Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia

Introduction: Coronavirus disease 2019 (COVID-19) is caused by a novel coronavirus which has not been identified previously in humans. The disease leads to respiratory problems, systemic disorders, and death. To stop the virus transmission, physical distancing was strongly implemented, including wor...

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Main Authors: Gina Anindyajati, Tjhin Wiguna, Belinda Julivia Murtani, Hans Christian, Ngurah Agung Wigantara, Anggi Aviandri Putra, Enjeline Hanafi, Kusuma Minayati, Raden Irawati Ismail, Fransiska Kaligis, Ary I. Savitri, Cuno S. P. M. Uiterwaal, Hervita Diatri
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.634585/full
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author Gina Anindyajati
Tjhin Wiguna
Belinda Julivia Murtani
Hans Christian
Ngurah Agung Wigantara
Anggi Aviandri Putra
Enjeline Hanafi
Kusuma Minayati
Raden Irawati Ismail
Fransiska Kaligis
Ary I. Savitri
Cuno S. P. M. Uiterwaal
Hervita Diatri
author_facet Gina Anindyajati
Tjhin Wiguna
Belinda Julivia Murtani
Hans Christian
Ngurah Agung Wigantara
Anggi Aviandri Putra
Enjeline Hanafi
Kusuma Minayati
Raden Irawati Ismail
Fransiska Kaligis
Ary I. Savitri
Cuno S. P. M. Uiterwaal
Hervita Diatri
author_sort Gina Anindyajati
collection DOAJ
description Introduction: Coronavirus disease 2019 (COVID-19) is caused by a novel coronavirus which has not been identified previously in humans. The disease leads to respiratory problems, systemic disorders, and death. To stop the virus transmission, physical distancing was strongly implemented, including working and school from home (WFH & SFH). The limitation altered daily routines and needs advanced to adapt. Many have felt uncomfortable and this could have triggered anxiety symptoms. This study aimed to evaluate the proportion of significant anxiety symptoms and its association with COVID-19-related situations in an Indonesian context during the initial months of the pandemic.Methods: An online community survey was distributed through social media and communication platforms, mainly WhatsApp, targeting people >18 years old in Indonesia. Anxiety symptoms were assessed using Generalized Anxiety Disorder-7 (Indonesian Version). Demographical data and information on social situation related to the COVID-19 pandemic were collected. The proportion of clinically significant anxiety symptoms was calculated and the association with demographic and social factors was assessed using chi square test (χ2) and logistic regression for multivariate analysis.Results: Out of 1215 subjects that completed the survey, 20.2% (n = 245) exhibited significant anxiety symptoms. Several factors, such as age (AOR = 0.933 CI 95% = 0.907–0.96), sex (AOR = 1.612 CI 95% = 1.097–2.369), medical workers (AOR = 0.209 CI 95% = 0.061–0.721), suspected case of COVID-19 (AOR = 1.786 CI 95% = 1.001–3.186), satisfaction level of family support (AOR = 3.052 CI 95% = 1.883–4.946), and satisfaction level of co-workers (AOR = 2.523 CI 95% = 1.395–4.562), were associated with anxiety.Conclusion: One out of five Indonesian people could have suffered from anxiety during the COVID-19 pandemic. The riskiest group being young females, people who had suspected cases of COVID-19, and those with less satisfying social support. Nevertheless, health workers were found to have a lesser risk of developing anxiety. Accessible information and healthcare, social connection, supportive environment, and mental health surveillance are important to prevent bigger psychiatric problems post-pandemic.
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spelling doaj.art-a1ee77a9ca854806b668dc37b130699d2022-12-21T20:32:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-03-011210.3389/fpsyt.2021.634585634585Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in IndonesiaGina Anindyajati0Tjhin Wiguna1Belinda Julivia Murtani2Hans Christian3Ngurah Agung Wigantara4Anggi Aviandri Putra5Enjeline Hanafi6Kusuma Minayati7Raden Irawati Ismail8Fransiska Kaligis9Ary I. Savitri10Cuno S. P. M. Uiterwaal11Hervita Diatri12Department of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaThe Center for Clinical Epidemiology and Evidence-Based Medicine Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaJulius Global Health/Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia—Cipto Mangunkusumo Hospital, Jakarta, IndonesiaIntroduction: Coronavirus disease 2019 (COVID-19) is caused by a novel coronavirus which has not been identified previously in humans. The disease leads to respiratory problems, systemic disorders, and death. To stop the virus transmission, physical distancing was strongly implemented, including working and school from home (WFH & SFH). The limitation altered daily routines and needs advanced to adapt. Many have felt uncomfortable and this could have triggered anxiety symptoms. This study aimed to evaluate the proportion of significant anxiety symptoms and its association with COVID-19-related situations in an Indonesian context during the initial months of the pandemic.Methods: An online community survey was distributed through social media and communication platforms, mainly WhatsApp, targeting people >18 years old in Indonesia. Anxiety symptoms were assessed using Generalized Anxiety Disorder-7 (Indonesian Version). Demographical data and information on social situation related to the COVID-19 pandemic were collected. The proportion of clinically significant anxiety symptoms was calculated and the association with demographic and social factors was assessed using chi square test (χ2) and logistic regression for multivariate analysis.Results: Out of 1215 subjects that completed the survey, 20.2% (n = 245) exhibited significant anxiety symptoms. Several factors, such as age (AOR = 0.933 CI 95% = 0.907–0.96), sex (AOR = 1.612 CI 95% = 1.097–2.369), medical workers (AOR = 0.209 CI 95% = 0.061–0.721), suspected case of COVID-19 (AOR = 1.786 CI 95% = 1.001–3.186), satisfaction level of family support (AOR = 3.052 CI 95% = 1.883–4.946), and satisfaction level of co-workers (AOR = 2.523 CI 95% = 1.395–4.562), were associated with anxiety.Conclusion: One out of five Indonesian people could have suffered from anxiety during the COVID-19 pandemic. The riskiest group being young females, people who had suspected cases of COVID-19, and those with less satisfying social support. Nevertheless, health workers were found to have a lesser risk of developing anxiety. Accessible information and healthcare, social connection, supportive environment, and mental health surveillance are important to prevent bigger psychiatric problems post-pandemic.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.634585/fullanxietyCOVID-19 pandemicIndonesianmental health surveillancepsychosocial support
spellingShingle Gina Anindyajati
Tjhin Wiguna
Belinda Julivia Murtani
Hans Christian
Ngurah Agung Wigantara
Anggi Aviandri Putra
Enjeline Hanafi
Kusuma Minayati
Raden Irawati Ismail
Fransiska Kaligis
Ary I. Savitri
Cuno S. P. M. Uiterwaal
Hervita Diatri
Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia
Frontiers in Psychiatry
anxiety
COVID-19 pandemic
Indonesian
mental health surveillance
psychosocial support
title Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia
title_full Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia
title_fullStr Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia
title_full_unstemmed Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia
title_short Anxiety and Its Associated Factors During the Initial Phase of the COVID-19 Pandemic in Indonesia
title_sort anxiety and its associated factors during the initial phase of the covid 19 pandemic in indonesia
topic anxiety
COVID-19 pandemic
Indonesian
mental health surveillance
psychosocial support
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.634585/full
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