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Addressing the mental health impact of COVID-19 through population health
Open accessAbstract
The COVID-19 pandemic has and will continue to result in negative mental health outcomes such as depression, anxiety and traumatic stress in people and populations throughout the world. A population mental health perspective informed by clinical psychology, psychiatry and dissemination and implementation science is ideally suited to address the broad, multi-faceted and long-lasting mental health impact of the pandemic. Informed by a systematic review of the burgeoning empirical research on the COVID-19 pandemic and research on prior coronavirus pandemics, we link pandemic risk factors, negative mental health outcomes and appropriate intervention strategies. We describe how social risk factors and pandemic stressors will contribute to negative mental health outcomes, especially among vulnerable populations. We evaluate the scalability of primary, secondary and tertiary interventions according to mental health target, population, modality, intensity and provider type to provide a unified strategy for meeting population mental health needs. Traditional models, in which evidence-based therapies delivered are delivered in-person, by a trained expert, at a specialty care location have proved difficult to scale. The use of non-traditional models, tailoring preventive interventions to populations based on their needs, and ongoing coordinated evaluation of intervention implementation and effectiveness will be critical to refining our efforts to increase reach.
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“Those themes appear to be still early in their development, but they have a great potential for growth, possibly fuelled by a greater variation in discussions and approaches to mental health prevention driven by the COVID-19 impact and the challenges posed for sustainable healthcare in the future [75,76,77].”
From Evolution of Primary Research Studies in Digital Interventions for Mental Well-Being Promotion from 2004 to 2023: A Bibliometric Analysis of Studies on the Web of Science (2024) · cites this paper as [76]
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“A substantial number of survivors of disasters, pandemics, and other severe stressors develop persistent distress that impairs mental health and well-being.”
From Promoting Recovery from Disasters, Pandemics, and Trauma: A Systematic Review of Brief Psychological Interventions to Reduce Distress in Adults, Children, and Adolescents (2023) · cites this paper as [2]
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“Natural hazards and man-made disasters (e.g., floods and mass violence; [1]), pandemics (e.g., the COVID-19 pandemic; [2]), but also other traumatic events (e.g., train accidents; [3]) can lead to psychological harm.”
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Wang, Q., Li, J., Zhang, Z., Amini, R., Derdall, A., Gu, J., Xia, J., Salena, B. J., Yamamura, D. L. R., Soleymani, L., et al. (2024) · Angewandte Chemie · doi:10.1002/ange.202415226 · Cited by 5
Helter, T., Łaszewska, A., & Simon, J. (2022) · Scientific Reports · doi:10.1038/s41598-022-20977-z · Cited by 5
Pandemic financial hardships and suicide risk in a nationally representative sample of young adults
Chen, Z., Fedina, L., DeVylder, J., Lemieux, C. M., King, C. A., & Abbott, K. (2022) · Social Work in Mental Health · doi:10.1080/15332985.2022.2161861 · Cited by 6
DeVylder, E. K., Breda, K. L., & Pietrzak, R. H. (2023) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2023.05.002 · Cited by 5
POVR: Designing an Immersive Experience for Generating Moments of Self-reflection at Home
Jiang, J., & Ahmadpour, N. (2023) · Australian Conference on Computer-Human Interaction (OzCHI) · doi:10.1145/3638380.3638382 · Cited by 5
Chen, H., Wang, Q., Zhu, J., Zhu, Y., Yang, F., Hui, J., Tang, X., & Zhang, T. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.01.029 · Cited by 6
Percepción de la afectación atribuida a la pandemia por COVID-19 en padres y madres de Colombia
Rodríguez, D. A. L., Castro, L. R. B., Gómez-Acosta, A., Rincón, G. A., & Neme, W. O. (2022) · Latinoamericana de Estudios de Familia · doi:10.17151/rlef.2022.14.1.3 · Cited by 6
Psychological Wellbeing and Psychological Distress in the Elderly during the COVID-19 Pandemic
Herdian, H., Suwarti, S., & Estria, S. R. (2022) · Consortium Psychiatricum · doi:10.17816/cp176 · Cited by 9
Santos, A. M. P., Marcos, A. P., Rubio-Casado, L. A., Fuentes, M. P., Perea, E. G., & Sánchez, M. V. N. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-069606 · Cited by 4
Gender Similarities and Differences in Time Perspective in the Age of COVID-19
Lonigro, A., Mello, Z. R., Worrell, F. C., Zammuto, M., Bianchi, D., Pompili, S., Tata, D. D., Longobardi, E., & Laghi, F. (2025) · The Journal of Genetic Psychology · doi:10.1080/00221325.2025.2465791 · Cited by 4
Purvis, R. S., Moore, R. A., Ayers, B. L., Felix, H. C., Riklon, S., Andersen, J. A., Hudson, J. S., O'Connor, G., Kelen, M., Heely-Rolston, L.-A. N., et al. (2022) · The Science of Diabetes Self-Management and Care · doi:10.1177/26350106211065390 · Cited by 4
Ashcroft, R., Menear, M., Dahrouge, S., Silveira, J., Emode, M., Booton, J., Bahniwal, R., Sheffield, P., & McKenzie, K. J. (2024) · PLoS ONE · doi:10.1371/journal.pone.0301796 · Cited by 5
Miccoli, M., & Poli, A. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1369216 · Cited by 6
Sustainable Promotion of Mental Health and Prevention of Mental Health Disorders Across the World
Martinelli, A. (2024) · Integrated science · doi:10.1007/978-3-031-64288-3_1 · Cited by 6
Fong, T. C. T., Hsu, Y., & YIP, P. S. F. (2025) · International Journal of Social Psychiatry · doi:10.1177/00207640251337963 · Cited by 4
Application of the Five Elements Framework to the Covid Pandemic
Watson, P. (2021) · Psychiatry · doi:10.1080/00332747.2021.2005446 · Cited by 4
Metadata
- Authors
- Boden, M., Zimmerman, L., Azevedo, K. J., Ruzek, J. I., Gala, S., Abdel Magid, H. S., Cohen, N., Walser, R., Mahtani, N. D., Hoggatt, K. J., & McLean, C. P.
- Affiliations
- University of Washington (US)
- VA Palo Alto Health Care System (US)
- Palo Alto University (US)
- University of Kansas (US)
- University of California, San Francisco (US)
- ORCID
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2021-04
- Volume
- 85
- Pages
- 102006
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC7934657
- OpenAlex
- W3134293787
- Cited by
- 216
- References
- 167
- Citations by year
- 2026: 14 · 2025: 34 · 2024: 46 · 2023: 42 · 2022: 59 · 2021: 20
- FWCI
- 5.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Clinical Psychology Review (acceptedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- VA HSR&D
- US Department of Defense
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- COVID-19 pandemic, mental health, population mental health, depression, anxiety, traumatic stress, vulnerable populations, social risk factors, pandemic stressors, scalable interventions, dissemination and implementation research, prevention, intervention effectiveness evaluation
- MeSH terms
- Population Health, COVID-19, SARS-CoV-2, Mental Disorders, Humans
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