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COVID-19: Factors associated with psychological distress, fear, and coping strategies among community members across 17 countries

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posted on 2021-11-05, 01:22 authored by Muhammad RahmanMuhammad Rahman, SMS Islam, P Tungpunkom, F Sultana, SM Alif, B Banik, M Salehin, B Joseph, L Lam, MC Watts, SJ Khan, S Ghozy, SY Chair, WT Chien, C Schönfeldt-Lecuona, N El-Khazragy, I Mahmud, AH Al Mawali, TS Al Maskari, Rayan Jafnan M Alharbi, A Hamza, MA Keblawi, M Hammoud, AM Elaidy, AD Susanto, AS Bahar Moni, AA AlQurashi, A Ali, A Wazib, CS Sanluang, DH Elsori, F Yasmin, FF Taufik, M Al Kloub, MG Ruiz, M Elsayed, NK Eltewacy, N Al Laham, N Oli, R Abdelnaby, R Dweik, R Thongyu, S Almustanyir, S Rahman, S Nitayawan, S Al-Madhoun, S Inthong, TA Alharbi, T Bahar, TT Ginting, WM Cross
Background: The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives: We aimed to examine the extent and identify factors associated with psychological distress, fear of COVID-19 and coping. Methods: We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale), and coping (Brief Resilient Coping Scale) were assessed. Results: A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% self-identified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which was 46% in Thailand and 91% in Egypt. A quarter (24%) had high levels of fear of COVID-19, which was as low as 9% in Libya and as high as 38% in Bangladesh. More than half (57%) exhibited medium to high resilient coping; the lowest prevalence (3%) was reported in Australia and the highest (72%) in Syria. Being female (AOR 1.31 [95% CIs 1.09-1.57]), perceived distress due to change of employment status (1.56 [1.29-1.90]), comorbidity with mental health conditions (3.02 [1.20-7.60]) were associated with higher levels of psychological distress and fear. Doctors had higher psychological distress (1.43 [1.04-1.97]), but low levels of fear of COVID-19 (0.55 [0.41-0.76]); nurses had medium to high resilient coping (1.30 [1.03-1.65]). Conclusions: The extent of psychological distress, fear of COVID-19 and coping varied by country; however, we identified few higher risk groups who were more vulnerable than others. There is an urgent need to prioritise health and well-being of those people through well-designed intervention that may need to be tailored to meet country specific requirements.


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Globalization and Health



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