changes in the Severities of Distress, Depression, Anxiety, and Concerns and Behaviors Related to COVID-19
4.2. Associations between Distress, Depression, Anxiety, and Concerns and Behaviors Related to COVID-19
4.3. Differences in Distress Related to Sociodemographics
4.4. Limitations
4.5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Brooks, S.K.; Webster, R.K.; Smith, L.E.; Woodland, L.; Wessely, S.; Greenberg, N.; Rubin, G.J. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020, 395, 912–920. [Google Scholar] [CrossRef]
- Venkatesh, A.; Edirappuli, S. Social distancing in COVID-19: What are the mental health implications? BMJ 2020, 369, m1379. [Google Scholar] [CrossRef] [PubMed]
- Xiang, Y.T.; Yang, Y.; Li, W.; Zhang, L.; Zhang, Q.; Cheung, T.; Ng, C.H. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020, 7, 228–229. [Google Scholar] [CrossRef]
- Salari, N.; Hosseinian-Far, A.; Jalali, R.; Vaisi-Raygani, A.; Rasoulpoor, S.; Mohammadi, M.; Rasoulpoor, S.; Khaledi-Paveh, B. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Glob. Health 2020, 16, 1–11. [Google Scholar] [CrossRef]
- Thoresen, S.; Tambs, K.; Hussain, A.; Heir, T.; Johansen, V.A.; Bisson, J.I. Brief measure of posttraumatic stress reactions: Impact of Event Scale-6. Soc. Psychiatry Psychiatr. Epidemiol. 2010, 45, 405–412. [Google Scholar] [CrossRef]
- Kroenke, K.; Spitzer, R.L.; Williams, J.B.W. The PHQ-9: Validity of a brief depression severity measure. J. Gen. Intern. Med. 2001, 16, 606–613. [Google Scholar] [CrossRef]
- Plummer, F.; Manea, L.; Trepel, D.; McMillan, D. Screening for anxiety disorders with the GAD-7 and GAD-2: A systematic review and diagnostic metaanalysis. Gen. Hosp. Psychiatry 2016, 39, 24–31. [Google Scholar] [CrossRef]
- American Psychiatric Publishing. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM-5®); American Psychiatric Publishing: Arlington, VA, USA, 2013. [Google Scholar]
- Parker, G.; Lie, D.; Siskind, D.J.; Martin-Khan, M.; Raphael, B.; Crompton, D.; Kisely, S. Mental health implications for older adults after natural disasters—A systematic review and meta-analysis. Int. Psychogeriatr. 2016, 28, 11–20. [Google Scholar] [CrossRef]
- Baba, E.; Colucci, E. Post-traumatic stress disorders, depression, and anxiety in unaccompanied refugee minors exposed to war-related trauma: A systematic review. Int. J. Cult. Ment. Health 2018, 11, 194–207. [Google Scholar] [CrossRef]
- Clarke, D.M.; Currie, K.C. Depression, anxiety and their relationship with chronic diseases: A review of the epidemiology, risk and treatment evidence. Med. J. Aust. 2009, 190, S54–S60. [Google Scholar] [CrossRef]
- Qiu, J.; Shen, B.; Zhao, M.; Wang, Z.; Xie, B.; Xu, Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. Gen. Psychiatry 2020, 33, 19–21. [Google Scholar] [CrossRef]
- Bäuerle, A.; Teufel, M.; Musche, V.; Weismüller, B.; Kohler, H.; Hetkamp, M.; Dörrie, N.; Schweda, A.; Skoda, E.M. Increased generalized anxiety, depression and distress during the COVID-19 pandemic: A cross-sectional study in Germany. J. Public Health 2020, 42, 672–678. [Google Scholar] [CrossRef]
- Wenjun, C.; Ziwei, F.; Guoqiang, H.; Mei, H.; Xinrong, X.; Jiaxin, D.; Jianzhong, Z. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020, 287, 1–5. [Google Scholar]
- Petzold, M.B.; Bendau, A.; Plag, J.; Pyrkosch, L.; Mascarell Maricic, L.; Betzler, F.; Rogoll, J.; Große, J.; Ströhle, A. Risk, resilience, psychological distress, and anxiety at the beginning of the COVID-19 pandemic in Germany. Brain Behav. 2020, 10, 1–10. [Google Scholar] [CrossRef]
- Alonzi, S.; La Torre, A.; Silverstein, M.W. The psychological impact of preexisting mental and physical health conditions during the COVID-19 pandemic. Psychol. Trauma Theory Res. Pract. Policy 2020, 12, 236–238. [Google Scholar] [CrossRef]
- Gallagher, M.W.; Zvolensky, M.J.; Long, L.J.; Rogers, A.H.; Garey, L. The impact of COVID-19 experiences and associated stress on anxiety, depression, and functional impairment in American adults. Cogn. Ther. Res. 2020, 44, 1043–1051. [Google Scholar] [CrossRef]
- Roy, D.; Tripathy, S.; Kumar, S.; Sharma, N.; Verma, S.K.; Kaushal, V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J. Psychiatr. 2020, 51, 102023. [Google Scholar]
- Soga, M.; Evans, M.J.; Tsuchiya, K.; Fukano, Y. A room with a green view: The importance of nearby nature for mental health during the COVID-19 pandemic. Ecol. Appl. 2021, 31, e2248. [Google Scholar] [CrossRef]
- Tsamakis, K.; Tsiptsios, D.; Ouranidis, A.; Mueller, C.; Schizas, D.; Terniotis, C.; Nikolakakis, N.; Tyros, G.; Kympouropoulos, S.; Lazaris, A.; et al. COVID-19 and its consequences on mental health (Review). Exp. Ther. Med. 2021, 21, 1. [Google Scholar] [CrossRef]
- Lugo-González, I.V.; Fernández-Vega, M.; Reynoso-Erazo, L.; Becerra-Gálvez, A.L.; Pérez-Bautista, Y.Y. COVID-19 perception and preventive behaviors: A descriptive, comparative study by severity and perceived risk. Salud Ment. 2020, 43, 285–292. [Google Scholar] [CrossRef]
- Guzmán-González, J.I.; Sánchez-García, F.G.; Ramírez-de los Santos, S.; Gutiérrez-Rodríguez, F.; Palomino-Esparza, D.; Telles-Martínez, A.L. Worry and perceived risk of contagion during the COVID-19 quarantine in the Jalisco population: Preliminary Study. Salud Ment. 2020, 43, 253–261. [Google Scholar] [CrossRef]
- González-González, A.; Toledo-Fernández, A.; Romo-Parra, H.; Reyes-Zamorano, E.; Betancourt-Ocampo, D. Psychological impact of sociodemographic factors and medical conditions in older adults during the COVID-19 pandemic in Mexico. Salud Ment. 2020, 43, 293–301. [Google Scholar] [CrossRef]
- Pfefferbaum, B.; North, C.S. Mental health the COVID-19 pandemic. N. Engl. J. Med. 2020, 382, 1978–1979. [Google Scholar] [CrossRef]
- Diario Oficial de la Federación, Gobierno de México. ACUERDO Por el Que se Establecen las Medidas Preventivas que se Deberán Implementar Para la Mitigación y Control de Los Riesgos Para la Salud que Implica la Enfermedad por el Virus SARS-CoV2 (COVID-19). 2020. Available online: http://dof.gob.mx/nota_detalle.php?codigo=5590339&fecha=24/03/2020 (accessed on 23 February 2021).
- Diario Oficial de la Federación, Gobierno de México. ACUERDO Por el que se Declara como Emergencia Sanitaria por Causa de Fuerza Mayor, a la Epidemia de Enfermedad Generada por el Virus SARS-CoV2 (COVID-19). 2020. Available online: https://www.dof.gob.mx/nota_detalle.php?codigo=5590745&fecha=30%2F03%2F2020 (accessed on 23 February 2021).
- Diario Oficial de la Federación, Gobierno de México. ACUERDO por el que se Establecen Acciones Extraordinarias para Atender la Emergencia Sanitaria Generada por el Virus SARS-CoV2. 2020. Available online: http://www.dof.gob.mx/nota_detalle.php?codigo=5590914&fecha=31/03/2020 (accessed on 23 February 2021).
- Secretaría de Salud, Gobierno de México. Comunicado Técnico Diario Nuevo CORONAVIRUS en el Mundo (COVID-19). 2020. Available online: https://www.gob.mx/salud/prensa/nuevo-coronavirus-en-el-mundo-covid-19-comunicado-tecnico-diario-239963 (accessed on 15 May 2020).
- Secretaría de Salud, Gobierno de México. Comunicado Técnico Diario COVID-19 México. 2020. Available online: https://www.gob.mx/cms/uploads/attachment/file/551599/Comunicado_Tecnico_Diario_COVID-19_2020.05.11.pdf (accessed on 23 February 2021).
- Banks, J.; Xu, X. The Mental Health Effects of the First Two Months of Lockdown and Social Distancing during the COVID-19 Pandemic in the UK: IFS Working Papers; Institute for Fiscal Studies (IFS): London, UK, 2020. [Google Scholar]
- Bendau, A.; Plag, J.; Kunas, S.; Wyka, S.; Ströhle, A.; Petzold, M.B. Longitudinal changes in anxiety and psychological distress, and associated risk and protective factors during the first three months of the COVID-19 pandemic in Germany. Brain Behav. 2020, 11, e01964. [Google Scholar] [CrossRef]
- Roma, P.; Monaro, M.; Colasanti, M.; Ricci, E.; Biondi, S.; Di Domenico, A.; Verrocchio, M.C.; Napoli, C.; Ferracuti, S.; Mazza, C. A 2-month follow-up study of psychological distress among italian people during the COVID-19 lockdown. Int. J. Environ. Res. Public Health 2020, 17, 8180. [Google Scholar] [CrossRef]
- Nava-Ruíz, C.; Méndez-Armenta, M. Cadmium, lead, thallium: Occurrence, neurotoxicity and histopathological changes of the nervous system. In Pollutant Diseases, Remediation and Recycling; Springer: Cham, Switzerland, 2014. [Google Scholar]
- Wang, C.; Pan, R.; Wan, X.; Tan, Y.; Xu, L.; Mcintyre, R.S. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain. Behav. Immun. 2020, 87, 40–48. [Google Scholar] [CrossRef]
- Schmitt, D.P.; Realo, A.; Voracek, M.; Allik, J. “Why can’t a man be more like a woman? Sex differences in big five personality traits across 55 cultures”: Correction to Schmitt et al. (2008). J. Pers. Soc. Psychol. 2009, 96, 118. [Google Scholar] [CrossRef]
- Etheridge, B.; Spanting, L. The Gender Gap in Mental Well-Being during the COVID-19 Outbreak: Evidence from the UK; ISER Working Paper Series No. 2020-08; Institute for Social and Economic Research: Colchester, UK, 2020. [Google Scholar]
- Bruine de Bruin, W. Age Differences in COVID-19 Risk Perceptions and Mental Health: Evidence from a National U.S. Survey Conducted in March 2020. J. Gerontol. Ser. B 2020, 76, e24–e29. [Google Scholar] [CrossRef] [PubMed]
- Carstensen, L.L. The influence of a sense of time on human development. Science 2006, 312, 1913–1915. [Google Scholar] [CrossRef] [PubMed]
- Neubauer, A.B.; Smyth, J.M.; Sliwinski, M.J. Age Differences in Proactive Coping with Minor Hassles in Daily Life. J. Gerontol. Ser. B 2019, 74, 7–16. [Google Scholar] [CrossRef] [PubMed]
- Vásquez, G.; Urtecho-Osorto, Ó.R.; Agüero-Flores, M.; Díaz Martínez, M.J.; Paguada, R.M.; Varela, M.A.; Landa-Blanco, M.; Echenique, Y. Salud mental, confinamiento y preocupación por el coronavirus: Un estudio cualitativo. Interam. J. Psychol. 2020, 54, e1333. [Google Scholar] [CrossRef]
- Chen, Q.; Liang, M.; Li, Y.; Guo, J.; Fei, D.; Wang, L.; He, L.; Sheng, C.; Cai, Y.; Li, X.; et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry 2020, 7, e15–e16. [Google Scholar] [CrossRef]
- Lin, C.-Y. Social reaction toward the 2019 novel coronavirus (COVID-19). Soc. Health Behav. 2020, 3, 3. [Google Scholar] [CrossRef]
- Caycho-Rodríguez, T.; Ventura-León, J.; Barboza-Palomino, M. Diseño y validación de una escala para medir la preocupación por el contagio de la COVID-19. Enfermería Clin. 2020, 31, 175–183. [Google Scholar] [CrossRef]
- Weiss, D.S. The Impact of Event Scale: Revised. In Cross-Cultural Assessment of Psychological Trauma and PTSD; Springer: Boston, MA, USA, 2007; pp. 219–238. [Google Scholar]
- Caamaño, L.W.; Fuentes, D.M.; González, L.B.; Melipillán, R.A.; Sepúlveda, M.C.; Valenzuela, E.G. Adaptación y validación de la versión chilena de la escala de impacto de evento-revisada (EIE-R). Rev. Med. Chile 2011, 139, 1163–1168. [Google Scholar] [CrossRef]
- Donlan, W.; Lee, J. Screening for depression among indigenous Mexican migrant farmworkers using the Patient Health Questionnaire-9. Psychol. Rep. 2010, 106, 419–432. [Google Scholar] [CrossRef]
- Familiar, I.; Ortiz-Panoso, E.; Hall, B.; Vieitez, I.; Romieu, I.; Lopez-Ridaura, R.; Lajous, M. Factor structure of the Spanish version of the Patient Health Questionnaire-9 in Mexican women. Int. J. Methods Psychiatr. Res. 2014, 24, 74–82. [Google Scholar] [CrossRef]
- Sierra-Aparicio, T.A.; Magaña-Quijano, B.P.; Vargas-Quiñones, J.; Martínez-García, B.; Toledo-Fernández, A. Moderating effects of executive function between depression severity and work performance: A web-based cross-sectional study. Salud Ment. 2019, 42, 59–64. [Google Scholar] [CrossRef]
- Ryung, W.H.; Cho, H.; Kim, D.-J. Prevalence and correlates of comorbid depression in a nonclinical online sample with DSM-5 internet gaming disorder. J. Affect. Disord. 2018, 226, 1–5. [Google Scholar]
- Spitzer, R.L.; Kroenke, K.; Williams, J.B.W.; Löwe, B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch. Intern. Med. 2006, 166, 1092–1097. [Google Scholar] [CrossRef]
- García-Campayo, J.; Zamorano, E.; Ruíz, M.A.; Pardo, A.; Freire, O.; Pérez-Páramo, M.; López-Gómez, V.; Rejas, J. Cultural adaptation into Spanish of the generalized anxiety disorder scale-7 (GAD-7) scale. Eur. Psychiatry 2009, 24, S538. [Google Scholar] [CrossRef]
- Castro Silva, E.; Benjet, C.; Juárez García, F.; Jurado Cárdenas, S.; Gómez-Maqueo, M.E.L.; Valencia Cruz, A. Non-suicidal self-injuries in a sample of Mexican university students. Salud Ment. 2017, 40, 191–199. [Google Scholar] [CrossRef][Green Version]
- Parkerson, H.A.; Thibodeau, M.A.; Brandt, C.P.; Zvolensky, M.J.; Asmundson, G.J.G. Cultural-based biases of the GAD-7. J. Anxiety Disord. 2015, 31, 38–42. [Google Scholar] [CrossRef]
- Wang, C.; Pan, R.; Wan, X.; Tan, Y.; Xu, L.; Ho, C.S.; Ho, R.C. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int. J. Environ. Res. Public Health 2020, 17, 1729. [Google Scholar] [CrossRef]
- Fritz, C.O.; Morris, P.E.; Richler, J.J. Effect size estimates: Current use, calculations, and interpretation. J. Exp. Psychol. Gen. 2012, 141, 2–18. [Google Scholar] [CrossRef]
- JASP Team JASP (Version 0.14.1). 2020. Available online: https://jasp-stats.org/ (accessed on 15 May 2020).
- Giorgi, G.; Saverio, F.; Perez, F.; Castiello, A.; Mucci, N.; Ferrero, C. Psychometric properties of the Impact of Event Scale-6 in a sample of victims of bank robbery. Psychol. Res. Behav. Manag. 2015, 8, 99–104. [Google Scholar] [CrossRef]
- Hosey, M.M.; Leoutsakos, J.M.S.; Li, X.; Dinglas, V.D.; Bienvenu, O.J.; Parker, A.M.; Hopkins, R.O.; Needham, D.M.; Neufeld, K.J. Screening for posttraumatic stress disorder in ARDS survivors: Validation of the Impact of Event Scale-6 (IES-6). Crit. Care 2020, 24, 1. [Google Scholar] [CrossRef]
- Naghavi, S.H.R.; Shabestari, O.; Alcolado, J. Post-traumatic stress disorder in trainee doctors with previous needlestick injuries. Occup. Med. 2013, 63, 260–265. [Google Scholar] [CrossRef]
- Planchuelo-Gómez, Á.; Odriozola-González, P.; Irurtia, M.J.; de Luis-García, R. Longitudinal evaluation of the psychological impact of the COVID-19 crisis in Spain. J. Affect. Disord. 2020, 277, 1–57. [Google Scholar] [CrossRef]
- Bennett, J.M.; Rohleder, N.; Sturmberg, J.P. Biopsychosocial approach to understanding resilience: Stress habituation and where to intervene. J. Eval. Clin. Pract. 2018, 24, 1339–1346. [Google Scholar] [CrossRef]
- Malesza, M.; Kaczmarek, M.C. Predictors of anxiety during the COVID-19 pandemic in Poland. Pers. Individ. Differ. 2020, 170, 110419. [Google Scholar] [CrossRef] [PubMed]
- Ramos-Lira, L.; Rafful, C.; Flores-Celis, K.; Mora Ríos, J.; García-Andrade, C.; Rascón Gasca, M.L.; Bautista Aguilar, N.; Cervantes Muñoz, C. Emotional responses and coping strategies in adult Mexican population during the first lockdown of the COVID-19 pandemic: An exploratory study by sex. Salud Ment. 2020, 43, 243–251. [Google Scholar] [CrossRef]
- Dryhurst, S.; Schneider, C.R.; Kerr, J.; Freeman, A.L.J.; Recchia, G.; van der Bles, A.M.; Spiegelhalter, D.; van der Linden, S. Risk perceptions of COVID-19 around the world. J. Risk Res. 2020, 23, 994–1006. [Google Scholar] [CrossRef]
Wave 1 | Wave 2 | t (df), Cohen’s d | |
---|---|---|---|
Mean (SD) | Mean (SD) | ||
Monitoring and usefulness of prevention measures against COVID-19 | |||
1. How often have you followed the recommended hygiene measures (e.g., constantly washing your hands, using alcohol for hands, disinfecting objects, using face masks, etc.) for the prevention of the coronavirus? | 8.45 (1.51) | 8.97 (1.28) | −9.57 (669) ***, −0.37 |
2. How useful do you consider these hygiene measures to be to avoid getting coronavirus? | 9.08 (1.44) | 9.18 (1.35) | −2.00 (669) *, −0.07 |
3. How much have you complied with the measures of social distancing? | 8.05 (1.85) | 8.67 (1.52) | −9.16 (668) ***, −0.35 |
4. How useful do you consider social distancing to be against the pandemic? | 9.10 (1.44) | 9.15 (1.42) | −1.14 (668), −0.04 |
Information on the pandemic | |||
5. How often do you search for information about the course of the pandemic? | 8.23 (1.95) | 8.09 (1.97) | 1.76 (668), −0.008 |
6. How confident are you in the information you receive about the course of the pandemic? | 7.54 (2.07) | 7.55 (2.13) | −0.30 (668), −0.01 |
Concern about COVID-19 | |||
7. How worried are you about getting the coronavirus? | 8.66 (2.03) | 8.71 (1.97) | −0.90 (668), −0.03 |
8. How concerned are you that a family member will get coronavirus? | 9.31 (1.48) | 9.22 (1.50) | 1.38 (664), 0.05 |
9. How concerned are you about your financial situation as a result of the pandemic? | 9.39 (1.37) | 9.19 (1.58) | 3.23 (668) ***, 0.12 |
10. How concerned are you about the security situation in your locality following the pandemic? | 9.25 (1.29) | 9.12 (1.40) | 2.26 (668) *, 0.08 |
Impact of COVID-19 | |||
11. How much has your daily life been affected by the pandemic? | 8.62 (1.69) | 8.73 (1.65) | −1.5 (668), −0.05 |
Family care | |||
12. How much has your family been aware of you since the contingency (phone calls, providing food, medicine, etc.)? | 8.17 (2.27) | 8.49 (1.96) | −3.95 (668) ***, −0.15 |
IES-6 total score | 9.72 (4.54) | 8.65 (4.86) | 6.33 (669) ***, 0.24 |
Intrusion | 3.49 (1.77) | 3.02(1.84) | 6.90 (669) ***, 0.26 |
Avoidance | 3.23 (1.69) | 2.93 (1.74) | 4.44 (669) ***, 0.17 |
Hyperarousal | 2.98 (1.62) | 2.69 (1.74) | 4.69 (669) ***, 0.18 |
PHQ-9 total score | 4.87 (4.93) | 4.86 (5.17) | 0.08 (669), 0.003 |
GAD-7 total score | 4.04 (4.36) | 3.93 (4.45) | 0.77 (669), 0.03 |
Wave 1 | Statistical Difference | Wave 2 | Statistical Difference | |
---|---|---|---|---|
Mean (SD) | Mean (SD) | |||
Gender | ||||
Male | 9.25 (4.70) | t (668) = −0.94, d = −0.07 | 8.16 (4.90) | t (668) = −2.22 *, d = −0.17 |
Female | 9.86 (4.41) | 9.00 (4.81) | ||
Age group | ||||
18–25 | 8.28 (4.56) | F (2, 667) = 8.02 ***, η2 = 0.02 (post hoc: 18–25 < 26–39, 40 or more) | 6.98 (4.50) | F (2, 667) = 8.02 ***, η2 = 0.02 (post hoc: 18–25 < 26–39, 40 or more) |
26–39 | 9.87 (4.06) | 8.89 (5.02) | ||
40 or more | 10.15 (4.35) | 9.08 (4.70) | ||
Having children | ||||
Adult children | 10.19 (4.04) | F (2, 667) = 5.12 **, η2 = 0.01 (post hoc: No children < Adult, Young children) | 9.23 (4.44) | F (2, 667) = 5.70 **, η2 = 0.01 (post hoc: No children < Adult, Young children) |
Underaged children | 10.06 (4.61) | 9.01 (4.93) | ||
No children | 8.90 (4.64) | 7.73 (4.92) | ||
Having a high-risk medical condition | ||||
No diagnosis | 9.19 (4.34) | t (668) = −5.07 ***, d = −0.44 | 8.02 (4.69) | t (668) = −5.65 ***, d = −0.49 |
With diagnosis | 11.17 (4.76) | 10.38 (4.93) |
IES-6 | PHQ-9 | GAD-7 | Items of the Questionnaire of Concerns and Behaviors Related to COVID-19 | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Total | Int | Avo | Hyp | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | |||
Wave 1 | |||||||||||||||||
1 | 0.12 ** | 0.11 ** | 0.10 ** | 0.12 ** | −0.15 *** | −0.10 ** | -- | ||||||||||
2 | 0.16 ** | 0.13 *** | 0.12 *** | 0.17 ** | −0.04 | −0.006 | 0.48 *** | -- | |||||||||
3 | 0.07 | 0.06 | 0.05 | 0.06 | −0.08 ** | −0.06 | 0.46 *** | 0.42 *** | -- | ||||||||
4 | 0.20 *** | 0.18 *** | 0.15 *** | 0.20 *** | −0.01 | 0.02 | 0.40 *** | 0.66 *** | 0.46 *** | -- | |||||||
5 | 0.19 *** | 0.22 *** | 0.11 ** | 0.16 *** | −0.04 | −0.03 | 0.47 *** | 0.45 *** | 0.34 *** | 0.47 *** | -- | ||||||
6 | 0.17 *** | 0.20 *** | 0.10 *** | 0.15 *** | −0.12 ** | −0.07 * | 0.36 *** | 0.47 *** | 0.35 *** | 0.45 *** | 0.58 *** | -- | |||||
7 | 0.35 *** | 0.37 *** | 0.27 *** | 0.29 *** | 0.05 | 0.10 ** | 0.34 *** | 0.42 *** | 0.28 *** | 0.45 *** | 0.44 *** | 0.40 *** | -- | ||||
8 | 0.31 *** | 0.30 *** | 0.25 *** | 0.28 *** | 0.07 | 0.08 * | 0.34 *** | 0.44 *** | 0.23 *** | 0.50 *** | 0.37 *** | 0.31 *** | 0.68 *** | -- | |||
9 | 0.14 *** | 0.15 *** | 0.10 ** | 0.13 *** | 0.06 | 0.09 * | 0.08 * | 0.10 ** | 0.04 | 0.04 | 0.10 ** | 0.05 | 0.26 *** | 0.23 *** | -- | ||
10 | 0.22 *** | 0.20 *** | 0.22 *** | 0.17 *** | 0.05 | 0.07 | 0.19 *** | 0.22 *** | 0.156 *** | 0.17 *** | 0.16 *** | 0.19 *** | 0.27 *** | 0.26 *** | 0.45 *** | -- | |
11 | 0.20 *** | 0.16 *** | 0.18 *** | 0.20 *** | 0.16 *** | 0.18 *** | 0.09 * | 0.07 | 0.07 | 0.04 | 0.11 ** | 0.08 * | 0.24 *** | 0.14 *** | 0.36 *** | 0.24 *** | -- |
12 | 0.15 *** | 0.12 *** | 0.14 *** | 0.15 *** | −0.09 | −0.05 | 0.32 *** | 0.33 *** | 0.36 *** | 0.26 *** | 0.28 *** | 0.31 *** | 0.36 *** | 0.34 *** | 0.11 ** | 0.22 *** | 0.21 *** |
Wave 2 | |||||||||||||||||
1 | 0.07 | 0.10 ** | 0.05 | 0.03 | −0.20 ** | −0.17 *** | -- | ||||||||||
2 | 0.13 *** | 0.14 *** | 0.11 ** | 0.09 * | −0.13 *** | −0.12 ** | 0.59 *** | -- | |||||||||
3 | 0.02 | 0.05 | <0.001 | 0.01 | −0.10 | −0.10 ** | 0.54 *** | 0.49 *** | -- | ||||||||
4 | 0.11 ** | 0.13 ** | 0.10 ** | 0.07 | −0.12 | −0.12 | 0.50 *** | 0.74 *** | 0.56 *** | -- | |||||||
5 | 0.11 ** | 0.18 *** | 0.04 | 0.07 | −0.12 | −0.13 ** | 0.41 *** | 0.44 *** | 0.41 *** | 0.45 *** | -- | ||||||
6 | 0.06 | 0.11 ** | 0.01 | 0.03 | −0.16 *** | −0.17 *** | 0.37 *** | 0.44 *** | 0.37 *** | 0.45 *** | 0.63 *** | -- | |||||
7 | 0.31 *** | 0.32 *** | 0.26 *** | 0.26 *** | 0.05 | 0.06 | 0.33 *** | 0.43 *** | 0.28 *** | 0.41 *** | 0.47 *** | 0.41 *** | -- | ||||
8 | 0.27 *** | 0.26 *** | 0.25 *** | 0.23 *** | 0.06 | 0.05 | 0.36 *** | 0.47 *** | 0.30 *** | 0.44 *** | 0.41 *** | 0.31 *** | 0.78 *** | -- | |||
9 | 0.14 *** | 0.15 *** | 0.11 ** | 0.14 *** | 0.07 | 0.06 | 0.23 *** | 0.23 *** | 0.16 *** | 0.15 *** | 0.23 *** | 0.11 ** | 0.42 *** | 0.35 *** | -- | ||
10 | 0.16 *** | 0.19 *** | 0.15 *** | 0.10 ** | −0.05 | −0.02 | 0.34 *** | 0.33 *** | 0.23 *** | 0.28 *** | 0.39 *** | 0.26 *** | 0.42 *** | 0.37 *** | 0.56 *** | -- | |
11 | 0.16 *** | 0.16 *** | 0.14 *** | 0.14 *** | 0.11 ** | 0.12 ** | 0.14 *** | 0.13 *** | 0.15 *** | 0.10 *** | 0.17 *** | 0.07 | 0.28 *** | 0.22 *** | 0.44 *** | 0.38 *** | -- |
12 | 0.09 * | 0.09 * | 0.09 * | 0.06 | −0.15 *** | −0.13 *** | 0.41 *** | 0.38 *** | 0.37 *** | 0.32 *** | 0.35 *** | 0.28 *** | 0.40 *** | 0.37 *** | 0.21 *** | 0.34 *** | 0.21 *** |
IES-6 | 1. Adherence to Hygiene Measures | 3. Compliance with Social Distancing | |
---|---|---|---|
F (df), η2 | F (df), η2 | F (df), η2 | |
Waves × Age | 0.22 (2, 667), 1.43 × 10−4 | 0.15 (2, 667), 1.11 × 10−4 | 0.66 (2, 666), 5.26 × 10−4 |
Waves × Gender | 2.23 (1, 668), 7.06 × 10−4 | 0.02 (1, 668), 7.40 × 10−6 | 3.53 (1, 667), 0.001 |
Waves × Having children | 0.10 (2, 667), 6.71 × 10−5 | 0.56 (2, 667), 4.06 × 10−4 | 1.44 (1, 666), 0.001 |
Waves × Medical condition | 0.78 (1, 666), 3.06 × 10−4 | 1.95 (1, 668), 7.13 × 10−4 | 0.08 (1, 667), 2.39 × 10−5 |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Toledo-Fernández, A.; Betancourt-Ocampo, D.; González-González, A. Distress, Depression, Anxiety, and Concerns and Behaviors Related to COVID-19 during the First Two Months of the Pandemic: A Longitudinal Study in Adult MEXICANS. Behav. Sci. 2021, 11, 76. https://doi.org/10.3390/bs11050076
Toledo-Fernández A, Betancourt-Ocampo D, González-González A. Distress, Depression, Anxiety, and Concerns and Behaviors Related to COVID-19 during the First Two Months of the Pandemic: A Longitudinal Study in Adult MEXICANS. Behavioral Sciences. 2021; 11(5):76. https://doi.org/10.3390/bs11050076
Chicago/Turabian StyleToledo-Fernández, Aldebarán, Diana Betancourt-Ocampo, and Alejandro González-González. 2021. "Distress, Depression, Anxiety, and Concerns and Behaviors Related to COVID-19 during the First Two Months of the Pandemic: A Longitudinal Study in Adult MEXICANS" Behavioral Sciences 11, no. 5: 76. https://doi.org/10.3390/bs11050076
APA StyleToledo-Fernández, A., Betancourt-Ocampo, D., & González-González, A. (2021). Distress, Depression, Anxiety, and Concerns and Behaviors Related to COVID-19 during the First Two Months of the Pandemic: A Longitudinal Study in Adult MEXICANS. Behavioral Sciences, 11(5), 76. https://doi.org/10.3390/bs11050076