• Yang Liu, Yi-Fei Liu, Ke-Xian Liu, Yao-Jie Xie, Wen-Gang Li, Yue Kong, Hai-Hua Zhu, Jie-Min Zhu, Bai-Bing Mi, Jin-Qiu Yang, Zhuo Huang, Ji-Wei Du, Hong-Gu He, and Qu Shen.
• Department of Nursing, School of Medicine, Xiamen University, Xiamen, China.
• Medicine (Baltimore). 2022 Dec 23; 101 (51): e32336e32336.

AbstractThe sudden outbreak of coronavirus disease 2019 (COVID-19) has deep and wide negative mental impacts on the public, and studies on the impact of COVID-19 on social and mental well-being are necessary. This study aimed to evaluate mental distress, including anxiety, depression, and post-traumatic stress disorder (PTSD), and its related risk factors in Chinese adults in the early stages of the COVID-19 pandemic. This study used a large-scale cross-sectional design. A total of 2067 adult participants completed the online survey via REDcap from 1st to 15th of March 2020 during the COVID-19 outbreak in China. Anxiety, depression, PTSD, and related risk factors, including self-efficacy, coping style, and social support, were measured using valid and reliable instruments. The data were analyzed using multiple linear regression. We found that 201 (9.7%) participants reported moderate-to-severe anxiety, 669 (33.8%) reported depression, and 368 (17.8%) reported symptoms of PTSD. Self-efficacy, coping style, and social support significantly affected anxiety, depression, and PTSD symptoms. Participants' sociodemographic characteristics, COVID-19 pandemic-related factors, low self-efficacy, low social support, and negative coping were predictors of mental distress during the COVID-19 pandemic. Our study will help healthcare professionals carry out early predictions and identification of high-risk groups and provide appropriate interventions to target groups during public health emergencies that plague the world.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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