Mental health status and risk factors during Covid-19 pandemic in the Croatia’s adult population

Background The Covid-19 pandemic is associated with adverse mental health outcomes for people worldwide. Objective The study aimed to assess mental health during the Covid-19 pandemic and the key risk factors from the human ecology perspective in Croatia’s adult population. Method An online panel su...

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Autores principales: Dean Ajduković, Ines Rezo Bagarić, Helena Bakić, Aleksandra Stevanović, Tanja Frančišković, Marina Ajduković
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Publicado: Taylor & Francis Group 2021
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spelling oai:doaj.org-article:acf1471febe2499d8564fba919dc64932021-11-11T14:23:42ZMental health status and risk factors during Covid-19 pandemic in the Croatia’s adult population2000-806610.1080/20008198.2021.1984050https://doaj.org/article/acf1471febe2499d8564fba919dc64932021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/20008198.2021.1984050https://doaj.org/toc/2000-8066Background The Covid-19 pandemic is associated with adverse mental health outcomes for people worldwide. Objective The study aimed to assess mental health during the Covid-19 pandemic and the key risk factors from the human ecology perspective in Croatia’s adult population. Method An online panel survey with 1,201 adult participants (50.1% women) was done with a nationally representative sample in terms of gender, age, and country region four months after the nation lockdown began and two months after most of the restrictions were lifted. Indicators of mental health included symptoms of adjustment disorder (ADNM-8); depression, anxiety, and stress (DASS-21); symptoms of post-traumatic stress disorder (PC-PTSD-5); and well-being (WHO-5). Results In the entire sample, 9.8% (95% confidence interval [CI]: 7.9%, 14.0%) of the participants were at risk of adjustment disorder, 7.7% (95% CI: 6.7%, 11.9%) were at risk of depression disorder, and 7.8% (95% CI: 5.3%, 10.3%) were at risk of anxiety disorder. In addition, 7.2% (95% CI: 5.3%, 10.2%) were experiencing high levels of stress. The average well-being score was 56.5 (SD = 21.91) on a scale from 0 to 100. Among the participants who have lifetime traumatic experience (n = 429), 14% (95% CI: 10.6%, 17.2%) were at risk for PTSD. Key risk factors for specific mental health outcomes differed, but the common ones included: current health status, previous mental health diagnosis, and psychological resilience. Being younger, having a below-average income, and excessively following news about Covid-19 were predictive for some of the mental health problems. Conclusions Together, the key risk factors identified in this study indicate the need for public health interventions addressing the general population’s mental health, but also for specific risk groups. Lower rates of mental health symptoms assessed soon after lifting quarantine measures that have been found in other studies may indicate human resilience capacity.Dean AjdukovićInes Rezo BagarićHelena BakićAleksandra StevanovićTanja FrančiškovićMarina AjdukovićTaylor & Francis Grouparticlemental health and covid-19mental health risks and covid-19covid-19 and well-beingcovid-19 and stressadjustment disorderdepressionanxietypost-traumatic stress symptomsPsychiatryRC435-571ENEuropean Journal of Psychotraumatology, Vol 12, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic mental health and covid-19
mental health risks and covid-19
covid-19 and well-being
covid-19 and stress
adjustment disorder
depression
anxiety
post-traumatic stress symptoms
Psychiatry
RC435-571
spellingShingle mental health and covid-19
mental health risks and covid-19
covid-19 and well-being
covid-19 and stress
adjustment disorder
depression
anxiety
post-traumatic stress symptoms
Psychiatry
RC435-571
Dean Ajduković
Ines Rezo Bagarić
Helena Bakić
Aleksandra Stevanović
Tanja Frančišković
Marina Ajduković
Mental health status and risk factors during Covid-19 pandemic in the Croatia’s adult population
description Background The Covid-19 pandemic is associated with adverse mental health outcomes for people worldwide. Objective The study aimed to assess mental health during the Covid-19 pandemic and the key risk factors from the human ecology perspective in Croatia’s adult population. Method An online panel survey with 1,201 adult participants (50.1% women) was done with a nationally representative sample in terms of gender, age, and country region four months after the nation lockdown began and two months after most of the restrictions were lifted. Indicators of mental health included symptoms of adjustment disorder (ADNM-8); depression, anxiety, and stress (DASS-21); symptoms of post-traumatic stress disorder (PC-PTSD-5); and well-being (WHO-5). Results In the entire sample, 9.8% (95% confidence interval [CI]: 7.9%, 14.0%) of the participants were at risk of adjustment disorder, 7.7% (95% CI: 6.7%, 11.9%) were at risk of depression disorder, and 7.8% (95% CI: 5.3%, 10.3%) were at risk of anxiety disorder. In addition, 7.2% (95% CI: 5.3%, 10.2%) were experiencing high levels of stress. The average well-being score was 56.5 (SD = 21.91) on a scale from 0 to 100. Among the participants who have lifetime traumatic experience (n = 429), 14% (95% CI: 10.6%, 17.2%) were at risk for PTSD. Key risk factors for specific mental health outcomes differed, but the common ones included: current health status, previous mental health diagnosis, and psychological resilience. Being younger, having a below-average income, and excessively following news about Covid-19 were predictive for some of the mental health problems. Conclusions Together, the key risk factors identified in this study indicate the need for public health interventions addressing the general population’s mental health, but also for specific risk groups. Lower rates of mental health symptoms assessed soon after lifting quarantine measures that have been found in other studies may indicate human resilience capacity.
format article
author Dean Ajduković
Ines Rezo Bagarić
Helena Bakić
Aleksandra Stevanović
Tanja Frančišković
Marina Ajduković
author_facet Dean Ajduković
Ines Rezo Bagarić
Helena Bakić
Aleksandra Stevanović
Tanja Frančišković
Marina Ajduković
author_sort Dean Ajduković
title Mental health status and risk factors during Covid-19 pandemic in the Croatia’s adult population
title_short Mental health status and risk factors during Covid-19 pandemic in the Croatia’s adult population
title_full Mental health status and risk factors during Covid-19 pandemic in the Croatia’s adult population
title_fullStr Mental health status and risk factors during Covid-19 pandemic in the Croatia’s adult population
title_full_unstemmed Mental health status and risk factors during Covid-19 pandemic in the Croatia’s adult population
title_sort mental health status and risk factors during covid-19 pandemic in the croatia’s adult population
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/acf1471febe2499d8564fba919dc6493
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