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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


FERREIRA GOULD, María Soledad; CORONEL DIAZ, Geovana  and  RIVAROLA VARGAS, María Alesia. Impact on mental health during the COVID 19 pandemic in Paraguay. Rev. virtual Soc. Parag. Med. Int. [online]. 2021, vol.8, n.1, pp.61-68. ISSN 2312-3893.


The recent appearance and rapid spread in Wuhan (China) of the new Covid-19 coronavirus forced the quarantine of millions of inhabitants around the world, generating a huge psychosocial impact.


To describe the frequency of depression, anxiety and insomnia during quarantine in the Paraguayan population.


A prospective descriptive cross-sectional study was carried out. A questionnaire was applied virtually reaching people through social networks. For the diagnosis of depression and anxiety, the Patient Health Questionnaire-4 was applied, and the Insomnia Severity Index questionnaire for insomnia.


Five hundred eleven people were included, 63% of them were female, 51.9% were in the age range 30-50 years, 49.3% of the people were single and 79.8% lived in urban areas and 93.3% of those surveyed completed tertiary education. With the Patient Health Questionnaire-4, 44.9% were normal, 21.3% had moderate anxiety and depression, while 15.9% had symptoms of anxiety and severe depression. With the Insomnia Severity Index, 37.5% had clinically insignificant insomnia, 31.1% mild insomnia, 24.6% moderate insomnia, and 6.6% severe insomnia.


Twenty-one and three percent presented moderate anxiety and depression, while 15.9% had symptoms of anxiety and severe depression. Furthermore, 62.5% had some degree of insomnia.

Keywords : coronavirus; mental health; anxiety; depression; sleep initiation and maintenance disorders.

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