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. 2022 Mar 1:300:263-268.
doi: 10.1016/j.jad.2022.01.002. Epub 2022 Jan 3.

Stressful events as correlates of depressive and PTSD symptoms in Hong Kong women during social unrest and COVID-19 pandemic

Stephanie Ming Yin Wong  1 , Charlotte Wan Chi Wong  1 , Christy Lai Ming Hui  1 , Sherry Kit Wa Chan  2 , Edwin Ho Ming Lee  1 , Wing Chung Chang  2 , Yi Nam Suen  3 , Eric Yu Hai Chen  2
Affiliations

Stressful events as correlates of depressive and PTSD symptoms in Hong Kong women during social unrest and COVID-19 pandemic

Stephanie Ming Yin Wong et al. J Affect Disord. .

Abstract

Background: Stressors at the population level affect women more than men. The influence of prolonged stressors on mental disorders in women is yet unknown, especially when social movements and pandemics coexist.

Methods: This study analysed data from an online mental health self-help service for women in Hong Kong between May and September 2020. We collected demographic data, PTSD symptoms, and exposure to social unrest-related traumatic events (TEs), pandemic-related traumatic events (PEs), and personal stressful life experiences (SLEs). Multiple logistic regression was performed to examine the links between TEs, PEs, and SLEs and PTSD.

Results: The study found that 38.4% of 751 women had moderate-to-severe depressive symptoms and 23.8% had probable PTSD. The most common TEs, PEs, and SLEs were violence via media, major physical health concerns, and plans thwarted due to COVID-19, respectively. Younger age, less education, unemployment, and more stressors (individually or collectively, except for high TEs and PEs) were linked to increased odds of moderate-to-severe depressive symptoms. TEs and PEs increased the risk of probable PTSD only when SLEs were present.

Limitation: The non-random samplinging procedure reduced the generalisability to the entire women population.

Conclusions: Exposure to social conflicts and pandemics may increase depressive and PTSD symptoms in women. Developing mental health services for women should consider the impact of concurrent major events.

Keywords: Covid-19; Depressive symptoms; PTSD symptoms, Women mental health; Social unrest.

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Conflict of interest statement

None.

References

    1. Ainamani H.E., Gumisiriza N., Rukundo G.Z. Mental health problems related to COVID-19: a call for psychosocial interventions in Uganda. Psychol. Trauma. 2020;12(7):809–811. doi: 10.1037/tra0000670. - DOI - PubMed
    1. Benard V., Pignon B., Geoffroy P.A., Benradia I., Roelandt J.L., Rolland B., Fovet T., D'Hondt F., Thomas P., Vaiva G., Amad A. Depression with and without a history of psychotic symptoms in the general population: sociodemographic and clinical characteristics. J. Affect. Disord. 2020;273:247–251. doi: 10.1016/j.jad.2020.04.048. - DOI - PubMed
    1. Blanchard E.B., Kuhn E., Rowell D.L., Hickling E.J., Wittrock D., Rogers R.L., Johnson M.R., Steckler D.C. Studies of the vicarious traumatization of college students by the September 11th attacks: effects of proximity, exposure and connectedness. Behav. Res. Ther. 2004;42(2):191–205. doi: 10.1016/S0005-7967(03)00118-9. - DOI - PubMed
    1. Brewin C.R., Rose S., Andrews B., Green J., Tata P., McEvedy C., Turner S., Foa E.B. Brief screening instrument for post-traumatic stress disorder. Br. J. Psychiatry. 2002;181:158–162. doi: 10.1017/s0007125000161896. - DOI - PubMed
    1. Care International. (2020). Financial insecurity, hunger, mental health are top concerns for women worldwide. https://care.org/news-and-stories/press-releases/financial-insecurity-hu... (accessed 30 September 2021).