Cited by 554COVID-19 and Mental HealthMaternal Mental Health During Pregnancy and PostpartumMental Health Treatment and Access

Prevalence, Psychological Responses and Associated Correlates of Depression, Anxiety and Stress in a Global Population, During the Coronavirus Disease (COVID-19) Pandemic

Open access
Shah, Syed Mustafa Ali, Mohammad, Danish, Qureshi, Muhammad Fazal Hussain, Abbas, Mohammad Zain, Aleem, Sameeha·2021·Community Mental Health Journal

Abstract

Uncertainty and isolation have been linked to mental health problems. Uncertainty surrounding the COVID-19 pandemic has the potential to trigger mental health problems, which include anxiety, stress, and depression. This paper evaluates the prevalence, psychological responses, and associated correlates of depression, anxiety, and stress in a global population during the Coronavirus Disease (COVID-19) pandemic. A cross-sectional study design was adopted. 678 completed forms were collected during the COVID-19 quarantine/lockdown. An online questionnaire was designed and DASS-21 was used as the screening tool. A non-probability sampling technique strategy was applied. 50.9% of participants showed traits of anxiety, 57.4% showed signs of stress, and 58.6% exhibited depression. Stress, anxiety, and depression are overwhelmingly prevalent across the globe during this COVID-19 pandemic, and multiple factors can influence the rates of these mental health conditions. Our factorial analysis showed notable associations and manifestations of stress, anxiety, and depressive symptoms. People aged 18-24, females, and people in non-marital relationships experienced stress, anxiety, and depression. Separated individuals experienced stress and anxiety. Married people experienced anxiety. Single and divorced people experienced depression. Unemployed individuals experienced stress and depression. Students experienced anxiety and depression. Canada, the UK, and Pakistan are all countries that are experiencing stress and depression as a whole. An extended number of days in quarantine was associated with increased stress, anxiety, and depression. Family presence yielded lower levels of stress, anxiety, and depression. Lastly, lack of exercise was associated with increased stress, anxiety, and depression.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1007/s10597-020-00728-y

Cites

16 of 16 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 28

  1. Adhikari SP Meng S Wu YJ Mao YP Ye RX Wang QZ Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review Infect Dis Poverty 2020 9 1 29 10.1186/s40249-020-00646-x 32183901 PMC7079521 · DOI
  2. Antúnez, Z., & Vinet, E. V. (2012). Escalas de Depresión, Ansiedad y Estrés (DASS- 21): Validación de la versión abreviada en estudiantes universitarios Chilenos. [Depression Anxiety Stress Scales (DASS-21): Validation of the abbreviated version in Chilean university students.]. Terapia Psicológica, 30(3), 49–55.
  3. Balzarini RN Dharma C Kohut T Campbell L Lehmiller JJ Harman JJ Comparing relationship quality across different types of romantic partners in polyamorous and monogamous relationships Archives of Sexual Behavior 2019 48 6 1749 1767 10.1007/s10508-019-1416-7 31069571 · DOI
  4. Beaufort IN De Weert-Van Oene GH Buwalda VAJ de Leeuw JRJ Goudriaan AE The Depression, Anxiety and Stress Scale (DASS-21) as a screener for depression in substance use disorder inpatients: A pilot study European Addiction Research 2017 23 5 260 268 10.1159/000485182 29224000 · DOI
  5. Bohlken J Schömig F Lemke MR Pumberger M Riedel-Heller SG COVID-19 pandemic: Stress experience of healthcare workers: A short current review Psychiatrische Praxis 2020 47 4 190 197 10.1055/a-1159-5551 32340048 PMC7295275 · DOI
  6. Chatterjee K Chauhan VS Epidemics, quarantine and mental health Medical Journal Armed Forces India 2020 76 2 125 127 10.1016/j.mjafi.2020.03.017 32327877 PMC7176378 · DOI
  7. Cornine, A. (2020). Reducing nursing student anxiety in the clinical setting: An integrative review. Nurs Educ Perspect. 32102067
  8. Dar KA Iqbal N Mushtaq A Intolerance of uncertainty, depression, and anxiety: Examining the indirect and moderating effects of worry Asian Journal of Psychiatry 2017 29 129 133 10.1016/j.ajp.2017.04.017 29061409 · DOI · Paper page
  9. Kasalova P Prasko J Holubova M Vrbova K Zmeskalova D Slepecky M Anxiety disorders and marital satisfaction Neuro Endocrinological Letters 2018 38 8 555 564 29504737
  10. Kawohl W Nordt C COVID-19, unemployment, and suicide The Lancet Psychiatry 2020 7 5 389 390 10.1016/S2215-0366(20)30141-3 32353269 PMC7185950 · DOI
  11. Klomek AB Suicide prevention during the COVID-19 outbreak The Lancet Psychiatry 2020 7 5 390 10.1016/S2215-0366(20)30142-5 PMC7185940 32353271 · DOI
  12. Kumari, U., Dawani, N., Devnani, J., Qureshi, M. F. H., Soleja, F. K., Mohammad, D., … Sadiq, S. (2019). Depression among medical students of Karachi a cross sectional study. MedEdPublish, 8. PMC10712523 38089272
  13. Liu N Zhang F Wei C Jia Y Shang Z Sun L Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter Psychiatry Research 2020 287 112921 10.1016/j.psychres.2020.112921 32240896 PMC7102622 · DOI · Paper page
  14. Mæhlisen MH Pasgaard AA Mortensen RN Vardinghus-Nielsen H Torp-Pedersen C Bøggild H Perceived stress as a risk factor of unemployment: A register-based cohort study BMC Public Health 2018 18 1 728 10.1186/s12889-018-5618-z 29895286 PMC5998595 · DOI
  15. Martín Monzón, I. (2007). Estrés académico en estudiantes universitarios. Apuntes de Psicología, ISSN 0213–3334, Vol. 25, Nº. 1, 2007, pags. 87–99, 25.
  16. Mogilski JK Reeve SD Nicolas SCA Donaldson SH Mitchell VE Welling LLM Jealousy, Consent, and Compersion Within Monogamous and Consensually Non-Monogamous Romantic Relationships Archives of Sexual Behavior 2019 48 6 1811 1828 10.1007/s10508-018-1286-4 30607710 · DOI
  17. Nurmela, K., & Mattila, A. (2018). Identification of Depression and Screening for Work Disabilities among Long-Term Unemployed People. 15(5). PMC5981948 29751563
  18. Oei TPS Sawang S Goh YW Mukhtar F Using the Depression Anxiety Stress Scale 21 (DASS-21) across cultures International Journal of Psychology 2013 48 6 1018 1029 10.1080/00207594.2012.755535 23425257 · DOI · Paper page
  19. Onrust SA Cuijpers P Mood and anxiety disorders in widowhood: A systematic review Aging Ment Health 2006 10 4 327 334 10.1080/13607860600638529 16798624 · DOI
  20. Osman A Wong JL Bagge CL Freedenthal S Gutierrez PM Lozano G The Depression Anxiety Stress Scales—21 (DASS-21): Further Examination of Dimensions, Scale Reliability, and Correlates Journal of Clinical Psychology 2012 68 12 1322 1338 10.1002/jclp.21908 22930477 · DOI
  21. Ozamiz-Etxebarria, N., & Dosil-Santamaria, M. (2020). Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in the northern Spain. 36(4), e00054020. 32374806
  22. Özdin, S., & Bayrak Özdin, Ş. (2020). Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry, 20764020927051. PMC7405629 32380879
  23. Pietrucha J Country-specific determinants of world university rankings Scientometrics 2018 114 3 1129 1139 10.1007/s11192-017-2634-1 29491546 PMC5814474 · DOI
  24. Sareen J Erickson J Medved MI Asmundson GJG Enns MW Stein M Risk factors for post-injury mental health problems Depression and Anxiety 2013 30 4 321 327 10.1002/da.22077 23408506 · DOI
  25. Shaw T Campbell MA Runions KC Zubrick SR Properties of the DASS-21 in an Australian Community Adolescent Population Journal of Clinical Psychology 2017 73 7 879 892 10.1002/jclp.22376 27774593 · DOI
  26. Wang C Horby PW Hayden FG Gao GF A novel coronavirus outbreak of global health concern Lancet 2020 395 10223 470 473 10.1016/S0140-6736(20)30185-9 31986257 PMC7135038 · DOI · Paper page
  27. Wang G Hu M Xiao SY Zhou L Loneliness and depression among rural empty-nest elderly adults in Liuyang, China: A cross-sectional study British Medical Journal Open 2017 7 10 e016091 PMC5639988 28988166
  28. Xiang Y-T Yang Y Li W Zhang L Zhang Q Cheung T Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed The Lancet Psychiatry 2020 7 3 228 229 10.1016/S2215-0366(20)30046-8 32032543 PMC7128153 · DOI · Paper page

Cited by

Sorted by citations

Authors
Shah, S. M. A., Mohammad, D., Qureshi, M. F. H., Abbas, M. Z., & Aleem, S.
Affiliations
  • Ziauddin University (PK)
  • Ziauddin Hospital (PK)
Corresponding author
Qureshi, Muhammad Fazal Hussain
Venue
Community Mental Health Journal
Published
2020-10-27
Volume
57
Issue
1
Pages
101-110
ISSN
  • 0010-3853 (ISSN-L)
  • 1573-2789
OpenAlex
W3097497433
Cited by
554
References
16
Citations by year
2026: 24 · 2025: 48 · 2024: 89 · 2023: 150 · 2022: 154 · 2021: 87 · 2020: 2
FWCI
39.33
Type
journal article
Language
en
Open access
Locations
  • Community Mental Health Journal (publishedVersion, public-domain)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
COVID-19 pandemic, depression, anxiety, stress, mental health, quarantine, lockdown, prevalence, psychological reactions, marital status, unemployment, students, physical activity, family presence, DASS-21
MeSH terms
COVID-19, SARS-CoV-2, Adolescent, Adult, Aged, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Male, Mental Health, Middle Aged, Quarantine, Surveys and Questionnaires, Social Isolation, Stress, Psychological, Prevalence, Young Adult, Pandemics

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review