Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed

Xiang, Yu-Tao; Yang, Yuan; Li, Wen; Zhang, Ling; Zhang, Qinge; Cheung, Teris; Ng, Chee H

doi:10.1016/s2215-0366(20)30046-8

Cited by 3,598COVID-19 and Mental HealthMental Health Treatment and AccessCOVID-19 and healthcare impacts

Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed

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Xiang, Yu-Tao, Yang, Yuan, Li, Wen, Zhang, Ling, Zhang, Qinge, Cheung, Teris, Ng, Chee H·2020·The Lancet Psychiatry

DOI 10.1016/s2215-0366(20)30046-8PMC PMC7128153

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In the COVID-19 pandemic, fear, anxiety, and worries have been the major psychological consequences.
“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 Xiang et al., 2020
The main text says patients with suspected or confirmed 2019-nCoV may experience fear and that infection or quarantine could worsen anxiety and distress. It also identifies uncertainty as a common theme in biological disasters. But it says epidemiological data on mental-health problems were not yet available, so it does not establish that fear, anxiety, and worries were the major psychological consequences of the COVID-19 pandemic. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Symptoms of SARS-CoV-2 infection and side effects of treatments could worsen mental distress.
“Moreover, symptoms of the infection, such as fever, fatigue, and dyspnea, as well as the side effects of treatments, could result in worsening mental distress (Xiang et al., 2020).”
From Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19 (2020) · cites this paper as Xiang et al., 2020
COVID-19 patients experience mental health problems such as stress, anxiety, depressive symptoms, insomnia, and fear.
“These situations are giving rise to mental health problems, such as stress, anxiety, depressive symptoms, insomnia, and fear in patients with confirmed SARS-CoV-2.”
From Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19 (2020) · cites this paper as Xiang et al., 2020
COVID-19 mental health needs have reportedly been under-addressed.
“Although global and national health bodies highlight the importance of mental health in a pandemic, COVID-19 mental health needs have reportedly been under-addressed24.”
From Chatbots in the fight against the COVID-19 pandemic (2020) · cites this paper as [24]
Front-line clinicians are often not trained in emergency psychological support, and mental health practitioners are in short supply.
“Front-line clinicians are often not trained in emergency psychological support, and mental health practitioners are in short supply24.”
From Chatbots in the fight against the COVID-19 pandemic (2020) · cites this paper as [24]

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[9]Wei YL, Han B, Liu W, Liu G, Huang Y. Psychosomatic discomfort and related factors among 1,411 first-line SARS staff in Beijing. Manual of the 7th national experimental medicine symposium of Chinese Society of Integrated Traditional Chinese and Western Medicine; Beijing, China; July, 2004: 6–12 (in Chinese).

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Authors: Xiang, Y.-T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. H.
Affiliations: University of Macau (MO)
Capital Medical University (CN)
Hong Kong Polytechnic University (HK)
The University of Melbourne (AU)
Corresponding author: Xiang, Yu-Tao
ORCID: Xiang, Yu-Tao
Yang, Yuan
Li, Wen
Zhang, Ling
Zhang, Qinge
Cheung, Teris
Ng, Chee H
Venue: The Lancet Psychiatry
Publisher: Elsevier BV
Published: 2020-03
Volume: 7
Issue: 3
Pages: 228-229
ISSN: 2215-0366 (ISSN-L)
DOI: 10.1016/s2215-0366(20)30046-8
PMC: PMC7128153
OpenAlex: W3004804052
Cited by: 3,598
References: 6
Citations by year: 2026: 31 · 2025: 103 · 2024: 211 · 2023: 428 · 2022: 731 · 2021: 1135 · 2020: 949 · 2019: 1 · 2018: 2 · 2015: 2
FWCI: 324.56
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: The Lancet Psychiatry (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
Minerva Access (University of Melbourne) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
Keywords: SARS-CoV-2, COVID-19 pandemic, mental health services, psychological distress, public health emergency response, lockdown, disease transmission, Wuhan
MeSH terms: China, Civil Defense, Communication, Crisis Intervention, Disease Outbreaks, Health Personnel, Health Plan Implementation, Humans, Mental Health, Quarantine, Transportation, Coronavirus, Coronavirus Infections

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