■由于许多社区调查的质量有限,因此很难量化COVID-19大流行对心理健康的影响,依靠筛查测试来衡量精神健康状况和痛苦,并经常使用方便的样品。此外,稳健的调查主要来自高收入国家。
■在一个中低收入国家(LMIC)-突尼斯的社区中,测量在大流行期间发作的抑郁症的患病率。
■在大流行期间(2021年9月至12月),医生在拉马努巴省普通人群的代表性样本中进行了临床半结构化面对面访谈,突尼斯。根据DSM-IV建立精神病诊断。
■大流行后开始或复发的重度抑郁症(MDD)的患病率为5.66%。与MDD相关的因素是由于大流行而导致的失业和收入大幅减少(OR=2.1,95%CI[1.5,2.9])以及家庭财务状况低于突尼斯平均水平(OR=2.3,95%CI[1.7,3.2])。女性性别,婚姻状况为分居/离婚,COVID-19感染仅在整个样本和城市地区与MDD相关,但不是在农村地区。年龄和因COVID-19去世的亲人与MDD无关。
■在突尼斯,大流行似乎增加了经历不稳定财务状况的人们患抑郁症的风险,也是由于先前存在的经济危机。具体的地方层面因素,比如长时间不建立严格的封锁,可能保护了年轻人,并允许在失去亲人的家庭中更好地哀悼。
UNASSIGNED: It is difficult to quantify the impact of the COVID-19 pandemic on mental health as many community surveys have limited quality, rely on screening tests to measure mental health conditions and distress, and often use convenience samples. Moreover, robust surveys come mainly from high-income countries.
UNASSIGNED: To measure the prevalence of depressive disorders with onset during the pandemic in a community of a Lower-Middle-income country (LMIC)-Tunisia.
UNASSIGNED: Clinical semi-structured face-to-face interviews were carried out during the pandemic (September-December 2021) by medical doctors among a representative sample of the general population in the governorate of La Manouba, Tunisia. Psychiatric diagnoses were established according to DSM-IV.
UNASSIGNED: The prevalence of Major Depressive Disorder (MDD) started or recurred after the pandemic was 5.66%. The factors associated with MDD were loss of job and considerably diminished income due to the pandemic (OR = 2.1, 95% CI [1.5, 2.9]) and the perception of having the family\'s financial situation below the Tunisian average (OR = 2.3, 95% CI [1.7, 3.2]). Female sex, marital status as separated/divorced, and having a COVID-19 infection were associated with MDD only in the overall sample and urban areas, but not in rural areas. Age and having loved ones who passed away due to COVID-19 were not associated with MDD.
UNASSIGNED: In Tunisia, the pandemic seems to have increased the risk of depression in people experiencing a precarious financial situation, also due to the pre-existing economic crisis. Specific local level factors, such as not establishing a rigid lockdown for an extended period, may have protected young people and allowed for better mourning in families suffering the loss of a loved one.