Depression problems within the first month of the Shanghai COVID-19
lockdowns in 2022: a retrospective cross-sectional survey
Abstract
Background. Understanding the rising speed and magnitude of
mental health problems during COVID-19 lockdowns is of particular value
to epidemiologists, clinical practitioners, and policy makers. We
examine the dynamic changes in depressive symptom severity and
associated risk factors during the Shanghai COVID-19 lockdowns in spring
2022. Methods. A cross-sectional data was collected from an
online survey conducted between April 15-17, 2022, after nearly one
month of the Shanghai COVID-19 lockdowns. The survey included the full
set of the Beck Depression Inventory-2, and asked the participants to
retrospectively recall the severity of their depressive symptoms in
three different time periods: early March (March 1-15), late March
(March 16-31), and early April (April 1-15). The survey also included
several sociodemographic and health-related questions in these time
periods, including the duration of online shopping, work, physical
exercise, sleep, and social communication during the lockdown. 652
citizens (212 males) in Shanghai participated in this study.
Results. We found that the recalled mild depression (BDI-2
score > 13) increased from 10.1% in early March to 21% in
late March, and further to 35.9% in early April. Regression analyses
show that lockdown duration and physical restriction jointly contribute
to worsening depression. In addition, sleep duration and social
communication during lockdown were associated with the severity of
depression symptoms. Conclusions. These results highlight the
significant depression problems lockdown and call for special attention
to early psychological intervention once lockdown is initiated. The
limitations of retrospective and cross-sectional evaluations are also
discussed.