1.COVID-19 and Risk Factors of Anxiety and Depression in South Korea
Jinhee HYUN ; Seokjoo KIM ; Heeguk KIM ; Yun-Jung CHOI ; Yun-Kyeung CHOI ; Yu-Ri LEE ; Jong-Woo PAIK ; Jong-Sun LEE ; Kihyun KIM ; Jin Yong JUN ; So Hee LEE ; Sunju SOHN
Psychiatry Investigation 2021;18(9):801-808
Objective:
The aims of this study were to explore the prevalence of and identify predictors of anxiety and depression related to coronavirus disease of 2019 (COVID-19) in South Korea.
Methods:
The analysis is based on a quota survey design and a sampling frame that permitted recruitment of a national sample of 1,014 individuals between March 17–31, 2020. Several standardized measurements were used, including GAD-7, PHQ-9, COVID-19 related fear, restrictions in deaily life, as well as sociodemographic information and physical and psychosocial needs during the pandemic. Multiple logistic regression was conducted to analyze the influence of sociodemographic factors, fear, and physical/psychosocial needs on anxiety and depression.
Results:
Significant numbers of the respondents were identifiable anxiety (19.0%) and depression group (17.5%), respectively. This indicates that the depression and anxiety prevalence rate after the COVID-19 is substantially high compared to the depression rate of 2.6% in 2020 and 2.8% in 2018 both reported in the Korea Community Health Survey and the anxiety rate of 5.7% reported in 2016 Survey of Mental Disorders in Korea. Multiple logistic regression results showed age, COVID-19 related fear, and the level of restrictions in daily as significant factors in understanding and predicting the anxiety group. Likfewise, the COVID-19 related fear, restrictions in daily life, and need for economic support were important predictors in predicting the depression group.
Conclusion
Findings on predictors for greater vulnerability to anxiety and depression has important implications for public mental health in the context of the COVID-19 pandemic.
2.COVID-19 and Risk Factors of Anxiety and Depression in South Korea
Jinhee HYUN ; Seokjoo KIM ; Heeguk KIM ; Yun-Jung CHOI ; Yun-Kyeung CHOI ; Yu-Ri LEE ; Jong-Woo PAIK ; Jong-Sun LEE ; Kihyun KIM ; Jin Yong JUN ; So Hee LEE ; Sunju SOHN
Psychiatry Investigation 2021;18(9):801-808
Objective:
The aims of this study were to explore the prevalence of and identify predictors of anxiety and depression related to coronavirus disease of 2019 (COVID-19) in South Korea.
Methods:
The analysis is based on a quota survey design and a sampling frame that permitted recruitment of a national sample of 1,014 individuals between March 17–31, 2020. Several standardized measurements were used, including GAD-7, PHQ-9, COVID-19 related fear, restrictions in deaily life, as well as sociodemographic information and physical and psychosocial needs during the pandemic. Multiple logistic regression was conducted to analyze the influence of sociodemographic factors, fear, and physical/psychosocial needs on anxiety and depression.
Results:
Significant numbers of the respondents were identifiable anxiety (19.0%) and depression group (17.5%), respectively. This indicates that the depression and anxiety prevalence rate after the COVID-19 is substantially high compared to the depression rate of 2.6% in 2020 and 2.8% in 2018 both reported in the Korea Community Health Survey and the anxiety rate of 5.7% reported in 2016 Survey of Mental Disorders in Korea. Multiple logistic regression results showed age, COVID-19 related fear, and the level of restrictions in daily as significant factors in understanding and predicting the anxiety group. Likfewise, the COVID-19 related fear, restrictions in daily life, and need for economic support were important predictors in predicting the depression group.
Conclusion
Findings on predictors for greater vulnerability to anxiety and depression has important implications for public mental health in the context of the COVID-19 pandemic.
3.Factors Related to Anxiety and Depression Among Adolescents During COVID-19: A Web-Based CrossSectional Survey
Kyung-Shin LEE ; Ho Kyung SUNG ; So Hee LEE ; Jinhee HYUN ; Heeguk KIM ; Jong-Sun LEE ; Jong-Woo PAIK ; Seok-Joo KIM ; Sunju SOHN ; Yun-Kyeung CHOI
Journal of Korean Medical Science 2022;37(25):e199-
Background:
The coronavirus disease 2019 (COVID-19) outbreak and subsequent disease-containment measures (such as school closures) significantly affected the lives of adolescents. We evaluated the mental-health status and factors associated with anxiety and depression among South Korean adolescents.
Methods:
A nationwide online survey was conducted to evaluate the mental-health status of South Korean adolescents during the COVID-19 pandemic. In total, 570 adolescents aged 13–18 years were surveyed between May 27 and June 11, 2021. The participants completed the Generalized Anxiety Disorder Scale (GAD-7) and Patient Health Questionnaire (PHQ-9) to determine anxiety and depression symptoms, respectively. Stepwise logistic regression models were constructed to determine factors related to anxiety and depression.
Results:
Among the study participants, 11.2% and 14.2% had anxiety and depression, respectively. The results suggested that several factors, such as the experience of COVID-19 infection and quarantine of oneself, a family member or an acquaintance, physical and mental health problems, and fear of one’s local community being discriminated against as a COVID-19 area were related to anxiety and depression.
Conclusion
The present study identified COVID-19-related factors associated with anxiety and depression among adolescents, and provides insights regarding potential interventions to improve the mental health of adolescents. To promote the mental health of adolescents during the COVID-19 pandemic, special attention should be paid to individuals with physical or mental-health problems, and efforts should be made to reduce the negative social and emotional impacts of infection-control measures.
4.Time-Series Trends of Depressive Levels of Korean Adults During the 2020 COVID-19 Pandemic in South Korea
Seok-Joo KIM ; Sunju SOHN ; Yun-Kyeung CHOI ; Jinhee HYUN ; Heeguk KIM ; Jong-Sun LEE ; So Hee LEE ; Yu-Ri LEE ; Jong-Woo PAIK
Psychiatry Investigation 2023;20(2):101-108
Objective:
This study aimed to observe the changes in people’s depressive levels over 9 months since the coronavirus disease of 2019 (COVID-19) outbreak as well as to identify the predictors of people’s depressive levels including COVID-19 infection fear in the context of South Korea in 2020.
Methods:
For these purposes, four cross-sectional surveys were periodically implemented from March to December 2020. We randomly recruited 6,142 Korean adults (aged 19 to 70) by using a quota survey. Along with descriptive analysis, which included a one-way analysis of variance and correlations, multiple regression models were built to identify the predictors of people’s depressive levels during the pandemic. Results Overall, people’s depressive levels and fear of COVID-19 infection gradually increased since the COVID-19 outbreak. In addition to demographic variables (i.e., being a female, young age, unemployed, and living alone) and the duration of the pandemic, people’s COVID-19 infection fear was associated with their depressive levels.
Conclusion
To ameliorate these rising mental health issues, access to mental health services should be secured and expanded, particularly for individuals who present greater vulnerabilities due to socioeconomic characteristics that may affect their mental health.
5.Effect of Korean Version of Psychological First Aid Training Program on Training Disaster Mental Health Service Provider
Hae-in PARK ; Sun-Woo CHOI ; Yun-kyeung CHOI ; Soo-hyun PARK ; Sung-eun YOU ; Myung-jae BAIK ; Heeguk KIM ; Jinhee HYUN ; Jeong-Ho SEOK
Journal of Korean Neuropsychiatric Association 2020;59(2):123-135
Objectives:
This study aimed to develop a Korean version of psychological first aid training program (K-PFA) and examine the education effect on trainees.
Methods:
This study enrolled 485 subjects who completed both K-PFA and study surveys. In addition to mental health professionals, subjects with various ages and educational backgrounds were included to examine the education effects of the capabilities in conducting PFA and understanding acute phase disaster mental health (DMH).
Results:
Both mental health professionals and non-professionals improved their understanding of acute-phase DMH intervention and their perceived capabilities in conducting PFA.
Conclusion
The development of a DMH intervention-training program adapted to Korean domesticcircumstances and culture represents a significant step towards a comprehensive and individualized intervention for disaster survivors.
6.Psychosocial Support during the COVID-19 Outbreak in Korea: Activities of Multidisciplinary Mental Health Professionals
Jinhee HYUN ; Sungeun YOU ; Sunju SOHN ; Seok-Joo KIM ; Jeongyee BAE ; Myungjae BAIK ; In Hee CHO ; Hyunjung CHOI ; Kyeong-Sook CHOI ; Chan-Seung CHUNG ; Chanyoung JEONG ; Hyesun JOO ; Eunji KIM ; Heeguk KIM ; Hyun Soo KIM ; Jinsun KO ; Jung Hyun LEE ; Sang Min LEE ; So Hee LEE ; Un Sun CHUNG
Journal of Korean Medical Science 2020;35(22):e211-
As of April 18, 2020, there have been a total of 10,653 confirmed cases and 232 deaths due to coronavirus disease 2019 (COVID-19) in Korea. The pathogen spread quickly, and the outbreak caused nationwide anxiety and shock. This study presented the anecdotal records that provided a detailed process of the multidisciplinary teamwork in mental health during the COVID-19 outbreak in the country. Psychosocial support is no less important than infection control during an epidemic, and collaboration and networking are at the core of disaster management. Thus, a multidisciplinary team of mental health professionals was immediately established and has collaborated effectively with its internal and external stakeholders for psychosocial support during the COVID-19 outbreak.
7.COVID-19 Pandemic-Related Job Loss Impacts on Mental Health in South Korea
Kyu-Man HAN ; Sang Min LEE ; Minha HONG ; Seok-Joo KIM ; Sunju SOHN ; Yun-Kyeung CHOI ; Jinhee HYUN ; Heeguk KIM ; Jong-Sun LEE ; So Hee LEE ; Yu-Ri LEE ; Jong-Woo PAIK
Psychiatry Investigation 2023;20(8):730-739
Objective:
The economic hardship brought by the coronavirus disease-2019 (COVID-2019) pandemic has caused mental health problems among people of different socioeconomic status (SES). As social support helps to buffer these problems, we investigated the association between job loss related to COVID-19 and depression, anxiety, and suicidal thoughts; the differences in the effects according to SES; and the mediating effects of social support.
Methods:
The effects of COVID-19-related job loss on depression, anxiety, and suicidal thoughts among 1,364 people were investigated through semi-structured and self-administered questionnaires: Patient Health Questionnaire–9, General Anxiety Disorder–7, and the Functional Social Support Questionnaire. Logistic regression and subgroup analyses were performed to assess the association between job loss and mental health status, and the moderating effects of income and educational levels. Moreover, the mediating effects of perceived social support on the association between job loss and depression, anxiety, and suicidal thoughts were analyzed.
Results:
COVID-19-related job loss increased the risk of depression and suicidal thoughts. Adults with lower income and education level were at higher risk of depression, anxiety, and suicidal thoughts; perceived social support level had significant mediating effects on the association between job loss and depression/anxiety; and income level had significant moderating effects on this mediating pathway.
Conclusion
COVID-19-related job loss were likely to be significantly associated with negative mental health outcomes, especially among individuals with low income and education levels. As social support had buffering effects on such outcomes, related government policies in cooperation with the governance of communities and stakeholders must be prepared.