• J Affect Disord · Dec 2020

    Public mental health under the long-term influence of COVID-19 in China: Geographical and temporal distribution.

    • Yali Ren, Wei Qian, Zezhi Li, Zhengkui Liu, Yongjie Zhou, Ruoxi Wang, Ling Qi, Jiezhi Yang, Xiuli Song, Lingyun Zeng, and Xiangyang Zhang.
    • Liyuan Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, China.
    • J Affect Disord. 2020 Dec 1; 277: 893-900.

    BackgroundThe mental health status caused by major epidemics is serious and lasting. At present, there are few studies about the lasting mental health effects of COVID-19 outbreak. The purpose of this study was to investigate the mental health of the Chinese public during the long-term COVID-19 outbreak.MethodsA total of 1172 online questionnaires were collected, covering demographical information and 8 common psychological states: depression, anxiety, somatization, stress, psychological resilience, suicidal ideation and behavior, insomnia, and stress disorder. In addition, the geographical and temporal distributions of different mental states were plotted.ResultsOverall, 30.1% of smokers increased smoking, while 11.3% of drinkers increased alcohol consumption. The prevalence rates of depression, anxiety, mental health problems, high risk of suicidal and behavior, clinical insomnia, clinical post-traumatic stress disorder symptoms, moderate-to-high levels of perceived stress were 18.8%, 13.3%, 7.6%, 2.8%, 7.2%, 7.0%, and 67.9%, respectively. Further, the geographical distribution showed that the mental status in some provinces/autonomous regions/municipalities was relatively more serious. The temporal distribution showed that the psychological state of the participants was relatively poorer on February 20, 24 to 26 and March 25, especially on March 25.LimitationsThis cross-sectional design cannot make causal inferences. The snowball sampling was not representative enough.ConclusionOur findings suggest that the prevalence rate of mental disorders in the Chinese public is relatively low in the second month of the COVID-19 pandemic. In addition, people's mental state is affected by the geographical and temporal distributions.Copyright © 2020 Elsevier Ltd. All rights reserved.

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