The DOI matches its Crossref record; 72 of the 79 references it cites were found in a registry or an index; none of the 48 sources its claims cite is checked for support yet.
Long-term effects of COVID-19 on mental health: A systematic review
Open accessAbstract
Background Acute effects of COVID-19 can be life-threatening. Alterations in mental health during the active infection have been documented, but the long-term consequences are less clear. Method A systematic review was undertaken to investigate the effect of COVID-19 infection on long-term mental health outcomes. Three databases [PubMed, Medline (Ovid) and Cochrane library] were searched between 1st October 2019 and 29th August 2021 with additional hand searching to identify all published studies reporting symptoms of generalised anxiety, depression, post-traumatic stress disorder (PTSD), or sleep disturbance in participants at least one month after COVID-19 infection. The prevalence and mean symptom score of each were assessed. Results Eight hundred and eighty five studies were found, of which 33 were included in the review involving a total of 6743 participants. The studies’ risk of bias were typically fair quality. The median study age of participants was 57.8 years (IQR 49.3–60.7), with 63.0% male (IQR 57.0%–73.0%). Participants typically experienced no or mild symptoms of long-term anxiety (GAD-7, STAI-S, HADS) and depression (PHQ-9, BDI, PHQ-2, HADS). Prevalence varied depending on the measurement tool. Sleep disturbances (primarily insomnia) were most commonly reported as mild. PTSD prevalence was similar to anxiety and depression. Conclusion The overall effect of the pandemic has been linked with worsening psychiatric symptoms. However, the long-term effect from direct COVID-19 infection has been associated with no or mild symptoms. Studies exhibited the long-term prevalence of anxiety, depression, PTSD, and sleep disturbances to be comparable to general population levels.
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Participants typically experienced no or mild symptoms of long-term anxiety (GAD-7, STAI-S, HADS) and depression (PHQ-9, BDI, PHQ-2, HADS).”
- Also stated in: § Discussion · plain
“The included participants typically exhibited no worse than mild symptoms of anxiety and depression.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Abstract > Results
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A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Cohorts followed up for more than three months had half the prevalence of depression compared to those that were followed up for less than three months, reporting a prevalence of 10.36% and 20.84% respectively.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
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In the paper
“One study reported no anxiety with an average score of 1.88 (95% CI = 0.68, 3.08; (Kang et al., 2021)”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Primary outcome
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In the paper
“This included 3431 patients 17.52% of whom were experiencing at least mildly severe anxiety symptoms.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Primary outcome
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In the paper
“Depression prevalence in severe COVID-19 cases was 20.39% out of 309 patients, averaging none to mild symptoms of depression.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
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In the paper
“An average MOS-SS score of 20.58 (95% CI = 19.95, 21.21) was reported representing mild symptoms of sleep disturbance (Mazza et al., 2020).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
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In the paper
“Two studies used the ISI with an overall insomnia prevalence of 34.64% (Li et al., 2021, Morin et al., 2021).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The prevalence of PTSD in severe cases of COVID-19 was 19% from 200 patients.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
Strength:plain· not yet calibratedn = 200Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesThe paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Prevalence varied depending on the measurement tool.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Abstract > Results
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“PTSD prevalence in cohorts followed up longer than three months was slightly higher than less than three months follow-up at 18.99% and 12.19% respectively (Supplement 8).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes
- It may state two separate claims as one. 17
- Probably not a substantial claim. 12
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Eight hundred and eighty five studies were found, of which 33 were included in the review involving a total of 6743 participants.”
- Also stated in: § Study selection and characteristics · plain
“The search resulted in a total of 885 articles (Fig. 1 - PRISMA flow chart). After title, abstract and full text screening, thirty-three studies were included”
§ Long-term effects of COVID-19 on mental health: A systematic review > Abstract > Results
Strength:plain· not yet calibratedn = 6,743Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Also stated in: § Study selection and characteristics · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The median study age of participants was 57.8 years (IQR 49.3–60.7), with 63.0% male (IQR 57.0%–73.0%).”
- Also stated in: § Study selection and characteristics · plain
“The median study age of patients was 57.8 years old (interquartile range [IQR] 49.3 to 60.7 years old) and the median study proportion of male participants was 63.0% male (IQR 57.0% to 73.0%).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Abstract > Results
Strength:plain· not yet calibratedn = 6,743Tests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
- Also stated in: § Study selection and characteristics · plain
In the paper
“Finally, D'Cruz et al. (2021) reported a prevalence of 57%, however, since a validated tool was not used, this was excluded from the statistical summary.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
What the sources say
- Not checked yetcites D'Cruz et al. (2021)
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None of the sources cited for this claim have been checked yet.
In the paper
“the prevalence of sleep quality disturbance was 40% out of 30 cases, with most participants indicating no poor sleep.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
Strength:plain· not yet calibratedn = 30Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Nine studies excluded patients with a history of psychiatric disorders (Albu et al., 2021, Guo et al., 2020, Mazza, 2021, Mazza et al., 2020, Mendez et al., 2021, Negrini et al., 2020, Ortelli et al., 2021, Taquet et al., 2021, van den Borst et al., 2021) , with the other seventeen studies not specifying.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Study selection and characteristics
Strength:plain· not yet calibratedn = 9Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Kang et al. (2021) and Wong et al. (2020) reported no depression overall, with average scores of 2.75 (95% CI = 1.21, 4.29) and 5.31 (95% CI = 4.23, 6.38).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Secondary outcomes
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Seven studies included participants with a lifetime psychiatric history (de Graaf et al., 2021, Horn et al., 2020, Kang et al., 2021, Park et al., 2020b, Poyraz et al., 2021, Tarsitani et al., 2021) with a prevalence of 40%, 13.9%, 30%, 15.4%, 10% and 8% respectively, and (Noviello et al., 2021) included 4.8% and 1.3% patients with anxiety and depression history respectively.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Results > Study selection and characteristics
Strength:plain· not yet calibratedn = 7Tests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Studies exhibited the long-term prevalence of anxiety, depression, PTSD, and sleep disturbances to be comparable to general population levels.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Abstract > Conclusion
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: General-population mental health levels during the pandemic provide a valid benchmark for long-term mental health after COVID-19 infection.
None of the sources cited for this claim have been checked yet.
In the paper
“Past epidemics caused by SARS, MERS, or ebola have demonstrated that half of the survivors suffered from at least one of the psychiatric conditions examined in this review (Chua et al., 2004; Keita et al., 2017).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Discussion
What the sources say
Strength:boosted· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Anxiety prevalence percentage was highest in GAD-7 studies, likely due to the low cut-off score used”
§ Long-term effects of COVID-19 on mental health: A systematic review > Discussion
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The protocol for this study was published in the PROSPERO register (CRD42021239505, 2021).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Materials and methods > Study design
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Meta-analysis, as outlined in the protocol, was not deemed appropriate due to the expected clinical heterogeneity between studies.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Materials and methods > Data analysis
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
None of the sources cited for this claim have been checked yet.
In the paper
“Symptoms were lower than the prevalence reported in a control group from one of the included studies (Noviello et al., 2021) and comparable to similar studies in the general public during the pandemic (Salari et al., 2020; Zhang et al., 2020; Krishnamoorthy et al., 2020), indicating relatively limited long-term anxiety in COVID-19 patients.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Discussion
What the sources say
- Not checked yetcites Noviello et al., 2021
- Not checked yetcites Salari et al., 2020
- Not checked yetcites Zhang et al., 2020
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: General-population mental health levels during the pandemic provide a valid benchmark for long-term mental health after COVID-19 infection.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We report the findings in adherence to the PRISMA guidelines.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Materials and methods > Study design
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The definition of ‘long-term’ was pre-specified in our protocol”
§ Long-term effects of COVID-19 on mental health: A systematic review > Materials and methods > Inclusion and exclusion criteria
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In the paper
“It found similarities in the trajectory of other coronavirus epidemics with a low prevalence of mental health conditions (Rogers et al., 2020).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Introduction
What the sources say
- Not checked yetcites Rogers et al., 2020 source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Discrepancies were resolved by consensus.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Materials and methods > Risk of bias assessment
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“Moreover, the average GAD-7 scores from Hasan et al., 2021 and Gou et al. (2020) were higher than the general public before the COVID-19 pandemic in a German population (Löwe et al., 2008) while the average scores from Park et al., (2020b)) and Kang et al. (2021) were lower indicating uncertainty.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Discussion
What the sources say
- Not checked yetcites Löwe et al., 2008
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Two investigators (TS and NWB) independently screened articles for inclusion.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Materials and methods > Data extraction
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Even when disregarding the potential for over-sensitivity of diagnosis in the included studies, the overall prevalence for anxiety was lower compared with SARS, MERS, and ebola epidemics (Chua et al., 2004; Keita et al., 2017; Jeong et al., 2016) than studies that looked at short-term symptoms (Krishnamoorthy et al., 2020).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Discussion
What the sources say
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In the paper
“A sensitivity analysis was conducted comparing outcome prevalence from at least 3 months post-diagnosis (excluding severe COVID-19 cases).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Materials and methods > Data analysis
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“Two independent authors (NWB and TS) assessed the risk of bias (RoB) using the Newcastle-Ottawa Scale (NOS) (Wells et al., 2000).”
§ Long-term effects of COVID-19 on mental health: A systematic review > Materials and methods > Risk of bias assessment
What the sources say
- Not checked yetcites Wells et al., 2000
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may state two separate claims as one.
In the paper
“Conversely, Xiong et al. (2021) had the lowest prevalence which is likely to be due to clinical interviews which are less likely to result in overestimation compared to self-rated questionnaires.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Discussion
What the sources say
- Not checked yetcites Xiong et al. (2021) source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Longer-term assessment may also offer more reliable estimates and may also account for participants’ psychiatric history, the severity of COVID-19, and the lack of comparable controls.”
§ Long-term effects of COVID-19 on mental health: A systematic review > Discussion > Strengths and limitations
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The paper relies on this without support.
The findings from adult hospital or treatment-centre samples can be generalised to COVID-19 survivors outside those settings.
“All studies examined an adult sample from treatment centres or hospitals.”
The paper relies on this without support.
Mental health symptoms measured at follow-up are attributable to direct COVID-19 infection rather than to indirect pandemic effects.
“However, the long-term effect from direct COVID-19 infection has been associated with no or mild symptoms.”
The paper relies on this without support.
General-population mental health levels during the pandemic provide a valid benchmark for long-term mental health after COVID-19 infection.
“Studies exhibited the long-term prevalence of anxiety, depression, PTSD, and sleep disturbances to be comparable to general population levels.”
The paper relies on this without support.
The COVID-19 pandemic overall has been associated with worsening psychiatric symptoms.
“The overall effect of the pandemic has been linked with worsening psychiatric symptoms.”
The paper relies on this without support.
The PCL-5, TSQ, DTS, and IES-R instruments provide comparable measures of PTSD.
“As for PTSD, overall PCL-5 and TSQ scores were lower compared to DTS and IES-R scores.”
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?
The cited source says what the claim attributes to it.
In the citing paper
“Studies conducted 1 year on from the onset of the pandemic have shown that its impact on mental health was on-going (Benke et al., 2022; Bourmistova et al., 2022; Fountoulakis et al., 2022)”
From Social connections combat loneliness and promote wellbeing among college students coming out of the COVID-19 pandemic (2025) · cites this paper as Bourmistova et al., 2022
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
PTSD follow-up trend reverses between results and discussion
MajorThe results report higher PTSD prevalence after more than three months than before three months. The discussion instead says the sensitivity analysis found a decrease with longer follow-up.
“PTSD prevalence in cohorts followed up longer than three months was slightly higher than less than three months follow-up at 18.99% and 12.19% respectively (Supplement 8).”
“Finally, the sensitivity analysis revealed a decrease in PTSD prevalence with longer follow-up.”
Anxiety instrument counts total 14 studies, not 15
MinorThe listed instrument groups contain five GAD-7 studies, one STAI-S study, seven HADS studies and one clinical-interview study. These add to 14, rather than the stated 15.
Reported 15 · recomputed 14
“Fifteen studies assessed anxiety in mild to moderate COVID-19 cases (see Fig. 2 ), five using the GAD-7”
Mendez's PTSD score is assigned to conflicting instruments
MinorMendez is listed among studies using DTS, but its reported mean is subsequently described as a PCL-5 score.
“two studies using the DTS (Alemanno et al., 2021, Mendez et al., 2021)”
“Average PCL-5 scores of 8.00 (95% CI = 6.57, 9.43), 10.99 (95% CI = 9.37, 12.61) and 8.77 (95% CI = 6.42, 11.12) were reported by Guo et al. (2020), Mendez et al., 2021 and Kang et al. (2021) respectively.”
HADS anxiety study count changes from seven to six
MinorThe anxiety results first list seven studies using HADS, then describe six studies using it.
“seven using HADS(Morin et al., 2021, Noviello et al., 2021, Poyraz et al., 2021, Tanriverdi et al., 2021, Tomasoni et al., 2021, van den Borst et al., 2021, Venturelli et al., 2021)”
“Out of the six studies that used the HADS, only two reported mean scores both indicating an overall normal level of anxiety.”
The sole STAI-S anxiety study is attributed to different authors
MinorThe instrument list identifies Mazza as the one STAI-S study, but the subsequent description identifies Mendez as the only study using STAI-S.
“one using STAI-S (Mazza, 2021)”
“The only study using the STAI-S identified minor symptoms of anxiety with Mendez et al., 2021 reporting 33.66 (95% CI = 31.88, 35.44)”
Competing-interest declarations disagree
MinorOne declaration discloses an honorarium received by RS, while the later declaration says all authors have no conflicts of interest.
“RS has in the last three years received an honorarium from Lundbeck. BC, NB, TS and PB declare no conflicts of interest.”
“All authors declare no conflicts of Interest.”
Citations
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BackgroundThe role of inflammation in depression: from evolutionary imperative to modern treatment target
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“In addition, psychological, social, and job-related factors have also been shown to be associated with poor mental health outcomes (Vindegaard and Benros, 2020).”
BackgroundMore than 50 long-term effects of COVID-19: a systematic review and meta-analysis
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“After title, abstract and full text screening, thirty-three studies were included: two retrospective cohort studies (Kang et al., 2021; Taquet et al., 2021), twenty cohort studies (Albu et al., 2021; Alemanno et al., 2021; Bellan et al., 2021; Daher et al., 2020; Darley et al., 2021; D’Cruz et al.,…”
BackgroundMethodResultInfluentialAnxiety and depression in COVID-19 survivors: role of inflammatory and clinical predictors
Mazza, M. G., De Lorenzo, R., Conte, C., Poletti, S., Vai, B., Bollettini, I., Melloni, E. M. T., Furlan, R., Ciceri, F., Rovere-Querini, P., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.07.037 · Cited by 1,804
Halpin, S. J., McIvor, C., Whyatt, G., Adams, A., Harvey, O., McLean, L., Walshaw, C., Kemp, S., Corrado, J., Singh, R., et al. (2021) · Journal of Medical Virology · doi:10.1002/jmv.26368 · Cited by 1,402 · cited 1×
“…of ‘long-term’ was pre-specified in our protocol, and while this definition is still evolving, it has been implemented in other COVID-19 studies (Halpin, 2021; Lopez-Leon et al., 2021) with the current reasoning being the inability to detect infectious SARS-CoV-2 three weeks post-infection…”
BackgroundNetland, J., Meyerholz, D. K., Moore, S., Cassell, M., & Perlman, S. (2008) · Journal of Virology · doi:10.1128/jvi.00737-08 · Cited by 1,293 · cited 1×
“Studies of previous coronaviruses (Netland et al., 2008), animal models (Burks et al.”
BackgroundCOVID-19 rapid guideline: managing the long-term effects of COVID-19
Excellence, C. (2020) · Cited by 1,114
Mental health status of people isolated due to Middle East Respiratory Syndrome
Jeong, H., Yim, H. W., Song, Y.-J., Ki, M., Min, J.-A., Cho, J., & Chae, J.-H. (2016) · Epidemiology and Health · doi:10.4178/epih.e2016048 · Cited by 1,103 · cited 1×
“nosis in the included studies, the overall prevalence for anxiety was lower compared with SARS, MERS, and ebola epidemics (Chua et al., 2004; Keita et al., 2017; Jeong et al., 2016) than studies that looked at short-term symptoms (Krishnamoorthy et al.”
ResultNeuroimmune Interactions: From the Brain to the Immune System and Vice Versa
Dantzer, R. (2018) · Physiological Reviews · doi:10.1152/physrev.00039.2016 · Cited by 1,073
Long-term psychiatric morbidities among SARS survivors
Mak, I. W. C., Chu, C. M., Pan, P. C., Yiu, M. G. C., & Chan, V. L. (2009) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2009.03.001 · Cited by 1,018
Central nervous system involvement by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)
Paniz‐Mondolfi, A., Bryce, C., Grimes, Z., Gordon, R. E., Reidy, J., Lednicky, J., Sordillo, E. M., & Fowkes, M. (2020) · Journal of Medical Virology · doi:10.1002/jmv.25915 · Cited by 975 · cited 1×
“, 2021), and brain analysis at post-mortem of COVID-19 patients (Paniz-Mondolfi et al., 2020) provide evidence that SARS-CoV-2 can penetrate the blood-brain barrier.”
BackgroundMandal, S., Barnett, J., Brill, S. E., Brown, J. S., Denneny, E. K., Hare, S. S., Heightman, M., Hillman, T. E., Jacob, J., Jarvis, H. C., et al. (2021) · Thorax · doi:10.1136/thoraxjnl-2020-215818 · Cited by 864
The prevalence of depression, anxiety, and sleep disturbances in COVID-19 patients: a meta-analysis
Deng, J., Zhou, F., Hou, W., Silver, Z., Wong, C. Y., Chang, O., Huang, E., & Zuo, Q. K. (2021) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.14506 · Cited by 771
Clinical sequelae of COVID-19 survivors in Wuhan, China: a single-centre longitudinal study
Xiong, Q., Xu, M., Li, J., Liu, Y., Zhang, J., Xu, Y., & Dong, W. (2021) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2020.09.023 · Cited by 751 · cited 8×
“, 2021), three case-control (Guo et al., 2020; Ortelli et al., 2021; Xiong et al., 2021), and two case-series (Negrini et al.”
BackgroundMethodResultInfluentialSleep problems during the COVID-19 pandemic by population: A systematic review and meta-analysis
Jahrami, H., BaHammam, A. S., Bragazzi, N. L., Saif, Z., Faris, M., & Vitiello, M. V. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.8930 · Cited by 751 · cited 1×
“PSQI prevalence was also comparable to that in the general population during the outbreak determined using the same tool (Jahrami et al., 2021).”
ResultThe differential psychological distress of populations affected by the COVID-19 pandemic
Zhang, J., Lu, H., Zeng, H., Zhang, S., Du, Q., Jiang, T., & Du, B. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.04.031 · Cited by 704 · cited 3×
“general population and healthcare workers during the COVID-19 pandemic using a mild disease severity threshold (Salari et al., 2020; Zhang et al., 2020; Krishnamoorthy et al., 2020).”
BackgroundMethodResultWang, Q., Xu, R., & Volkow, N. D. (2020) · World Psychiatry · doi:10.1002/wps.20806 · Cited by 618
Four-Month Clinical Status of a Cohort of Patients After Hospitalization for COVID-19
Morin, L., Savale, L., Pham, T. O., Colle, R., Figueiredo, S., Harrois, A., Gasnier, M., Lecoq, A.-L., Meyrignac, O., Noël, N., et al. (2021) · JAMA · doi:10.1001/jama.2021.3331 · Cited by 612 · cited 10×
“121 (Mazza, 2021), seven using HADS(Morin et al., 2021; Noviello et al., 2021; Poyraz et al., 2021; Tanriverdi et al., 2021; Tomasoni et al., 2021; van den Borst et al., 2021; Venturelli et al., 2021), and one using a clinical interview (Xiong et al.”
BackgroundMethodInfluentialKrishnamoorthy, Y., Nagarajan, R., Saya, G. K., & Menon, V. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113382 · Cited by 550 · cited 8×
“…potential for over-sensitivity of diagnosis in the included studies, the overall prevalence for anxiety was lower compared with SARS, MERS, and ebola epidemics (Chua et al., 2004; Keita et al., 2017; Jeong et al., 2016) than studies that looked at short-term symptoms (Krishnamoorthy et al., 2020).”
BackgroundMethodResultInfluentialMazza, M. G., Palladini, M., De Lorenzo, R., Magnaghi, C., Poletti, S., Furlan, R., Ciceri, F., Rovere-Querini, P., & Benedetti, F. (2021) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2021.02.021 · Cited by 513 · cited 2×
“The two BDI studies, Mazza et al. (2021) and Ortelli et al. (2021) reported minimal depression, with average scores of 1.93 (95% CI = 1.34, 2.52) and 3.80 (95% CI = 2.16, 5.44) respectively.”
BackgroundResultInfluentialvan den Borst, B., Peters, J. B., Brink, M., Schoon, Y., Bleeker‐Rovers, C. P., Schers, H., van Hees, H. W. H., van Helvoort, H. A., van den Boogaard, M., van der Hoeven, H., et al. (2020) · Clinical Infectious Diseases · doi:10.1093/cid/ciaa1750 · Cited by 477
Bellan, M., Soddu, D., Balbo, P. E., Baricich, A., Zeppegno, P., Avanzi, G. C., Baldon, G., Bartolomei, G., Battaglia, M., Battistini, S., et al. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.36142 · Cited by 468
How COVID-19 Affects the Brain
Boldrini, M., Canoll, P., & Klein, R. S. (2021) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2021.0500 · Cited by 443 · cited 1×
“Reports of effects on the brain include inflammation which have been linked with cognitive deficits and psychiatric manifestations (Boldrini et al., 2021).”
BackgroundGuo, Q., Zheng, Y., Shi, J., Wang, J., Li, G., Li, C., Fromson, J. A., Xu, Y., Liu, X., Xu, H., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.05.038 · Cited by 406
Association of Psychiatric Disorders With Mortality Among Patients With COVID-19
Nemani, K., Li, C., Olfson, M., Blessing, E., Razavian, N., Chen, J., Petkova, E., & GOFF, D. C. (2021) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2020.4442 · Cited by 384
Daher, A., Balfanz, P., Cornelissen, C. G., Müller, A., Bergs, I., Marx, N., Müller‐Wieland, D., Hartmann, B., Dreher, M., & Müller, T. (2020) · Respiratory Medicine · doi:10.1016/j.rmed.2020.106197 · Cited by 330
Ortelli, P., Ferrazzoli, D., Sebastianelli, L., Engl, M., Romanello, R., Nardone, R., Bonini, I., Koch, G., Saltuari, L. L., Quartarone, A., et al. (2020) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2020.117271 · Cited by 322 · cited 10×
“, 2021), three case-control (Guo et al., 2020; Ortelli et al., 2021; Xiong et al., 2021), and two case-series (Negrini et al.”
BackgroundMethodInfluentialAlemanno, F., Houdayer, E., Parma, A., Spina, A., Forno, A. D., Scatolini, A., Angelone, S. M., Brugliera, L., Tettamanti, A., Beretta, L., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0246590 · Cited by 302
Pulmonary Function and Radiologic Features in Survivors of Critical COVID-19
González, J., Benitez, I. D., Carmona, P., Santisteve, S., Monge, A., Moncusí‐Moix, A., Gort‐Paniello, C., Pinilla, L., Carratalá, A., Zuil, M., et al. (2021) · CHEST Journal · doi:10.1016/j.chest.2021.02.062 · Cited by 275
Short‐term neuropsychiatric outcomes and quality of life in COVID‐19 survivors
Méndez, R., Balanzá‐Martínez, V., Luperdi, S. C., Estrada, I., Latorre, A., González‐Jiménez, P., Feced, L., Bouzas, L., Yépez, K., Ferrando, A. D. G., et al. (2021) · Journal of Internal Medicine · doi:10.1111/joim.13262 · Cited by 259
Stress and Psychological Impact on SARS Patients during the Outbreak
Chua, S. E., Cheung, V., McAlonan, G. M., Cheung, C., Wong, J. W., Cheung, E. P., Chan, M. T., Wong, T. K., Choy, K. M., Chu, C. M., et al. (2004) · The Canadian Journal of Psychiatry · doi:10.1177/070674370404900607 · Cited by 250
Patient-reported outcome measures after COVID-19: a prospective cohort study
Wong, A. W., Shah, A., Johnston, J. C., Carlsten, C., & Ryerson, C. J. (2020) · European Respiratory Journal · doi:10.1183/13993003.03276-2020 · Cited by 207
Tomasoni, D., Bai, F., Castoldi, R., Barbanotti, D., Falcinella, C., Mulè, G., Mondatore, D., Tavelli, A., Vegni, E. A. M., Marchetti, G. C., et al. (2020) · Journal of Medical Virology · doi:10.1002/jmv.26459 · Cited by 156 · cited 3×
“…(Noviello et al., 2021), five cross-sectional cohort studies (Mandal et al., 2021; Mendez et al., 2021; Poyraz et al., 2021; Tanriverdi et al., 2021; Tomasoni et al., 2021), three case-control (Guo et al., 2020; Ortelli et al., 2021; Xiong et al., 2021), and two case-series (Negrini et al., 2020;…”
BackgroundMethodTarsitani, L., Vassalini, P., Koukopoulos, A. E., Borrazzo, C., Alessi, F., Nicolantonio, C. D., Serra, R., Alessandri, F., Ceccarelli, G., Mastroianni, C. M., et al. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-021-06731-7 · Cited by 156
Psychiatric morbidity and protracted symptoms after COVID-19
Poyraz, B., Poyraz, C., Olğun, Y., Gürel, Ö., Alkan, S., Özdemir, Y., Balkan, I., & Karaali, R. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113604 · Cited by 147
Surviving COVID-19 in Bergamo province: a post-acute outpatient re-evaluation
Venturelli, S., Benatti, S. V., Casati, M., Binda, F., Zuglian, G., Imeri, G., Conti, C., Biffi, A. M., Spada, M. S., Bondi, E., et al. (2021) · Epidemiology and Infection · doi:10.1017/s0950268821000145 · Cited by 146 · cited 18×
“121 (Mazza, 2021), seven using HADS(Morin et al., 2021; Noviello et al., 2021; Poyraz et al., 2021; Tanriverdi et al., 2021; Tomasoni et al., 2021; van den Borst et al., 2021; Venturelli et al., 2021), and one using a clinical interview (Xiong et al.”
BackgroundMethodResultInfluentialPark, H. Y., Park, W. B., Lee, S. H., Kim, J. L., Lee, J. J., Lee, H., & Shin, H. (2020) · BMC Public Health · doi:10.1186/s12889-020-08726-1 · Cited by 142
Pre-pandemic psychiatric disorders and risk of COVID-19: a UK Biobank cohort analysis
Yang, H., Chen, W., Hu, Y., Chen, Y., Zeng, Y., Sun, Y., Ying, Z., He, J., Qu, Y., Lu, D., et al. (2020) · The Lancet Healthy Longevity · doi:10.1016/s2666-7568(20)30013-1 · Cited by 125
Negrini, F., Ferrario, I., Mazziotti, D., Berchicci, M., Bonazzi, M., de Sire, A., Negrini, S., & Zapparoli, L. (2021) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2020.09.376 · Cited by 121 · cited 13×
“Seven studies assessed anxiety in severe COVID-19 cases, four using the GAD-7 (Daher et al., 2020; D’Cruz et al., 2020; de Graaf et al., 2021; Park et al., 2020b), one using the STAI-state (Negrini et al., 2020) and two studies using the HADS scale for anxiety(Albu et al., 2021; González et al., 2021).”
BackgroundMethodInfluentialNaidu, S. B., Shah, A., Saigal, A., Smith, C. J., Brill, S., Goldring, J. J. P., Hurst, J. R., Jarvis, H., Lipman, M. C. I., & Mandal, S. (2021) · European Respiratory Journal · doi:10.1183/13993003.04364-2020 · Cited by 119
Short-term outpatient follow-up of COVID-19 patients: A multidisciplinary approach
Graaf, M. A. D., Antoni, M. L., ter Kuile, M. M., Arbous, M. S., Duinisveld, A. J. F., Feltkamp, M. C. W., Groeneveld, G. H., Hinnen, C., Janssen, V. R., Lijfering, W. M., et al. (2021) · EClinicalMedicine · doi:10.1016/j.eclinm.2021.100731 · Cited by 102
the PostEboGui Study Group, Keita, M. M., Taverne, B., Sy Savané, S., March, L., Doukoure, M., Sow, M. S., Touré, A., Etard, J. F., Barry, M., et al. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1280-8 · Cited by 100 · cited 2×
“nosis in the included studies, the overall prevalence for anxiety was lower compared with SARS, MERS, and ebola epidemics (Chua et al., 2004; Keita et al., 2017; Jeong et al., 2016) than studies that looked at short-term symptoms (Krishnamoorthy et al.”
BackgroundResultCan SARS-CoV-2 infect the central nervous system via the olfactory bulb or the blood-brain barrier?
Burks, S. M., Rosas-Hernandez, H., Alejandro Ramirez-Lee, M., Cuevas, E., & Talpos, J. C. (2021) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2020.12.031 · Cited by 97
Karim, S. A., Kruger, P., & Hofman, K. J. (2020) · Globalization and Health · doi:10.1186/s12992-020-00647-3 · Cited by 96
Kang, E., Lee, S. Y., Kim, M. S., Jung, H., Kim, K. H., Kim, K., Park, H. Y., Lee, Y. J., Cho, B., & Sohn, J. H. (2021) · Journal of Korean Medical Science · doi:10.3346/jkms.2021.36.e33 · Cited by 96 · cited 26×
“Kang et al., 2021 and Poyraz et al. (2021) reported that 27% and 6.3% of the cohort received psychotherapeutic intervention during admission.”
BackgroundMethodInfluentialYu, B. Y., Yeung, W., Lam, J. C.-S., Yuen, S. C.-S., Lam, S. C., Chung, V. C., Chung, K., Lee, P. H., Ho, F. Y., & Ho, J. Y. S. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.07.009 · Cited by 91
Klaser, K., Thompson, E. J., Nguyen, L. H., Sudre, C. H., Antonelli, M., Murray, B., Canas, L. S., Molteni, E., Graham, M. S., Kerfoot, E., et al. (2021) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp-2021-327565 · Cited by 84
Albu, S., Zozaya, N. R., Murillo, N., García‐Molina, A., Chacón, C. A. F., & Kumru, H. (2021) · Neurorehabilitation · doi:10.3233/nre-210025 · Cited by 80 · cited 10×
“However, only Albu et al. (2021) presented prevalence results hence the prevalence of sleep quality disturbance was 40% out of 30 cases, with most participants indicating no poor sleep.”
BackgroundMethodInfluentialPsychological Consequences of Survivors of COVID-19 Pneumonia 1 Month after Discharge
Park, H. Y., Jung, J., Park, H. Y., et al. (2020) · Journal of Korean Medical Science · doi:10.3346/jkms.2020.35.e409 · Cited by 75 · cited 9×
“Data exist on the long-term mental health impacts of epidemics caused by other coronaviruses including MERS (Middle Eastern Respiratory Syndrome caused by MERS-CoV) and SARS (Severe Acute * Corresponding author.”
BackgroundMethodResultInfluentialNoviello, D., Costantino, A., Muscatello, A., Bandera, A., Consonni, D., Vecchi, M. L., & Basilisco, G. (2021) · Neurogastroenterology & Motility · doi:10.1111/nmo.14187 · Cited by 71 · cited 12×
“121 (Mazza, 2021), seven using HADS(Morin et al., 2021; Noviello et al., 2021; Poyraz et al., 2021; Tanriverdi et al., 2021; Tomasoni et al., 2021; van den Borst et al., 2021; Venturelli et al., 2021), and one using a clinical interview (Xiong et al.”
BackgroundMethodResultInfluentialTanrıverdi, A., Savcı, S., Kahraman, B. Ö., & Özpelit, E. (2021) · Irish Journal of Medical Science (1971 -) · doi:10.1007/s11845-021-02667-3 · Cited by 70
Tzeng, N.-S., Chung, C.-H., Chang, C.-C., Chang, H.-A., Kao, Y.-C., Chang, S.-Y., & Chien, W.-C. (2020) · Translational Psychiatry · doi:10.1038/s41398-020-01021-y · Cited by 63
Persistent symptoms up to four months after community and hospital‐managed SARS‐CoV‐2 infection
Darley, D. R., Dore, G. J., Cysique, L. A., Wilhelm, K. A., Andresen, D. N., Tonga, K. O., Stone, E. C. A., Byrne, A., Plit, M., Masters, J., et al. (2021) · The Medical Journal of Australia · doi:10.5694/mja2.50963 · Cited by 52
Zhang, X., Tian, Q., Liu, D., Geng, T., Xu, X., Ge, S., Zheng, D., Wu, L., Song, M., Hou, H., et al. (2020) · Translational Psychiatry · doi:10.1038/s41398-020-0822-x · Cited by 51
Is COVID-19 Associated With Posttraumatic Stress Disorder?
Horn, M., Wathelet, M., Fovet, T., Amad, A., Vuotto, F., Faure, K., Astier, T., Noël, H., Henry, M., Duhem, S., et al. (2020) · Journal of Clinical Psychiatry · doi:10.4088/jcp.20m13641 · Cited by 48
Boden, M. T., Cohen, N., Froelich, J. M., Hoggatt, K. J., Magid, H. S. A., & Mushiana, S. S. (2021) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2021.03.006 · Cited by 35
Jung, M., Ko, W., Muhwava, W., Choi, Y., Kim, H., Park, Y. S., Balew, G., & Cho, Y. (2020) · BMC Public Health · doi:10.1186/s12889-020-08978-x · Cited by 32
Burton, A. L., Hay, P., Kleitman, S., Smith, E., Raman, J., Swinbourne, J. M., Touyz, S. W., & Abbott, M. J. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1394-z · Cited by 29
A Follow-Up Investigation of Mental Health Among Discharged COVID-19 Patients in Wuhan, China
Li, L., Michael Shengtao, W. U., Tao, J., Wang, W., He, J., Liu, R., Guo, J., Chen, Y., Li, K., Li, S., et al. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.640352 · Cited by 20 · cited 21×
“Seven studies assessed anxiety in severe COVID-19 cases, four using the GAD-7 (Daher et al., 2020; D’Cruz et al., 2020; de Graaf et al., 2021; Park et al., 2020b), one using the STAI-state (Negrini et al., 2020) and two studies using the HADS scale for anxiety(Albu et al., 2021; González et al., 2021).”
BackgroundMethodInfluentialSARS-CoV-2 infection and sleep disturbances: nitric oxide involvement and therapeutic opportunity
Cespuglio, R., Strekalova, T., Spencer, P. S., Román, G. C., Reis, J., Bouteille, B., & Buguet, A. (2021) · SLEEP · doi:10.1093/sleep/zsab009 · Cited by 19
Huang, S., Zhuang, W., Wang, D., Zha, L., Xu, X. Z., Li, X., Shi, Q., Wang, X. S., & Qiao, G. (2021) · Medical Science Monitor · doi:10.12659/msm.930447 · Cited by 17 · cited 4×
“…Daher et al., 2020; Darley et al., 2021; D’Cruz et al., 2020; de Graaf et al., 2021; González et al., 2021; Hasan et al., 2021; Horn et al., 2020; Huang et al., 2021; Li et al., 2021; Mazza, 2021; Mazza et al., 2020; Morin et al., 2021; Naidu et al., 2021; Tarsitani et al., 2021; van den Borst…”
MethodInfluentialD'Cruz, R. F., Perrin, F., Birring, S. S., et al. (2020) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(20)30529-4 · Cited by 11
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“40,41 Indeed, mean anxiety scores on the GAD-7 were not higher in our patient sample than in a German general population survey during the same period.”
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Metadata
- Authors
- Bourmistrova, N. W., Solomon, T., Braude, P., Strawbridge, R., & Carter, B.
- Affiliations
- King's College London (GB)
- North Bristol NHS Trust (GB)
- Corresponding author
- Carter, Ben
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2022-02
- Volume
- 299
- Pages
- 118-125
- ISSN
- 0165-0327 (ISSN-L)
- PMC
- PMC8758130
- OpenAlex
- W3213906311
- Semantic Scholar
- 822529366cca7ca42b197910253d2232de588965
- Cited by
- 369
- References
- 79
- Citations by year
- 2026: 32 · 2025: 68 · 2024: 79 · 2023: 121 · 2022: 69
- FWCI
- 8.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- COVID-19 pandemic, long-term psychological effects, post-COVID-19 mental health, generalized anxiety disorder, depression, post-traumatic stress disorder, sleep disorders, insomnia
- MeSH terms
- COVID-19, SARS-CoV-2, Anxiety, Depression, Female, Humans, Male, Mental Health, Middle Aged, 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.
A language model drew the claims from the paper on 2026-10-07, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-07 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
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 ›
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