Background: The COVID-19 pandemic has had a negative impact on both the physical and mental health of individuals worldwide. Evidence regarding the association between mental health problems and information exposure among Thai citizens during the COVID-19 outbreak is limited. Objective: This study aimed to explore the relationship between information exposure and mental health problems during the COVID-19 pandemic in Thailand. Methods: Between April 21 and May 4, 2020, we conducted a cross-sectional, nationwide online survey of the general population in Thailand. We categorized the duration of exposure to COVID-19-related information as follows: <1 h/day (reference group), 1-2 h/day, and ≥3 h/day. Mental health outcomes were assessed using the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 scale, the Perceived Stress Scale-10, and the Insomnia Severity Index for symptoms of depression, anxiety, perceived stress, and insomnia, respectively. Multivariable logistic regression models were used to evaluate the relationship between information exposure and the risk of developing the aforementioned symptoms. An ancillary analysis using multivariable multinomial logistic regression models was also conducted to assess the possible dose-response relationship across the severity strata of mental health problems. Results: Of the 4322 eligible participants, 4004 (92.6%) completed the online survey. Of them, 1481 (37.0%), 1644 (41.1%), and 879 (22.0%) participants were exposed to COVID-19-related information for less than 1 hour per day, 1 to 2 hours per day, or 3 or more hours per day, respectively. The major source of information related to the COVID-19 pandemic was social media (95.3%), followed by traditional media (68.7%) and family members (34.9%). Those exposed to information for 3 or more hours per day had a higher risk of developing symptoms of depression (adjusted odds ratio [OR] 1.35, 95% CI 1.03-1.76; P=.03), anxiety (adjusted OR 1.88, 95% CI 1.43-2.46; P<.001), and insomnia (adjusted OR 1.52, 95% CI 1.17-1.97; P=.001) than people exposed to information for less than 1 hour per day. Meanwhile, people exposed to information for 1 to 2 hours per day were only at risk of developing symptoms of anxiety (adjusted OR 1.35, 95% CI 1.08-1.69; P=.008). However, no association was found between information exposure and the risk of perceived stress. In the ancillary analysis, a dose-response relationship was observed between information exposure of 3 or more hours per day and the severity of mental health problems. Conclusions: These findings suggest that social media is the main source of COVID-19-related information. Moreover, people who are exposed to information for 3 or more hours per day are more likely to develop psychological problems, including depression, anxiety, and insomnia. Longitudinal studies investigating the long-term effects of COVID-19-related information exposure on mental health are warranted.

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中文翻译：

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暴露在泰国与COVID-19相关的信息及其与心理健康问题的关系：全国性横断面调查研究

背景：COVID-19大流行对全世界个人的身心健康都具有负面影响。关于COVID-19爆发期间泰国公民心理健康问题与信息暴露之间关联的证据有限。目的：本研究旨在探讨泰国COVID-19大流行期间信息暴露与心理健康问题之间的关系。方法：在2020年4月21日至5月4日之间，我们对泰国的总人口进行了全国性的横断面在线调查。我们将暴露于COVID-19相关信息的持续时间分类如下：<1小时/天（参考组），1-2小时/天和≥3小时/天。使用“患者健康问卷9”，“广泛性焦虑障碍7量表”评估心理健康结局，分别是抑郁，焦虑，感知压力和失眠症状的感知压力量表10和失眠严重度指数。多变量逻辑回归模型用于评估信息暴露与出现上述症状的风险之间的关系。还使用多变量多项式逻辑回归模型进行了辅助分析，以评估精神卫生问题严重程度分层中可能的剂量反应关系。结果：在4322名合格参与者中，有4004名（92.6％）完成了在线调查。其中，有1481（37.0％），1644（41.1％）和879（22.0％）的参与者每天接触少于1小时，每天1到2小时或3次或更多的COVID-19相关信息每天的小时数。与COVID-19大流行相关的主要信息来源是社交媒体（95.3％），其次是传统媒体（68.7％）和家庭成员（34.9％）。那些每天接触3个或更多小时信息的人出现抑郁症状的风险更高（调整后的优势比[OR] 1.35，95％CI 1.03-1.76； P = .03），焦虑（调整后的OR 1.88，95％） CI 1.43-2.46； P <.001）和失眠（校正后的OR 1.52，95％CI 1.17-1.97； P = .001）比每天接触少于1小时信息的人多。同时，每天接触信息1至2个小时的人仅具有发展为焦虑症状的风险（校正后的OR 1.35，95％CI 1.08-1.69； P = 0.008）。但是，在信息暴露与感知压力的风险之间未发现关联。在辅助分析中，每天3小时或更长时间的信息暴露与精神健康问题的严重性之间存在剂量-反应关系。结论：这些发现表明，社交媒体是与COVID-19相关的信息的主要来源。此外，每天接触3个小时或更长时间的信息的人更容易出现心理问题，包括抑郁，焦虑和失眠。进行纵向研究，以研究与COVID-19相关的信息暴露对心理健康的长期影响。每天接触3个小时或更长时间的信息的人更容易出现心理问题，包括抑郁，焦虑和失眠。进行纵向研究，以研究与COVID-19相关的信息暴露对心理健康的长期影响。每天接触3个小时或更长时间的信息的人更容易出现心理问题，包括抑郁，焦虑和失眠。进行纵向研究，以研究与COVID-19相关的信息暴露对心理健康的长期影响。

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