{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T22:21:17Z","timestamp":1784845277260,"version":"3.55.0"},"reference-count":50,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T00:00:00Z","timestamp":1609286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>People with disabilities face multiple barriers that prevent them from accessing care and essential information related to the COVID-19 pandemic that poses additional stress and psychopathology. Therefore, the investigation of psychopathologies during the COVID-19 outbreak and emergency response is critical.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A cross-sectional survey was implemented from July 15\/2020 to July 30\/2020. The PHQ-9, GAD-7 scale, insomnia severity index-7, and brief resilient coping scale were administered to participants. The collected data was then entered into Epi-data version 3.1 and exported to SPSS-20 for analysis. Descriptive statistical procedures were employed to describe the various psychopathologies. A binary logistic regression method was used to identify the related factors for the psychopathologies. Furthermore, an odds ratio with its 95%CI was driven to show association strength, and a P-value &lt;0.05 was declared as statistically significant.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A significant proportion of individuals living with disability had psychopathologies; 46.2% for depression symptoms, 48.1% for generalized anxiety disorder symptoms, and 71% for insomnia symptoms. Nearly 45.7% of participants were low resilient copers to their psychopathology. Depression was significantly higher in divorced\/widowed\/separated (AOR = 3.4, 95% CI: 1.28\u20138.92, P-value = 0.006), non-educated (AOR = 2.12, 95% CI: 1.12, 5.90, P-value = 0.001), and unemployed (AOR = 2.1, 95% CI: 1.32, 5.11, P-value = 0.005) as well as a daily laborer (AOR = 2.4, 95% CI: 1.20, 4.89, P-value = 0.014) subjects. Generalized anxiety disorder was also significantly higher in young age (&lt;40 years) (AOR = 1.7, 95% CI: 1.32, 2.98, P-value = 0.02), single (AOR = 2.3, 95% CI: 1.24, 5.3, P-value = 0.011), widowed\/divorced\/separated (AOR = 1.5, 95% CI: 1.12, 2.78, P-value = 0.032), preparatory school completed (AOR = 3.00, 95% CI: 1.59, 5.46, P-value = 0.001), daily laborer (AOR = 2.7, 95% CI: 1.21, 5.23, P-value = 0.003), and unemployed (AOR = 2.5, 95% CI: 1.17, 4.78, P-value = 0.005) participants. Moreover, insomnia was significantly higher in single (AOR = 1.5, 95% CI: 1.12, 3.09, P-value = 0.027), divorced\/widowed\/separated(AOR = 6.2, 95% CI: 1.08, 11.29, P-value = 0.032), unemployed (AOR = 3.00, 95% CI: 1.22, 7.03, P-value = 0.001), blind (AOR = 2.8, 95% CI: 1.42, 6.35, P-value = 0.001), and deaf (AOR = 10.2, 95% CI: 4.52, 35.33, P-value = 0.002) participants.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Depression, anxiety, and insomnia were highly prevalent among individuals with a disability during the COVID-19 period. Multiple sociodemographic and disability-related factors were associated with this high psychopathology. Attention has to be given by the government and other stakeholders to intervene in psychopathology and its associated factors.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0244530","type":"journal-article","created":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T19:13:33Z","timestamp":1609355613000},"page":"e0244530","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":42,"title":["Depression, anxiety symptoms, Insomnia, and coping during the COVID-19 pandemic period among individuals living with disabilities in Ethiopia, 2020"],"prefix":"10.1371","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0961-7835","authenticated-orcid":true,"given":"Mogesie","family":"Necho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengesha","family":"Birkie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habitam","family":"Gelaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abeba","family":"Beyene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmare","family":"Belete","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mekonnen","family":"Tsehay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2020,12,30]]},"reference":[{"issue":"8","key":"pone.0244530.ref001","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1038\/nri1154","article-title":"Ebola virus: from discovery to vaccine","volume":"3","author":"H Feldmann","year":"2003","journal-title":"Nature Reviews Immunology"},{"issue":"25","key":"pone.0244530.ref002","doi-asserted-by":"crossref","first-page":"2605","DOI":"10.1056\/NEJMoa0903810","article-title":"Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team. Emergence of a novel swine-origin influenza A (H1N1) virus in humans.","volume":"360","author":"F Dawood","year":"2009","journal-title":"N Engl j Med"},{"issue":"3","key":"pone.0244530.ref003","first-page":"186","article-title":"Insights into the recent 2019 novel coronavirus (SARS-CoV-2) in light of past human coronavirus outbreaks.","volume":"9","author":"HM Ashour","journal-title":"Pathogens. 2020"},{"key":"pone.0244530.ref004","article-title":"Proclamation on declaring a national emergency concerning the novel coronavirus disease (COVID-19) outbreak.","author":"W House","year":"2020","journal-title":"White House."},{"issue":"10223","key":"pone.0244530.ref005","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/S0140-6736(20)30211-7","article-title":"Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study.","volume":"395","author":"N Chen","year":"2020","journal-title":"The Lancet"},{"key":"pone.0244530.ref006","article-title":"First case of 2019 novel coronavirus in the United States.","author":"ML Holshue","year":"2020","journal-title":"New England Journal of Medicine"},{"key":"pone.0244530.ref007","doi-asserted-by":"crossref","DOI":"10.4178\/epih.e2016048","article-title":"Mental health status of people isolated due to Middle East Respiratory Syndrome.","volume":"38","author":"H Jeong","year":"2016","journal-title":"Epidemiology and health."},{"issue":"3","key":"pone.0244530.ref008","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.encep.2020.04.005","article-title":"Ensuring mental health care during the SARS-CoV-2 epidemic in France: A narrative review.","volume":"46","author":"A Chevance","year":"2020","journal-title":"L'encephale."},{"issue":"10224","key":"pone.0244530.ref009","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1016\/S0140-6736(20)30309-3","article-title":"2019-nCoV epidemic: address mental health care to empower society","volume":"395","author":"Y Bao","year":"2020","journal-title":"The Lancet"},{"key":"pone.0244530.ref010","article-title":"An interim review of the epidemiological characteristics of 2019 novel coronavirus.","volume":"42","author":"S Ryu","year":"2020","journal-title":"Epidemiology and health."},{"issue":"4","key":"pone.0244530.ref011","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1016\/S2215-0366(20)30078-X","article-title":"Mental health care for medical staff in China during the COVID-19 outbreak","volume":"7","author":"Q Chen","year":"2020","journal-title":"The Lancet Psychiatry."},{"key":"pone.0244530.ref012","unstructured":"Organization WH. Mental health and psychosocial support aspects of the COVID-19 response. 2020."},{"issue":"1","key":"pone.0244530.ref013","first-page":"1","article-title":"Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis.","volume":"16","author":"N Salari","year":"2020","journal-title":"Globalization and health."},{"key":"pone.0244530.ref014","article-title":"Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.","author":"S Pappa","year":"2020","journal-title":"Brain, behavior, and immunity."},{"key":"pone.0244530.ref015","doi-asserted-by":"crossref","first-page":"112954","DOI":"10.1016\/j.psychres.2020.112954","article-title":"Generalized anxiety disorder, depressive symptoms and sleep quality during the COVID-19 outbreak in China: a web-based cross-sectional survey.","author":"Y Huang","year":"2020","journal-title":"Psychiatry research."},{"key":"pone.0244530.ref016","first-page":"0020764020927051","article-title":"Levels and predictors of anxiety, depression, and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender","author":"S \u00d6zdin","year":"2020","journal-title":"International Journal of Social Psychiatry"},{"issue":"1","key":"pone.0244530.ref017","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41398-020-00982-4","article-title":"Resilience, COVID-19-related stress, anxiety, and depression during the pandemic in a large population enriched for healthcare providers.","volume":"10","author":"R Barzilay","year":"2020","journal-title":"Translational psychiatry."},{"key":"pone.0244530.ref018","volume-title":"Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020.","author":"Organization WH","year":"2020"},{"key":"pone.0244530.ref019","first-page":"1","article-title":"Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19.","author":"S-J Zhou","year":"2020","journal-title":"European Child & Adolescent Psychiatry."},{"key":"pone.0244530.ref020","doi-asserted-by":"crossref","first-page":"102076","DOI":"10.1016\/j.ajp.2020.102076","article-title":"Assessing the anxiety level of the Iranian general population during the COVID-19 outbreak","author":"A Moghanibashi-Mansourieh","year":"2020","journal-title":"Asian journal of psychiatry"},{"key":"pone.0244530.ref021","doi-asserted-by":"crossref","first-page":"102092","DOI":"10.1016\/j.ajp.2020.102092","article-title":"Epidemic of COVID-19 in China and associated Psychological Problems.","author":"MZ Ahmed","year":"2020","journal-title":"Asian journal of psychiatry"},{"key":"pone.0244530.ref022","doi-asserted-by":"crossref","first-page":"112934","DOI":"10.1016\/j.psychres.2020.112934","article-title":"The psychological impact of the COVID-19 epidemic on college students in China.","author":"W Cao","year":"2020","journal-title":"Psychiatry research."},{"key":"pone.0244530.ref023","article-title":"Psychological Impact and Predisposing Factors of the Coronavirus Disease 2019 (COVID-19) Pandemic on General Public in China.","author":"D Liu","year":"2020"},{"key":"pone.0244530.ref024","doi-asserted-by":"crossref","unstructured":"Kazmi SSH, Hasan K, Talib S, Saxena S. COVID-19, and Lockdown: A Study on the Impact on Mental Health. 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SOCIOECONOMIC STATUS AND MENTAL HEALTH OUTCOMES IN THE NIGERIAN CONTEXT AMID COVID-19 PANDEMIC: A COMPARATIVE STUDY"},{"issue":"9","key":"pone.0244530.ref029","doi-asserted-by":"crossref","first-page":"3165","DOI":"10.3390\/ijerph17093165","article-title":"A nationwide survey of psychological distress among Italian people during the COVID-19 pandemic: Immediate psychological responses and associated factors","volume":"17","author":"C Mazza","year":"2020","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"3","key":"pone.0244530.ref030","doi-asserted-by":"crossref","first-page":"191","DOI":"10.5455\/2320-6012.ijrms20130802","article-title":"Antihypertension medication adherence and associated factors at Dessie hospital, north East Ethiopia, Ethiopia.","volume":"1","author":"L Chelkeba","year":"2013","journal-title":"Int J Res Med Sci"},{"key":"pone.0244530.ref031","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.jad.2015.07.015","article-title":"Validity of brief screening questionnaires to detect depression in primary care in Ethiopia","volume":"186","author":"C Hanlon","year":"2015","journal-title":"Journal of affective disorders"},{"issue":"9","key":"pone.0244530.ref032","doi-asserted-by":"crossref","first-page":"509","DOI":"10.3928\/0048-5713-20020901-06","article-title":"The PHQ-9: a new depression diagnostic and severity measure.","volume":"32","author":"K Kroenke","year":"2002","journal-title":"Psychiatric annals."},{"issue":"10","key":"pone.0244530.ref033","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"RL Spitzer","year":"2006","journal-title":"Archives of internal medicine"},{"issue":"5","key":"pone.0244530.ref034","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1093\/sleep\/34.5.601","article-title":"The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response.","volume":"34","author":"CM Morin","year":"2011","journal-title":"Sleep"},{"issue":"1","key":"pone.0244530.ref035","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1177\/1073191103258144","article-title":"The development and psychometric evaluation of the Brief Resilient Coping Scale","volume":"11","author":"VG Sinclair","year":"2004","journal-title":"Assessment"},{"key":"pone.0244530.ref036","doi-asserted-by":"crossref","first-page":"112915","DOI":"10.1016\/j.psychres.2020.112915","article-title":"The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease).","author":"CKT Lima","year":"2020","journal-title":"Psychiatry research."},{"issue":"5","key":"pone.0244530.ref037","first-page":"389","article-title":"Public mental health as one of the key factors in dealing with COVID-19.","volume":"82","author":"O Hahad","year":"2020","journal-title":"Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany)."},{"issue":"1","key":"pone.0244530.ref038","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1186\/1471-2458-8-347","article-title":"Factors influencing psychological distress during a disease epidemic: data from Australia's first outbreak of equine influenza.","volume":"8","author":"MR Taylor","year":"2008","journal-title":"BMC public health."},{"key":"pone.0244530.ref039","doi-asserted-by":"crossref","first-page":"102014","DOI":"10.1016\/j.ajp.2020.102014","article-title":"The COVID-19 outbreak: Crucial role the psychiatrists can play","volume":"50","author":"D Banerjee","year":"2020","journal-title":"Asian journal of psychiatry"},{"key":"pone.0244530.ref040","first-page":"735","article-title":"Psychological health diathesis assessment system: a nationwide survey of resilient trait scale for Chinese adults.","volume":"12","author":"C Cheng","year":"2014","journal-title":"Stud Psychol Behav"},{"issue":"2","key":"pone.0244530.ref041","doi-asserted-by":"crossref","first-page":"484","DOI":"10.2307\/2578238","article-title":"Marital status and depression: The importance of coping resources.","volume":"61","author":"RC Kessler","year":"1982","journal-title":"Social forces."},{"issue":"7","key":"pone.0244530.ref042","doi-asserted-by":"crossref","first-page":"2381","DOI":"10.3390\/ijerph17072381","article-title":"Impact of the COVID-19 pandemic on mental health and quality of life among residents in Liaoning Province, China: A cross-sectional study.","volume":"17","author":"Y Zhang","year":"2020","journal-title":"International journal of environmental research and public health"},{"issue":"5","key":"pone.0244530.ref043","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.3390\/ijerph17051729","article-title":"Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China.","volume":"17","author":"C Wang","year":"2020","journal-title":"International journal of environmental research and public health"},{"issue":"1","key":"pone.0244530.ref044","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1186\/1471-2458-6-174","article-title":"Duration of unemployment and depression: a cross-sectional survey in Lithuania.","volume":"6","author":"M Stankunas","year":"2006","journal-title":"BMC public health."},{"issue":"1","key":"pone.0244530.ref045","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1093\/ije\/30.1.163","article-title":"Do social programs contribute to mental well-being? The long-term impact of unemployment on depression in the United States","volume":"30","author":"E Rodriguez","year":"2001","journal-title":"International Journal of Epidemiology"},{"key":"pone.0244530.ref046","doi-asserted-by":"crossref","DOI":"10.5888\/pcd12.140451","article-title":"Peer-reviewed: unemployment and depression among emerging adults in 12 states, behavioral risk factor surveillance system, 2010.","volume":"12","author":"RE McGee","year":"2015","journal-title":"Preventing Chronic Disease."},{"issue":"2","key":"pone.0244530.ref047","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/0277-9536(87)90385-6","article-title":"Prolonged unemployment and depression in older workers: a longitudinal study of intervening variables.","volume":"25","author":"M Frese","year":"1987","journal-title":"Social Science & Medicine."},{"issue":"1","key":"pone.0244530.ref048","first-page":"1","article-title":"Prevalence of depression in the community from 30 countries between 1994 and 2014.","volume":"8","author":"GY Lim","year":"2018","journal-title":"Scientific reports."},{"issue":"4","key":"pone.0244530.ref049","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1002\/da.22077","article-title":"Risk factors for post\u2010injury mental health problems.","volume":"30","author":"J Sareen","year":"2013","journal-title":"Depression and anxiety."},{"issue":"1","key":"pone.0244530.ref050","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1186\/s13054-018-2223-6","article-title":"Anxiety, Depression, and Post Traumatic Stress Disorder after critical illness: a UK-wide prospective cohort study.","volume":"22","author":"R Hatch","year":"2018","journal-title":"Critical care"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0244530","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T19:16:11Z","timestamp":1609355771000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0244530"}},"subtitle":[],"editor":[{"given":"Kyoung-Sae","family":"Na","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,12,30]]},"references-count":50,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12,30]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0244530","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,30]]}}}