GAD1 and depressive symptom measurement: In Table 3, the median GAD scores were 3 (1, 8) in the respondents, and PHQ scores were 4 (1, 7), of those, 22.08% of the patients scored ≥ 7 points for anxiety and 19.88% of the patients scored ≥ 8 points for depression, which is an indication of significant psychological comorbidity.