Globalization and Health (Oct 2021)

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

  • Muhammad Aziz Rahman,
  • Sheikh Mohammed Shariful Islam,
  • Patraporn Tungpunkom,
  • Farhana Sultana,
  • Sheikh M. Alif,
  • Biswajit Banik,
  • Masudus Salehin,
  • Bindu Joseph,
  • Louisa Lam,
  • Mimmie Claudine Watts,
  • Sabria Jihan Khan,
  • Sherief Ghozy,
  • Sek Ying Chair,
  • Wai Tong Chien,
  • Carlos Schönfeldt-Lecuona,
  • Nashwa El-Khazragy,
  • Ilias Mahmud,
  • Adhra Hilal Al Mawali,
  • Turkiya Saleh Al Maskari,
  • Rayan Jafnan Alharbi,
  • Amr Hamza,
  • Mohamad Ali Keblawi,
  • Majeda Hammoud,
  • Asmaa M. Elaidy,
  • Agus Dwi Susanto,
  • Ahmed Suparno Bahar Moni,
  • Alaa Ashraf AlQurashi,
  • Almajdoub Ali,
  • Amit Wazib,
  • Cattaliya Siripattarakul Sanluang,
  • Deena H. Elsori,
  • Farhana Yasmin,
  • Feni Fitrani Taufik,
  • Manal Al Kloub,
  • Mara Gerbabe Ruiz,
  • Mohamed Elsayed,
  • Nael Kamel Eltewacy,
  • Nahed Al Laham,
  • Natalia Oli,
  • Ramy Abdelnaby,
  • Rania Dweik,
  • Ratree Thongyu,
  • Sami Almustanyir,
  • Shaila Rahman,
  • Sirirat Nitayawan,
  • Sondos Al-Madhoun,
  • Suwit Inthong,
  • Talal Ali Alharbi,
  • Tamanna Bahar,
  • Tribowo Tuahta Ginting,
  • Wendy M. Cross

DOI
https://doi.org/10.1186/s12992-021-00768-3
Journal volume & issue
Vol. 17, no. 1
pp. 1 – 19

Abstract

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Abstract 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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