COVID-19 risk perceptions and depressive symptoms in South Africa: Causal evidence in a longitudinal and nationally representative sample.

Journal: Journal of affective disorders

Volume: 308

Issue: 

Year of Publication: 2022

Affiliated Institutions:  School of Economics and Finance, University of the Witwatersrand, Johannesburg, South Africa. SAMRC/Wits Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Anthropology, University of California, Berkeley, Berkeley, CA, United States. Electronic address: andrew.kim@wits.ac.za.

Abstract summary 

Studies worldwide have highlighted the acute and long-term depressive impacts of psychosocial stressors due to the 2019 coronavirus disease (COVID-19) pandemic, particularly in low- and middle-income countries. Among the wide range of risk factors for depression that transpired during pandemic, greater perceptions of individual vulnerability to the COVID-19 have emerged as a major predictor of increased depressive risk and severity in adults.We estimated the extent to which COVID-19 risk perceptions affected adult depressive symptoms in a longitudinal, nationally representative sample in South Africa. We used covariate balanced propensity scores to minimize the bias from treatment assignment to estimate average causal effects of COVID-19 risk perceptions.The point prevalence of perceived COVID-19 infection risk increased between the third and fifth months of the pandemic, which corresponded with elevations in national COVID-19 infection rates. Approximately 33% of adults met or surpassed the PHQ-2 cut-off score of 2. An increase in perceived risk of COVID-19 infection predicted worse depressive symptoms in adults four months later.Our findings highlight the widespread mental health burdens of the COVID-19 pandemic and emphasize the importance of greater psychological resources and structural changes to promote equitable access to COVID-19 risk mitigation policies.

Authors & Co-authors:  Oyenubi Adeola A Kim Andrew Wooyoung AW Kollamparambil Uma U

Study Outcome 

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Statistics
Citations :  Ahrens K.F., Neumann R.J., Kollmann B., Brokelmann J., Von Werthern N.M., Malyshau A., Weichert D., Lutz B., Fiebach C.J., Wessa M. Impact of COVID-19 lockdown on mental health in Germany: longitudinal observation of different mental health trajectories and protective factors. Transl. Psychiatry. 2021;11(1):1–10.
Authors :  3
Identifiers
Doi : 10.1016/j.jad.2022.04.072
SSN : 1573-2517
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
COVID-19;Causal inference;Depression;Risk perceptions;South Africa
Study Design
Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
Netherlands