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Psychological responses of Tunisian general population during COVID-19 pandemic

INTRODUCTION: this is the first study assessing the psychological impact on Tunisian general population during the first peak of the COVID-19 pandemic. We aimed to assess the prevalence of anxiety, depressive symptoms and insomnia, as well as associated factors. METHODS: a cross-sectional study was...

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Autores principales: Bouattour, Wiem, Turki, Mariem, Ellouze, Sahar, Messedi, Neila, Charfeddine, Fadwa, Halouani, Najla, Aribi, Lobna, Aloulou, Jihen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8637751/
https://www.ncbi.nlm.nih.gov/pubmed/34909069
http://dx.doi.org/10.11604/pamj.2021.40.74.26379
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author Bouattour, Wiem
Turki, Mariem
Ellouze, Sahar
Messedi, Neila
Charfeddine, Fadwa
Halouani, Najla
Aribi, Lobna
Aloulou, Jihen
author_facet Bouattour, Wiem
Turki, Mariem
Ellouze, Sahar
Messedi, Neila
Charfeddine, Fadwa
Halouani, Najla
Aribi, Lobna
Aloulou, Jihen
author_sort Bouattour, Wiem
collection PubMed
description INTRODUCTION: this is the first study assessing the psychological impact on Tunisian general population during the first peak of the COVID-19 pandemic. We aimed to assess the prevalence of anxiety, depressive symptoms and insomnia, as well as associated factors. METHODS: a cross-sectional study was conducted through an online survey of 1615 people during March 23(rd) to May 5(th), 2020. We used the hospital anxiety and depression scale for anxiety and depression screening, and the insomnia severity index to assess sleep disturbances. RESULTS: our study revealed a high prevalence of anxiety and depressive symptoms, and insomnia (70.9%, 71.1% and 60.6% respectively). Multivariable statistics showed that anxiety symptoms were correlated to female gender (adjusted odds ratio [aOR] 1.784, 95% confidence interval (CI 1.252-2.542; p=10(-3)), history of mental illness (aOR: 1.680, 95% CI: 1.329-2.125; p<10(-3)), frequently social media exposure (aOR: 1.578, 95%CI: 1.250-1.992; p<10(-3)), times to focus on COVID-19 ≥ 3hours (aOR: 1.840, 95% CI: 1.433-2.362; p<10(-3)), consultation with doctor in the clinic in the past 14 days (aOR: 1.821, 95%CI : 1.220-2.718; p=0.003) and recent traumatic event in the past 14 days (aOR: 1.641,95% CI: 1.331-2.024; p<10(-3)). Principal factors associated with depressive symptoms included female gender (aOR: 1.637, 95% CI: 1.150-2.331; p=0.006), history of mental illness (aOR: 1.498, 95% CI: 1.189-1.888; p=10(-3)), times to focus on COVID-19 ≥ 3hours (aOR: 1.956, 95% CI: 1.555-2.461; p<10(-3)), and recent traumatic event in the past 14 days (aOR: 1.558, 95% CI: 1.265-1.919; p<10(-3)). The main factors correlated to insomnia were younger (age <35years) (aOR: 1.592, 95% CI: 1.17 -2.152; p=0.003), female gender (aOR: 1.864, 95% CI: 1.252-2.775; p=0.002), having organic diseases (aOR: 1.527, 95% CI: 1.131-2.061; p=0.006), history of mental illness (aOR: 1.777, 95% CI: 1.396-2.263; p<10(-3)), students (aOR: 1.931, 95% CI: 1.495-2.495; p<10(-3)), times to focus on COVID-19 ≥3hours (aOR: 1.877, 95% CI: 1.467-2.400; p<10(-3)) and recent traumatic event (aOR: 1.431, 95% CI: 1.144-1.789; p=0.002). CONCLUSION: our study revealed a major mental health burden in Tunisia during COVID-19 pandemic. Many factors were correlated to anxiety, depressive symptoms and insomnia, suggesting the need for greater psychological support in general and in certain vulnerable groups.
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spelling pubmed-86377512021-12-13 Psychological responses of Tunisian general population during COVID-19 pandemic Bouattour, Wiem Turki, Mariem Ellouze, Sahar Messedi, Neila Charfeddine, Fadwa Halouani, Najla Aribi, Lobna Aloulou, Jihen Pan Afr Med J Research INTRODUCTION: this is the first study assessing the psychological impact on Tunisian general population during the first peak of the COVID-19 pandemic. We aimed to assess the prevalence of anxiety, depressive symptoms and insomnia, as well as associated factors. METHODS: a cross-sectional study was conducted through an online survey of 1615 people during March 23(rd) to May 5(th), 2020. We used the hospital anxiety and depression scale for anxiety and depression screening, and the insomnia severity index to assess sleep disturbances. RESULTS: our study revealed a high prevalence of anxiety and depressive symptoms, and insomnia (70.9%, 71.1% and 60.6% respectively). Multivariable statistics showed that anxiety symptoms were correlated to female gender (adjusted odds ratio [aOR] 1.784, 95% confidence interval (CI 1.252-2.542; p=10(-3)), history of mental illness (aOR: 1.680, 95% CI: 1.329-2.125; p<10(-3)), frequently social media exposure (aOR: 1.578, 95%CI: 1.250-1.992; p<10(-3)), times to focus on COVID-19 ≥ 3hours (aOR: 1.840, 95% CI: 1.433-2.362; p<10(-3)), consultation with doctor in the clinic in the past 14 days (aOR: 1.821, 95%CI : 1.220-2.718; p=0.003) and recent traumatic event in the past 14 days (aOR: 1.641,95% CI: 1.331-2.024; p<10(-3)). Principal factors associated with depressive symptoms included female gender (aOR: 1.637, 95% CI: 1.150-2.331; p=0.006), history of mental illness (aOR: 1.498, 95% CI: 1.189-1.888; p=10(-3)), times to focus on COVID-19 ≥ 3hours (aOR: 1.956, 95% CI: 1.555-2.461; p<10(-3)), and recent traumatic event in the past 14 days (aOR: 1.558, 95% CI: 1.265-1.919; p<10(-3)). The main factors correlated to insomnia were younger (age <35years) (aOR: 1.592, 95% CI: 1.17 -2.152; p=0.003), female gender (aOR: 1.864, 95% CI: 1.252-2.775; p=0.002), having organic diseases (aOR: 1.527, 95% CI: 1.131-2.061; p=0.006), history of mental illness (aOR: 1.777, 95% CI: 1.396-2.263; p<10(-3)), students (aOR: 1.931, 95% CI: 1.495-2.495; p<10(-3)), times to focus on COVID-19 ≥3hours (aOR: 1.877, 95% CI: 1.467-2.400; p<10(-3)) and recent traumatic event (aOR: 1.431, 95% CI: 1.144-1.789; p=0.002). CONCLUSION: our study revealed a major mental health burden in Tunisia during COVID-19 pandemic. Many factors were correlated to anxiety, depressive symptoms and insomnia, suggesting the need for greater psychological support in general and in certain vulnerable groups. The African Field Epidemiology Network 2021-10-04 /pmc/articles/PMC8637751/ /pubmed/34909069 http://dx.doi.org/10.11604/pamj.2021.40.74.26379 Text en Copyright: Wiem Bouattour et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Bouattour, Wiem
Turki, Mariem
Ellouze, Sahar
Messedi, Neila
Charfeddine, Fadwa
Halouani, Najla
Aribi, Lobna
Aloulou, Jihen
Psychological responses of Tunisian general population during COVID-19 pandemic
title Psychological responses of Tunisian general population during COVID-19 pandemic
title_full Psychological responses of Tunisian general population during COVID-19 pandemic
title_fullStr Psychological responses of Tunisian general population during COVID-19 pandemic
title_full_unstemmed Psychological responses of Tunisian general population during COVID-19 pandemic
title_short Psychological responses of Tunisian general population during COVID-19 pandemic
title_sort psychological responses of tunisian general population during covid-19 pandemic
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8637751/
https://www.ncbi.nlm.nih.gov/pubmed/34909069
http://dx.doi.org/10.11604/pamj.2021.40.74.26379
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