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Anxiety, depression, insomnia symptoms & associated factors among young to middle-aged adults during the resurgent epidemic of COVID-19: a cross-sectional study

Psychol Health Med. 2022 Nov 5:1-11. doi: 10.1080/13548506.2022.2143542. Online ahead of print.


The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency of international concern. However, its stress on the mental health of young to middle-aged adults is largely unexplored. This study aimed to evaluate the mental health difficulties during the resurgent phase of COVID-19 among young to middle-aged adults in China. There were 1,478 participants with a median age of 26 years (IQR, 23 – 30), including 535 males (36.2%). The prevalence of anxiety, depression, and insomnia were 8.6%, 11.4%, and 13.7%, respectively. Participants aged 29 – 59 years (OR, 95% CI: 2.46, 1.23 – 4.91) and females (2.49, 1.55 – 4.01) had a higher risk of anxiety. Education status, worried level about the current COVID-19, and the level of COVID-19’s impact on life were significantly associated with the prevalence of anxiety. Besides, the level of COVID-19’s impact on life was positively related to the prevalence of depression and insomnia. Our study provided novel evidence of psychological difficulties among young to middle-aged adults during the resurgent stage of the COVID-19 epidemic. Psychological intervention should be continuously implemented to prevent long-term psychological comorbidities during the COVID-19 epidemic.

PMID:36334084 | DOI:10.1080/13548506.2022.2143542

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