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Prevalence of anxiety in the COVID-19 pandemic: An updated meta-analysis of community-based studies

Open access
Santabárbara, Javier, Lasheras, Isabel, Lipnicki, Darren M., Bueno-Notivol, Juan, Pérez-Moreno, María, López-Antón, Raúl, De la Cámara, Concepción, Lobo, Antonio, Gracia-García, Patricia·2021·Progress in Neuro-Psychopharmacology and Biological Psychiatry

Abstract

Background The unprecedented worldwide crisis caused by the rapid spread of COVID-19 and the restrictive public health measures enforced by some countries to slow down its transmission have severely threatened the physical and mental wellbeing of communities globally. Methods We conducted a systematic review and meta-analysis to determine the prevalence of anxiety in the general population during the COVID-19 pandemic. Two researchers independently searched for cross-sectional community-based studies published between December 1, 2019 and August 23, 2020, using PubMed, WoS, Embase, and other sources (e.g., grey literature, manual search). Results Of 3049 records retrieved, 43 studies were included. These studies yielded an estimated overall prevalence of anxiety of 25%, which varied significantly across the different tools used to measure anxiety. Consistently reported risk factors for the development of anxiety included initial or peak phase of the outbreak, female sex, younger age, marriage, social isolation, unemployment and student status, financial hardship, low educational level, insufficient knowledge of COVID-19, epidemiological or clinical risk of disease and some lifestyle and personality variables. Conclusions As the overall global prevalence of anxiety disorders is estimated to be 7.3% normally, our results suggest that rates of anxiety in the general population could be more than 3 times higher during the COVID-19 pandemic. These findings suggest a substantial impact on mental health that should be targeted by individual and population-level strategies.

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Metadata

Authors
Santabárbara, J., Lasheras, I., Lipnicki, D. M., Bueno-Notivol, J., Pérez-Moreno, M., López-Antón, R., De la Cámara, C., Lobo, A., & Gracia-García, P.
Venue
Progress in Neuro-Psychopharmacology and Biological Psychiatry
Publisher
Elsevier BV
Published
2021-07
Volume
109
Pages
110207
ISSN
0278-5846 (ISSN-L)
OpenAlex
W3111079837
Cited by
426
References
95
FWCI
8.10
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Prevalence of anxiety in the COVID-19 pandemic: An updated meta-analysis of community-based studies. https://app.cochat.ai/papers/10.1016/j.pnpbp.2020.110207
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Santabárbara, J., Lasheras, I., Lipnicki, D. M., Bueno-Notivol, J., Pérez-Moreno, M., López-Antón, R., De la Cámara, C., Lobo, A., & Gracia-García, P. (2021). Prevalence of anxiety in the COVID-19 pandemic: An updated meta-analysis of community-based studies. Progress in Neuro-Psychopharmacology and Biological Psychiatry. https://doi.org/10.1016/j.pnpbp.2020.110207

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