{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T14:53:14Z","timestamp":1778597594953,"version":"3.51.4"},"reference-count":46,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T00:00:00Z","timestamp":1620950400000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec id=\"S2056472421000624_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Although mental distress and quality of life (QoL) impairments because of the pandemic have increased worldwide, the way that each community has been affected has varied.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421000624_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>This study evaluated the impact of social distancing imposed by coronavirus disease-2019 (COVID-19) on Brazilians\u2019 mental health and QoL.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421000624_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>In this cross-sectional community-based online survey, data from 1156 community-dwelling adults were gathered between 11 May and 3 June 2020. We examined independent correlates of depression, anxiety and QoL, including sociodemographic and clinical characteristics, optimism\/pessimism and spiritual\/religious coping. Dependent variables were assessed using the 9-item Patient Health Questionnaire for depressive symptoms, the 7-item Generalized Anxiety Disorder Scale for anxiety symptoms, and the World Health Organization Quality of Life-BREF for QoL. Correlates of depressive and anxiety disorder were estimated using logistic regression.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421000624_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>There were high levels of depressive symptoms (41.9%) and anxiety symptoms (29.0%) in participants. Negative spiritual\/religious coping was positively correlated with depressive disorder (odds ratio (OR) = 2.14 95% CI 1.63\u20132.80; <jats:italic>P<\/jats:italic> &lt; 0.001) and with anxiety disorder (OR = 2.46 95% CI 1.90\u20133.18; <jats:italic>P<\/jats:italic> &lt; 0.001), and associated with worse social and environmental QoL (<jats:italic>P<\/jats:italic> &lt; 0.001). Healthcare professionals were less likely to have depressive symptoms (OR = 0.71, 95% CI 0.55\u20130.93; <jats:italic>P<\/jats:italic> &lt; 0.001). Participants with friend\/family with COVID-19 scored lower on psychological and environmental QoL (<jats:italic>P<\/jats:italic> &lt; 0.05). Participants with a longer duration of social isolation were less likely to experience anxiety disorder (OR = 0.99, 95% CI 0.98\u20130.99; <jats:italic>P<\/jats:italic> = 0.004).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472421000624_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>We found high levels of depressive and anxiety symptoms and low levels of QoL in Brazil, which has become a pandemic epicentre. Several characteristics were associated with negative mental health symptoms in this study. This information may contribute to local health policies in dealing with the mental health consequences of COVID-19.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2021.62","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T11:51:31Z","timestamp":1620993091000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":42,"title":["Factors associated with mental health and quality of life during the COVID-19 pandemic in Brazil"],"prefix":"10.1192","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1023-8488","authenticated-orcid":false,"given":"Luciano Magalh\u00e3es","family":"Vitorino","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerson Hiroshi","family":"Yoshinari J\u00fanior","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela","family":"Gonzaga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabela Faria","family":"Dias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Pedro Lambert","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabella Marum G\u00f3es","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex Bacadini","family":"Fran\u00e7a","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faten","family":"Al-Zaben","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2573-6121","authenticated-orcid":false,"given":"Harold G.","family":"Koenig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clarissa","family":"Trzesniak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2021,5,14]]},"reference":[{"key":"S2056472421000624_ref3","unstructured":"3 World Health Organization. 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