Cited by 1,885COVID-19 and Mental HealthDigital Mental Health InterventionsMental Health Treatment and Access

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Psychological interventions for people affected by the COVID-19 epidemic

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Duan, Li, Zhu, Gang·2020·The Lancet Psychiatry

DOI 10.1016/s2215-0366(20)30073-0PMC PMC7128328

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“They can also provide them with information on thinking positively in a crisis (Duan & Zhu, 2020).”
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Stay home while going out – Possible impacts of earthquake co-occurring with COVID-19 pandemic on mental health and vice versa
Marko, Ć., Košec, A., & Brečić, P. (2020) · Brain, behavior, and immunity · doi:10.1016/j.bbi.2020.04.054 · Cited by 17
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Marins, T. V. D. O., Crispim, C. G., Evangelista, D. D. S., Neves, K. D. C., Fassarella, B. P. A., Ribeiro, W. A., & da Silva, A. A. (2020) · Research Society and Development · doi:10.33448/rsd-v9i8.6471 · Cited by 16
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Prevalence of Depression and Anxiety during the COVID-19 Pandemic among the Residents of an Urban Slum in North India
Rehman, T., Singh, T., Sharma, S., Kumar, J., Govindan, D., & Singh, S. M. (2021) · Journal of Neurosciences in Rural Practice · doi:10.1055/s-0040-1721623 · Cited by 16
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Browne, D. T., Roy, S., Phillips, M., Shamon, S., & Stephenson, M. (2020) · PubMed Central · Cited by 16
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Background
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Background
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Background
Vocal health and stress
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Background
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“However, this is the first step in developing appropriate psychological interventions to buffer the psychological impact of the COVID-19 consequences, which are urgently requested by several authors (Duan & Zhu, 2020; Holmes et al., 2020; Xiang et al., 2020).”
Background
A cross-sectional online survey of relationship between the psychological impact of coronavirus disease 2019 and the resilience among postgraduate health sciences students from Maharashtra, India
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“The demand for psychological intervention will grow, and research on related psychological effects will be urgently required [11].”
Background
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“…relatives are unable to attend, discrimination, loneliness, panic, anxiety, and stress; these issues have all placed psychological pressure on the elderly and led to anxiety that could otherwise have been avoided (de Leo & Trabucchi, 2020; Duan & Zhu, 2020; Dunford et al., 2020; Gyasi, 2020).”
Background
Psychological experience of patients with confirmed COVID-19 at the initial stage of pandemic in Wuhan, China: a qualitative study
Li, T., Hu, Y., Xia, L., Wen, L., Ren, W., Xia, W., Wang, J., Cai, W., & Chen, L. (2021) · BMC Public Health · doi:10.1186/s12889-021-12277-4 · Cited by 14
“Due to lack of professional psychologists under the strict infection prevention measures, frontline HCWs could take up the responsibility of providing targeted psychological interventions to patients, to reinforce the positive emotions and relieve the negative emotions of patients [52].”
Background
Young Adults’ Loneliness and Depression During the COVID-19 Pandemic: A Moderated Mediation Model
Lv, F., Yu, M., Li, J., Tan, J., Ye, Z., Xiao, M., Zhu, Y., Guo, S., Liu, Y., & Gao, D. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.842738 · Cited by 14
“The disease not only heightened the risk of death, but also caused mental health problems in China and the rest of the world (Bao et al., 2020; Cao et al., 2020; Duan and Zhu, 2020; Xiang et al., 2020).”
Background
Efficacy of an asynchronous telerehabilitation program in post-COVID-19 patients: A protocol for a pilot randomized controlled trial
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Do masks affect social interaction?
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“The COVID‐19 pandemic and the collateral social isolation have affected social interactions in various profound ways (Duan & Zhu, 2020; Van Bavel et al., 2020).”
Background
How did the beginnings of the global COVID-19 pandemic affect mental well-being?
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Uncovering psychobehavioural implications of SARS‐CoV‐2 infection in Iran
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Ng, L. L. (2020) · Journal of Primary Health Care · doi:10.1071/hc20030 · Cited by 14
Acute stress disorder with panic episodes induced by exposure to COVID-19 outbreak news in a child
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Impact of Covid-19 outbreak on psychological health–The case of Bangladesh
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“Therefore, it is imperative to learn about the predictors of psychological distress on the general population, particularly about the risk factors and perceptions of the general public amid a pandemic outbreak (Duan and Zhu, 2020; Gerhold, 2020; Hossain et al., 2020; Jacobs et al., 2010).”
Body-Mind Medicine Interventions in COVID-19 Place Confinement for Mental, Physical and Spiritual Wellbeing
Ramkissoon, H. R. (2021) · OBM Integrative and Complementary Medicine · doi:10.21926/obm.icm.2102016 · Cited by 15
“Researchers have also been suggesting the need for therapeutic landscapes and training of personnel to address patients’ COVID-19 emotional distress [33, 49].”
Quality of life and occupational performance of children with cancer in the era of the COVID-19 pandemic in terms of rehabilitation
Önal, G., Yılmaz, G. G., & Huri̇, M. (2021) · Quality of Life Research · doi:10.1007/s11136-021-02857-7 · Cited by 14
“The COVID-19 quarantine has been imposed to combat an uncertain and persistent threat, which can contribute to intensify anxiety and increase individuals’ fear of the unknown, reducing individuals’ QOL [6, 7].”
Background
Psychological Impact of COVID-19 Pandemic in Bangladesh: Analysis of a Cross-Sectional Survey
Abir, T., Osuagwu, U. L., Kalimullah, N. A., Yazdani, D. M. N., Husain, T., Basak, P., Goson, P. C., Mamun, A. A., Permarupan, P. Y., Milton, A. H., et al. (2021) · Health Security · doi:10.1089/hs.2020.0205 · Cited by 13
“34,35 Researchers worldwide have emphasized the need to understand the psychological consequences of the pandemic, particularly in lower-and middle-income countries with limited resources, 36-39 including Bangladesh.”
Implications of the Online Teaching Model Derived from the COVID-19 Lockdown Situation for Anxiety and Executive Functioning in Spanish Children and Adolescents
Lavigne-Cerván, R., Costa-López, B., de Mier, R. J.-R., de León, M. S.-M., Fernández, M. R., & Sória, I. N. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910456 · Cited by 13
How Can Apartment-Complex Landscaping Space Improve Residents’ Psychological Well-Being?: The Case of the Capital Region in South Korea
Tae, J., Jeong, D., & Chon, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191610231 · Cited by 14
The chain mediating effects of resilience and perceived social support in the relationship between perceived stress and depression in patients with COVID-19
Wang, L., Yu, J., Diao, X., Zhang, Y., Miao, Y., & He, W. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1400267 · Cited by 14
The Interrelation of Neurological and Psychological Symptoms of COVID-19: Risks and Remedies
Nami, M., Gadad, B. S., Chong, L., Ghumman, U., Misra, A., Gadad, S. S., Kumar, D., Perry, G. L., Abraham, S. J., & Rao, K. S. J. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9082624 · Cited by 16
The Psychodynamic Psychiatrist and Psychiatric Care in the Era of COVID-19
Ingram, D. H., & Best, K. (2020) · Psychodynamic Psychiatry · doi:10.1521/pdps.2020.48.3.234 · Cited by 13
SARS-CoV-2 and Asbestos Exposure: Can Our Experience With Mesothelioma Patients Help Us Understand the Psychological Consequences of COVID-19 and Develop Interventions?
Granieri, A., Bonafede, M., Marinaccio, A., Iavarone, I., Marsili, D., & Franzoi, I. G. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.584320 · Cited by 13
“Stress, anxiety, depression, and insecurity have emerged over the many months of the COVID19 pandemic, even in non-infected individuals (Duan and Zhu, 2020); the overall prevalence of depressive symptoms, anxiety, and stress symptoms among adults was found to be 44.”
Background
Investigation of the mental health status of frontier-line and non-frontier-line medical staff during a stress period
An, Y., Sun, Y., Liu, Z., & Chen, Y. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.12.060 · Cited by 14
“Individuals who met all the above conditions were identified as having “high risk of suffering from PTSD.” In the current study, Cronbach’s α coefficient of this scale was 0.95.”
Influential
Panic and Trust during COVID-19: A Cross-Sectional Study on Immigrants in South Korea
Yoon, M., Feyissa, I. F., & Suk, S.-W. (2021) · Healthcare · doi:10.3390/healthcare9020199 · Cited by 13
“Although the country is mentioned among countries that averted much-anticipated infection and its consequences [2], such major pandemics are still expected to have many negative impacts that potentially induce panic on individuals [3,4].”
Background
Factors associated with antenatal depression during the COVID‐19 (SARS‐CoV2) pandemic: A cross‐sectional study in a cohort of Turkish pregnant women
Körükcü, Ö., Özkaya, M., Boran, Ö. F., & Bakacak, M. (2021) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12778 · Cited by 13
The Future Looks Good: Examining the Associations Between Coping, Psychological Distress, and Optimism
Santos, T. F. D. A., Uva, A. D. S., Rodrigues, J. D. J. F., Ferreira, R., Monteiro, D., Hernández-Mendo, A., & Rodrigues, F. F. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.838835 · Cited by 13
Factors associated with suicidal ideation during the COVID-19 pandemic in a population in the Brazilian Legal Amazon
Terças‐Trettel, A. C. P., Muraro, A. P., de Oliveira, E. C., do Nascimento, V. F., Andrade, A. C. D. S., dos Santos, E. S., Espinosa, M. M., & Pillon, S. C. (2022) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232022278.04972022 · Cited by 13
Status of mental health among college and university students during first and second wave of COVID-19 outbreak in India: A cross-sectional study
Bhakat, P., & Das, K. (2023) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2023.100494 · Cited by 24
COVID-19 Perceived Risk, Travel Risk Perceptions and Hotel Staying Intention: Hotel Hygiene and Safety Practices as a Moderator
Teng, C.-C. C., Cheng, Y.-J., Yen, W.-S., & Shih, P.-Y. (2023) · Sustainability · doi:10.3390/su151713048 · Cited by 13
“Hotel hygiene and safety practices could also incorporate suggestions to keep the tables and chairs in restaurants and public areas at a social distance to prevent aerosol infections [76].”
Background
The effect of Covid-19 on the mental health of the people in the Indian subcontinent: A scoping review
Kabir, R., Bai, A. C. M., Syed, H. Z., Hasan, M. R., Vinnakota, D., Kar, S. K., Singh, R. K., Sathian, B., & Arafat, S. M. Y. (2023) · Nepal Journal of Epidemiology · doi:10.3126/nje.v13i2.52766 · Cited by 13
The psychological symptoms of patients with mild symptoms of coronavirus disease (2019) in China: A cross‐sectional study
Li, J., Yang, Z. Y., Zhang, J., Wang, A., Wang, X., Dong, L., Wang, F., Wei, R., Li, Y., & Zhang, J. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14701 · Cited by 13
Comparative Effectiveness of Multiple Psychological Interventions for Psychological Crisis in People Affected by Coronavirus Disease 2019: A Bayesian Network Meta-Analysis
Yang, Y., Sun, S., Hu, S., Tang, C., Zhang, Y., & Lin, H. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.577187 · Cited by 13
“It is easy to feel helpless and insecure and even to experience psychological problems such as anxiety, insomnia, fear, panic, blind disinfection, disappointment, irritability, aggressive behavior, and blind optimism (Duan and Zhu, 2020).”
Background
Stress, Sources of Stress and Coping During the COVID-19 Lockdown
Fenn, J., Chacko, N., Thomas, T., Varghese, V. K., & George, S. (2021) · Indian Journal of Social Psychiatry · doi:10.4103/ijsp.ijsp_155_20 · Cited by 13
La Psicología Social ante el COVID19: Monográfico del International Journal of Social Psychology (Revista de Psicología Social)Preprint
Moya, M., Willis, G. B., Páez, D., Pérez, J. A., Gómez, Á., Cameselle, J. M. S., Álzate, M., Hur, D. U., Rodríguez, A., Extremera, N., et al. (2020) · doi:10.31234/osf.io/fdn32 · Cited by 13
DSM-5 pathological personality domains as vulnerability factors in predicting COVID-19-related anxiety symptoms
Zemestani, M., Babamiri, M., Griffiths, M. D., & Didehban, R. (2021) · Journal of Addictive Diseases · doi:10.1080/10550887.2021.1889752 · Cited by 12
“The pandemic brought not only the risk of death from the viral infection but also unbearable psychological pressure to some individuals in affected countries.(36,37) On the other hand, high levels of negative affect could indirectly impact probability for additional clinical issues associated with COVID-19.”
Background
Possible temporal relationship between SARS-CoV-2 infection and anti-NMDA receptor encephalitis: a meta-analysis
Vasilevska, V., Guest, P. C., Szardenings, M., Benros, M. E., & Steiner, J. H. (2024) · Translational Psychiatry · doi:10.1038/s41398-024-02831-0 · Cited by 12
“Although these policies were mostly effective in reducing the infection rate, the side effect was an increase in neuropsychiatric symptoms such as stress, anxiety and depression [21 – 25].”
Background
Midwifery and Nursing Strategies to protect against COVID-19 During the Third Trimester of Pregnancy
Liu, J., Cao, Y., Cheng, X., Zhou, C., Wei, W., Yuan, J., Wang, L., Kang, L., & Qu, X. (2020) · Midwifery · doi:10.1016/j.midw.2020.102876 · Cited by 12
Prevalence and Severity of Depression, Anxiety, and Stress During Pandemic of COVID-19 Among College Students in Addis Ababa, Ethiopia, 2020 A Cross Sectional Survey
Sahile, A. T., Ababu, M., Alemayehu, S., Abebe, H., Endazenew, G., Wubshet, M., Getachew, H., & Tadesse, T. (2020) · International Journal of Clinical and Experimental Medical Sciences · doi:10.11648/j.ijcems.20200606.13 · Cited by 12
“[5, 6] There were reports of the psychological impacts of the epidemic on older adults, medical staff, children, patients, and the public in general.”
Background
Psychological factors associated with the spread of Coronavirus disease 2019 (COVID‐19) among nurses working in health sectors in Saudi Arabia
Abu‐Snieneh, H. M. (2021) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12705 · Cited by 12
Investigating the Effectiveness of Tele-Counseling on Mental Health of Staff in Coronavirus Reference Clinics and Hospitals
Ghazanfarpour, M., Ashrafinia, F., Zolala, S., Ahmadi, A., Jahani, Y., & Hosseininasab, A. (2020) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089-2020-0176 · Cited by 14
The Influence of L2 Proficiency on Bilinguals' Creativity: The Key Role of Adaptive Emotion Regulation Strategies During the COVID-19 Pandemic
Yang, Y., Wu, S., Duñabeitia, J. A., Jiang, K., & Li, Y. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.695014 · Cited by 13
“Previous studies have suggested that participants’ ratings in depression and anxiety significantly correlate with all nine subscales of CERQ (e.g., Duan and Zhu, 2020).”
Background
A qualitative study of orthodontic patients' experiences in quarantine during the COVID-19 pandemic outbreak
Wafaie, K., Mohammed, H., Mohamed, A. M., Zhou, J., Daniel, B. K., & Qiao, Y. (2021) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2021.11.010 · Cited by 12
“However, recent evidence points out the lack of proper diagnosis and follow-up for these patients.(40) Governments could aim to support patients by increasing the number of licensed psychiatrists and the financial support for affected families.”
COVID-19 and Mortality, Depression, and Suicide in the Polish Population
Rogalska, A., & Syrkiewicz-Świtała, M. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.854028 · Cited by 12
“Examples of specific solutions include the following strategies: developing teams of specialists qualified to solve emotional problems (46), developing online resources for mental health education (47), training community staff in basic aspects of psychiatric care (46).”
Background
Powerful Stress Relieving Medicinal Plants for Anger, Anxiety, Depression, and Stress During Global Pandemic
Shahrajabian, M. H. (2022) · Recent Patents on Biotechnology · doi:10.2174/1872208316666220321102216 · Cited by 13
The Impact of the COVID-19 Related School Closure on the Mental Health and Well-Being of Children with SEN and Their Parents in Algeria
Layachi, A., & Schuelka, M. J. (2022) · International Journal of Disability Development and Education · doi:10.1080/1034912x.2022.2092080 · Cited by 12
“Research evidence has demonstrated that the pandemic had a detrimental impact on the mental health of people of all walks of life (Pierce et al., 2020), but especially including children with Special Educational Needs (SEN) (Duan & Zhu, 2020; Mbazzi et al., 2021; Xiao, Fang, Chen, & He, 2020).”
Background
A Cross-Sectional Study of Depression, Anxiety, and Insomnia Symptoms in People in Quarantine During the COVID-19 Epidemic
Lin, C. Y., & Fu, X. (2022) · International Journal of Public Health · doi:10.3389/ijph.2022.1604723 · Cited by 14
“Unfavourable news can cause mental panic and negative emotions in people who are isolated for a long time [10].”
Background
Mental health perspectives of COVID-19 and the emerging role of digital mental health and telepsychiatry
Sousa, A. D., & Lodha, P. (2020) · Archives of Medicine and Health Sciences · doi:10.4103/amhs.amhs_82_20 · Cited by 12
The psychosocial implications on cancer patients: The hidden collateral of the war on coronavirus disease 2019
Gulia, A., Ballal, D. S., & Gulia, S. (2020) · Indian Journal of Palliative Care · doi:10.4103/ijpc.ijpc_203_20 · Cited by 12
Why i can't breastfeed my new-born baby? Psychosocial dilemma of a COVID-positive post-LSCS mother
Kumar, B., Kumar, S., Rathore, P., ., S., Krishnapriya, V., Haokip, N., Thankachan, A., & Bhatnagar, S. (2020) · Indian Journal of Palliative Care · doi:10.4103/ijpc.ijpc_157_20 · Cited by 12
How psychiatrists coordinate treatment for COVID‐19: a retrospective study and experience from China
Yue, L., Wang, J., Ju, M., Zhu, Y., Chen, L., Shi, L., Shi, B.-H., Chen, J., & Shen, Y. (2020) · General Psychiatry · doi:10.1136/gpsych-2020-100272 · Cited by 12

Authors: Duan, L., & Zhu, G.
Affiliations: First Hospital of China Medical University (CN)
Corresponding author: Zhu, Gang
ORCID: Zhu, Gang
Venue: The Lancet Psychiatry
Publisher: Elsevier BV
Published: 2020-04
Volume: 7
Issue: 4
Pages: 300-302
ISSN: 2215-0366 (ISSN-L)
DOI: 10.1016/s2215-0366(20)30073-0
PMC: PMC7128328
OpenAlex: W3007314898
Cited by: 1,885
References: 10
Citations by year: 2026: 16 · 2025: 42 · 2024: 117 · 2023: 196 · 2022: 349 · 2021: 615 · 2020: 546
FWCI: 170.74
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)
Topics: Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: COVID-19 pandemic, psychological crisis intervention, mental health needs, quarantine, psychological counselling, healthcare workers, relatives of patients, suspected infection
MeSH terms: Betacoronavirus, COVID-19, SARS-CoV-2, Disease Outbreaks, Mental Health, Pneumonia, Viral, Coronavirus, Coronavirus Infections

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