Cited by 2,571COVID-19 and Mental HealthMaternal Mental Health During Pregnancy and PostpartumMental Health Treatment and Access

The DOI matches its Crossref record; 25 of the 31 references it cites were found in a registry or an index.

A longitudinal study on the mental health of general population during the COVID-19 epidemic in China

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Abstract

In addition to being a public physical health emergency, Coronavirus disease 2019 (COVID-19) affected global mental health, as evidenced by panic-buying worldwide as cases soared. Little is known about changes in levels of psychological impact, stress, anxiety and depression during this pandemic. This longitudinal study surveyed the general population twice - during the initial outbreak, and the epidemic's peak four weeks later, surveying demographics, symptoms, knowledge, concerns, and precautionary measures against COVID-19. There were 1738 respondents from 190 Chinese cities (1210 first-survey respondents, 861 s-survey respondents; 333 respondents participated in both). Psychological impact and mental health status were assessed by the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21), respectively. IES-R measures PTSD symptoms in survivorship after an event. DASS -21 is based on tripartite model of psychopathology that comprise a general distress construct with distinct characteristics. This study found that there was a statistically significant longitudinal reduction in mean IES-R scores (from 32.98 to 30.76, p < 0.01) after 4 weeks. Nevertheless, the mean IES-R score of the first- and second-survey respondents were above the cut-off scores (>24) for PTSD symptoms, suggesting that the reduction in scores was not clinically significant. During the initial evaluation, moderate-to-severe stress, anxiety and depression were noted in 8.1%, 28.8% and 16.5%, respectively and there were no significant longitudinal changes in stress, anxiety and depression levels (p > 0.05). Protective factors included high level of confidence in doctors, perceived survival likelihood and low risk of contracting COVID-19, satisfaction with health information, personal precautionary measures. As countries around the world brace for an escalation in cases, Governments should focus on effective methods of disseminating unbiased COVID-19 knowledge, teaching correct containment methods, ensuring availability of essential services/commodities, and providing sufficient financial support.

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  1. Europe on Lockdown From COVID-19. Jewish Journal, 2020. (Accessed March 22, 2020, at https://jewishjournal.com/commentary/opinion/312317/europe-on-lockdown-from-covid-19/).

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Metadata

Authors
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., Choo, F. N., Tran, B., Ho, R., Sharma, V. K., & Ho, C.
Affiliations
  • Huaibei Normal University (CN)
  • University Health Network (CA)
  • National University of Singapore (SG)
  • Johns Hopkins University (US)
Corresponding author
Ho, Roger
Venue
Brain, Behavior, and Immunity
Publisher
Elsevier BV
Published
2020-07
Volume
87
Pages
40-48
ISSN
0889-1591 (ISSN-L)
OpenAlex
W3016216556
Cited by
2,571
References
31
Citations by year
2026: 32 · 2025: 103 · 2024: 176 · 2023: 347 · 2022: 611 · 2021: 845 · 2020: 455
FWCI
225.98
Type
journal article
Language
en
Open access
Locations
  • Brain Behavior and Immunity (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • National University of Singapore (submittedVersion)
  • Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
Funders
  • National University of Singapore (R-722-000-004-731)
  • Huaibei Normal University
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
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords
COVID-19 pandemic, mental health, psychological impact, anxiety, depression, stress, post-traumatic stress disorder, general population, protective factors, perceived infection risk, precautionary measures, China
MeSH terms
Betacoronavirus, Internet-Based Intervention, COVID-19, SARS-CoV-2, Adolescent, Adult, Anxiety, Child, China, Depression, Female, Humans, Longitudinal Studies, Male, Masks, Mental Health, Middle Aged, Pneumonia, Viral, Psychotherapy, Stress Disorders, Post-Traumatic, Stress, Psychological, Health Behavior, Coronavirus Infections, Young Adult, Epidemics, Pandemics, Hand Hygiene

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