1- , Persian Gulf University, Bushehr, Iran
2- Payam Noor University, Ardebil, Iran.
Abstract: (324 Views)
Background & Objectives: Coronavirus disease 2019, also called COVID-19, is a sickness caused by a virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 first broke out in Wuhan, China, on 31 December 2019, and it was later declared an international public health emergency by the World Health Organization (WHO). Many people with COVID-19 have mild to moderate symptoms and can recover on their own. But COVID-19 can serious illness and lead to death in some people. People at higher risk include older adults and the risk increases with age. Also at higher risk for serious illness are people with existing medical conditions. COVID-19 has brought physical risks as well as psychological challenges to the whole world. Stressful events and diseases are potent adverse environmental factors that can predispose individuals to psychiatric disorders, in particular depression. During an epidemic outbreak, the public experiences negative emotional responses, such as anxiety and depression symptoms. COVID-19 causes moderate-to-severe symptoms of anxiety and depression in people. Generalized Anxiety Disorder (GAD) is one of the most common disorders characterized by persistent, excessive, and unrealistic concerns about everyday issues. Depression is a common mental disorder that involves a depressed mood or loss of pleasure or interest in activities for long periods. Therefore, this study aimed to examine the association of GAD and depression among high school female students during the COVID-19 pandemic in Shiraz.
Methods: The present study was a cross–sectional and correlational. The study's statistical population included all high school female students living in Shiraz City, Iran, in 2020. The study participants included 395 high school female students who were selected by convenience sampling method. The inclusion criteria were as follows: being teenagers (12–18 years old), living in Shiraz City, having full consent to participate in the plan, and not using drugs and psychotropic drugs. The exclusion criterion was the incomplete completion of the questionnaires. To collect the data, the Generalized Anxiety Disorder (GAD-7) (Spitzer et al., 2006), and the Patient Health Questionnaire (PHQ-9) (Kroenke et al., 2001) were used. In statistical analysis, the symptom scores for GAD, and depression were dichotomized into binary variables, guided by their designated cut-off scores. A score of GAD-7 ≥10 and a score of PHQ-9 ≥14 marked the threshold for potential GAD and depression cases, respectively. The Pearson correlation coefficient was used to analyze the data using SPSS software version 24 at a significance level of 0.05.
Results: The prevalence rates of GAD and depression symptoms among high school students during the COVID-19 pandemic in Shiraz were 55.69 % and 42.27 %, respectively. The results of the Pearson correlation coefficient showed a significant positive relationship between symptoms of GAD, and depression (r=0.56, p<0.001).
Conclusion: The prevalence of generalized anxiety disorder and depression is considerably high in high school female students during the COVID-19 pandemic in Shiraz. Furthermore, a compressive approach, including management policies, psychosocial interventions, and training, is critical to reducing generalized anxiety disorder and depression symptoms in high school female students during the COVID-19 pandemic as well as during any outbreaks of other infectious diseases in the future.