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Depression and Anxiety in Hong Kong during COVID-19
Edmond Pui Hang Choi1, Bryant Pui Hung Hui2, Eric Yuk Fai Wan3,4
1School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Insights
The COVID-19 pandemic has negatively impacted mental health in Hong Kong, with significant rates of depression and anxiety observed. Worry about infection and lack of resources like masks or work-from-home options were linked to poorer mental health outcomes.
Area of Science:
- Public Health
- Epidemiology
- Mental Health Research
Background:
- The COVID-19 pandemic presents a significant global health crisis.
- Understanding its impact on population mental health is crucial for public health interventions.
- Hong Kong experienced its first confirmed COVID-19 case three months prior to this study.
Purpose of the Study:
- To evaluate the prevalence of depression and anxiety among the Hong Kong population during the COVID-19 pandemic.
- To identify factors associated with deteriorating mental health during the pandemic.
Main Methods:
- A population-based study involving 500 randomly recruited respondents.
- Utilized structured questionnaires including the Patient Health Questionnaire-9 (PHQ-9) for depression and Generalized Anxiety Disorder-7 (GAD-7) for anxiety.
- Employed multiple logistic regression analysis to determine associations with mental health status.
Main Results:
- 19% of respondents reported depression (PHQ-9 score ≥ 10) and 14% reported anxiety (GAD score ≥ 10).
- 25.4% of participants indicated their mental health had worsened since the pandemic began.
- Factors associated with poorer mental health included not experiencing SARS in 2003, worry about COVID-19 infection, insufficient surgical masks, and inability to work from home.
Conclusions:
- The COVID-19 pandemic has led to increased rates of depression and anxiety in Hong Kong.
- Specific concerns such as infection risk, resource scarcity, and work-related disruptions significantly affect mental well-being.
- There is a need for accessible psychological support, including home-based interventions, for citizens during the pandemic.
Abstract:
It has been three months since the first confirmed case of coronavirus disease 2019 (COVID-19) in Hong Kong, and people now have a more complete picture of the extent of the pandemic. Therefore, it is time to evaluate the impacts of COVID-19 on mental health. The current population-based study aimed to evaluate the depression and anxiety of people in Hong Kong during the COVID-19 pandemic. Respondents were randomly recruited and asked to complete a structured questionnaire, including the patient health questionnaire-9 (PHQ-9), the generalized anxiety disorder-7 (GAD-7), the global rating of change scale and items related to COVID-19. Of the 500 respondents included in the study, 19% had depression (PHQ-9 score ≥ 10) and 14% had anxiety (GAD score ≥ 10). In addition, 25.4% reported that their mental health had deteriorated since the pandemic. Multiple logistic regression analysis found that not experiencing the SARS outbreak in 2003, being worried about being infected by COVID-19, being bothered by having not enough surgical masks and being bothered by not being able to work from home were associated with a poorer mental health status. Psychological support, such as brief, home-based psychological interventions, should be provided to citizens during the pandemic.
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