The effects of the COVID-19 pandemic on mental health

ISRCTN ISRCTN14652655
DOI https://doi.org/10.1186/ISRCTN14652655
ClinicalTrials.gov number U1111-1262-3753
Submission date
09/12/2020
Registration date
18/12/2020
Last edited
14/01/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
On 11 March 2020, the WHO declared the novel coronavirus (SARS-CoV-2) infection pandemic. Along with the increased pressure on the medical system, the spread of SARS-Cov2 infection has generated multiple economic and social effects on society. Fear of being infected, the measures of social distancing (reducing social contact, limiting recreation, etc) imposed to limit the transmission of the virus, along with financial instability generated by job loss, are the main causes of mental health damage during the COVID-19 pandemic.
In this context, family physicians, along with other medical professionals, play an important role in managing psycho-emotional changes as part of the pandemic response.
In clinical practice during the pandemic, the monitoring of psychosocial needs and the support provided to patients during direct (face to face) meetings have been greatly reduced due to isolation/quarantine measures at home and due to restricted access to services. caused by the rapid spread of SARS-CoV-2 virus infection. In this context, it is necessary to develop methods for remote evaluation of patients by family doctors through telephone consultations and/or communication via the Internet.
The aim of this study is to assess the impact of the COVID-19 pandemic on mental health among the adult population using social networks.

Who can participate?
Adults (aged over 18) who use social networks

What does the study involve?
Recruitment of the participants is voluntary and is made through social media platforms. Participants are invited to complete a questionnaire. The online questionnaire (created with Google Forms) consists of 31 questions and is accessible on social networks such as Facebook and Twitter.

What are the possible benefits and risks of participating?
The study does not involve any additional risk in terms of physical and mental health. This study will provide information on the effects of the COVID-19 pandemic on society. Participants do not receive any reward for participating in this research

Where does the study run from?
Grigore T. Popa University of Medicine and Pharmacy (Romania)

When is the study starting and how long is it expected to run for?
November 2020 to December 2020

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Mrs Elena Popa, MD, PhD
elena.popa@umfiasi.ro

Study website

Contact information

Dr Elena Popa
Scientific

Strada Ion Creanga nr 73A
Iasi
700737
Romania

ORCiD logoORCID ID 0000-0003-2207-5129
Phone +40 (0)723635745
Email elena.popa@umfiasi.ro
Miss Teodora Tetia
Scientific

Ion Creanga Street nr 73A
Iasi
700737
Romania

Email teodora.tetia@email.umfiasi.ro
Dr Adorata Coman
Scientific

University Street no 16
Iasi
700115
Romania

Email elena.coman@umfiasi.ro
Dr Boanca Mihaela
Scientific

University Street no 16
Iasi
700115
Romania

Email boanca.mihaela@umfiasi.ro
Dr Monica Ungureanu
Scientific

University Street no 16
Iasi
700115
Romania

Email monica.ungureanu@umfiasi.ro
Dr Ana Maria Slanina
Scientific

University Street no 16
Iasi
700115
Romania

Email ana.slanina@umfiasi.ro
Dr Liliana Barbacariu
Scientific

University Street no 16
Iasi
700115
Romania

Email carmen.barbacariu@umfiasi.ro
Dr Antoneta Petroae
Scientific

University Street no 16
Iasi
700115
Romania

Email antoneta.petroaie@umfiasi.ro
Dr Agnes Bacusca
Scientific

University Street no 16
Iasi
700115
Romania

Email agnes.bacusca@umfiasi.ro
Dr Dana Anton
Scientific

University Street no 16
Iasi
700115
Romania

Email dana.anton@umfiasi.ro
Dr Ana Maria Holicov
Scientific

University Street no 16
Iasi
700115
Romania

Email irina.manoilescu@umfiasi.ro
Dr Mihaela Manole
Scientific

Univerity Street no 16
Iasi
700115
Romania

Email mihaela.manole@umfiasi.ro

Study information

Study designObservational cross sectional study
Primary study designObservational
Secondary study designCross sectional study
Study setting(s)Internet/virtual
Study typeScreening
Participant information sheet No participant information sheet available
Scientific titleThe effects of the COVID-19 pandemic on mental health: a web-based study among Romanian adults
Study objectivesThe prevalence of anxiety and depression increased in the adult population during the COVID-19 pandemic.
Ethics approval(s)Approved 21/12/2020, Ethics Committee of the Grigore T. Popa University of Medicine and Pharmacy (Universitatea de Medicină și Farmacie “Grigore T. Popa”, 6 Universitatii Street, 700115, Iași, România; +40 (0)232 301 603 / +40 (0)232 267 801 / +40 (0)232 267 623; rectorat@umfiasi.ro), ref: 25/21.12.2020
Health condition(s) or problem(s) studiedAnxiety and depression
InterventionThe researchers are conducting an anonymous cross-sectional web-based survey on anxiety and depression among Romanian adult Internet users. They developed a questionnaire including open-ended and closed questions. The questionnaire includes questions regarding the presence of anxiety or depression.

Recruitment to the study is done on a voluntary basis, and the participants fill in a questionnaire available on a Google drive link. To assess the presence of anxiety and depression, the researchers use two well-recognized and validated tools: the GAP-7 scale for the diagnosis of anxiety and the PHQ-9 scale (nine-item Patient Health Questionnaire) for the diagnosis of depression. This questionnaire is sent to volunteers in an electronic format through a social network (Facebook, Twitter). As this is a survey study, consent is inferred from the provision of information about participants at the beginning of the survey. All data collected is anonymous and confidential. The study is conducted in accordance with the Helsinki-updated statement. Participants are not remunerated and do not incur any financial costs related to participating in the study.
Intervention typeOther
Primary outcome measurePrevalence of anxiety and depression evaluated using the Patient Health Questionnaire -9 (PHQ-9) scale and the General Anxiety Disorders-7 (GAD-7) scale at a single timepoint
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date29/11/2020
Completion date16/12/2020

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
SexBoth
Target number of participants500
Total final enrolment1254
Key inclusion criteriaRomanian adult Internet users
Key exclusion criteriaHistory of mental illness
Date of first enrolment03/12/2020
Date of final enrolment16/12/2020

Locations

Countries of recruitment

  • Romania

Study participating centre

GP Office
Street Ion Creanga nr 73A
Iasi
700737
Romania

Sponsor information

Grigore T. Popa University of Medicine and Pharmacy
University/education

University Street no 16
Iasi
700115
Romania

Phone +40 (0)232 301 603 / +40 (0)232 267 801 / +40 (0)232 267 623
Email rectorat@umfiasi.ro
Website http://www.umfiasi.ro/Pages/Default.aspx
ROR logo "ROR" https://ror.org/03hd30t45

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date03/01/2021
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication of one original paper
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Miss Teodora Tetia (teodora.tetia@email.umfiasi.ro)

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file 04/01/2021 No No
Statistical Analysis Plan 04/01/2021 No No
Preprint results 30/12/2020 14/01/2022 No No

Additional files

ISRCTN14652655_PROTOCOL.docx
Uploaded 04/01/2021
ISRCTN14652655_SAP.docx
Uploaded 04/01/2021

Editorial Notes

14/01/2022: Preprint reference added.
05/01/2021: Ethics approval details added.
04/01/2021: Uploaded protocol (not peer reviewed). Uploaded statistical analysis plan.
17/12/2020: Trial's existence confirmed by Grigore T. Popa University of Medicine and Pharmacy.