Depression, risk factors, and coping strategies in the context of social dislocations resulting from the second wave of COVID-19 in Japan
Open Access
- 12 January 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Psychiatry
- Vol. 21 (1), 1-9
- https://doi.org/10.1186/s12888-021-03047-y
Abstract
Social dislocations resulting from coronavirus disease 2019 (COVID-19) pandemic have been prolonged, which has led to general population social suppression. The present study aimed to reveal risk factors associated with mental health problems and suggest concrete coping strategies in the context of COVID-19. A web-based survey was conducted in July when Japan was experiencing a second wave of COVID-19. Demographics, Patient Health Questionnaire-9 (PHQ-9), state anger, anger control, and the Brief Coping Orientation to Problems Experienced were measured. Multivariate logistic regression analysis on PHQ-9 scores by set variables was conducted. The participants were 2708 individuals, and 18.35% of them were depressed. Logistic regression analysis showed that in the order of odds ratios (ORs), underlying disease (OR = 1.96, 95% confidence interval (CI) = 1.32–2.92), not working (OR = 1.85, CI = 1.22–2.80), negative economic impact (OR = 1.33, CI = 1.01–1.77), state anger (OR = 1.17, CI = 1.14–1.21), anger control (OR = 1.08, CI = 1.04–1.13), age (OR = 0.97, CI = 0.96–0.98), high income (OR = 0.45, CI = 0.25–0.80), and being married (OR = 0.53, CI = 0.38–0.74) were predictors of depressive symptoms. Regarding coping strategies, planning (OR = 0.84, CI = 0.74–0.94), use of instrumental support (OR = 0.85, CI = 0.76–0.95), denial (OR = 0.88, CI = 0.77–0.99), behavioural disengagement (OR = 1.28, CI = 1.13–1.44), and self-blame (OR = 1.47, CI = 1.31–1.65) were associated with probable depression. During prolonged psychological distress caused by COVID-19 pandemic, the prevalence of depressive symptoms in Japan was two to nine times as high as before the COVID-19 pandemic, even though Japan was not a lockdown country. Although some coping strategies were useful for maintaining mental health, such as developing ways, alone or with others, to address or avoid social dislocations, the influence of demographics was more powerful than these coping strategies, and medical treatments are needed for high-risk individuals.Keywords
This publication has 59 references indexed in Scilit:
- Coping Styles in Patients with Anxiety and DepressionISRN Psychiatry, 2012
- Emotion regulation and aggressionAggression and Violent Behavior, 2012
- Twelve‐month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002–2003Psychiatry and Clinical Neurosciences, 2005
- Job demands, job resources, and their relationship with burnout and engagement: a multi‐sample studyJournal of Organizational Behavior, 2004
- Job stressors, coping, and psychological distress among Japanese employees: Interplay between active and non-active copingWork & Stress, 2003
- Development and validation of the anger rumination scalePersonality and Individual Differences, 2001
- The PHQ-9Journal of General Internal Medicine, 2001
- Assessing coping strategies: A theoretically based approach.Journal of Personality and Social Psychology, 1989
- Assessing coping strategies: A theoretically based approach.Journal of Personality and Social Psychology, 1989
- Behavior, health and environmental stress. Plenum Press, New York, 1986, 283 ppApplied Ergonomics, 1987