SELF-REPORTED ANXIETY AND DEPRESSION SYMPTOMS UNDER COVID-19 LOCKDOWN: AN ALBANIAN EXPERIENCE

Authors

  • Ilir Akshija University Hospital Center, “Mother Teresa”, Statistics Department, Tirana, Albania

DOI:

https://doi.org/10.61677/jth.v2i4.479

Keywords:

Pandemic, Albania, social media, television, hadith

Abstract

COVID-19 pandemic, a mostly similar public health issue from country to country represents social, economic and political specific conditions. We attempt through a questionnaire published in the social media Facebook during pandemic lockdown to give a scenery of anxiety and depression symptoms in an Albanian population segment. The questionnaire was constructed following the guidelines of an Islamic sacred text (hadith) known as “five before five”. The sample is considered a virtual snowball sample because some promoters served as seeds making possible to reach parts of the population otherwise impossible to reach making it a sequential experiment ended based on risk of questionnaire misuse. The number or responders (N=1,376) were female 66.6%, age (M=34.9; SD=10.2) and males, age, (M=38.2; SD=10.8). Increase in self-reported anxiety and depression symptoms was common, 851 (61.8%) of responders. Linear logistic regression model shows the relationship of each dimension (health, wealth and free time) to other dimensions’ questions making a presumption to use the present model while retrieving data from other sources for future evaluation of anxiety and depression in a population. For a cut-off value for all dimensions change from baseline of 0.425, Sensitivity (S) was 0.749 and specificity (Sp) was 0.429, raising the problem of missing false negatives with increasing symptoms of anxiety and depression. While television and social media are helpful during a pandemic, the risk of misuse for political and other gains is present too. The citizen in need of recommendations is expected to collaborate but attentive not to abuse his/her trust.    

References

Akshija, I. (2014). Use of personal Muslim names in Albania: Comparison of three historical periods. Zani I Naltë, 6(156). https://www.researchgate.net/publication/324721481_Use_of_personal_Muslim_names_in_Albania_Comparison_of_three_historical_periods

Albania. Bienvenue sur le site de Reporters sans frontières. (2022, November 18). https://rsf.org/en/country/albania

Al-Khani, A. M., Sarhandi, M. I., Zaghloul, M. S., Ewid, M., & Saquib, N. (2019). A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Research Notes, 12(1). https://doi.org/10.1186/s13104-019-4713-2

Antràs, P., Redding, S., & Rossi-Hansberg, E. (2020). Globalization and Pandemics. https://doi.org/10.3386/w27840

Arafat, S. M. Y., Alradie-Mohamed, A., Kar, S. K., Sharma, P., & Kabir, R. (2020). Does covid-19 pandemic affect sexual behaviour? A cross-sectional, cross-national online survey. Psychiatry Research, 289, 113050. https://doi.org/10.1016/j.psychres.2020.113050

Baker, S. R., Farrokhnia, R. A., Meyer, S., Pagel, M., & Yannelis, C. (2020b). How Does Household Spending Respond to an Epidemic? Consumption during the 2020 COVID-19 Pandemic. The Review of Asset Pricing Studies, 10(4), 834–862. https://doi.org/10.1093/rapstu/raaa009

Barker, A. B., Whittamore, K., Britton, J., Murray, R. L., & Cranwell, J. (2018). A content analysis of alcohol content in UK television. Journal of Public Health, 41(3), 462–469. https://doi.org/10.1093/pubmed/fdy142

Bradshaw, S., & Howard, P. N. (2018). Challenging truth and trust: A global inventory of organized social media manipulation. The computational propaganda project, 1, 1-26.

Carillo, M. F., & Jappelli, T. (2021). Pandemics and regional economic growth: evidence from the Great Influenza in Italy. European Review of Economic History, 26(1), 78–106. https://doi.org/10.1093/erehj/heab009

Cheng, L.-H., Liu, Y.-W., Wu, C.-C., Wang, S., & Tsai, Y.-C. (2019). Psychobiotics in mental health, neurodegenerative and neurodevelopmental disorders. Journal of Food and Drug Analysis, 27(3), 632–648. https://doi.org/10.1016/j.jfda.2019.01.002

Comrey, A. L., & Lee, H. B. (2013). A first course in factor analysis. Psychology Press. p. 217.

Correia, S., Luck, S., & Verner, E. (2020). Pandemics depress the economy, public health interventions do not: Evidence from the 1918 flu. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3561560

Covassin, N., & Singh, P. (2016). Sleep duration and cardiovascular disease risk. Sleep Medicine Clinics, 11(1), 81–89. https://doi.org/10.1016/j.jsmc.2015.10.007

Cuthbertson, C. C., Tan, X., Heiss, G., Kucharska‐Newton, A., Nichols, H. B., Kubota, Y., & al.. (2019). Associations of Leisure‐Time Physical activity and Television viewing with life expectancy free of nonfatal cardiovascular disease: the ARIC Study. Journal of the American Heart Association, 8(18). https://doi.org/10.1161/jaha.119.012657

Drăgan, I. M., & Isaic-Maniu, A. (2012). Snowball sampling developments used in marketing research. International Journal of Arts and Commerce, 1(6), 214-223.

Dusek, G., Yurova, Y., & Ruppel, C. P. (2015). Using social media and targeted snowball sampling to survey a hard-to-reach population: a case study. International Journal of Doctoral Studies, 10, 279–299. https://doi.org/10.28945/2296

Etikan, I. (2016). Comparision of snowball sampling and sequential sampling technique. Biometrics & Biostatistics International Journal, 3(1). https://doi.org/10.15406/bbij.2016.03.00055

Faherty, L. J., Schwartz, H. L., Ahmed, F., Zheteyeva, Y., Uzicanin, A., & Uscher-Pines, L. (2019). School and preparedness officials’ perspectives on social distancing practices to reduce influenza transmission during a pandemic: Considerations to guide future work. Preventive Medicine Reports, 14, 100871. https://doi.org/10.1016/j.pmedr.2019.100871

Gentile, C. L., & Weir, T. L. (2018). The gut microbiota at the intersection of diet and human health. Science, 362(6416), 776–780. https://doi.org/10.1126/science.aau5812

Guler, Z. (2019). Morali i Biznesit dhe tregtisë 40 hadithe (1st ed.). ALSAR.

Keijser, W., Smits, J., Penterman, L., & Wilderom, C. (2016). Physician leadership in e-health? A systematic literature review. Leadership in Health Services, 29(3), 331–347. https://doi.org/10.1108/lhs-12-2015-0047

Király, O., Potenza, M. N., Stein, D. J., King, D. L., Hodgins, D. C., Saunders, et al.. (2020). Preventing problematic internet use during the COVID-19 pandemic: Consensus guidance. Comprehensive Psychiatry, 100, 152180. https://doi.org/10.1016/j.comppsych.2020.152180

Norouzi, N., De Rubens, G. Z., Choupanpiesheh, S., & Enevoldsen, P. (2020). When pandemics impact economies and climate change: Exploring the impacts of COVID-19 on oil and electricity demand in China. Energy Research & Social Science, 68, 101654. https://doi.org/10.1016/j.erss.2020.101654

Ormeni, R., Hoxha, I., Naco, P., & Gego, D. (2020). The strong earthquake of 26 November 2019 (MW6.4) and its associate active tectonic of Durresi Region in Albania. EGU General Assembly Conference Abstracts. https://doi.org/10.5194/egusphere-egu2020-6096

Papadopoulos, G. A., Agalos, A., Carydis, P., Lekkas, E., Mavroulis, S., & Triantafyllou, I. (2020). The 26 November 2019 MW 6.4 Albania destructive earthquake. Seismological Research Letters, 91(6), 3129–3138. https://doi.org/10.1785/0220200207

Power, M., Fell, G., & Wright, M. (2012). Principles for high-quality, high-value testing. Evidence-Based Medicine, 18(1), 5–10. https://doi.org/10.1136/eb-2012-100645

Santos, R. P., Deutschendor, C., Carvalho, O. F., Timm, R., & Sparenberg, A. (2013). Antimicrobial stewardship through telemedicine in a community hospital in Southern Brazil. Journal of Telemedicine and Telecare, 19(1), 1–4. https://doi.org/10.1177/1357633x12473901

Stein, R. A. (2020). Covid‐19 and rationally layered social distancing. International Journal of Clinical Practice, 74(7). https://doi.org/10.1111/ijcp.13501

Vian, T. (2020). Anti-corruption, transparency and accountability in Health: Concepts, frameworks, and approaches. Global Health Action, 13(sup1), 1694744. https://doi.org/10.1080/16549716.2019.1694744

Wilson, S., Mogan, S., & Kaur, K. (2020). Understanding the role of Facebook to support women with endometriosis: A Malaysian perspective. International Journal of Nursing Practice, 26(4). https://doi.org/10.1111/ijn.12833

Published

2025-10-04

How to Cite

Akshija, I. (2025). SELF-REPORTED ANXIETY AND DEPRESSION SYMPTOMS UNDER COVID-19 LOCKDOWN: AN ALBANIAN EXPERIENCE. JTH: Journal of Technology and Health, 2(4), 281–293. https://doi.org/10.61677/jth.v2i4.479