Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends

Background: The impact of the COVID-19 pandemic on populations’ mental health has started to emerge. Objectives: To describe the mental health trends of the risk of major depressive disorder (MDD) and generalized anxiety disorder (GAD) between May and August 2020. It also compares the results with p...

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Main Authors: Nasser F. BinDhim, Nora A. Althumiri, Mada H. Basyouni, Asem A. Alageel, Suliman Alghnam, Ada M. Al-Qunaibet, Rasha A. Almubarak, Shahla Aldhukair, Yasser Ad-Dab’bagh
Format: Article
Language:English
Published: Taylor & Francis Group 2021-01-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2021.1875642
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author Nasser F. BinDhim
Nora A. Althumiri
Mada H. Basyouni
Asem A. Alageel
Suliman Alghnam
Ada M. Al-Qunaibet
Rasha A. Almubarak
Shahla Aldhukair
Yasser Ad-Dab’bagh
author_facet Nasser F. BinDhim
Nora A. Althumiri
Mada H. Basyouni
Asem A. Alageel
Suliman Alghnam
Ada M. Al-Qunaibet
Rasha A. Almubarak
Shahla Aldhukair
Yasser Ad-Dab’bagh
author_sort Nasser F. BinDhim
collection DOAJ
description Background: The impact of the COVID-19 pandemic on populations’ mental health has started to emerge. Objectives: To describe the mental health trends of the risk of major depressive disorder (MDD) and generalized anxiety disorder (GAD) between May and August 2020. It also compares the results with pre-COVID-19 results and identifies risk factors associated with increased likelihood of being at risk of MDD and GAD. Method: This study utilizes repeated cross-sectional design, at national-level coverage of mental health screenings via computer-assisted phone interviews conducted in four waves monthly (between May and August 2020). Arabic-speaking adults from Saudi Arabia were recruited via a random phone list. The questionnaire includes the Arabic version of the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder-7 (GAD-7). Pre-COVID-19 comparison was done using the PHQ-2 score to allow for comparison with a previous and similar national study conducted in 2018. Results: Across the four waves, 16,513 participants completed the interviews, with an overall response rate of 81.3%. The weighted national prevalence of people at risk of MDD was 14.9% overall, and 13.8%, 13.6%, 16.8%, and 15.3% in Waves 1, 2, 3, and 4, respectively. The weighted national prevalence of people at risk of GAD was 11.4%, overall, and 10.9%, 10.7%, 12.4%, and 11.7% in Waves 1, 2, 3, and 4, respectively. The weighted national proportion of individuals who were at risk of MDD and GAD at the same time was 7.4% overall. The risk of MDD on PHQ-2 increased by 71.2%, from 12.5% in 2018 to 21.4% in 2020. Conclusions: The risks of MDD and GAD in this study are relatively high. These results can help decision makers to understand the impact of the COVID-19 pandemic on the population’s mental health and the most-impacted subgroups.
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spelling doaj.art-fc1b77695e1f45e080884dff0f4f9b3b2023-04-18T14:59:09ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662021-01-0112110.1080/20008198.2021.18756421875642Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trendsNasser F. BinDhim0Nora A. Althumiri1Mada H. Basyouni2Asem A. Alageel3Suliman Alghnam4Ada M. Al-Qunaibet5Rasha A. Almubarak6Shahla Aldhukair7Yasser Ad-Dab’bagh8Sharik Association for Health ResearchSharik Association for Health ResearchSharik Association for Health ResearchAl-Imam Mohammad Ibn Saud Islamic University (IMSIU)King Abdulah International Medical Research Center (KAIMRC)The National Center for Disease Prevention and Control (Weqaya)Sharik Association for Health ResearchSaudi Health CouncilMinistry of HealthBackground: The impact of the COVID-19 pandemic on populations’ mental health has started to emerge. Objectives: To describe the mental health trends of the risk of major depressive disorder (MDD) and generalized anxiety disorder (GAD) between May and August 2020. It also compares the results with pre-COVID-19 results and identifies risk factors associated with increased likelihood of being at risk of MDD and GAD. Method: This study utilizes repeated cross-sectional design, at national-level coverage of mental health screenings via computer-assisted phone interviews conducted in four waves monthly (between May and August 2020). Arabic-speaking adults from Saudi Arabia were recruited via a random phone list. The questionnaire includes the Arabic version of the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder-7 (GAD-7). Pre-COVID-19 comparison was done using the PHQ-2 score to allow for comparison with a previous and similar national study conducted in 2018. Results: Across the four waves, 16,513 participants completed the interviews, with an overall response rate of 81.3%. The weighted national prevalence of people at risk of MDD was 14.9% overall, and 13.8%, 13.6%, 16.8%, and 15.3% in Waves 1, 2, 3, and 4, respectively. The weighted national prevalence of people at risk of GAD was 11.4%, overall, and 10.9%, 10.7%, 12.4%, and 11.7% in Waves 1, 2, 3, and 4, respectively. The weighted national proportion of individuals who were at risk of MDD and GAD at the same time was 7.4% overall. The risk of MDD on PHQ-2 increased by 71.2%, from 12.5% in 2018 to 21.4% in 2020. Conclusions: The risks of MDD and GAD in this study are relatively high. These results can help decision makers to understand the impact of the COVID-19 pandemic on the population’s mental health and the most-impacted subgroups.http://dx.doi.org/10.1080/20008198.2021.1875642mental healthdepressionanxietyscreeningsurveillancecovid-19
spellingShingle Nasser F. BinDhim
Nora A. Althumiri
Mada H. Basyouni
Asem A. Alageel
Suliman Alghnam
Ada M. Al-Qunaibet
Rasha A. Almubarak
Shahla Aldhukair
Yasser Ad-Dab’bagh
Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends
European Journal of Psychotraumatology
mental health
depression
anxiety
screening
surveillance
covid-19
title Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends
title_full Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends
title_fullStr Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends
title_full_unstemmed Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends
title_short Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends
title_sort saudi arabia mental health surveillance system mhss mental health trends amid covid 19 and comparison with pre covid 19 trends
topic mental health
depression
anxiety
screening
surveillance
covid-19
url http://dx.doi.org/10.1080/20008198.2021.1875642
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