Phase wise assessment of COVID-19 related depression, anxiety, and stress level among patients in Herat city, Afghanistan - A descriptive study

Authors

  • Nasar Ahmad Shayan Herat University
  • Ahmad Tariq Azizi Ghalib University
  • Nosaibah Razaqi Khaybar Girls Medical College
  • Habibah Afzali Ghalib University
  • Ahmad Neyazi Afghanistan Medical Students Association
  • Hekmat Waez Herat University
  • Morteza Noormohammadi Ghalib University
  • Dr. Sudip Bhattacharya Independent Public Health Researcher, Dehradun, India.

DOI:

https://doi.org/10.56101/rimj.v1i1.14

Keywords:

COVID-19, Depression, Anxiety, Stress, Herat-Afghanistan

Abstract

Background: COVID-19 affected not only people’s physical health but also their mental health too. The purpose of this study was to measure the level of depression, anxiety, and stress among COVID-19 patients before, during, and after being infected by the virus, living in Herat city of Afghanistan.

Methods: This descriptive study was conducted among COVID-19 patients between April 22th 2020 and August 20th, 2020 living in Herat Province of Afghanistan. Our sample size was 100. To measure the level of depression, anxiety, and stress, among the COVID-19 patients, the developed version of the Depression, Anxiety and Stress Scale 42 (DASS-42) standard questionnaire was used.

Results: About 67% of participants were male and 14% of them were illiterate. Of all the participants in this study 12% of them used to smoke and 30% of them had a chronic disease accompanied. The result of this study shows that at the Start stage, 52.0% of the participants had a level of depression from mild to extremely severe. In the After stage only 10.0% of the participants had a level of depression from mild to severe. At the Start stage, 82.0% of the participants had a level of anxiety. At the End stage, 29.0% of the participants suffered a level of stress from mild to extremely severe.

Conclusion: Generally, the COVID-19 patients’ mental health was affected negatively due to the disease. After passing the COVID-19 disease and knowing the facts about the disease, the anxiety, stress, and depression level of patients caused by the disease were decreased.

Author Biographies

Ahmad Tariq Azizi, Ghalib University

Assistant Professor, Ghalib University, Herat

Habibah Afzali, Ghalib University

Medical student, Ghalib University, Herat, Afghanistan. 

Ahmad Neyazi, Afghanistan Medical Students Association

Supervision Commission, Afghanistan Medical Students Association, Herat, Afghanistan.

Hekmat Waez, Herat University

Dentistry student, Herat University, Herat, Afghanistan.

Morteza Noormohammadi, Ghalib University

Medical Student, Ghalib University, Herat, Afghanistan.

Dr. Sudip Bhattacharya, Independent Public Health Researcher, Dehradun, India.

Independent Public Health Researcher, Dehradun, India.

References

WHO. WHO EMRO | Questions and answers | COVID-19 | Health topics [Internet]. 2021 [cited 2021 Jan 21]. Available from: http://www.emro.who.int/health-topics/corona-virus/questions-and-answers.html

Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, Xing F, Liu J, Yip CC, Poon RW, Tsoi HW. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The lancet. 2020 Feb 15;395(10223):514-23.

Li J, Li X, Jiang J, Xu X, Wu J, Xu Y, Lin X, Hall J, Xu H, Xu J, Xu X. The Effect of Cognitive Behavioral Therapy on Depression, Anxiety, and Stress in Patients With COVID-19: A Randomized Controlled Trial. Frontiers in Psychiatry. 2020;11.

Cullen W, Gulati G, Kelly BD. Mental health in the Covid-19 pandemic. QJM: An International Journal of Medicine. 2020 May 1;113(5):311-2.

Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM: An International Journal of Medicine. 2020 Oct;113(10):707-12.

Deng J, Zhou F, Hou W, Silver Z, Wong CY, Chang O, Huang E, Zuo QK. The prevalence of depression, anxiety, and sleep disturbances in COVID‐19 patients: a meta‐analysis. Annals of the New York Academy of Sciences. 2020 Oct 2.

WHO. | Coronavirus [Internet]. Who.int. 2021 [cited 27 April 2021]. Available from: https://www.who.int/health-topics/coronavirus

Coronavirus Disease 2019 (COVID-19) – Symptoms [Internet]. Centers for Disease Control and Prevention. 2021 [cited 27 April 2021]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

How are people being infected with COVID-19? [Internet]. livescience.com. 2021 [cited 27 April 2021]. Available from: https://www.livescience.com/how-covid-19-spreads-transmission-routes.html

Dexter F, Parra MC, Brown JR, Loftus RW. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. Anesthesia and analgesia. 2020 Apr 20.

Yen MY, Schwartz J, Chen SY, King CC, Yang GY, Hsueh PR. Interrupting COVID-19 transmission by implementing enhanced traffic control bundling: Implications for global prevention and control efforts. Journal of Microbiology, Immunology and Infection. 2020 Jun 1;53(3):377-80.

Grech V. Unknown unknowns–COVID-19 and potential global mortality. Early human development. 2020 May 1;144:105026.

Tengilimoğlu D, Zekioğlu A, Tosun N, Işık O, Tengilimoğlu O. Impacts of COVID-19 pandemic period on depression, anxiety and stress levels of the healthcare employees in Turkey. Legal Medicine. 2021 Feb 1;48:101811.

WHO Coronavirus (COVID-19) Dashboard [Internet]. Covid19.who.int. 2021 [cited 17 May 2021]. Available from: https://covid19.who.int/

Zheng R, Zhou Y, Qiu M, Yan Y, Yue J, Yu L, Lei X, Tu D, Hu Y. Prevalence and associated factors of depression, anxiety, and stress among Hubei pediatric nurses during COVID-19 pandemic. Comprehensive psychiatry. 2021 Jan 1;104:152217.

Cheema M, Mitrev N, Hall L, Tiongson M, Ahlenstiel G, Kariyawasam V. Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey. BMJ open gastroenterology. 2021 Feb 1;8(1):e000581.

Verma S, Mishra A. Depression, anxiety, and stress and socio-demographic correlates among general Indian public during COVID-19. International Journal of Social Psychiatry. 2020 Dec;66(8):756-62.

Ren X, Huang W, Pan H, Huang T, Wang X, Ma Y. Mental health during the Covid-19 outbreak in China: a meta-analysis. Psychiatric Quarterly. 2020 Jul 8:1-3.

Salari N, Khazaie H, Hosseinian-Far A, Khaledi-Paveh B, Kazeminia M, Mohammadi M, Shohaimi S, Daneshkhah A, Eskandari S. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Human resources for health. 2020 Dec;18(1):1-4.

Krishnamoorthy Y, Nagarajan R, Saya GK, Menon V. Prevalence of psychological morbidities among general population, healthcare workers and COVID-19 patients amidst the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry research. 2020 Nov 1;293:113382.

Shreffler J, Petrey J, Huecker M. The impact of COVID-19 on healthcare worker wellness: A scoping review. Western Journal of Emergency Medicine. 2020 Sep;21(5):1059.

Rehman U, Shahnawaz MG, Khan NH, Kharshiing KD, Khursheed M, Gupta K, Kashyap D, Uniyal R. Depression, anxiety and stress among Indians in times of Covid-19 lockdown. Community mental health journal. 2021 Jan;57(1):42-8.

Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry. 2020 Aug;66(5):504-11.

Kannampallil TG, Goss CW, Evanoff BA, Strickland JR, McAlister RP, Duncan J. Exposure to COVID-19 patients increases physician trainee stress and burnout. PloS one. 2020 Aug 6;15(8):e0237301.

Zandifar A, Badrfam R, Yazdani S, Arzaghi SM, Rahimi F, Ghasemi S, Khamisabadi S, Khonsari NM, Qorbani M. Prevalence and severity of depression, anxiety, stress and perceived stress in hospitalized patients with COVID-19. Journal of Diabetes & Metabolic Disorders. 2020 Oct 29:1-8.

Shi J, Gao Y, Zhao L, Li Y, Yan M, Niu MM, Chen Y, Song Z, Zhang R, Zhang L, Tian J. Prevalence of delirium, depression, anxiety, and post-traumatic stress disorder among COVID-19 patients: protocol for a living systematic review. Systematic reviews. 2020 Dec;9(1):1-6.

Du L, Chen YM, Li Y, Yuan W, Wang JS. Prevalence of depression during the SARS, MERS, and COVID-19 pandemics: A protocol for overview of systematic reviews. Medicine. 2020 Sep 18;99(38).

Sahebi A, Nejati B, Moayedi S, Yousefi K, Torres M, Golitaleb M. The prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic: An umbrella review of meta-analyses. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2021 Jan 19:110247.

ثبت نخستین واقعه کرونا ویروس در افغانستان [Internet]. خبرگزاری آریانا نیوز. 2021 [cited 27 April 2021]. Available from: https://ariananews.co/news/ثبت-واقعه-کرونا-ویروس-افغانستان.html

Depression Anxiety and Stress Scale DASS (-42) – Healthfocus Clinical Psychology Services [Internet]. Healthfocuspsychology.com.au. 2021 [cited 27 April 2021]. Available from: https://www.healthfocuspsychology.com.au/tools/dass-42

Polikandrioti M, Goudevenos J, Michalis LK, Koutelekos J, Kyristi H, Tzialas D, Elisaf M. Factors associated with depression and anxiety of hospitalized patients with heart failure. Hellenic J Cardiol. 2015 Jan 1;56(1):26-35.

Liu Y, Chen H, Zhang N, Wang X, Fan Q, Zhang Y, Huang L, Hu B, Li M. Anxiety and depression symptoms of medical staff under COVID-19 epidemic in China. Journal of Affective Disorders. 2021 Jan 1;278:144-8.

Zhang J, Yang Z, Wang X, Li J, Dong L, Wang F, Li Y, Wei R, Zhang J. The relationship between resilience, anxiety and depression among patients with mild symptoms of COVID‐19 in China: A cross‐sectional study. Journal of Clinical Nursing. 2020 Nov;29(21-22):4020-9.

Disu TR, Anne NJ, Griffiths MD, Mamun MA. Risk factors of geriatric depression among elderly Bangladeshi people: a pilot interview study. Asian journal of psychiatry. 2019 Aug 1;44:163-9.

اجتناب مردم افغانستان از قرنطینه شدن به دلیل ویروس کرونا [Internet]. ایندیپندنت فارسی. 2021 [cited 27 April 2021]. Available from: https://www.independentpersian.com/node/43741/%D8%A7%D8%AC%D8%AA%D9%86%D8%A7%D8%A8-%D9%85%D8%B1%D8%AF%D9%85-%D8%A7%D9%81%D8%BA%D8%A7%D9%86%D8%B3%D8%AA%D8%A7%D9%86-%D8%A7%D8%B2-%D9%82%D8%B1%D9%86%D8%B7%DB%8C%D9%86%D9%87-%D8%B4%D8%AF%D9%86-%D8%A8%D9%87-%D8%AF%D9%84%DB%8C%D9%84-%D9%88%DB%8C%D8%B1%D9%88%D8%B3-%DA%A9%D8%B1%D9%88%D9%86%D8%A7

(www.dw.com) D. قیود روزگردی در هرات برای جلوگیری از شیوع کرونا | DW | 26.03.2020 [Internet]. DW.COM. 2021 [cited 27 April 2021]. Available from: https://www.dw.com/fa-af/%D9%82%DB%8C%D9%88%D8%AF-%D8%B1%D9%88%D8%B2%DA%AF%D8%B1%D8%AF%DB%8C-%D8%AF%D8%B1-%D9%87%D8%B1%D8%A7%D8%AA-%D8%A8%D8%B1%D8%A7%DB%8C-%D8%AC%D9%84%D9%88%DA%AF%DB%8C%D8%B1%DB%8C-%D8%A7%D8%B2-%D8%B4%DB%8C%D9%88%D8%B9-%DA%A9%D8%B1%D9%88%D9%86%D8%A7/a-52920101

قرنطینه کارساز نیست باید فاصله‌گیری در اجتماع شکل بگیرد [Internet]. ایندیپندنت فارسی. 2021 [cited 27 April 2021]. Available from: https://www.independentpersian.com/node/55551/%D9%82%D8%B1%D9%86%D8%B7%DB%8C%D9%86%D9%87-%DA%A9%D8%A7%D8%B1%D8%B3%D8%A7%D8%B2-%D9%86%DB%8C%D8%B3%D8%AA-%D8%A8%D8%A7%DB%8C%D8%AF-%D9%81%D8%A7%D8%B5%D9%84%D9%87%E2%80%8C%DA%AF%DB%8C%D8%B1%DB%8C-%D8%AF%D8%B1

Matalon N, Dorman-Ilan S, Hasson-Ohayon I, Hertz-Palmor N, Shani S, Basel D, Gross R, Chen W, Abramovich A, Afek A, Ziv A. Trajectories of post-traumatic stress symptoms, anxiety, and depression in hospitalized COVID-19 patients: A one-month follow-up. Journal of Psychosomatic Research. 2021 Apr 1;143:110399.

Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry. 2020 Apr 1;7(4):300-2.

Peteet JR. COVID-19 anxiety. Journal of religion and health. 2020 Oct;59:2203-4.

Pietzonka P, Brorson E, Bankes W, Cates ME, Jack RL, Adhikari R. Bayesian inference across multiple models suggests a strong increase in lethality of COVID-19 in late 2020 in the UK. medRxiv. 2021 Jan 1.

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Published

2021-05-24

How to Cite

Shayan, N. A., Azizi, A. T., Razaqi, N., Afzali, H., Neyazi, A., Waez, H., Noormohmmadi, M., & Bhattacharya, S. (2021). Phase wise assessment of COVID-19 related depression, anxiety, and stress level among patients in Herat city, Afghanistan - A descriptive study. Razi International Medical Journal, 1(1). https://doi.org/10.56101/rimj.v1i1.14

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RESEARCH ARTICLE(S)