Mental health and COVID-19 in South Africa
Open accessAbstract
COVID-19, the disease caused by severe acute respiratory syndrome coronavirus 2, has affected most parts of the globe since its first appearance in the city of Wuhan, China, in December 2019. As a result, the World Health Organization declared the virus a global public health crisis and a pandemic within 2 weeks, after the virus had spread to 114 countries with 118 000 recorded cases and 4291 deaths due to the virus and related complications. The World Health Organization declaration is indicative of the enormous impact of the pandemic on human life globally. South Africa has not been exempted from that impact. While the pandemic has affected all South Africans in various ways, the poor have been most affected due to structural inequality, poverty, unemployment, and lack of access to quality health care and other services. Furthermore, public mental health has also been negatively affected by the pandemic, and this comes against a backdrop of an ailing mental health care system. We argue that the psychology profession, as a mental health profession and behavioural science, working as part of a multidisciplinary team, ought to play a significant role in addressing the mental health ramifications of the pandemic. In so doing, lessons can be drawn from other countries while establishing contextual immediate and long-term interventions.
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In South Africa, depression in the general population and healthcare workers worsened during the COVID-19 period.
“In South Africa, depression in the general population (Nguse & Wassenaar, 2021), and healthcare workers (Poole et al., 2024) worsened”
From Siyakhana: A Hybrid Type 2 Effectiveness-Implementation Stepped-Wedge Trial to Reduce Stigma Towards Substance Use and Depression Among Community Health Workers in HIV/TB Care in South Africa (2025) · cites this paper as Nguse & Wassenaar, 2021
The ‘COVID-19 and mental health in South Africa’ section reports depressive symptoms linked to perceived COVID-19 risk and says 33% of South Africans were depressed during the first lockdown. It does not establish that depression worsened across the general population relative to before the pandemic. The healthcare-worker portion is attributed to Poole et al., not this paper. (LLM, conf=0.82)
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Malele, L., & Noorbhai, H. (2023) · American Journal of Men s Health · doi:10.1177/15579883231178752
‘There is a sense of bravery in having to make a mark’: Resilience and art therapy in South Africa
Kinnear, S. (2023) · South African Journal of Arts Therapies · doi:10.36615/sajat.v1i1.2573
Using Technology to Impact Maternal and Perinatal Mental Healthcare Service Delivery in South Africa
Whittaker, T., Lachman, A., & Salie, M. (2023) · Africa Journal of Nursing and Midwifery · doi:10.25159/2520-5293/13655
A Family Medicine response to the COVID-19 lockdown: University of Pretoria perspective
Madela-Mntla, E. N., & Ngcobo, S. (2023) · South African Health Review · doi:10.61473/001c.77880
Prioritizing Public Mental Health
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Awam, M., & Kang’ethe, S. M. (2024) · Journal of Education and Learning Technology · doi:10.38159/jelt.2024571 · Cited by 1 · see citing works
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- Authors
- Nguse, S., & Wassenaar, D.
- Affiliations
- University of KwaZulu-Natal (ZA)
- Corresponding author
- Nguse, Siphelele
- Venue
- South African Journal of Psychology
- Publisher
- SAGE Publications
- Published
- 2021-05-08
- Volume
- 51
- Issue
- 2
- Pages
- 304-313
- ISSN
- 0081-2463 (ISSN-L)
- PMC
- PMC8107260
- OpenAlex
- W3161673089
- Cited by
- 98
- References
- 33
- Citations by year
- 2026: 14 · 2025: 16 · 2024: 16 · 2023: 30 · 2022: 21 · 2021: 1
- FWCI
- 11.60
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- South African Journal of Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Keywords
- COVID-19 pandemic, mental health, South Africa, psychological intervention, multidisciplinary team, mental health system, poverty and inequality, unemployment, health care access, public mental health, behavioral science
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