Curating evidence on mental health during COVID-19: A living systematic review

Thombs, Brett D.; Bonardi, O; Rice, Danielle B; Boruff, Jill; Azar, Marleine; He, Chen; Markham, Sarah; Sun, Ying; Wu, Yin; Krishnan, Ankur; Thombs-Vite, Ian; Benedetti, Andrea

doi:10.1016/j.jpsychores.2020.110113

Cited by 145 publications

(148 citation statements)

References 18 publications

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“…Frontline workers including the health care workers were at increased risk of infection during the COVID -19 pandemic. Evidence suggests that frontline healthcare workers, who were directly involved in the collection of samples, diagnosis, treatment, and care of patients during an outbreak, were also at higher risk of developing psychological distress and mental health symptoms [7]. Anxiety, distress, depression, fear of spread of infection to family, friends and colleagues, anger and confusion were some of the immediate psychological impacts documented among frontline healthcare workers [4,8].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia

Hoque²,

et al. 2020

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Background The COVID-19 pandemic disrupted the personal, professional and social life of Australians with some people more impacted than others. Objectives This study aimed to identify factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia. Methods A cross-sectional online survey was conducted among residents in Australia, including patients, frontline health and other essential service workers, and community members during June 2020. Psychological distress was assessed using the Kessler Psychological Distress Scale (K10); level of fear was assessed using the Fear of COVID-19 Scale (FCV-19S); and coping strategies were assessed using the Brief Resilient Coping Scale (BRCS). Logistic regression was used to identify factors associated with the extent of psychological distress, level of fear and coping strategies while adjusting for potential confounders. Results Among 587 participants, the majority (391, 73.2%) were 30–59 years old and female (363, 61.8%). More than half (349, 59.5%) were born outside Australia and two-third (418, 71.5%) completed at least a Bachelor’s degree. The majority (401, 71.5%) had a source of income, 243 (42.3%) self-identified as a frontline worker, and 335 (58.9%) reported financial impact due to COVID-19. Comorbidities such as pre-existing mental health conditions (AOR 3.13, 95% CIs 1.12–8.75), increased smoking (8.66, 1.08–69.1) and alcohol drinking (2.39, 1.05–5.47) over the last four weeks, high levels of fear (2.93, 1.83–4.67) and being female (1.74, 1.15–2.65) were associated with higher levels of psychological distress. Perceived distress due to change of employment status (4.14, 1.39–12.4), alcohol drinking (3.64, 1.54–8.58), providing care to known or suspected cases (3.64, 1.54–8.58), being female (1.56, 1.00–2.45), being 30–59 years old (2.29, 1.21–4.35) and having medium to high levels of psychological distress (2.90, 1.82–5.62) were associated with a higher level of fear; while healthcare service use in the last four weeks was associated with medium to high resilience. Conclusions This study identified individuals who were at higher risk of distress and fear during the COVID-19 pandemic specifically in the State of Victoria, Australia. Specific interventions to support the mental wellbeing of these individuals should be considered in addition to the existing resources within primary healthcare settings.

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Section: Introductionmentioning

confidence: 99%

Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia

Hoque²,

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Frontline workers including the health care workers were at increased risk of infection during the COVID-19 pandemic. Evidence suggests that frontline healthcare workers, who were directly involved in the collection of samples, diagnosis, treatment, and care of patients during an outbreak, were also at higher risk of developing psychological distress and mental health symptoms [7]. Anxiety, distress, depression, fear of spread of infection to family, friends and colleagues, anger and confusion were some of the immediate psychological impacts documented among frontline health care workers [4,8].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Psychological Distress, Fear and Coping Strategies During the COVID-19 Pandemic in Australia

Rahman

Hoque²,

Alif

et al. 2020

Preprint

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Background: The COVID-19 pandemic disrupted the personal, professional and social life of Australians with some people more impacted than others. Objectives: This study aimed to identify the factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia.Methods: This cross-sectional online survey was conducted among residents in Australia, including patients, frontline health and other essential service workers, and community members during Jun-2020. Psychological distress was assessed using the Kessler Psychological Distress Scale (K10), level of fear was assessed using the Fear of COVID-19 Scale (FCV-19S), and coping strategies were assessed using the Brief Resilient Coping Scale (BRCS). Logistic regression was used to identify factors associated with the extent of psychological distress, level of fear and coping strategies while adjusting for potential confounders. Results: Among 587 participants, the majority (391, 73.2%) were 30-59 years old and female (363, 61.8%). More than half (349, 59.5%) were born outside Australia and two-third (418, 71.5%) completed at least a Bachelor’s degree. The majority (401, 71.5%) had a source of income, 243 (42.3%) self-identified as a frontline worker, and 335 (58.9%) reported financial impact due to COVID-19. Comorbidities such as pre-existing mental health conditions (AOR 3.13, 95% CIs 1.12-8.75), increased smoking (8.66, 1.08-69.1) and alcohol drinking (2.39, 1.05-5.47) over the last four weeks, high levels of fear (2.93, 1.83-4.67) and being female (1.74, 1.15-2.65) were associated with a higher levels of psychological distress. Perceived distress due to change of employment status (4.14, 1.39-12.4), alcohol drinking (3.64, 1.54-8.58), providing care to known or suspected cases (3.64, 1.54-8.58), being female (1.56, 1.00-2.45), being 30-59 years old (2.29, 1.21-4.35) and having medium to high levels of psychological distress (2.90, 1.82-5.62) were associated with a higher level of fear; while healthcare service use in the last four weeks was associated with medium to high resilience. Conclusions: This study identified individuals who were at higher risk of distress and fear during the COVID-19 pandemic situation in Australia. Specific interventions to support the mental wellbeing of these individuals should be considered in addition to the existing resources within primary healthcare settings.

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“…[4] Additionally, fear and worry about COVID-19 is common [5] with many citing worries related to personal infection or the infection of family members, [6,7] an overrun health care system, nancial losses without recovery anytime soon, [8,9] and long-lasting isolation and movement restrictions. [10] There is previous data to suggest regional differences across the US in COVID-19 related fear and mental health (i.e., anxiety and depressive symptoms) with greater symptoms in regions with higher con rmed cases namely the Northeast New England, Northeast Mid-Atlantic, South-South Atlantic, and West Paci c regions (survey data collected March 23, 2020). [5] Based on the known mental health effects of the COVID-19 pandemic, there is a clear need for strategies to help individuals better cope with COVID-19 and mitigate the potentially long-lasting mental health consequences.…”

Section: Introductionmentioning

confidence: 98%

Does persistent meditation and physical activity mediate the relationship between perceptions of COVID-19 and mental health? A cross sectional survey of mobile app users in the United States.

Green

Huberty

Puzia

et al. 2020

Preprint

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Background: The Coronavirus Disease 2019 (COVID-19) pandemic has been declared an international public health emergency with potential long-lasting effects on mental health. The purpose of this survey was to examine the regional differences in mental health and perceptions of COVID-19 in light of the state-level prevalence of COVID-19 cases, estimate the associations between perceptions of COVID-19 and health behavior engagement (i.e., physical activity, mindfulness meditation) and mental health, and explore the mediating effect of health behavior engagement on the relationship between perceptions of COVID-19 and mental health.Methods: A cross-sectional survey was distributed to a sample of US adult paying subscribers to the Calm app (data collection April 22 to June 3, 2020). The survey assessed perceptions of COVID-19, health behavior engagement, and mental health (i.e., perceived stress, post-traumatic stress disorder, and anxiety and depression). All statistical analyses were performed using R software. Differences in perceptions of COVID-19 and mental health by location were assessed using t-tests and chi-square tests. Logistic and OLS models regressed mental health and health behavior on COVID-19 perceptions, and Causal Mediation Analysis was used to estimate the significance of mediation effects. Results: Median age (N=8392) was 47 (SD=13.8) years. Mid-Atlantic region participants reported higher levels of stress, more severe depression symptoms, were more worried about COVID-19, paid more attention to COVID-19 news, and had more stress related to social distancing recommendations than participants living in other regions. The relationship between worry about COVID-19 and perceived stress was significantly mediated by changes in physical activity (p<.001) and strength of meditation habit (p<.001). The relationship between worry about COVID-19 and PTSD symptoms was significantly mediated by changes in physical activity (p<.001) and strength of meditation habit (p<.001). Conclusions: Our findings describe the mental health impact of COVID-19 and outline how continued participation in health behaviors such as physical activity and mindfulness meditation may buffer against worsening mental health due to the COVID-19 pandemic. These data have important implications for public health agencies and health organizations to promote the maintenance of health habits to reduce the residual mental health burden of the COVID-19 pandemic.

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Curating evidence on mental health during COVID-19: A living systematic review

Cited by 145 publications

References 18 publications

Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia

Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia

Factors Associated With Psychological Distress, Fear and Coping Strategies During the COVID-19 Pandemic in Australia

Does persistent meditation and physical activity mediate the relationship between perceptions of COVID-19 and mental health? A cross sectional survey of mobile app users in the United States.

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