2021, Number 4
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salud publica mex 2021; 63 (4)
Monthly prevalence of generalized anxiety disorder during the Covid-19 pandemic in Mexico
Gaitán-Rossi P, Pérez-Hernández V, Vilar-Compte M, Teruel-Belismelis G
Language: Spanish
References: 35
Page: 478-485
PDF size: 315.42 Kb.
ABSTRACT
Objective. Estimate the prevalence of generalized anxiety
disorder (GAD) from April to June 2020.
Materials and
methods. Repeated cross-sections design based in the
Encovid-19, a series of monthly mobile surveys with representative
samples of Mexico (N= 833-1 674). The questionnaire
includes the GAD-2 scale, and, in July, the GAD-7 scale was
added; we examined its internal validity with confirmatory
factor analysis and its concurrent validity with sociodemographic
variables. Using GAD-7 as criterion, we analyzed the
predictive validity of the GAD-2. We estimated the monthly
prevalence with the GAD-2.
Results. The GAD-7 and the
GAD-2 are reliable and valid. The GAD-2 has a sensitivity of
0.87 and a specificity of 0.90. The monthly prevalence remains
high and stable, between 30.7 and 32.6%. GAD concentrated
in women, unemployed and persons with low socioeconomic
status.
Conclusions. GAD is a public health problem that
worsened during the Covid-19 pandemic.
REFERENCES
Baxter AJ, Scott KM, Vos T, Whiteford HA. Global prevalence of anxiety disorders: a systematic review and meta-regression. Psychol Med. 2013;43(5):897-910. https://doi.org/10.1017/S003329171200147X
Vos T, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211-59. https://doi.org/10.1016/S0140- 6736(17)32154-2
Craske MG, Stein MB. Anxiety. Lancet. 2016;388(10063):3048-59. https:// doi.org/10.1016/S0140-6736(16)30381-6
Organización Panamericana de la Salud. La carga de los trastornos mentales en la Región de las Américas. Washington, DC: OPS, 2018 [citado febrero 19, 2021]. Disponible en: https://iris.paho.org/bitstream/handle/ 10665.2/49578/9789275320280_spa.pdf?sequence=9&isAllowed=y
Medina-Mora ME, Borges G, Muñoz CL, Benjet C, Jaimes JB, Bautista CF, et al. Prevalencia de trastornos mentales y uso de servicios: Resultados de la Encuesta Nacional de Epidemiología Psiquiátrica en México. Salud Mental. 2003;26(4):1-16 [citado febrero 19, 2021]. Disponible en: https:// www.redalyc.org/articulo.oa?id=58242601
American Psychiatric Publishing. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: APA, 2013. https://doi.org/10.1176/ appi.books.9780890425596
Newman MG, Llera SJ, Erickson TM, Przeworski A, Castonguay LG. Worry and generalized anxiety disorder: a review and theoretical synthesis of evidence on nature, etiology, mechanisms, and treatment. Annu Rev Clin Psychol. 2013;9:275-97. https://doi.org/10.1146/annurevclinpsy- 050212-185544
Charlson F, van Ommeren M, Flaxman A, Cornett J, Whiteford H, Saxena S. New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. Lancet. 2019;394(10194):240- 8. https://doi.org/10.1016/S0140-6736(19)30934-1
Galea S, Merchant RM, Lurie N. The Mental Health Consequences of COVID-19 and Physical Distancing. JAMA Inter Med. 2020;180(6):817-8. https://doi.org/10.1001/jamainternmed.2020.1562
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. https://doi. org/10.1016/S0140-6736(20)30460-8
Gaitán-Rossi P, Vilar-Compte M, Teruel G, Pérez-Escamilla R. Food insecurity measurement and prevalence estimates during the COVID-19 pandemic in a repeated cross-sectional survey in Mexico. Public Health Nutrition. 2020;24(3):412-21. https://doi.org/10.1017/S1368980020004000
Ran L, Wang W, Ai M, Kong Y, Chen J, Kuang L. Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic. Soc Sci Med. 2020;262:113261. https://doi.org/10.1016/j. socscimed.2020.113261
Hamadani JD, Hasan MI, Baldi AJ, Hossain SJ, Shiraji S, Bhuiyan MSA, et al. Immediate impact of stay-at-home orders to control COVID-19 transmission on socioeconomic conditions, food insecurity, mental health, and intimate partner violence in Bangladeshi women and their families: an interrupted time series. Lancet Global Health. 2020;8(11):1380-9. https:// doi.org/10.1016/S2214-109X(20)30366-1
Galindo-Vázquez O, Ramírez-Orozco M, Costas-Muñiz R, Mendoza- Contreras LA, Calderillo-Ruíz G, Meneses-García A. Symptoms of anxiety, depression and self-care behaviors during the COVID-19 pandemic in the general population. Gac Med Mex. 2020;156(4):298-305. https://doi. org/10.24875/GMM.20000266
Centers for Disease Control and Prevention. Anxiety and Depression. United States: United States Census Bureau, 2020 [citado febrero 19, 2021]. Disponible en: https://www.cdc.gov/nchs/covid19/pulse/mentalhealth. htm
Lee S, Tsang A, Ruscio AM, Haro JM, Stein DJ, Alonso J, et al. Implications of modifying the duration requirement of generalized anxiety disorder in developed and developing countries. Psychol Med. 2009;39(7):1163-76. https://doi.org/10.1017/S0033291708004807
Kroenke K, Spitzer RL, Williams JBW, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146(5):317-25. https://doi.org/10.7326/0003- 4819-146-5-200703060-00004
Christensen H, Batterham PJ, Grant JB, Griffiths KM, Mackinnon AJ. A population study comparing screening performance of prototypes for depression and anxiety with standard scales. BMC Med Res Methodol. 2011;11:154. https://doi.org/10.1186/1471-2288-11-154
Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry. 2016;39:24-31. https://doi. org/10.1016/j.genhosppsych.2015.11.005
Luo Z, Li Y, Hou Y, Zhang H, Liu X, Qian X, et al. Adaptation of the two-item generalized anxiety disorder scale (GAD-2) to Chinese rural population: A validation study and meta-analysis. Gen Hosp Psychiatry. 2019;60:50-6. https://doi.org/10.1016/j.genhosppsych.2019.07.008
Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, et al. Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Medical Care. 2008;46(3):266-74. https://doi.org/10.1097/MLR.0b013e318160d093
García-Campayo J, Zamorano E, Ruiz MA, Pérez-Páramo M, López-Gómez V, Rejas J. The assessment of generalized anxiety disorder: psychometric validation of the Spanish version of the self-administered GAD-2 scale in daily medical practice. Health Qual Life Outcomes. 2012;10:114. https:// doi.org/10.1186/1477-7525-10-114
Teruel-Belismelis G, Pérez-Hernández VH, Gaitán-Rossi P, López- Escobar E, Vilar-Compte M, Triano-Enríquez M, et al. Encuesta Nacional sobre los Efectos del Covid-19 en el Bienestar de los Hogares Mexicanos (Encovid-19-abril). México: EQUIDE, 2020. https://doi.org/10.5281/zenodo. 3950528
Instituto Nacional de Estadística y Geografía. Encuesta Nacional sobre Disponibilidad y Uso de Tecnologías de la Información en los Hogares (ENDUTIH). México: Inegi, 2019 [citado febrero 19, 2021]. Disponible en: https://www.inegi.org.mx/programas/dutih/2019/
Instituto Nacional de Estadística y Geografía. Encuesta Intercensal 2015. México: Inegi, 2016 [citado febrero 19, 2021]. Disponible en: https:// www.inegi.org.mx/programas/intercensal/2015/
Asociación Mexicana de Agencias de Inteligencia de Mercado y Opinión. Nivel Socioeconómico AMAI. Nota Metodológica. México: AMAI, 2018 [citado febrero 19, 2021]. Disponible en: http://www.amai.org/nse/wpcontent/ uploads/2018/04/Nota-Metodolo%CC%81gico-NSE-2018-v3.pdf
Revelle W, Zinbarg RE. Coefficients Alpha, Beta, Omega, and the glb: Comments on Sijtsma. Psychometrika. 2008;74(1):145-54. https://doi. org/10.1007/s11336-008-9102-z
Kline RB. Principles and Practice of Structural Equation Modeling. 4th ed. New York: The Guilford Press, 2016 [citado febrero 19, 2021]. Disponible en: http://repositorii.urindo.ac.id/repository2/files/original/ b82f02562dfda5b0847b54046b85128bd7a5836a.pdf
Lumley T. Complex surveys: a guide to analysis using R. Nueva Jersey: John Wiley & Sons, 2011 [citado febrero 19, 2021]. Disponible en: https:// www.wiley.com/en-ad/Complex+Surveys%3A+A+Guide+to+Analysis+Usi ng+R-p-9780470284308
Revelle W. psych: Procedures for Psychological, Psychometric, and Personality Research. Evanston, Illinois: Northwestern University, 2019 [citado febrero 19, 2021]. Disponible en: https://cran.r-project.org/ package=psych
Rosseel Y. Lavaan: An R package for structural equation modeling. J Stat Software. 2012;48(2):1-36. https://doi.org/10.18637/jss.v048.i02
Stevenson M, Sergeant E. epiR: Tools for the Analysis of Epidemiological Data. Melbourne: Cran R Project, 2020 [citado febrero 19, 2021]. Disponible en: https://cran.r-project.org/web/packages/epiR/index.html
Pérez-Hernández VH, Gaitán-Rossi P. Usos desiguales de “Aprende en Casa”. Mexico: INIDE/Universidad Iberoamericana, 2020 [citado febrero 19, 2021]. Disponible en: https://faroeducativo.ibero.mx/wp-content/ uploads/2020/07/Apuntes-de-politica-18c.pdf
Esquivel G. Los impactos económicos de la pandemia en México. Econ UNAM. 2020;17(51):28-44. Disponible en: http://revistaeconomia.unam. mx/index.php/ecu/article/view/543/576
Goldmann E, Galea S. Mental health consequences of disasters. Annu Rev Public Health. 2014;35(1):169-83. https://doi.org/10.1146/annurevpublhealth- 032013-182435