Increased stressful impact among general population in mainland China amid the COVID-19 pandemic: A nationwide cross-sectional study conducted after Wuhan city's travel ban was lifted

Int J Soc Psychiatry. 2020 Dec;66(8):770-779. doi: 10.1177/0020764020935489. Epub 2020 Jun 22.

Abstract

Objectives: Our study aimed to determine the impact of the COVID-19 pandemic on psychological responses and lifestyle changes among the general population in mainland China following the re-opening of the Wuhan city.

Methods: A cross-sectional survey was conducted in April 2020. Participants of Chinese nationality aged ⩾ 18 years were asked to complete a modified validated Chinese version of a questionnaire regarding the impact of event scale (IES), family and social support, mental health-related lifestyle changes, and indicators of negative mental health impacts.

Results: A total of 728 participants (i.e., 217 males and 511 females) completed the questionnaire. The mean age of the participants was 32.9 ± 10.4 years, with a majority of them (92.2%) having a higher educational qualification level. The overall mean IES in participants was 21.5 ± 7.0, reflecting mild stressful impact (i.e., following the re-opening of the Wuhan city); 25.5% of the participants had an IES score ⩾ 26. Being females and married were significantly associated with a higher mean IES score. The overall mean scores for intrusion and avoidance score scales in participants were 9.4 ± 3.7 and 12.1 ± 4.2, respectively.

Conclusions: The COVID-19 pandemic was associated with increased stressful impact in our participants following the re-opening of the Wuhan city when compared with our previous study, which should not be taken lightly.

Keywords: COVID-19; China; Coronavirus; lifestyle changes; mental health.

MeSH terms

  • Adolescent
  • Adult
  • Betacoronavirus
  • COVID-19
  • China / epidemiology
  • Coronavirus Infections / psychology*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Life Style
  • Linear Models
  • Male
  • Mental Health*
  • Middle Aged
  • Pandemics
  • Pneumonia, Viral / psychology*
  • Quality of Life / psychology*
  • SARS-CoV-2
  • Social Support
  • Stress, Psychological / epidemiology*
  • Surveys and Questionnaires
  • Young Adult