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Public Behavior Change, Perceptions, Depression, and Anxiety in Relation to the
COVID-19 Outbreak
#MMPMID32817845
Huang J
; Liu F
; Teng Z
; Chen J
; Zhao J
; Wang X
; Wu Y
; Xiao J
; Wang Y
; Wu R
Open Forum Infect Dis
2020[Aug]; 7
(8
): ofaa273
PMID32817845
show ga
BACKGROUND: COVID-19 has spread rapidly and internationally, which has elicited
public panic and psychological problems. Public protective behaviors and
perception play crucial roles in controlling the spread of illness and
psychological status. METHODS: We conducted a cross-sectional online survey in
the hardest-hit Hubei province and other areas in China affected by the COVID-19
outbreak. Questions about their basic information, the perception of the COVID-19
outbreak, recent preventive or avoidance behaviors, and self-reported mental
health scales including the Patient Health Questionnaire and Self-Rating Anxiety
Scale were included. Binary logistic regressions were used to investigate the
association between personal variables/perceptions and psychological distress.
RESULTS: A total of 6261 people were included in the analysis, with 3613 (57.7%)
in Hubei province (1743 in Wuhan). The majority of people have adopted preventive
and avoidance behaviors. People from Hubei, with contact history, and people who
were infected or whose family members were infected had a much higher prevalence
of depression and anxiety. Providing truthful and sufficient information,
informing the public about the severity of the disease, and perceptions that the
outbreak can be controlled by protective behaviors were associated with lower
prevalence of depression and anxiety. CONCLUSIONS: Assessing the public response,
perception, and psychological burden during the outbreak may help improve public
health recommendations and deliver timely psychological intervention. Further
research may focus on the psychological status of a specialized group to identify
methods of delivery of better support based on public response and psychological
demand.
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