DOI: https://doi.org/10.14710/nmjn.v11i3.36783

Factors Influencing Depression among Indonesians during the COVID-19 Outbreak

*Rika Sarfika orcid scopus  -  Mental Health and Community Department, Faculty of Nursing, Universitas Andalas, Indonesia
Hema Malini  -  Medical-Surgical Nursing Department, Faculty of Nursing, Universitas Andalas, Indonesia
Dewi Eka Putri  -  Mental Health and Community Department, Faculty of Nursing, Universitas Andalas, Indonesia
Andi Buanasari  -  Nursing Department, Faculty of Medicine, Universitas Sam Ratulangi, Indonesia
Khatijah Lim Abdullah  -  Nursing Department, School of Medical and Life Sciences, Sunway University, Malaysia
Windy Freska  -  Mental Health and Community Department, Faculty of Nursing, Universitas Andalas, Indonesia
Open Access Copyright (c) 2021 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: The 2019 Coronavirus pneumonia disease (COVID-19) has gained intense attention globally, including in Indonesia. The rapid transmission and clinical effects of the virus can cause depression in Indonesian society. However, information on risk factors for depression during COVID-19 in this country is not known. 

Purpose: This study aimed to determine the level of depression and identify factors influencing depression in Indonesian society during the COVID-19 outbreak.

Methods: An online-based cross-sectional study was conducted among Indonesian society aged ≥12 years old in April 2020. A total of 1,622 participants from 34 provinces in Indonesia were involved in this study and completed the online questionnaires on demographics, social media exposure, self-rated health, and depression levels with the WHO-Five Well-being Index (WHO-5). Ordinal logistic regression analysis was used to identify the factors associated with depression levels.

Results: Of the total sample analyzed, the overall prevalence of depression levels was 28.5% mild depression, 18.4% moderate depression, and 24.8% severe depression. Social media exposure (SME), age, gender, occupation, and self-rated health (SRH) were significantly influencing depression (p<0.05). The factor that most influenced the level of depression was self-rated health (p=0.0001; OR=2.72).

Conclusion: This study highlights depression in Indonesian society during the COVID-19 pandemic and provides an understanding of the effects of demographics, social media exposure, and self-rated health. The study suggests the importance of implementing a multi-disciplinary approach (e.g., a collaboration between mental health nursing and community nursing) to deal with depression.
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Keywords: COVID-19 outbreak; depression; self-rated health; social media exposure

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  1. Ahmed, S. S. (2020). The Coronavirus Disease 2019 (COVID-19): A review. Journal of Advances in Medicine and Medical Research, 32(4), 1–9. https://doi.org/10.9734/jammr/2020/v32i430393
  2. Ahmed, Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., & Ahmad, A. (2020). Epidemic of COVID-19 in China and associated psychological problems. Asian Journal of Psychiatry, 51(June), 102092. https://doi.org/https://doi.org/10.1016/j.ajp.2020.102092
  3. Albert, P. R. (2015). Why is depression more prevalent in women? Journal of Psychiatry and Neuroscience, 40(4), 219–221. https://doi.org/10.1503/jpn.150205
  4. Bao, Y., Sun, Y., Meng, S., Shi, J., & Lu, L. (2020). 2019-nCoV epidemic: Address mental health care to empower society. The Lancet, 395(10224), e37–e38. https://doi.org/10.1016/S0140-6736(20)30309-3
  5. Bauldry, S. (2015). Variation in the protective effect of higher education against depression. Society and Mental Health, 5(2), 145–161. https://doi.org/10.1177/2156869314564399
  6. Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. Harper & Row
  7. Bilal, Latif, F., Bashir, M. F., Komal, B., & Tan, D. (2020). Role of electronic media in mitigating the psychological impacts of Novel Coronavirus (COVID-19). Psychiatry Research, 289, 113041. https://doi.org/10.1016/j.psychres.2020.113041
  8. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8
  9. Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Wang, Y., Fu, H., & Dai, J. (2020). Mental health problems and social media exposure during COVID-19 outbreak. PLoS ONE, 15(4), 1–10. https://doi.org/10.1371/journal.pone.0231924
  10. González-sanguino, C., Ausín, B., Ángel, M., Saiz, J., Lopez-Gomez, A., Ugidos, C., & Munoz, M. (2020). Mental health consequences during the initial stage of the 2020 Coronavirus Pandemic (COVID-19) in Spain. Brain, Behavior, and Immunity, 87(2020), 172–176. https://doi.org/10.1016/j.bbi.2020.05.040
  11. Heflin, C. M., & Iceland, J. (2009). Poverty, material hardship and depression. Social Science Quarterly, 90(5), 1051–1071. https://doi.org/10.1111/j.1540-6237.2009.00645.x
  12. Hosen, I., al Mamun, F., & Mamun, M. A. (2021). The role of sociodemographics, behavioral factors, and internet use behaviors in students’ psychological health amid COVID‐19 pandemic in Bangladesh. Health Science Reports, 4(4). https://doi.org/10.1002/hsr2.398
  13. Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Research, 288, 112954. https://doi.org/10.1016/j.psychres.2020.112954
  14. Indonesia’s COVID-19 Task Force. (2020). Update data COVID-19. BNPB Indonesia. https://doi.org/https://www.bnpb.go.id/
  15. Kelly, M. M., Tyrka, A. R., Price, L. H., & Carpenter, L. L. (2008). Sex Differences in the use of coping strategies: Predictors of anxiety and depressive symptoms. Depression and Anxiety, 25(10), 839–846. https://doi.org/10.1002/da.20341
  16. Lee, J. (2020). Mental health effects of school closures during COVID-19. The Lancet Child and Adolescent Health, 4(6), 421. https://doi.org/10.1016/S2352-4642(20)30109-7
  17. Lin, L. Y., Sidani, J. E., Shensa, A., Radovic, A., Miller, E., Colditz, J., Hoffman, B., Giles, L. M., & Primack, B. A. (2016). Association between social media use and depression among U.S. young adults. Depression and Anxiety, 33(4), 323–331. https://doi.org/10.1002/da.22466
  18. Liu, S., Yang, L., Zhang, C., Xiang, Y.-T., Liu, Z., Hu, S., & Zhang, B. (2020). Online mental health services in China during the COVID-19 Outbreak. The Lancet Psychiatry, 7(4), e17–e18. https://doi.org/10.1016/S2215-0366(20)30077-8
  19. Mailani, F., Huriani, E., Muthia, R., & Sarfika, R. (2021). Nurses’ intention to work during the COVID-19 outbreak in West Sumatra, Indonesia. Nurse Media Journal of Nursing, 11(1), 50–60. https://doi.org/10.14710/nmjn.v11i1.34093
  20. Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C., & Roma, P. (2020). A nationwide survey of psychological distress among Italian people during the COVID-19 pandemic: Immediate psychological responses and associated factors. Environmental Research and Public Health, 17(9), 3165. https://doi.org/10.3390/ijerph17093165
  21. Özdin, S., & Özdin, Ş. B. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. International Journal of Social Psychiatry, 66(5), 504–511. https://doi.org/10.1177/0020764020927051
  22. PDSKJI. (2020). Swaperiksa masalah psikologis [Self-check for psychological problems]. Perhimpunan Dokter Spesialis Kedokteran Jiwa Indonesia (Indonesian Society of Mental Medicine Specialists). http://www.pdskji.org/home
  23. Psychiatric Research Unit. (1998). WHO (five) well-being index (1998 version). In WHO collaborating centre in mental health. World Health Organization. https://www.psykiatri-regionh.dk/who-5/who-5-questionnaires/Pages/default.aspx
  24. Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. General Psychiatry, 33(2), 1–4. https://doi.org/10.1136/gpsych-2020-100213
  25. Scarlett, H., Davisse-Paturet, C., Longchamps, C., Aarbaoui, T. E., Allaire, C., Colleville, A.-C., Convence-Arulthas, M., Crouzet, L., Ducarroz, S., & Melchior, M. (2021). Depression during the COVID-19 pandemic amongst residents of homeless shelters in France. Journal of Affective Disorders Reports, 6, 100243. https://doi.org/10.1016/j.jadr.2021.100243
  26. Stewart, D. E., Rolfe, D. E., & Robertson, E. (2004). Depression, estrogen, and the women’s health initiative. Psychosomatics, 45(5), 445–447. https://doi.org/10.1176/appi.psy.45.5.445
  27. Vacaru, S., Beijers, R., Browne, P. D., Cloin, M., van Bakel, H., van den Heuvel, M. I., & de Weerth, C. (2021). The risk and protective factors of heightened prenatal anxiety and depression during the COVID-19 lockdown. Scientific Reports, 11(1), 1–11. https://doi.org/10.1038/s41598-021-99662-6
  28. Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020a). Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729
  29. Wang, G., Zhang, Y., Zhao, J., Zhang, J., & Jiang, F. (2020b). Mitigate the effects of home confinement on children during the COVID-19 Outbreak. The Lancet, 395(10228), 945–947. https://doi.org/10.1016/S0140-6736(20)30547-X
  30. Weeland, M. M., Nijhof, K. S., Otten, R., Vermaes, I. P. R., & Buitelaar, J. K. (2017). Beck’s cognitive theory and the response style theory of depression in adolescents with and without mild to borderline intellectual disability. Research in Developmental Disabilities, 69, 39–48. https://doi.org/10.1016/j.ridd.2017.07.015
  31. Worldometer. (2020). COVID-19 Coronavirus pandemic. Worldometer. https://www.worldometers.info/coronavirus/
  32. Zhou, X. (2020). Psychological crisis interventions in Sichuan province during the 2019 Novel Coronavirus outbreak. Psychiatry Research, 286, 112895. https://doi.org/https://doi.org/10.1016/j.psychres.2020.112895

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