Document Type : Original Article

Authors

1 Instructor, Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran / MSc of Epidemiology, Student Research Committee, Larestan University of Medical Sciences, Larestan, Iran

2 BSc Student, Student Research Committee, Larestan University of Medical Sciences, Larestan, Iran

3 Student of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

4 Associate Professor, Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran

Abstract

Background and aims: Today, with the increasing prevalence of COVID-19 in the world, the general population with excessive worry due to media reports has a higher level of psychological distress. Therefore, the present study aimed to determine the state of anxiety among Instagram users in 2020.
 
Methods: This is a cross-sectional study that was conducted from June to July 2020 on 313 Instagram users. Coronavirus Anxiety Scale was used to measure anxiety caused by coronavirus in Iran. The subjects entered the study by availability sampling and filled out the questionnaire through the features of Instagram such as posts and stories. Chi-square test was used to analyze the relationship between independent and dependent variables according to the nature of the variable. The significance level was considered to be P < 0.05.
 
Results: Out of 313 participants in the study, 218 (69.6%) were in the age range of 19-35 years. Additionally, 50.5% of them were male and the majority of the participants had academic education. Overall, 21.4% of the participants had moderate to severe anxiety. There was no significant relationship between the participants’ levels of anxiety and demographic variables (age groups, gender, and level of education) (P > 0.05).
 
Conclusion: The results of chi-square test showed that no significant relationship was observed between the dimensions of anxiety based on the demographic characteristics of individuals such as age groups (P=0.256), gender (P=0.644), and level of education (P=0.415).

Keywords

1. Antonelli A, Elia G, Ferrari SM, Foddis R, De Marco S, Cristaudo A, et al. The COVID-19, epidemiology, clinic and prevention. Curr Genomics. 2020;21(3):157. doi: 10.2174/1 389202921999200427133052. 
2. Lai CC, Wang CY, Wang YH, Hsueh SC, Ko WC, Hsueh PR. Global epidemiology of coronavirus disease 2019 (COVID-19): disease incidence, daily cumulative index, mortality, and their association with country healthcare resources and economic status. Int J Antimicrob Agents. 2020;55(4):105946. doi: 10.1016/j.ijantimicag.2020.105946. 
3. Bazrafshan MR, Eidi A, Keshtkaran Z, Shokrpour N, Zand P, Delam H. Epidemiological and clinical aspects of the coronavirus disease 2019 (COVID-19) outbreak based on global data: a review article. J Health Sci Surveill Syst. 2020;8(3):100-4. doi: 10.30476/jhsss.2020.86851.1102. 
4. Delam H, Eidi A. WhatsApp messenger role in coronavirus disease 2019 (COVID 19) pandemic. J Health Sci Surveill Syst. 2020;8(4):183-4. doi: 10.30476/jhsss.2020.87202.1107. 
5. Stübinger J, Schneider L. Epidemiology of coronavirus COVID-19: forecasting the future incidence in different countries. Healthcare. 2020;8(2):99. doi: 10.3390/ healthcare8020099. 
6. Di Gennaro F, Pizzol D, Marotta C, Antunes M, Racalbuto V, Veronese N, et al. Coronavirus diseases (COVID-19) current status and future perspectives: a narrative review. Int J Environ Res Public Health. 2020;17(8):2690. doi: 10.3390/ijerph17082690. 
7. Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020;27(2):taaa020. doi: 10.1093/jtm/taaa020. 
8. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. doi: 10.1016/s0140- 6736(20)30460-8. 
9. Cheng SK, Wong CW, Tsang J, Wong KC. Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS). Psychol Med. 2004;34(7):1187-95. doi: 10.1017/s0033291704002272. 
10. Okusaga O, Yolken RH, Langenberg P, Lapidus M, Arling TA, Dickerson FB, et al. Association of seropositivity for influenza and coronaviruses with history of mood disorders and suicide attempts. J Affect Disord. 2011;130(1-2):220-5. doi: 10.1016/j.jad.2010.09.029. 
11. Wu Y, Xu X, Chen Z, Duan J, Hashimoto K, Yang L, et al. Nervous system involvement after infection with COVID-19 and other coronaviruses. Brain Behav Immun. 2020;87:18- 22. doi: 10.1016/j.bbi.2020.03.031. 
12. Eidi A, Delam H. Internet addiction is likely to increase in home quarantine caused by coronavirus disease 2019 (COVID 19). J Health Sci Surveill Syst. 2020;8(3):142-3. doi: 10.30476/jhsss.2020.87015.1104. 
13. Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, et al. Anxiety and depression in COVID-19 survivors: role of inflammatory and clinical predictors. Brain Behav Immun. 2020;89:594-600. doi: 10.1016/j. bbi.2020.07.037. 
14. Choi EPH, Hui BPH, Wan EYF. Depression and anxiety in Hong Kong during COVID-19. Int J Environ Res Public Health. 2020;17(10). doi: 10.3390/ijerph17103740. 
15. Wang H, Xia Q, Xiong Z, Li Z, Xiang W, Yuan Y, et al. The psychological distress and coping styles in the early stages of the 2019 coronavirus disease (COVID-19) epidemic in the general mainland Chinese population: a web-based survey. PLoS One. 2020;15(5):e0233410. doi: 10.1371/journal. pone.0233410. 
16. Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H. Preliminary validation of the corona disease anxiety scale (CDAS) in the Iranian sample. Quarterly Journal of Health Psychology. 2020;8(32):163-75. doi: 10.30473/ hpj.2020.52023.4756. [Persian]. 
17. Lee SA. Coronavirus anxiety scale: a brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393-401. doi: 10.1080/07481187.2020.1748481 
18. Balaratnasingam S, Janca A. Mass hysteria revisited. Curr Opin Psychiatry. 2006;19(2):171-4. doi: 10.1097/01. yco.0000214343.59872.7a. 
19. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133-4. doi: 10.1001/jama.2020.5893. 
20. Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PLoS One. 2020;15(4):e0231924. doi: 10.1371/journal.pone.0231924. 
21. Liu Z, Han B, Jiang R, Huang Y, Ma C, Wen J, et al. Mental health status of doctors and nurses during COVID-19 epidemic in China. SSRN Electronic Journal. 2020. doi: 10.2139/ssrn.3551329. 
22. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi: 10.1016/j.psychres.2020.112934. 
23. Du J, Dong L, Wang T, Yuan C, Fu R, Zhang L, et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry. 2020;67:144-5. doi: 10.1016/j. genhosppsych.2020.03.011. 
24. Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168(10):1245-51. 
25. Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC, et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry. 2004;185:127-33. doi: 10.1192/bjp.185.2.127. 
26. McAlonan GM, Lee AM, Cheung V, Cheung C, Tsang KW, Sham PC, et al. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can J Psychiatry. 2007;52(4):241-7. doi: 10.1177/070674370705200406. 
27. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9. doi: 10.1001/jama.2020.1585.