A Complex Relationship between Quality of Life, Anxiety, and Depression among General Population during Second Year of COVID-19 Pandemic: A Population-Based Study

dc.citation.spage3874
dc.citation.volume13
dc.contributor.authorRadulovic, Danijela
dc.contributor.authorMasic, Srdjan
dc.contributor.authorStanisavljevic, Dejana
dc.contributor.authorBokonjic, Dejan
dc.contributor.authorRadevic, Svetlana
dc.contributor.authorRajovic, Nina
dc.contributor.authorMilić, Nikola V.
dc.contributor.authorSimic Vukomanovic, Ivana
dc.contributor.authorMijovic, Biljana
dc.contributor.authorVukovic, Maja
dc.contributor.authorDubravac Tanaskovic, Milena
dc.contributor.authorJojic, Mirka
dc.contributor.authorVladicic Masic, Jelena
dc.contributor.authorSpaic, Dragan
dc.contributor.authorMilic, Natasa M.
dc.date.accessioned2024-11-12T08:31:44Z
dc.date.available2024-11-12T08:31:44Z
dc.date.issued2024
dc.description.abstractThe COVID-19 pandemic has had a significant impact on the global economy and public health, disrupting various aspects of daily life. Apart from its direct effects on physical health, it has also significantly affected the overall quality of life and mental health. This study employed a path analysis to explore the complex association among multiple factors associated with quality of life, anxiety, and depression in the general population of the Republic of Srpska during the pandemic’s second year. Method: A cross-sectional study was conducted on a nationally representative sample (n = 1382) of the general population (adults aged 20+) during the second year of the COVID-19 pandemic in the Republic of Srpska, Bosnia, and Herzegovina. Assessment tools included the DASS- Quality of Life Scale (QOLS), and Oslo Social Support Scale (OSSS-3). Sociodemographic factors and comorbidities were also assessed. Structural equation modeling was used to identify the direct and indirect links of various characteristics to quality of life, anxiety, and depression. Results: This study revealed a considerable prevalence of anxiety and depression symptoms (27.5% and 20.9%, respectively), with quality of life playing a significant mediating role. The constructed path model accounted for 33.1% of moderate to severe depression and 79.5% of anxiety. Negative coping was directly linked to anxiety and indirectly to depression via anxiety, while the absence of positive coping had both direct and indirect paths (through quality of life) on depression. Among variables that directly affected depression, anxiety had the highest effect. However, the bidirectional paths between anxiety and depression were also suggested by the model. Conclusions: Pandemic response strategies should be modified to effectively reduce the adverse effects on public mental health. Further research is necessary to assess the long-term effects of the pandemic on mental health and to analyze the contributing factors of anxiety and depression in the post-COVID period.
dc.identifier.doi10.3390/jcm13133874
dc.identifier.urihttps://vaseljena.ues.rs.ba/handle/123456789/1274
dc.language.isoen
dc.publisherMDPI
dc.sourceJournal of Clinical Medicine
dc.subjectmental health; depression; anxiety; quality of life; COVID-19 pandemic; general population; Republic of Srpska
dc.titleA Complex Relationship between Quality of Life, Anxiety, and Depression among General Population during Second Year of COVID-19 Pandemic: A Population-Based Study
dc.typeArticle
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