Protective elements of mental health status during the COVID-19 outbreak in the Portuguese population.
Open accessAbstract
The outbreak of COVID-19 might produce dramatic psychological effects on the individuals’ life. In this study, we aimed to explore the elements that may reduce the negative effects on mental health of the quarantine period imposed by most governments during this worldwide crisis. We conducted an online survey to evaluate demographic, lifestyle and mental health variables in the Portuguese population. We observed that factors related with living conditions, maintaining the work either online or in the workplace, frequency of exercise and absence of a previous psychological or physic disorders are protective features of psychological well-being (anxiety, depression, stress and obsessive-compulsive symptoms). Finally, the individuals previously receiving psychotherapeutic support exhibited better psychological indicators if they did not interrupt the process as a consequence of the outbreak. Our results indicate that the practice of physical exercise, reduced consumption of COVID-19 information and the implementation of remote mental healthcare measures might prevent larger impacts on mental health during the COVID-19 outbreak.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
Recent data concerning immediate psychological impact among Portuguese individuals suggest that participants reported higher levels of moderate to severe symptoms of depression, anxiety, and stress than previously.
“recent data concerning immediate psychological impact among Portuguese individuals suggest that participants reported higher levels of moderate to severe symptoms of depression, anxiety, and stress than previously (Passos et al., 2020; Paulino et al., 2020; Moreira et al., 2021).”
From Dealing With the Pandemic of COVID-19 in Portugal: On the Important Role of Positivity, Experiential Avoidance, and Coping Strategies (2021) · cites this paper as Moreira et al., 2021
The Results (section 3; page not provided) report severe depression, anxiety, and stress symptoms in the Portuguese sample. They do not report a combined moderate-to-severe rate or establish that these symptoms were more common than previously. The Discussion (section 4; page not provided) says the cross-sectional design cannot determine whether relevant differences predated the pandemic. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThese results are higher than those reported in previous COVID-19 Portuguese studies, especially for stress and anxiety.
“Overall, these results are higher than those reported in previous COVID-19 Portuguese studies (Paulino et al., 2020; Moreira et al., 2021), especially for stress and anxiety.”
From Dealing With the Pandemic of COVID-19 in Portugal: On the Important Role of Positivity, Experiential Avoidance, and Coping Strategies (2021) · cites this paper as Moreira et al., 2021
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
1 retracted
Huang, Y., & Zhao, N. (2020) · Psychology Health & Medicine · doi:10.1080/13548506.2020.1754438 · Cited by 307 · see citing works
RetractedR: A Language and Environment for Statistical Computing
R Core Team (2000) · doi:10.32614/r.manuals · Cited by 355,706 · see citing works
The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30460-8 · Cited by 16,378 · see citing works
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., et al. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.3976 · Cited by 8,015 · see citing works
The psychological impact of the COVID-19 epidemic on college students in China
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112934 · Cited by 5,843 · see citing works
Holmes, E. A., O'Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Cohen Silver, R., Everall, I., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30168-1 · Cited by 5,715 · see citing works
Impact of COVID-19 pandemic on mental health in the general population: a systematic review
Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W., Gill, H., Phan, L., Chen-Li, D., Iacobucci, M., Ho, R., Majeed, A., et al. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.08.001 · Cited by 5,204 · see citing works
Wickham, H. (2011) · Wiley Interdisciplinary Reviews Computational Statistics · doi:10.1002/wics.147 · Cited by 4,340 · see citing works
Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020) · General Psychiatry · doi:10.1136/gpsych-2020-100213 · Cited by 4,307 · see citing works
The Obsessive-Compulsive Inventory: Development and validation of a short version.
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002) · Psychological Assessment · doi:10.1037/1040-3590.14.4.485 · Cited by 2,959 · see citing works
Mental health problems and social media exposure during COVID-19 outbreak
Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Wang, Y., Fu, H., & Dai, J. (2020) · PLoS ONE · doi:10.1371/journal.pone.0231924 · Cited by 2,830 · see citing works
Mental Health Problems and Social Media Exposure During COVID-19 Outbreak
Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Wang, Y., Fu, H., & Dai, J. (2020) · SSRN Electronic Journal · doi:10.2139/ssrn.3541120 · Cited by 2,830 · see citing works
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., Choo, F. N., Tran, B., Ho, R., Sharma, V. K., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.04.028 · Cited by 2,571 · cited 4× · see citing works
“Previous studies reported an adverse effect on mental health for younger Chinese participants (12 to 21 years) during COVID-19 outbreak, mostly students (Wang et al., 2020).”
BackgroundInfluentialOnline mental health services in China during the COVID-19 outbreak
Liu, S., Yang, L., Zhang, C., Xiang, Y.-T., Liu, Z., Hu, S., & Zhang, B. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30077-8 · Cited by 1,992 · see citing works
SARS control and psychological effects of quarantine, Toronto, Canada
Hawryluck, L., Gold, W. L., Robinson, S., Pogorski, S., Galea, S., & Styra, R. (2004) · Emerging Infectious Diseases · doi:10.3201/eid1007.030703 · Cited by 1,929 · see citing works
How mental health care should change as a consequence of the COVID-19 pandemic
Moreno, C., Wykes, T., Galderisi, S., Nordentoft, M., Crossley, N., Jones, N., Cannon, M., Correll, C. U., Byrne, L., Carr, S., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30307-2 · Cited by 1,840 · see citing works
Roy, D., Tripathy, S., Kar, S. K., Sharma, N., Verma, S. K., & Kaushal, V. (2020) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2020.102083 · Cited by 1,759 · see citing works
Zhang, W.-R., Wang, K., Yin, L., Zhao, W.-F., Xue, Q., Peng, M., Min, B.-Q., Tian, Q., Leng, H.-X., Du, J.-L., et al. (2020) · Psychotherapy and Psychosomatics · doi:10.1159/000507639 · Cited by 1,690 · see citing works
Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., Wu, L., Sun, Z., Zhou, Y., Wang, Y., et al. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112921 · Cited by 1,548 · see citing works
Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Cai, Z., Xiang Yang, B., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.03.028 · Cited by 1,516 · see citing works
Zhang, Y., & Ma, Z. F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17072381 · Cited by 1,477 · see citing works
Patients with mental health disorders in the COVID-19 epidemic
Yao, H., Chen, J.-H., & Xu, Y.-F. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30090-0 · Cited by 1,393 · see citing works
Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study
Lu, W. Z., Wang, H., Lin, Y., & Li, L. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112936 · Cited by 1,275 · see citing works
The consequences of the COVID-19 pandemic on mental health and implications for clinical practice
Fiorillo, A., & Gorwood, P. (2020) · European Psychiatry · doi:10.1192/j.eurpsy.2020.35 · Cited by 1,190 · see citing works
Rubin, G. J., Amlot, R., Page, L., & Wessely, S. (2009) · BMJ · doi:10.1136/bmj.b2651 · Cited by 1,106 · see citing works
The psychological effects of quarantining a city
Rubin, G. J., & Wessely, S. (2020) · BMJ · doi:10.1136/bmj.m313 · Cited by 999 · see citing works
Stein, D. J., Costa, D. L. C., Lochner, C., Miguel, E. C., Reddy, Y. C. J., Shavitt, R. G., van den Heuvel, O. A., & Simpson, H. B. (2019) · Nature Reviews Disease Primers · doi:10.1038/s41572-019-0102-3 · Cited by 895 · see citing works
Zhang, S. X., Wang, Y., Rauch, A., & Wei, F. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112958 · Cited by 828 · see citing works
sjPlot - Data Visualization for Statistics in Social Science.
Lüdecke, D. (2018) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.1308157 · Cited by 756 · see citing works
Benke, C., Autenrieth, L. K., Asselmann, E., & Pané-Farré, C. A. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113462 · Cited by 585 · see citing works
COVID-19 Lockdown: Housing Built Environment’s Effects on Mental Health
Amerio, A., Brambilla, A., Morganti, A., Aguglia, A., Bianchi, D. G., Santi, F., Costantini, L., Odone, A., Costanza, A., Signorelli, C., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17165973 · Cited by 498 · see citing works
Stuijfzand, S., Deforges, C., Sandoz, V., Sajin, C.-T. C.-T., Jaques, C., Elmers, J., & Horsch, A. (2020) · BMC Public Health · doi:10.1186/s12889-020-09322-z · Cited by 344 · see citing works
Social distancing in covid-19: what are the mental health implications?
Venkatesh, A., & Edirappuli, S. (2020) · BMJ · doi:10.1136/bmj.m1379 · Cited by 339 · see citing works
Characterization of Home Working Population during COVID-19 Emergency: A Cross-Sectional Analysis
Moretti, A., Menna, F., Aulicino, M., Paoletta, M., Liguori, S., & Iolascon, G. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176284 · Cited by 313 · see citing works
Ratschen, E., Shoesmith, E., Shahab, L., Silva, K., Kale, D., Toner, P., Reeve, C., & Mills, D. S. (2020) · PLoS ONE · doi:10.1371/journal.pone.0239397 · Cited by 230 · see citing works
Ribeiro, J. L. P., Honrado, A., & Leal, I. M. P. (2004) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · Cited by 203 · see citing works
Fineberg, N. A., Ameringen, M. V., Drummond, L. M., Hollander, E., Stein, D. J., GELLER, D. A., Walitza, S., Pallanti, S., Pellegrini, L., Zohar, J., et al. (2020) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2020.152174 · Cited by 176 · see citing works
Self-citationKeep Socially (but Not Physically) Connected and Carry on: Preventing Suicide in the Age of COVID-19
Courtet, P., Olié, E., Debien, C., & Vaiva, G. (2020) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.20com13370 · Cited by 163 · see citing works
Hu, S., Tucker, L. D., Wu, C., & Yang, L. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.587557 · Cited by 146 · see citing works
Cherry, K. E., Sampson, L., Nezat, P. F., Cacamo, A., Marks, L. D., & Galea, S. (2014) · Aging & Mental Health · doi:10.1080/13607863.2014.941325 · Cited by 119 · see citing works
Community Gardens as Environmental Health Interventions: Benefits Versus Potential Risks
Al‐Delaimy, W. K., & Webb, M. (2017) · Current Environmental Health Reports · doi:10.1007/s40572-017-0133-4 · Cited by 77 · see citing works
European Psychiatry 2020: Moving forward
Fiorillo, A., & Frangou, S. (2020) · European psychiatry · doi:10.1192/j.eurpsy.2019.3 · Cited by 77 · see citing works
Education, Mental Health, and Education–Labor Market Misfit
Bracke, P., van de Straat, V., & Missinne, S. (2014) · Journal of Health and Social Behavior · doi:10.1177/0022146514557332 · Cited by 73 · see citing works
Ratschen, E., Shoesmith, E., Shahab, L., et al. (2020) · doi:10.31235/osf.io/6ju9m · Cited by 72 · see citing works
Obsessive–compulsive symptoms and information seeking during the Covid-19 pandemic
Loosen, A. M., Skvortsova, V., & Hauser, T. U. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01410-x · Cited by 53 · see citing works
Symptom Dimensions in Obsessive-Compulsive Disorder and Obsessive Beliefs
Cordeiro, T., Sharma, M. P., Thennarasu, K., & Reddy, Y. C. J. (2015) · Indian Journal of Psychological Medicine · doi:10.4103/0253-7176.168579 · Cited by 36 · see citing works
Loneliness in the Era of COVID-19
Miller, E. D. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.02219 · Cited by 35 · see citing works
Honrado, A., Ribeiro Pais, J. L., & Leal, I. (2004) · Redalyc (Universidad Autónoma del Estado de México) · Cited by 26 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Pieh, C., Budimir, S., & Probst, T. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110186 · Cited by 1,122 · see citing works
Mental Health During COVID-19 Lockdown in the United Kingdom
Pieh, C., Budimir, S., Delgadillo, J., Barkham, M., Fontaine, J. R. J., & Probst, T. (2021) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000871 · Cited by 252 · see citing works
Dale, R., Budimir, S., Probst, T., Stippl, P., & Pieh, C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18073679 · Cited by 190 · see citing works
COVID-19 in Portugal: exploring the immediate psychological impact on the general population.
Paulino, M., Dumas-Diniz, R., Brissos, S., Brites, R., Alho, L., Simões, M. R., & Silva, C. F. (2021) · Psychology, Health & Medicine · doi:10.1080/13548506.2020.1808236 · Cited by 124 · see citing works
Robillard, R., Daros, A. R., Phillips, J. L., Porteous, M., Saad, M., Pennestri, M.-H., Kendzerska, T., Edwards, J. D., Solomonova, E., Bhatla, R., et al. (2021) · The Canadian Journal of Psychiatry · doi:10.1177/0706743720986786 · Cited by 112 · see citing works
Mindfulness practice for protecting mental health during the COVID-19 pandemic
Zhu, J. L., Schülke, R., Vatansever, D., Xi, D., Yan, J., Zhao, H., Xie, X., Feng, J., Chen, M. Y., Sahakian, B. J., et al. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01459-8 · Cited by 83 · see citing works
Obsessive-Compulsive Disorder During the COVID-19 Pandemic—A Systematic Review
Linde, E. S., Varga, T. V., & Clotworthy, A. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.806872 · Cited by 64 · see citing works
Ferreira, M. J., Sofia, R., Carreno, D. F., Eisenbeck, N., Jongenelen, I., & Cruz, J. F. A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.647984 · Cited by 40 · see citing works
Ripoll, J., Contreras-Martos, S., Esteva, M., Soler, A., & Serrano-Ripoll, M. J. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10143191 · Cited by 25 · see citing works
Faustino, B., Vasco, A. B., Farinha‐Fernandes, A., Delgado, J., Guerreiro, J. C., & Matos, M. (2022) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2736 · Cited by 3 · see citing works
- Authors
- Moreira, P., Ferreira, S., Couto, B., Machado-Sousa, M., Fernández, M., Raposo-Lima, C., Sousa, N., Picó-Pérez, M., & Morgado, P.
- Affiliations
- University of Minho (PT)
- Corresponding author
- Morgado, P
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- openRxiv
- Published
- 2020-05-01
- Volume
- 18
- Issue
- 4
- Pages
- 1910-1910
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7920474
- OpenAlex
- W3130731765
- Cited by
- 131
- References
- 48
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 27 · 2022: 40 · 2021: 38 · 2020: 12 · 2017: 1
- FWCI
- 18.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by-nc-nd)
- Funders
- Fundação para a Ciência e a Tecnologia (UID/Multi/50026, 01-0145, COMPETE, NORTE-01–0145-FEDER-000013, NORTE2020, UID/Multi/50026/2019, 110_596697345, NORTE-01-0145)
- European Regional Development Fund (COMPETE, 01-0145-FEDER-000013, NORTE-01-0145-FEDER-000013, NORTE-2020)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Communication › Communication and COVID-19 Impact
- Social Sciences › Sociology and Political Science › COVID-19 Prevention and Impact
- Keywords
- COVID-19 pandemic, mental health, psychological well-being, quarantine, protective factors, anxiety, depression, stress, obsessive-compulsive symptoms, physical activity, psychotherapeutic support, lifestyle factors, Portuguese population
- MeSH terms
- COVID-19, Adult, Anxiety, Depression, Female, Health Status, Humans, Male, Mental Health, Middle Aged, Portugal, Psychotherapy, Quarantine, Stress, Psychological, Exercise, Pandemics, Protective Factors
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.
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 ›
Are you an author, or do you see a problem with this page? Request a review