Predictors of Psychological Distress across Three Time Periods during the COVID-19 Pandemic in Poland

Int J Environ Res Public Health. 2022 Nov 21;19(22):15405. doi: 10.3390/ijerph192215405.

Abstract

Background: Since the onset of COVID-19, public health policies and public opinions changed from stringent preventive measures against spread of COVID-19 to policies accommodating life with continued, diminished risk for contracting COVID-19. Poland is a country that demonstrated severe psychological impact and negative mental health. The study aims to examine psychological impact and changes in levels of depression, anxiety, and stress among three cross-sectional samples of Polish people and COVID-19-related factors associated with adverse mental health.

Methods: In total, 2324 Polish persons participated in repeated cross-sectional studies across three surveys: Survey 1 (22 to 26 March 2020), Survey 2 (21 October to 3 December 2020), and Survey 3 (3 November to 10 December 2021). Participants completed an online survey, including Impact of Event Scale-Revised (IES-R), Depression, Anxiety, and Stress Scale (DASS-21), demographics, knowledge, and concerns of COVID-19 and precautionary measures.

Results: A significant reduction of IES-R scores was seen across surveys, while DASS-21 scores were significantly higher in Survey 2. There was significant reduction in the frequency of following COVID-19 news, recent COVID-19 testing, and home isolation from Survey 1 to 3. Being emale was significantly associated with higher IES-R and DASS-21 scores in Surveys 1 and 2. Student status was significantly associated with higher DASS-21 across surveys. Chills, myalgia, and fatigue were significantly associated with high IES-R or DASS-21 scores across surveys. Frequency of wearing masks and perception that mask could reduce risk of COVID-19 were significantly associated with higher IES-R and DASS-21 scores.

Conclusion: Conclusions: The aforementioned findings indicate a reduction in the level of the measured subjective distress andin the frequency of checking COVID-19 news-related information across three periods during the pandemic in Poland.

Keywords: COVID-19; anxiety; depression; fatigue; pandemic; policy; psychological impact; public health; social determinants; stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19 Testing
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Pandemics
  • Poland / epidemiology
  • Psychological Distress*
  • Public Policy

Grants and funding

This study was funded by the Ministry of Science and Higher Education in Poland under the 2019–2022 program, Regional Initiative of Excellence, project number 012/RID/2018/19, NUS Department of Psychological Medicine (R-177-000-100-001/R-177-000-003-001/R177000702733) and NUS iHeathtech Other Operating Expenses (R-722-000-004-731).