Mental Health Impact of the COVID-19 Pandemic Among Immigrants in Santiago, Chile (STRING-COVID)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,092
- 试验地点
- 1
- 主要终点
- Depressive symptoms
研究概览
简要总结
The mental health of a representative sample of immigrants residing in Santiago, Chile (STRING cohort) was assessed nine months prior to the COVID-19 pandemic (T0). Evidence suggests that social isolation affects mental health by increasing symptoms of anxiety and depression. One of the main components of the current COVID-19 pandemic is the social isolation imposed on the population. This study seeks to explore the short (T1) and long-term (T2) effects of the pandemic on the psychological wellbeing of the cohort.
Specific aims are to
- Describe the variations in the levels of mental health problems (i.e. symptoms of depression, anxiety, post-traumatic stress, sleep difficulties) and wellbeing of immigrants during the first (T1) and second follow-up (T2)
- Calculate the short (T1) and long-term (T2) effects of social isolation on the levels of mental health problems of the immigrant population, and
- Identify risk / protective factors associated with a short (T1) and long-term (T2) increase in mental health problems
详细描述
Participants were interviewed at baseline (T0) 8 months before the COVID-19 pandemic. An online survey will be applied in two follow-up moments during the pandemic:
- At 9 months (also 1 month after lockdown measures imposed) (T1)
- At 18 months (also 10 months after lockdown measures imposed) (T2)
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Country of birth other than Chile
- •Time since arrival to Chile: 3 months (at baseline)
排除标准
- •Unable to understand Spanish
结局指标
主要结局
Depressive symptoms
时间窗: Month 1 (T1) and month 10 (T2)
The Patient Health Questionnaire 9 (PHQ-9; Kroenke, Spitzer \& Williams, 2001) is used to measure symptoms of depression in accordance with the diagnostic criteria for major depressive disorder. The questionnaire consists of nine items scored on a four-point Likert scale (0-3), with the range of scores from 0 to 27. Higher scores indicate greater depression severity, and scores above 10 are considered as the cut-off that indicate that the patient is within the depressive area. Specific cut-off for primary care samples in Chile have been found yielding a cut-off of 7 and above for high sensitivity and specificity (Saldivia, Aslan, Cova, Vicente, Inostroza \& Rincón, 2019). Changes in depressive symptoms between baseline (T0) and two follow-up points (T1 and T2) will be assessed.
Symptoms of anxiety
时间窗: Month 1 (T1) and month 10 (T2)
The Generalized Anxiety Disorder 7 (GAD-7; Spitzer, Kroenke, Williams \& Löwe, 2006) is used to measure symptoms of anxiety and worry. The questionnaire consists of seven items scored on a four-point Likert scale (0-3), with the scores ranging from 0 to 21. Specific cut-off for primary care samples in Spain have been found yielding a cut-off of 10 and above for high sensitivity and specificity (García-Campayo et al, 2010). Changes in symptoms of anxiety between baseline (T0) and two follow-up points (T1 and T2) will be assessed.
次要结局
- Symptoms of post-traumatic stress disorder(Month 1 (T1) and month 10 (T2))
- Changes in hazardous and harmful alcohol drinking(Month 1 (T1) and month 10 (T2))
- Change in general physical and mental health(Change from last 2 weeks before pandemic to month 1 (T1) and month 10 (T2))
- Changes in loneliness(Month 1 (T1) and month 10 (T2))
- Changes in sleep difficulties(Month 1 (T1) and month 10 (T2))
- Change in mental health symptoms from last 2 weeks before the pandemic to the last 2 weeks during the COVID-19 pandemic at T1 and T2.(Change from last 2 weeks before pandemic to month 1 (T1) and to month 10 (T2).)
- Change in mental health well-being from last 2 weeks before the pandemic to the last 2 weeks during the COVID-19 pandemic at T1 and T2.(Change from last 2 weeks before pandemic to month 1 (T1) and to month 10 (T2).)