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Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic
Open accessAbstract
Novel Corona Virus Disease (COVID-19) originating from China has rapidly crossed borders, infecting people throughout the whole world. This phenomenon has led to a massive public reaction; the media has been reporting continuously across borders to keep all informed about the pandemic situation. All these things are creating a lot of concern for people leading to heightened levels of anxiety. Pandemics can lead to heightened levels of stress; Anxiety is a common response to any stressful situation. This study attempted to assess the knowledge, attitude, anxiety experience, and perceived mental healthcare need among adult Indian population during the COVID-19 pandemic. An online survey was conducted using a semi-structured questionnaire using a non-probability snowball sampling technique. A total of 662 responses were received. The responders had a moderate level of knowledge about the COVID-19 infection and adequate knowledge about its preventive aspects. The attitude towards COVID-19 showed peoples' willingness to follow government guidelines on quarantine and social distancing. The anxiety levels identified in the study were high. More than 80 % of the people were preoccupied with the thoughts of COVID-19 and 72 % reported the need to use gloves, and sanitizers. In this study, sleep difficulties, paranoia about acquiring COVID-19 infection and distress related social media were reported in 12.5 %, 37.8 %, and 36.4 % participants respectively. The perceived mental healthcare need was seen in more than 80 % of participants. There is a need to intensify the awareness and address the mental health issues of people during this COVID-19 pandemic.
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“In the COVID-19 pandemic, as in other pandemics, fear, anxiety, and worries have been the major psychological consequences (Roy et al., 2020; Tandon, 2020a; Xiang et al., 2020).”
From Understanding coronaphobia (2020) · cites this paper as Roy et al., 2020
In the citing paper
“Moreover, because of COVID-19, organizations providing humanitarian services, like the WFP, are experiencing a severe financial crisis as well as difficulty in keeping their food distribution cycle intact [14].”
From The Role of Blockchain to Fight Against COVID-19 (2020) · cites this paper as [14]
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“Leveraging blockchain technology, international or national humanitarian organizations can remotely and securely help needy people buy free or subsidized food from local vendors [14].”
From The Role of Blockchain to Fight Against COVID-19 (2020) · cites this paper as [14]
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Citations
Cites
The Psychological Impact of Quarantine and How to Reduce It: Rapid Review of the Evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · doi:10.2139/ssrn.3532534 · Cited by 16,394
The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
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Feng, S., Shen, C., Xia, N., Song, W., Fan, M., & Cowling, B. J. (2020) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(20)30134-x · Cited by 1,443 · cited 1×
“Since the onset of the coronavirus pandemic there has been an increased use of masks (Feng et al., 2020) and sanitizers resulting in exhaustion of resources in the market.”
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Baud, D., Qi, X., Nielsen‐Saines, K., Musso, D., Pomar, L., & Favre, G. (2020) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(20)30195-x · Cited by 1,284 · cited 1×
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“distancing, self-quarantine, restriction of travel and the ever-spreading rumors in social media are also likely to affect mental health adversely (Banerjee, 2020).”
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Ebrahim, S. H., Ahmed, Q. A. A., Gozzer, E., Schlagenhauf, P., & Memish, Z. A. (2020) · BMJ · doi:10.1136/bmj.m1066 · Cited by 562 · cited 1×
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BackgroundRethinking online mental health services in China during the COVID-19 epidemic
Yao, H., Chen, J.-H., & Xu, Y.-F. (2020) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2020.102015 · Cited by 208 · cited 1×
“In this situation considering online mental health consultation might be more beneficial and it can deliver the consultation at the doorstep (Yao et al., 2020).”
Background
Cited by
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Items 901–1,000 of 1,000
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Impact of COVID-19 pandemic on mental health among Indians: A posttraumatic stress disorder
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Knowledge and practice of Hormozgan province workers regarding the protection against COVID-19
Zare, M., Soleimani-Ahmadi, M., Aghamolaei, T., Madani, A., Azad, M. H., Zare, F., Khademian, M., Zare, M. R., Kakhaki, H. E. S., & Ardakani, M. B. (2020) · Journal of Preventive Medicine · doi:10.29252/jpm.7.4.10 · Cited by 4
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“Por ejemplo, en un estudio realizado en India, aproximadamente 28% de los participantes informaron tener dificultades para dormir (Roy et al., 2020); otros estudios como les de Brailovskaia & Margraf (2020) han reportado que hasta un 47.9% de los participantes dormía más de lo usual durante el…”
BackgroundInfluentialEmotion Focused Coping dalam Mereduksi Kecemasan pada Masa Pandemi Covid-19
Indra, S., Ayuningtiyas, D., & Pohan, R. A. (2020) · Jurnal Wahana Konseling · doi:10.31851/juang.v3i2.4870 · Cited by 5
Galvagno, L. G. G., Grandis, C. D., Ferrero, F. V., Loss, J., Castrillón, D., Celleri, M., & Mustaca, A. E. (2021) · Revista Argentina de Ciencias del Comportamiento ( RACC ) · doi:10.32348/1852.4206.v13.n1.29024 · Cited by 4
Opatola, K. O., O, M. F., & Atulomah, N. O. (2021) · African Journal of Biology and Medical Research · doi:10.52589/ajbmr-kbtrccbu · Cited by 5
SARS-Cov-2 Damage on the Nervous System and Mental Health
Boulkrane, M. S., Ilina, V. S., Melchakov, R., Arisov, M., Fedotova, J., Gozzo, L., Drago, F., Lu, W., Sarapultsev, A., Tseilikman, V., et al. (2021) · Current Neuropharmacology · doi:10.2174/1570159x19666210629151303 · Cited by 5
“The COVID-19 demonstrated major effects on the CNS and it is very likely to observe neurological manifestations in these patients [8-18].”
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“At the same time, patients worry about themselves, their family members, and friends being infected, as well as the development and prognosis of the disease and the impact on their work; thus, they are prone to experiencing psychological issues such as anxiety, depression, and fear (10-13).”
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“The proportion of anxiety reported in this study was higher than that of Iran [32], and similar with that of India [33].”
ResultKaya, M., & KOŞAN, Y. (2021) · International Journal of Psychology and Educational Studies · doi:10.52380/ijpes.2021.8.4.461 · Cited by 4
“Even so, the fear of COVID-19 has been called coronaphobia (Ahorsu et al., 2020; Asmundson & Taylor, 2020; Lee, 2020; Lee et al., 2020; Qiu et al., 2020; Roy et al., 2020; Wang et al., 2020a).”
BackgroundShaikhain, T. A., Al-Husayni, F., Bukhari, G., Alhawsa, B., Shalabi, N., Munshi, A., Saati, A., Neyazi, A., Alshehri, A., & Alzahrani, M. (2021) · SAGE Open Medicine · doi:10.1177/20503121211052421 · Cited by 4
Psychosocial impacts of COVID-19 pandemic: a cross-sectional study of Mirpur, Pakistan
Abdullah, F., & Shoaib, M. (2021) · International Review of Sociology · doi:10.1080/03906701.2021.1996757 · Cited by 8
“Roy et al. (2020) examined that people faced anxiety and fear of being infected during religious practices (Salman et al., 2021) and gathering and hence avoided travel (Mucci et al., 2020; Uğur & Akbıyık, 2020).”
BackgroundShali, M., Behnoush, A. H., Shabani, E. A., & Khazaeipour, Z. (2021) · Japan Journal of Nursing Science · doi:10.1111/jjns.12465 · Cited by 4
Patan, S. K., Sravana Deepthi, C., Madithati, P., Narapureddy, B. R., Chittooru, C. S., Lingala, K. V. R., & Gular, K. (2021) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_323_21 · Cited by 4
“in India found the respondent having less knowledge compared with the respondents in this study, concluding those studies were conducted during the early stage of the diseases at respective places.[18,20,21]”
BackgroundResultInfluentialKnowledge, Attitude, and Psychological Impacts of COVID-19 in Saudi Arabia
Alanazi, N., & Bahjri, K. A. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.801777 · Cited by 8
“ORIGINAL RESEARCH published: 23 February 2022 doi: 10.3389/fpubh.2022.801777 Frontiers in Public Health | www.frontiersin.org 1 February 2022 | Volume 10 | Article 801777 Edited by: Harshad Thakur, Tata Institute of Social Sciences, India Reviewed by: Eman Zmaily Dahmash, Isra University, Jordan Idir Mechai, Jazan Uni…”
MethodResultInfluentialMasengu, R., Raouyashadi, W. A., Makudza, F., & Muchenje, C. (2022) · European Journal of Business Management and Research · doi:10.24018/ejbmr.2022.7.3.1242 · Cited by 4
“During the epidemic, Roy et al. (2020) denotes that about one-third of consumers had the urge to engage in panic banking while they remained at or worked from home.”
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“…loneliness), post-traumatic stress symptoms, and other severe psychological and behavioral deviations, such as suicidality, dependencies, and somatization (Banerjee, 2020; Bo et al., 2020; Brooks et al., 2020; Inchausti et al., 2020; Roy et al., 2020; Talevi et al., 2020; Yenan Wang et al., 2020).”
BackgroundFactores asociados a las actitudes y prácticas preventivas frente a la pandemia del COVID-19
Yupari-Azabache, I. L., Díaz-Ortega, J. L., Rodríguez-Diaz, A., & Iparraguirre, A. V. P. (2020) · Revista Mvz Córdoba · doi:10.21897/rmvz.2052 · Cited by 4
“Los resultados observados en la Tabla 3, viéndolo de una forma positiva, se encuentran en situación similar a la de otros países como la India en donde los encuestados tenían un nivel moderado de conocimiento sobre la infección por COVID-19 y un conocimiento adecuado sobre sus aspectos preventivos, y la actitud hacia…”
BackgroundAnxiety Related to COVID-19 Infection: An Online Survey among the General Public in India
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PANORAMA DAS PUBLICAÇÕES EM SAÚDE MENTAL NO CONTEXTO DA PANDEMIA POR COVID-19: SCOPING REVIEW
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“In parallel, fear of contracting the virus is still widely prevalent (Rajkumar, 2020; Roy et al., 2020; Singh et al., 2020).”
BackgroundApplication of Mathematical Modelling Approach in COVID-19 Transmission and Interventions Strategies
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“The situation becomes even more complicated for developing countries where the healthcare infrastructure is not great (Roy et al., 2020).”
Psychological and Social Impact of COVID-19 in Pakistan: Need for Gender Responsive PoliciesPreprint
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BackgroundDirective Government Policy and Process for the People Amidst COVID-19Preprint
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“Its presence and spread cause widespread concern and also cause the amount of stress to rise (Roy et al., 2020 ).”
Emotional Bonding and Sexual Activity During COVID-19 Lockdown: A Cross-National Pilot Study
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Self-citationPredictive Modeling of Healthcare Professional’s Stress Based on XGBoost Model
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“…related social media exposure to depression and anxiety (Gao et al., 2020), and another study examining anxiety related to COVID-19 in a large nationwide sample of Indian adults revealed high levels of anxiety in response to both media coverage and social media posts on COVID-19 (Roy et al., 2020).”
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“9,10 However, limited knowledge about COVID-19 has been reported in patients with psychosis spectrum disorders, a finding attributed to low socioeconomic and literacy levels as well as low environmental support.”
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Impact of COVID-19 on mental health: A watershed moment in tertiary care service provision in India?
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“In case of Indian population, one study showed that about 85% respondents practiced hand washing procedures, 37% agreed for using masks to prevent the transmission of COVID-19 [11].”
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“• the need for special care for vulnerable groups when planning preventive psychological interventions during the COVID-19 epidemic (37) • the need to raise awareness of the psychological consequences of this COVID-19 pandemic and to intensify preventive measures to avoid long-term consequences (3) • the need to suppo…”
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COVID-19 Pandemic: Assessment of Current Strategies and Socio-economic Impact
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“Many cases have come to light where health care workers were called carriers of the disease and were shunned from their residential areas, which should not be practiced in times of such crisis (Roy et al., 2020).”
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“172 This worldwide situation led to an enormous and great reaction of people where everyone has been constantly reporting all over the borders to make society informed about the worldwide situation (Roy et al., 2020).”
BackgroundThomas, E. A., Raval, V. V., James, A., Jain, A. T., & George, T. S. (2022) · Journal of Educational and Developmental Psychology · doi:10.5539/jedp.v12n2p134 · Cited by 3
“Over 80% of Indians reported needing professional help for their mental health needs during March 2020 (Roy et al., 2020), suggesting openness to receive psychosocial interventions.”
BackgroundKosendiak, A. A., Adamczak, B. B., Bania, J., & Kontek, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192113860 · Cited by 3
“Additionally, scientists observed obsessive thoughts about the possibility of contagion [9].”
BackgroundIstiasih, H., & Faisol, F. (2022) · Jurnal Aplikasi Manajemen · doi:10.21776/ub.jam.2022.020.04.19 · Cited by 3
Ekrem, M. E. R. T., & Keklik, B. (2023) · İşletme Bilimi Dergisi · doi:10.22139/jobs.1210184 · Cited by 3
Gaudel, J., Ahalli, S., Fort, E., Bridai, Y., Baborier, N., & Charbotel, B. (2023) · L Encéphale · doi:10.1016/j.encep.2022.11.002 · Cited by 3
Green, G., & Tesler, R. (2023) · SAGE Open · doi:10.1177/21582440231179125 · Cited by 3
Murray, J., Dhami, M. K., McClatchey, K., Weiss‐Cohen, L., & Ayton, P. (2023) · Europe’s Journal of Psychology · doi:10.5964/ejop.7751 · Cited by 3
“…anxiety and poorer mental health in lockdown (e.g., Ali et al., 2020; Aymerich-Franch, 2020; Odriozola-González et al., 2020; Park et al., 2020; Roy et al., 2020; Satici et al., 2022; Sharma & Subramanyam, 2020; Stieger et al., 2021; Vijayaraghavan & Singhal, 2020; White & Van Der Boor, 2020).”
Social and Health Beliefs Related to College Students’ COVID-19 Preventive Behavior
Kim, N. (2023) · Healthcare · doi:10.3390/healthcare11131869 · Cited by 3
“In particular, college students are likely to encounter abundant and unclear information owing to the pervasiveness of social networking services and the Internet [20,37], which is expected to further increase social complexity.”
BackgroundInfluentialGu, M., Qin, T., Qiao, K., Bai, X., Wang, Y., Yang, Y., Bai, Y., Gao, J., & Li, X. (2023) · BMC Public Health · doi:10.1186/s12889-023-16699-0 · Cited by 3
“Another study on anxiety in India [21] pointed out that Media reporting about the shortage of resources and essential things of daily living further increases the panic buying.”
BackgroundAnsiedad y depresión post COVID-19 en la población
Mera-Cañarte, M. A., Castro-Jalca, J. E., Anchundia-Piloso, J. F., & Ponce-Loor, K. L. (2023) · MQRInvestigar · doi:10.56048/mqr20225.7.3.2023.4285-4299 · Cited by 3
Integration of theory of planned behavior into actual social distancing behavior amid Covid-19
Jilani, M. M. A. K., Ahmed, F., Ali, M., & Khaled, M. C. (2023) · Social Sciences & Humanities Open · doi:10.1016/j.ssaho.2023.100708 · Cited by 4
Athe, R., Dwivedi, R., Singh, K., Hulmani, S. B., Karadi, N., Boraiah, C., & Vasu, S. (2023) · Cureus · doi:10.7759/cureus.48219 · Cited by 3
Lo, H. K. Y., Chan, J. K. N., Wong, C. S. M., Wong, G. H. S., Lei, J. H. C., So, Y. K., Fung, V. S. C., Chu, R. S. T., Ling, R. H. Y., Chung, A. K. K., et al. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1252600 · Cited by 3
The Correlation between the Compassion and Moral Sensitivities of Nurses during COVID-19 Pandemic
Sevinç, S., Elmaoğlu, E., SUNGUR, M., & Özdemi̇r, S. (2024) · Etkili Hemşirelik Dergisi · doi:10.46483/deuhfed.1198498 · Cited by 3
Psychological impact of COVID-19 lockdown period on students of healthcare colleges
Alayadi, H., Talakey, A. A., Alsadon, O., Vellappally, S., & Naik, S. (2024) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_719_23 · Cited by 4
“[23] Anxiety among healthcare students Forty‑four percent of students in the present study expressed mild anxiety, whereas 54% experienced moderate anxiety.”
BackgroundAir Pollution Tolerance and Carbon Sequestration Potential of Tree Species to Combat Climate Change
Gopamma, D., Kumar, K. S., Srinivas, N., Debnath, S., Ram, A., Kumar, S., & Arunachalam, A. (2024) · Springer eBooks · doi:10.1007/978-981-97-5004-7_14 · Cited by 3
Dubey, A., Varma, A., & Riasudeen, S. (2025) · Journal of Health Organization and Management · doi:10.1108/jhom-05-2024-0187 · Cited by 3
COVID-19: what are the risks for patients with sleep disorders?
Коростовцева, Л. С., Викторович, Б. М., Shumeyko, A. A., Kucherenko, N. G., Bebekh, A. N., Gorelov, А. I., Sviryaev, Y. V., & Конради, А. О. (2020) · Arterial’naya Gipertenziya (Arterial Hypertension) · doi:10.18705/1607-419x-2020-26-4-468-484 · Cited by 3
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“A perceived mental healthcare need was reported for more than 80% of participants (Roy et al., 2020).”
BackgroundMental Health Condition During COVID-19 Pandemic in Trained and Non-Trained Adults
Herdyanto, Y., Nurhasan, N., Ardha, M. A. A., Agustia, D., Sholikhah, A. M., & Fathir, L. W. (2020) · Proceedings of the International Joint Conference on Arts and Humanities (IJCAH 2020) · doi:10.2991/assehr.k.201201.242 · Cited by 6
“This virus was later become global pandemic that cause major impact on people’s lives [2].”
BackgroundYüksel, H. (2021) · Finans Ekonomi ve Sosyal Araştırmalar Dergisi · doi:10.29106/fesa.840622 · Cited by 3
Social Media Literacy and COVID-19 Awareness for Faculty Resilience in a Moderated Mechanism
Johara, F. T., Taher, M. A., & Uddin, M. A. (2021) · Advances in human resources management and organizational development book series · doi:10.4018/978-1-7998-7164-4.ch015 · Cited by 3
Bhattacharya, S., Sinha, S., Bhattacharya, S., Poddar, S., & Poddar, S. (2021) · Malaysian Journal of Medical Research · doi:10.31674/mjmr.2021.v05i02.006 · Cited by 3
“In several studies, it is evident that pandemics do evoke anxiety among people (Everts, 2013; Roy et al., 2020; Son et al., 2020).”
BackgroundSystematic Review: The Covid-19 Pandemic Effects on Maternal Anxiety During Pregnancy
Argaheni, N. B. (2021) · PLACENTUM Jurnal Ilmiah Kesehatan dan Aplikasinya · doi:10.20961/placentum.v9i2.50129 · Cited by 3
COVID-19 Inventory and Mental Health: Preliminary Analysis
Faustino, B., Vasco, A. B., Delgado, J., Farinha‐Fernandes, A., Guerreiro, J. C., & de Matos, M. O. (2021) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.20210004 · Cited by 3
COVID-19 PANDEMİSİNİN ÇOCUKLARIN KORKU, KAYGI VE DEPRESYON DÜZEYLERİNE ETKİSİ
Özlü, İ., Öztürk, Z., Özlü, Z. K., & Kızıloğlu, B. (2021) · Journal of Anatolia Nursing and Health Sciences · doi:10.17049/ataunihem.943465 · Cited by 3
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Determinants of COVID-19 Prevention Behavior in School Students - A Cross-sectional Study
Sumarni, N., Rahayuwati, L., Purnama, D. H., Rosidin, U., Shalahuddin, I., & Suhendar, I. (2021) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2021.7589 · Cited by 3
ECONOMIC INSECURITY AND STRESS AS DETERMINANTS OF COVID-19 PREVENTIVE BEHAVIOUR IN DENPASAR
Wirawan, G. B. S., Taroreh, T. A. P., Arthaningsih, D. A. A. D., Loka, M. A. D. P., Mahardika, N. M. A., & Januraga, P. P. (2021) · Jurnal Administrasi Kesehatan Indonesia · doi:10.20473/jaki.v9i2.2021.124-134 · Cited by 3
Experiences of student and trainee autism researchers during the COVID ‐19 pandemic
Kaku, S. M., McVey, A. J., Gerber, A. S., Pretzsch, C. M., Jones, D. R., Kodakkadan, F., Lei, J., Singer, L., Chitehwe, L., Poulsen, R. E., et al. (2021) · Autism Research · doi:10.1002/aur.2662 · Cited by 3
The Potential of Internet of Things in Covid-19 Like Pandemic Situation
Jain, S. (2021) · International Journal of Technology · doi:10.52711/2231-3915.2021.00008 · Cited by 3
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AN EMPIRICAL INVESTIGATION OF THE IMPACT OF COVID-19 PANDEMIC ON UNIVERSITY STUDENTS
Karabay, M. E., Ensari, M. Ş., & Yurtkoru, E. S. (2022) · International Journal of Education and Social Science Research · doi:10.37500/ijessr.2022.5218 · Cited by 3
Human Development Index and Innovation Capabilities in the Health Sector of UAE
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Salud mental y calidad de sueño en los docentes de educación básica regular
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Myths regarding COVID-19 among Indian population – An online survey
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Metadata
- Authors
- Roy, D., Tripathy, S., Kar, S. K., Sharma, N., Verma, S. K., & Kaushal, V.
- Affiliations
- King George's Medical University (IN)
- Government of Uttar Pradesh (IN)
- Corresponding author
- Kar, Sujita Kumar
- ORCID
- Venue
- Asian Journal of Psychiatry
- Publisher
- Elsevier BV
- Published
- 2020-06
- Volume
- 51
- Pages
- 102083
- ISSN
- 1876-2018 (ISSN-L)
- PMC
- PMC7139237
- OpenAlex
- W3014597060
- Cited by
- 1,759
- References
- 17
- Citations by year
- 2026: 17 · 2025: 48 · 2024: 106 · 2023: 218 · 2022: 393 · 2021: 607 · 2020: 368
- FWCI
- 158.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Asian Journal of Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Sociology and Political Science › COVID-19 Prevention and Impact
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- COVID-19 pandemic, anxiety, knowledge and attitudes, quarantine compliance, social distancing, sleep disorders, paranoia, preventive behavior, Indian adults
- MeSH terms
- Psychological Distress, COVID-19, Adult, Anxiety, Female, Humans, India, Health Knowledge, Attitudes, Practice, Male, Mental Health Services, Paranoid Disorders, Pneumonia, Viral, Sleep Wake Disorders, Infection Control, Coronavirus Infections, Pandemics, Diagnostic Self Evaluation
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