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<!DOCTYPE html> <html class=""> <head> <title>Epidemiology of mental health problems in COVID-19:... | F1000Research</title> <meta charset="utf-8">   <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="google-site-verification" content="9-QVycOO2_ob3Z9QzRmXv2CF08A9oyYXqWyTiVdKPlU" />  <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1"> <link rel="alternate" title="Recent articles published in F1000Research" href="/rss" type="application/rss+xml"> <link rel="alternate" type="application/pdf" title="PDF" href="https://f1000research.com/articles/9-636/pdf"/> <link rel="canonical" href="https://f1000research.com/articles/9-636" /> <meta name="description" content="Read the original article in full on F1000Research: Epidemiology of mental health problems in COVID-19: a review" /> <meta name="og:title" content="F1000Research Article: Epidemiology of mental health problems in COVID-19: a review."> <meta name="og:description" content="Read the latest article version by Md. Mahbub Hossain, Samia Tasnim, Abida Sultana, Farah Faizah, Hoimonty Mazumder, Liye Zou, E. Lisako J. McKyer, Helal Uddin Ahmed, Ping Ma, at F1000Research."> <meta name="og:image" content="/img/share/og_research.png"> <meta name="version-id" content="26979"> <meta name="article-id" content="24457"> <meta name="dc.title" content="Epidemiology of mental health problems in COVID-19: a review"> <meta name="dc.description" content="The novel coronavirus disease 2019 (COVID-19) has become a pandemic affecting health and wellbeing globally. In addition to the physical health, economic, and social implications, the psychological impacts of this pandemic are increasingly being reported in the scientific literature. This narrative review reflected on scholarly articles on the epidemiology of mental health problems in COVID-19. The current literature suggests that people affected by COVID-19 may have a high burden of mental health problems, including depression, anxiety disorders, stress, panic attack, irrational anger, impulsivity, somatization disorder, sleep disorders, emotional disturbance, posttraumatic stress symptoms, and suicidal behavior. Moreover, several factors associated with mental health problems in COVID-19 are found, which include age, gender, marital status, education, occupation, income, place of living, close contact with people with COVID-19, comorbid physical and mental health problems, exposure to COVID-19 related news and social media, coping styles, stigma, psychosocial support, health communication, confidence in health services, personal protective measures, risk of contracting COVID-19, and perceived likelihood of survival. Furthermore, the epidemiological distribution of mental health problems and associated factors were heterogeneous among the general public, COVID-19 patients, and healthcare providers. The current evidence suggests that a psychiatric epidemic is cooccurring with the COVID-19 pandemic, which necessitates the attention of the global health community. Future epidemiological studies should emphasize on psychopathological variations and temporality of mental health problems in different populations. Nonetheless, multipronged interventions should be developed and adopted to address the existing psychosocial challenges and promote mental health amid the COVID-19 pandemic."> <meta name="dc.subject" content="COVID-19, Coronavirus, Mental Health, Mental Disorders, Epidemiology, Review"> <meta name="dc.creator" content="Hossain, Md. Mahbub"> <meta name="dc.creator" content="Tasnim, Samia"> <meta name="dc.creator" content="Sultana, Abida"> <meta name="dc.creator" content="Faizah, Farah"> <meta name="dc.creator" content="Mazumder, Hoimonty"> <meta name="dc.creator" content="Zou, Liye"> <meta name="dc.creator" content="McKyer, E. Lisako J."> <meta name="dc.creator" content="Ahmed, Helal Uddin"> <meta name="dc.creator" content="Ma, Ping"> <meta name="dc.date" content="2020/06/23"> <meta name="dc.identifier" content="doi:10.12688/f1000research.24457.1"> <meta name="dc.source" content="F1000Research 2020 9:636"> <meta name="dc.format" content="text/html"> <meta name="dc.language" content="en"> <meta name="dc.publisher" content="F1000 Research Limited"> <meta name="dc.rights" content="https://creativecommons.org/licenses/by/4.0/"> <meta name="dc.type" content="text"> <meta name="prism.keyword" content="COVID-19"> <meta name="prism.keyword" content="Coronavirus"> <meta name="prism.keyword" content="Mental Health"> <meta name="prism.keyword" content="Mental Disorders"> <meta name="prism.keyword" content="Epidemiology"> <meta name="prism.keyword" content="Review"> <meta name="prism.publication.Name" content="F1000Research"> <meta name="prism.publicationDate" content="2020/06/23"> <meta name="prism.volume" content="9"> <meta name="prism.number" content="636"> <meta name="prism.versionIdentifier" content="1"> <meta name="prism.doi" content="10.12688/f1000research.24457.1"> <meta name="prism.url" content="https://f1000research.com/articles/9-636"> <meta name="citation_title" content="Epidemiology of mental health problems in COVID-19: a review"> <meta name="citation_abstract" content="The novel coronavirus disease 2019 (COVID-19) has become a pandemic affecting health and wellbeing globally. In addition to the physical health, economic, and social implications, the psychological impacts of this pandemic are increasingly being reported in the scientific literature. This narrative review reflected on scholarly articles on the epidemiology of mental health problems in COVID-19. The current literature suggests that people affected by COVID-19 may have a high burden of mental health problems, including depression, anxiety disorders, stress, panic attack, irrational anger, impulsivity, somatization disorder, sleep disorders, emotional disturbance, posttraumatic stress symptoms, and suicidal behavior. Moreover, several factors associated with mental health problems in COVID-19 are found, which include age, gender, marital status, education, occupation, income, place of living, close contact with people with COVID-19, comorbid physical and mental health problems, exposure to COVID-19 related news and social media, coping styles, stigma, psychosocial support, health communication, confidence in health services, personal protective measures, risk of contracting COVID-19, and perceived likelihood of survival. Furthermore, the epidemiological distribution of mental health problems and associated factors were heterogeneous among the general public, COVID-19 patients, and healthcare providers. The current evidence suggests that a psychiatric epidemic is cooccurring with the COVID-19 pandemic, which necessitates the attention of the global health community. Future epidemiological studies should emphasize on psychopathological variations and temporality of mental health problems in different populations. Nonetheless, multipronged interventions should be developed and adopted to address the existing psychosocial challenges and promote mental health amid the COVID-19 pandemic."> <meta name="citation_description" content="The novel coronavirus disease 2019 (COVID-19) has become a pandemic affecting health and wellbeing globally. In addition to the physical health, economic, and social implications, the psychological impacts of this pandemic are increasingly being reported in the scientific literature. This narrative review reflected on scholarly articles on the epidemiology of mental health problems in COVID-19. The current literature suggests that people affected by COVID-19 may have a high burden of mental health problems, including depression, anxiety disorders, stress, panic attack, irrational anger, impulsivity, somatization disorder, sleep disorders, emotional disturbance, posttraumatic stress symptoms, and suicidal behavior. Moreover, several factors associated with mental health problems in COVID-19 are found, which include age, gender, marital status, education, occupation, income, place of living, close contact with people with COVID-19, comorbid physical and mental health problems, exposure to COVID-19 related news and social media, coping styles, stigma, psychosocial support, health communication, confidence in health services, personal protective measures, risk of contracting COVID-19, and perceived likelihood of survival. Furthermore, the epidemiological distribution of mental health problems and associated factors were heterogeneous among the general public, COVID-19 patients, and healthcare providers. The current evidence suggests that a psychiatric epidemic is cooccurring with the COVID-19 pandemic, which necessitates the attention of the global health community. Future epidemiological studies should emphasize on psychopathological variations and temporality of mental health problems in different populations. Nonetheless, multipronged interventions should be developed and adopted to address the existing psychosocial challenges and promote mental health amid the COVID-19 pandemic."> <meta name="citation_keywords" content="COVID-19, Coronavirus, Mental Health, Mental Disorders, Epidemiology, Review"> <meta name="citation_journal_title" content="F1000Research"> <meta name="citation_author" content="Md. Mahbub Hossain"> <meta name="citation_author_institution" content="Nature Study Society of Bangladesh, Khulna, 09000"> <meta name="citation_author_institution" content="Texas A&M School of Public Health, College Station, TX, 77843"> <meta name="citation_author" content="Samia Tasnim"> <meta name="citation_author_institution" content="Texas A&M School of Public Health, College Station, TX, 77843"> <meta name="citation_author_institution" content="Bangladesh Medical Association, Dhaka, 09000"> <meta name="citation_author" content="Abida Sultana"> <meta name="citation_author_institution" content="Gazi Medical College, Khulna, 09000"> <meta name="citation_author" content="Farah Faizah"> <meta name="citation_author_institution" content="United Nations Population Fund, Cox's Bazar"> <meta name="citation_author" content="Hoimonty Mazumder"> <meta name="citation_author_institution" content="Ipas, Dhaka"> <meta name="citation_author" content="Liye Zou"> <meta name="citation_author_institution" content="Exercise & Mental Health Laboratory, School of Psychology, Shenzhen University, Shenzen, 518060"> <meta name="citation_author" content="E. Lisako J. McKyer"> <meta name="citation_author_institution" content="Texas A&M School of Public Health, College Station, TX, 77843"> <meta name="citation_author" content="Helal Uddin Ahmed"> <meta name="citation_author_institution" content="National Institute of Mental Health (NIMH), Dhaka, 1207"> <meta name="citation_author" content="Ping Ma"> <meta name="citation_author_institution" content="Texas A&M School of Public Health, College Station, TX, 77843"> <meta name="citation_publication_date" content="2020/06/23"> <meta name="citation_volume" content="9"> <meta name="citation_publication_number" content="636"> <meta name="citation_version_number" content="1"> <meta name="citation_doi" content="10.12688/f1000research.24457.1"> <meta name="citation_firstpage" content="636"> <meta name="citation_pdf_url" content="https://f1000research.com/articles/9-636/pdf"> <meta name="citation_xml_url" content="https://f1000research.com/articles/9-636/xml"> <link href="/img/favicon-research.ico" rel="shortcut icon" type="image/ico"> <link href="/img/favicon-research.ico" rel="icon" type="image/ico"> <link rel="stylesheet" href="/1739275555377/css/mdl/material-design-lite-research.css" type="text/css" media="all" /> <link href="https://fonts.googleapis.com/icon?family=Material+Icons" rel="stylesheet"> <link href="https://fonts.googleapis.com/css?family=Roboto:100,100i,300,300i,400,400i,500,500i,700,700i,900,900i" rel="stylesheet"> <link rel="stylesheet" href="/1739275555377/css/Research.css" type="text/css" media="all" /> <link rel="stylesheet" href="/css/F1000ResearchFontIcons/F1000ResearchFontIcons.css" type="text/css" media="all" /> <link rel="stylesheet" href="/css/F1000ResearchFontIcons/animation.css" type="text/css" media="all" />   <script type="text/javascript">"use strict";function _typeof(t){return(_typeof="function"==typeof Symbol&&"symbol"==typeof Symbol.iterator?function(t){return typeof t}:function(t){return t&&"function"==typeof Symbol&&t.constructor===Symbol&&t!==Symbol.prototype?"symbol":typeof t})(t)}!function(){var t=function(){var t,e,o=[],n=window,r=n;for(;r;){try{if(r.frames.__tcfapiLocator){t=r;break}}catch(t){}if(r===n.top)break;r=r.parent}t||(!function t(){var e=n.document,o=!!n.frames.__tcfapiLocator;if(!o)if(e.body){var r=e.createElement("iframe");r.style.cssText="display:none",r.name="__tcfapiLocator",e.body.appendChild(r)}else setTimeout(t,5);return!o}(),n.__tcfapi=function(){for(var t=arguments.length,n=new Array(t),r=0;r<t;r++)n[r]=arguments[r];if(!n.length)return o;"setGdprApplies"===n[0]?n.length>3&&2===parseInt(n[1],10)&&"boolean"==typeof n[3]&&(e=n[3],"function"==typeof n[2]&&n[2]("set",!0)):"ping"===n[0]?"function"==typeof n[2]&&n[2]({gdprApplies:e,cmpLoaded:!1,cmpStatus:"stub"}):o.push(n)},n.addEventListener("message",(function(t){var e="string"==typeof t.data,o={};if(e)try{o=JSON.parse(t.data)}catch(t){}else o=t.data;var n="object"===_typeof(o)&&null!==o?o.__tcfapiCall:null;n&&window.__tcfapi(n.command,n.version,(function(o,r){var a={__tcfapiReturn:{returnValue:o,success:r,callId:n.callId}};t&&t.source&&t.source.postMessage&&t.source.postMessage(e?JSON.stringify(a):a,"*")}),n.parameter)}),!1))};"undefined"!=typeof module?module.exports=t:t()}();</script> <script data-cfasync="false" data-tcf-ui-dismissed-view-state="Collapsed" src="https://transcend-cdn.com/cm/ef49a3f1-d8c1-47d6-88fc-50e41130631f/airgap.js"></script> <script> dataLayer = []; </script>  <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-PCBS9JK');</script>  <script type="text/javascript"> ;window.NREUM||(NREUM={});NREUM.init={distributed_tracing:{enabled:true},privacy:{cookies_enabled:true},ajax:{deny_list:["bam.nr-data.net"]}}; ;NREUM.loader_config={accountID:"438030",trustKey:"438030",agentID:"772317073",licenseKey:"97f8f67f26",applicationID:"772317073"} ;NREUM.info={beacon:"bam.nr-data.net",errorBeacon:"bam.nr-data.net",licenseKey:"97f8f67f26",applicationID:"772317073",sa:1} ;/*! 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value="https://sciwheel.com/work/api/import/external?doi=10.12688/f1000research.24457.1"/> <input type=hidden id=versionDoi value="10.12688/f1000research.24457.1"/> <input type=hidden id=usePmcStats value=true /> </div> <main class="o-wrapper p-article__wrapper js-wrapper"> <script type="application/ld+json"> { "@context": "https://schema.org", "@type": "ScholarlyArticle", "mainEntityOfPage": { "@type": "WebPage", "@id": "https://f1000research.com/articles/9-636" }, "headline": "Epidemiology of mental health problems in COVID-19: a review", "datePublished": "2020-06-23T15:52:07", "dateModified": "2020-06-23T15:52:07", "author": [ { "@type": "Person", "name": "Md. Mahbub Hossain" }, { "@type": "Person", "name": "Samia Tasnim" }, { "@type": "Person", "name": "Abida Sultana" }, { "@type": "Person", "name": "Farah Faizah" }, { "@type": "Person", "name": "Hoimonty Mazumder" }, { "@type": "Person", "name": "Liye Zou" }, { "@type": "Person", "name": "E. Lisako J. McKyer" }, { "@type": "Person", "name": "Helal Uddin Ahmed" }, { "@type": "Person", "name": "Ping Ma" } ], "publisher": { "@type": "Organization", "name": "F1000Research", "logo": { "@type": "ImageObject", "url": "https://f1000research.com/img/AMP/F1000Research_image.png", "height": 480, "width": 60 } }, "image": { "@type": "ImageObject", "url": "https://f1000research.com/img/AMP/F1000Research_image.png", "height": 1200, "width": 150 }, "description": "The novel coronavirus disease 2019 (COVID-19) has become a pandemic affecting health and wellbeing globally. In addition to the physical health, economic, and social implications, the psychological impacts of this pandemic are increasingly being reported in the scientific literature. This narrative review reflected on scholarly articles on the epidemiology of mental health problems in COVID-19. The current literature suggests that people affected by COVID-19 may have a high burden of mental health problems, including depression, anxiety disorders, stress, panic attack, irrational anger, impulsivity, somatization disorder, sleep disorders, emotional disturbance, posttraumatic stress symptoms, and suicidal behavior. Moreover, several factors associated with mental health problems in COVID-19 are found, which include age, gender, marital status, education, occupation, income, place of living, close contact with people with COVID-19, comorbid physical and mental health problems, exposure to COVID-19 related news and social media, coping styles, stigma, psychosocial support, health communication, confidence in health services, personal protective measures, risk of contracting COVID-19, and perceived likelihood of survival. Furthermore, the epidemiological distribution of mental health problems and associated factors were heterogeneous among the general public, COVID-19 patients, and healthcare providers. The current evidence suggests that a psychiatric epidemic is cooccurring with the COVID-19 pandemic, which necessitates the attention of the global health community. Future epidemiological studies should emphasize on psychopathological variations and temporality of mental health problems in different populations. Nonetheless, multipronged interventions should be developed and adopted to address the existing psychosocial challenges and promote mental health amid the COVID-19 pandemic." } </script> <div class="o-layout o-layout--right-gutter"> <div id=article_secondary-column class="p-article__main o-layout__item u-font-size--legal u-2/3@article not-expanded " data-version-id=26979> <div class=float-left> <script type="application/ld+json"> { "@context": "http://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": "1", "item": { "@id": "https://f1000research.com/", "name": "Home" } }, { "@type": "ListItem", "position": "2", "item": { "@id": "https://f1000research.com/browse/articles", "name": "Browse" } }, { "@type": "ListItem", "position": "3", "item": { "@id": "https://f1000research.com/articles/9-636", "name": "Epidemiology of mental health problems in COVID-19: a review" } } ] } </script> <div class="breadcrumbs js-breadcrumbs"> <a href="/" class=f1r-standard-link>Home</a> <span class=item_separator></span> <a href="/browse/articles" class=f1r-standard-link>Browse</a> <span class=item_separator></span> Epidemiology of mental health problems in COVID-19: a review </div> </div> <div class="article-badges-container u-mb--2"> <div class=crossmark-new> <script src="https://crossmark-cdn.crossref.org/widget/v2.0/widget.js"></script> <a data-target=crossmark><img height=30 width=150 src="https://crossmark-cdn.crossref.org/widget/v2.0/logos/CROSSMARK_Color_horizontal.svg"/></a> </div> <div id=crossmark-dialog style="display: none;" title=""> <iframe id=crossmark-dialog-frame frameborder=0></iframe> </div> <div class=clearfix></div> </div> <div class=article-interaction-container> <div id=main-article-count-box class=article-count-box> <div class="article-metrics-wrapper metrics-icon-wrapper" data-version-id=26979 data-id=24457 data-downloads="" data-views="" data-scholar="10.12688/f1000research.24457.1" data-recommended="" data-doi="10.12688/f1000research.24457.1" data-f1r-ga-helper="Article Page Metrics (Desktop)"> <span class="metrics-on-browse article-metrics-icon f1r-icon icon-89_metrics"></span> <div class="count-title article-metrics-text">ALL Metrics</div> <div class=js-article-metrics-container></div> </div> <div> <div class=count-delimiter></div> <div title="Total views from F1000Research and PubMed Central"> <div class="count-container view-count js-views-count">-</div> <div class=count-title><span class="count-title-icon count-title-views-icon"></span>Views</div> </div> <div class=download-counts hidden> <div class=count-delimiter></div> <div title="Total downloads from F1000Research and PubMed Central"> <div class="count-container js-downloads-count"></div> <div class=count-title><span class="count-title-icon f1r-icon icon-76_download_file"></span>Downloads</div> </div> </div> </div> </div> <div id=main-article-interaction-box class="article-interaction-box has-control-tab"> <div class="article-interaction-info article-page"> <div class=article-interaction-button> <span class="f1r-icon icon-102_download_pdf"></span> <a href="https://f1000research.com/articles/9-636/v1/pdf?article_uuid=adb0f6a8-fc1a-43ee-b7d3-8ad611ddaba6" title="Download PDF" class="button-link download pdf-download-helper" target=_blank>Get PDF</a> </div> </div> <div class="article-interaction-info article-page"> <div class=article-interaction-button> <span class="f1r-icon icon-103_download_xml"></span> <a id=download-xml href="#" class="button-link download" title="Download XML">Get XML</a> </div> </div> <div class="article-interaction-info article-page"> <div class="cite-article-popup-wrapper article-page-interaction-box"> <div class="article-interaction-button cite-article-button" title="Cite this article" data-windowref=cite-article-popup-24457-1> <span class="f1r-icon icon-82_quote"></span> <a href="#" class="button-link cite-article-popup-link" title="Cite Article">Cite</a> </div> <div id=cite-article-popup-24457-1 class="popup-window-wrapper is-hidden"> <div class=cite-popup-background></div> <div class="popup-window top-popup cite-this-article-box research-layout"> <div class="popup-window-title small cite-title">How to cite this article</div> <span id=cite-article-text-24457-1 data-test-id=copy-citation_text> <span class="article-title-and-info in-popup">Hossain MM, Tasnim S, Sultana A <em>et al.</em> Epidemiology of mental health problems in COVID-19: a review [version 1; 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Mahbub Hossain</span></a><a href="https://orcid.org/0000-0002-7059-7768" target=_blank id=author-orcid-0><span class=orcid-logo-for-author-list></span></a><div class="mdl-tooltip mdl-tooltip--wider" for=author-orcid-0><span class=orcid-logo-for-author-list></span> https://orcid.org/0000-0002-7059-7768</div><sup>1,2</sup><span class=js-article-author-separator>, </span></span><span class=""><span class=js-article-author>Samia Tasnim</span><sup>2,3</sup><span class=js-article-author-separator>, </span></span><span class=""><span class=js-article-author>Abida Sultana</span><sup>4</sup><span class=js-article-author-separator>, </span></span><a href="#" class=article-page-expand-authors>[...] </a><span class=article-page-hidden-authors><span class=js-article-author>Farah Faizah</span><sup>5</sup><span class=js-article-author-separator>, </span></span><span class=article-page-hidden-authors><span class=js-article-author>Hoimonty Mazumder</span><sup>6</sup><span class=js-article-author-separator>, </span></span><span class=article-page-hidden-authors><span class=js-article-author>Liye Zou</span><sup>7</sup><span class=js-article-author-separator>, </span></span><span class=""><span class=js-article-author>E. Lisako J. McKyer</span><sup>2</sup><span class=js-article-author-separator>, </span></span><span class=""><span class=js-article-author>Helal Uddin Ahmed</span><sup>8</sup><span class=js-article-author-separator>, </span></span><span class=""><span class=js-article-author>Ping Ma</span><sup>2</sup></span><span class="author-display-control article-page-expand-authors f1r-icon icon-20_plus_big"></span><span class="author-display-control article-page-hidden-authors f1r-icon icon-12_minus_big"></span></div> </div> <div class=f1r-article-mobile> <div class="authors _mdl-layout js-article-authors"><span class=""><a href="mailto:mahbub321@gmail.com" title="Send email" class="cauthor research-layout js-article-author"><span class='f1r-icon icon-6_email orange'></span><span>Md. Mahbub Hossain</span></a><a href="http://orcid.org/0000-0002-7059-7768" target=_blank id=mauthor-orcid-0><span class=orcid-logo-for-author-list></span></a><div class="mdl-tooltip mdl-tooltip--wider" for=mauthor-orcid-0><span class=orcid-logo-for-author-list></span> https://orcid.org/0000-0002-7059-7768</div><sup>1,2</sup>, </span><span class=""><span class=js-article-author>Samia Tasnim</span><sup>2,3</sup>, </span><a href="#" class=article-page-expand-authors>[...] </a><span class=article-page-hidden-authors><span class=js-article-author>Abida Sultana</span><sup>4</sup>, </span><span class=article-page-hidden-authors><span class=js-article-author>Farah Faizah</span><sup>5</sup>, </span><span class=article-page-hidden-authors><span class=js-article-author>Hoimonty Mazumder</span><sup>6</sup>, </span><span class=article-page-hidden-authors><span class=js-article-author>Liye Zou</span><sup>7</sup>, </span><span class=article-page-hidden-authors><span class=js-article-author>E. Lisako J. McKyer</span><sup>2</sup>, </span><span class=""><span class=js-article-author>Helal Uddin Ahmed</span><sup>8</sup>, </span><span class=""><span class=js-article-author>Ping Ma</span><sup>2</sup></span><span class="author-display-control article-page-expand-authors f1r-icon icon-20_plus_big"></span><span class="author-display-control article-page-hidden-authors f1r-icon icon-12_minus_big"></span></div> </div> <div class=f1r-article-mobile> <div class=article-pubinfo-mobile> PUBLISHED 23 Jun 2020 </div> </div> <span class=Z3988 title="ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft_id=info:doi/10.12688%2Ff1000research.24457.1"></span> <div class=f1r-article-desk> <div class="contracted-details first"> <a href="#" class="contracted-details-label author-affiliations"><span class=contracted></span>Author details</a> <a href="#" class=section-title>Author details</a> <span class="f1r-icon icon-14_more_small section-control"></span> <span class="f1r-icon icon-10_less_small section-control"></span> <div class="expanded-details affiliations is-hidden js-article-affiliations"> <sup>1</sup> <span class=js-article-affiliation>Nature Study Society of Bangladesh, Khulna, 09000, Bangladesh</span><br/> <sup>2</sup> <span class=js-article-affiliation>Texas A&M School of Public Health, College Station, TX, 77843, USA</span><br/> <sup>3</sup> <span class=js-article-affiliation>Bangladesh Medical Association, Dhaka, 09000, Bangladesh</span><br/> <sup>4</sup> <span class=js-article-affiliation>Gazi Medical College, Khulna, 09000, Bangladesh</span><br/> <sup>5</sup> <span class=js-article-affiliation>United Nations Population Fund, Cox's Bazar, Bangladesh</span><br/> <sup>6</sup> <span class=js-article-affiliation>Ipas, Dhaka, Bangladesh</span><br/> <sup>7</sup> <span class=js-article-affiliation>Exercise & Mental Health Laboratory, School of Psychology, Shenzhen University, Shenzen, 518060, China</span><br/> <sup>8</sup> <span class=js-article-affiliation>National Institute of Mental Health (NIMH), Dhaka, 1207, Bangladesh</span><br/> <p> <div class=margin-bottom> Md. Mahbub Hossain <br/> <span>Roles: </span> Conceptualization, Data Curation, Formal Analysis, Methodology, Writing – Original Draft Preparation, Writing – Review & Editing </div> <div class=margin-bottom> Samia Tasnim <br/> <span>Roles: </span> Conceptualization, Formal Analysis, Writing – Original Draft Preparation, Writing – Review & Editing </div> <div class=margin-bottom> Abida Sultana <br/> <span>Roles: </span> Conceptualization, Writing – Original Draft Preparation, Writing – Review & Editing </div> <div class=margin-bottom> Farah Faizah <br/> <span>Roles: </span> Data Curation, Methodology, Writing – Review & Editing </div> <div class=margin-bottom> Hoimonty Mazumder <br/> <span>Roles: </span> Data Curation, Methodology, Writing – Review & Editing </div> <div class=margin-bottom> Liye Zou <br/> <span>Roles: </span> Methodology, Writing – Review & Editing </div> <div class=margin-bottom> E. Lisako J. McKyer <br/> <span>Roles: </span> Formal Analysis, Writing – Review & Editing </div> <div class=margin-bottom> Helal Uddin Ahmed <br/> <span>Roles: </span> Formal Analysis, Writing – Review & Editing </div> <div class=margin-bottom> Ping Ma <br/> <span>Roles: </span> Supervision, Writing – Review & Editing </div> </p> </div> </div> </div> <div class=f1r-article-mobile> <div class="article-page-section-box margin-bottom-40 research-layout"> <span class=box-title> <span class="f1r-icon icon-85_peer_review"></span> OPEN PEER REVIEW </span> <button class="tertiary grey float-right" data-scrollto=article-reports>DETAILS</button> <div class="status-row referee-reports-container"> REVIEWER STATUS <span class=status-icons> <span class="f1r-icon icon-86_approved status-green smaller" title=Approved data-refInfo=76135-71938></span> <span class="f1r-icon icon-86_approved status-green smaller" title=Approved data-refInfo=69556-69817></span> </span> </div> </div> </div> <div class="f1r-article-desk padding-top"> <div class=article-collection-wrapper> <div class="o-media o-media--sm o-media--center"> <div class=o-media__img> <a href="https://f1000research.com/gateways/global-public-health/about-this-gateway" title="Open Gateway"><img src="https://f1000research.s3.amazonaws.com/thumbnails/04adc7ba-872e-4939-848c-4650e3e65525_collection.thumbnail"></a> </div> <div class=o-media__body> <p class="u-mt--0 u-mb--0">This article is included in the <a href="https://f1000research.com/gateways/global-public-health/about-this-gateway">Global Public Health</a> gateway.</p> </div> </div> </div> <div class=article-collection-wrapper> <div class="o-media o-media--sm o-media--center"> <div class=o-media__img> <a href="https://f1000research.com/gateways/disease_outbreaks/about-this-gateway" title="Open Gateway"><img src="https://f1000research.s3.amazonaws.com/thumbnails/d1a0698a-9b75-489c-8792-c095bd395068_collection.thumbnail"></a> </div> <div class=o-media__body> <p class="u-mt--0 u-mb--0">This article is included in the <a href="https://f1000research.com/gateways/disease_outbreaks/about-this-gateway">Emerging Diseases and Outbreaks</a> gateway.</p> </div> </div> </div> <div class=article-collection-wrapper> <div class="o-media o-media--sm o-media--center"> <div class=o-media__img> <a href="https://f1000research.com/collections/covid19/about-this-collection" title="Open Collection"><img src="https://f1000research.s3.amazonaws.com/thumbnails/8a056c3c-80c5-4ff8-9902-4531f74822a5_collection.thumbnail"></a> </div> <div class=o-media__body> <p class="u-mt--0 u-mb--0">This article is included in the <a href="https://f1000research.com/collections/covid19/about-this-collection">Coronavirus</a> collection.</p> </div> </div> </div> </div> </div> <div id=anchor-abstract> <h2 class="article-headings article-page-abstract"> <span class="f1r-article-mobile-inline abstract-heading-border"></span> <span>Abstract</span> </h2> <div class="article-abstract article-page-general-text-mobile research-layout"> <div class="abstract-text is-expanded"> <div>The novel coronavirus disease 2019 (COVID-19) has become a pandemic affecting health and wellbeing globally. In addition to the physical health, economic, and social implications, the psychological impacts of this pandemic are increasingly being reported in the scientific literature. This narrative review reflected on scholarly articles on the epidemiology of mental health problems in COVID-19. The current literature suggests that people affected by COVID-19 may have a high burden of mental health problems, including depression, anxiety disorders, stress, panic attack, irrational anger, impulsivity, somatization disorder, sleep disorders, emotional disturbance, posttraumatic stress symptoms, and suicidal behavior. Moreover, several factors associated with mental health problems in COVID-19 are found, which include age, gender, marital status, education, occupation, income, place of living, close contact with people with COVID-19, comorbid physical and mental health problems, exposure to COVID-19 related news and social media, coping styles, stigma, psychosocial support, health communication, confidence in health services, personal protective measures, risk of contracting COVID-19, and perceived likelihood of survival. Furthermore, the epidemiological distribution of mental health problems and associated factors were heterogeneous among the general public, COVID-19 patients, and healthcare providers. The current evidence suggests that a psychiatric epidemic is cooccurring with the COVID-19 pandemic, which necessitates the attention of the global health community. Future epidemiological studies should emphasize on psychopathological variations and temporality of mental health problems in different populations. Nonetheless, multipronged interventions should be developed and adopted to address the existing psychosocial challenges and promote mental health amid the COVID-19 pandemic.</div> </div> <div class=abstract-for-mobile> <div class="margin-top-30 padding-bottom-30 research-layout is-centered"> <button class="primary orange-text white-bg bigger-text abstract-expand-button-mobile with-border show" style="display: none;"> READ ALL <span class="f1r-icon icon-14_more_small orange vmiddle big"></span> </button> <button class="primary orange-text white-bg bigger-text abstract-expand-button-mobile with-border hide"> READ LESS <span class="f1r-icon icon-10_less_small orange vmiddle big"></span> </button> </div> </div> </div> </div> <div class=clearfix></div> <div class="article-context no-divider"> <div class="article-abstract article-page-general-text-mobile research-layout generated-article-body"> <h2 class=main-title>Keywords</h2> <p class="u-mb--0 u-pb--2"> COVID-19, Coronavirus, Mental Health, Mental Disorders, Epidemiology, Review </p> </div> </div> <div class=article-information> <span class="info-separation padding-bottom"> <div id=corresponding-author-icon class="email-icon float-left"> <span class="f1r-icon icon-6_email orange"></span> <div id=corresponding-author-window class="margin-top-20 popup-window-wrapper is-hidden"> <div class="popup-window corresponding-authors-popup"> <div class=corresponding-author-container> <div class="popup-window-title small">Corresponding Author(s)</div> <div class=authors> Md. Mahbub Hossain (<a href="mailto:mahbub321@gmail.com">mahbub321@gmail.com</a>) </div> </div> <div class="margin-top margin-bottom float-left"> <button id=close-popup-window class=general-white-orange-button>Close</button> </div> </div> </div> </div> <span class="icon-text float-left" data-test-id=box-corresponding-author> <b>Corresponding author:</b> Md. Mahbub Hossain </span> <div class=clearfix></div> </span> <span class="info-separation padding-bottom competing-interests-display"> <span class=competing-interests-title>Competing interests:</span> No competing interests were disclosed. </span> <div class="info-separation padding-bottom grant-information-display"> <span class=grant-information-title>Grant information:</span> The author(s) declared that no grants were involved in supporting this work. </div> <span class="f1r-article-desk info-separation padding-bottom"> <span class="copywrite-icon float-left"> <span class="f1r-icon icon-100_open_access"></span> </span> <span class="icon-text float-left" data-test-id=box-copyright-text> <b>Copyright:</b>  © 2020 Hossain MM <em>et al</em>. This is an open access article distributed under the terms of the <a href="https://creativecommons.org/licenses/by/4.0/" target=_blank data-test-id=box-licence-link>Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. </span> <div class=clearfix></div> </span> <span class="info-separation padding-bottom" data-test-id=box-how-to-cite> <b>How to cite:</b> <span class="article-title-and-info in-article-box"> Hossain MM, Tasnim S, Sultana A <em>et al.</em> Epidemiology of mental health problems in COVID-19: a review [version 1; peer review: 2 approved]</span>. <i>F1000Research</i> 2020, <b>9</b>:636 (<a href="https://doi.org/10.12688/f1000research.24457.1" target=_blank>https://doi.org/10.12688/f1000research.24457.1</a>) </span> <span class=info-separation data-test-id=box-first-published><b>First published:</b> 23 Jun 2020, <b>9</b>:636 (<a href="https://doi.org/10.12688/f1000research.24457.1" target=_blank>https://doi.org/10.12688/f1000research.24457.1</a>)</span> <span class=info-separation data-test-id=box-latest-published><b>Latest published:</b> 23 Jun 2020, <b>9</b>:636 (<a href="https://doi.org/10.12688/f1000research.24457.1" target=_blank>https://doi.org/10.12688/f1000research.24457.1</a>)</span> </div> <div class=clearfix></div> <div id=article-context class=article-context> <div id=article1-body class=generated-article-body><h2 class=main-title id=d9683e291>Introduction</h2><p class="" id=d9683e294>The novel coronavirus disease 2019 (COVID-19) caused by the SARS-CoV-2 virus has become a pandemic with a growing number of cases globally<sup><a href="#ref-1">1</a></sup>. With the rapid spread of the COVID-19, global health systems are experiencing critical challenges in preventing infections, identifying and managing COVID-19 cases, and ensuring effective strategies to protect public health<sup><a href="#ref-2">2</a>,<a href="#ref-3">3</a></sup>. These challenges, although primarily emerging from an infectious disease with physical health implications, may also affect mental health and wellbeing profoundly<sup><a href="#ref-4">4</a>,<a href="#ref-5">5</a></sup>. People around the world are grappled with fear and worry about their personal safety, a lack of effective vaccine or treatment, and adverse socioeconomic consequences like unemployment and lack of access to necessary commodities resulting from quarantine and lockdown measures in different contexts<sup><a href="#ref-6">6</a>,<a href="#ref-7">7</a></sup>. These issues may have multiple impacts on mental health across populations, which necessitates the attention of global health researchers and practitioners.</p><p class="" id=d9683e322>Previous studies suggest that depression, anxiety disorders, substance abuse, increased suicidal tendencies, and PTSD commonly follow major economic crises or natural disasters<sup><a href="#ref-8">8</a>–<a href="#ref-10">10</a></sup>. If similar patterns hold for the COVID-19 pandemic, the psychological effects of persistence stress among the general population and exacerbation of several mental health disorders among the vulnerable individuals will further strain the current health care system. It may also prevent resumption to normal life for many people when the physical threat to viral infection eventually subsides. The disruption of a normal life as a result of a government-imposed lockdown or stay home orders has significantly impacted the mental health of the affected individuals<sup><a href="#ref-6">6</a>,<a href="#ref-7">7</a></sup>. A recent umbrella review of mental health outcomes of quarantine and similar prevention strategies has found that depression, anxiety disorders, mood disorders, posttraumatic stress symptoms, sleep disorders, panic, stigmatization, low self-esteem, lack of self-control are highly prevalent among individuals impacted with physical isolation<sup><a href="#ref-11">11</a></sup>. Another rapid review suggested that stressors like prolonged quarantine, fear of infection, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma have resulted in long-lasting posttraumatic stress symptoms, confusion, and anger in the mass population<sup><a href="#ref-12">12</a></sup>.</p><p class="" id=d9683e347>The psychological impact of COVID-19 among individuals who are tested positive is another global health concern<sup><a href="#ref-13">13</a></sup>. Although the psychological dimensions of COVID-19 are yet to be understood, previous studies suggest that infectious outbreaks critically affect the mental health of the patients who may experience anxiety symptoms, fear, and a lack of hope regarding the uncertainties in treatment and health outcomes<sup><a href="#ref-11">11</a></sup>. Several factors influence mental health in this vulnerable population, which include isolation after being diagnosed with the disease, stigma and discrimination, prolonged hospitalization, and a lack of social support<sup><a href="#ref-7">7</a>,<a href="#ref-11">11</a>,<a href="#ref-14">14</a></sup>. In COVID-19, these challenges may become more prevalent alongside psychosocial stressors experienced by people in general. Moreover, patients with limited access to healthcare services or those who have preexisting conditions are likely to have higher psychological stress during this pandemic<sup><a href="#ref-15">15</a>,<a href="#ref-16">16</a></sup>. Furthermore, multiple mental health problems may have co-existed among individuals and populations even before the onset of the pandemic<sup><a href="#ref-17">17</a>,<a href="#ref-18">18</a></sup>, which may increase their susceptibility to adverse mental health outcomes following a COVID-19 diagnosis. Increasing reports and studies inform that patients with COVID-19 may have depression, anxiety disorders, psychological distress, and suicidal behavior<sup><a href="#ref-14">14</a>,<a href="#ref-19">19</a>,<a href="#ref-20">20</a></sup>, which necessitates an in-depth understanding of the mental health epidemiology during this pandemic.</p><p class="" id=d9683e393>COVID-19 may also affect the mental health and wellbeing among healthcare professionals, especially among those who are working as frontline providers<sup><a href="#ref-21">21</a>,<a href="#ref-22">22</a></sup>. As COVID-19 cases are impacting the capacities of health systems globally, many of the healthcare providers are working beyond their regular schedules to meet the increased demand for critical care. This makes those healthcare providers susceptible to anxiety, depression, burnout, and insomnia<sup><a href="#ref-22">22</a>,<a href="#ref-23">23</a></sup>. A review suggests that physicians face frequent challenges in providing care to their patients, whereas the healthcare systems often mandate the physicians to keep records of their physician-patient encounters along with several clerical responsibilities<sup><a href="#ref-24">24</a></sup>, which is likely to increase during this pandemic. Moreover, working without adequate personal protective equipment and other preventive measures increases the fear of contracting the infection, which is becoming a growing concern as a high prevalence of infection among healthcare providers is reported in China, Italy, and the USA<sup><a href="#ref-25">25</a>–<a href="#ref-27">27</a></sup>. Furthermore, a lack of social support, working under stress, guilt about suboptimal care to the patient or leaving hospitals understaffed, or and worrying about their families may result in critical mental health challenges among healthcare providers amid COVID-19<sup><a href="#ref-23">23</a>,<a href="#ref-28">28</a>–<a href="#ref-30">30</a></sup>.</p><p class="" id=d9683e432>In this narrative literature review, we aimed to describe the epidemiology of mental health problems in COVID-19 from available articles retrieved from Medline and Google Scholar using a non-systematic approach. The epidemiological burden of mental health problems is primarily discussed as the prevalence, proportion, or rate of mental health problems from studies that focused on individuals or populations affected by COVID-19. Secondarily, key factors associated with those problems are summarized to inform the risk and protective factors as well as highlight the distributions of epidemiological burden based on variations in those factors. Lastly, we discussed how the current epidemiological evidence might inform future research, policy development, and practice for improving global mental health amid COVID-19 pandemic and future public health emergencies.</p></div><div id=article1-body class=generated-article-body><h2 class=main-title id=d9683e438>Literature review on the epidemiology of mental health problems in COVID-19</h2><div class=section><a name=d9683e441 class=n-a></a><h3 class=section-title>Prevalence of mental health problems during COVID-19 in different populations</h3><p class="" id=d9683e446><b><i>General population.</i></b> Several studies have reported the burden of mental health problems among the general population during COVID-19<sup><a href="#ref-13">13</a>,<a href="#ref-19">19</a>,<a href="#ref-31">31</a>–<a href="#ref-42">42</a></sup>. For example, a study by Lei and colleagues used self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) to evaluate mental health status among 1593 respondents aged 18 years and above in Southern China<sup><a href="#ref-35">35</a></sup>. In this study, the prevalence of anxiety and depression was 8.3% and 14.6%, respectively. Moreover, the prevalence was much higher (12.9%, 22.4%) among individuals who had someone in their social network who had been quarantined compared to the remaining respondents (6.7%, 11.9%). Another cross-sectional study by Liang and colleagues assessed mental health among 584 youths using the General Health Questionnaire (GHQ-12), Negative coping styles scale, and PTSD Checklist-Civilian Version (PCL-C)<sup><a href="#ref-36">36</a></sup>. In this study, nearly 40.4% of participants had psychological problems, whereas 14.4% of participants had posttraumatic stress disorder (PTSD) symptoms. A similar study assessed depression and anxiety among 8079 Chinese students using Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) questionnaire, respectively<sup><a href="#ref-13">13</a></sup>. This study found that the prevalence of depression, anxiety, and a combination of both was 43.7%, 37.4%, and 31.3%, respectively.</p><p class="" id=d9683e477>Public health interventions like quarantine and isolation may have impacted mental health during COVID-19, which was assessed in several studies. Tang and colleagues assessed PTSD and depressive symptoms in 2485 home quarantined participants from 6 universities using PTSD Checklist Civilian Version and PHQ-9, and data on sleep duration<sup><a href="#ref-37">37</a></sup>. This study found that the prevalence of PTSD and depression was 2.7% and 9.0%, respectively. Other mental health problems included feeling extreme fear and short sleep durations.</p><p class="" id=d9683e484>Mental health at the population level was evaluated using diverse methods. For example, Li and colleagues analyzed Weibo posts from 17,865 active Weibo users using several machine-learning predictive models<sup><a href="#ref-38">38</a></sup>. They calculated word frequency and scores of emotional (anxiety, depression, and indignation, for example)) and cognitive (social risk judgment and life satisfaction) indicators before and after the declaration of COVID-19 outbreak on 20 January 2020. This study found that negative emotions like anxiety, depression, indignation, and sensitivity to social risks increased over time, whereas the scores of positive emotions like Oxford happiness and life satisfaction decreased. Another study using the WeChat-based survey among 1577 community-based adults Wuhan, China, used validated GAD-2 (cutoff ≥3) and PHQ-2 (cutoff ≥3) to assess anxiety and depression, respectively<sup><a href="#ref-39">39</a></sup>. The prevalence of probable anxiety and depression was 23.84% (95% Confidence Interval [CI]: 21.8–26.0) and 19.21% (95% CI: 17.3–21.2), respectively.</p><p class="" id=d9683e495>In addition to these cross-sectional studies, a longitudinal study surveyed a total of 1738 respondents from 190 Chinese cities, 333 respondents participated in both sessions of data collection<sup><a href="#ref-40">40</a></sup>. This study assessed mental health in the general population two times: first at the beginning of the outbreak and four weeks later, when the outbreak became more widespread. This study found that there was a statistically significant longitudinal reduction in mean Impact of Event Scale-Revised (IES-R) scores (from 32.98 to 30.76, p < 0.01) after four weeks, which was not clinically significant as both scores were above the cut-off for PTSD symptoms. Moreover, the participants had moderate-to-severe stress, anxiety, and depression at the beginning at 8.1%, 28.8%, and 16.5%, respectively, which did not change significantly after four weeks.</p><p class="" id=d9683e503>While most studies have assessed the mental health impacts during COVID-19 in Chinese populations, fewer studies reported how this pandemic impacted mental health and wellbeing at the population level in other countries. For example, a study conducted in Turkey administered Hospital Anxiety and Depression Scale (HADS) and the Health Anxiety Inventory (HAI) among 343 participants and found that 23.6% of the participants scored above the depression cut-off point whereas 45.1% scored higher than the cut-off point for anxiety<sup><a href="#ref-41">41</a></sup>. Furthermore, a study conducted among 662 Indian adults found that more than 80% of the participants were preoccupied with COVID-19 related thoughts<sup><a href="#ref-42">42</a></sup>. Moreover, sleep difficulties, paranoia about having COVID-19 infection and distress were reported by 12.5%, 37.8%, and 36.4% participants, respectively. Furthermore, more than 80% of participants in this study perceived a need for mental health services.</p><p class="" id=d9683e514>COVID-19 has also influenced suicidal behavior among vulnerable individuals in different contexts. Several case studies based on news media reports are found, where individuals committed suicide in fear of COVID-19<sup><a href="#ref-31">31</a>–<a href="#ref-33">33</a>,<a href="#ref-43">43</a></sup>. These cases from India, Pakistan, and Bangladesh have shown how a perceived susceptibility and fear of getting infected has resulted in suicidal attempts among individuals, highlighting a high mental health burden of this pandemic.</p><p class="" id=d9683e527><b><i>Patients with COVID-19.</i></b> Empirical studies suggest that patients who were tested positive for COVID-19 had experienced adverse mental health outcomes<sup><a href="#ref-14">14</a>,<a href="#ref-19">19</a>,<a href="#ref-20">20</a>,<a href="#ref-29">29</a>,<a href="#ref-44">44</a>,<a href="#ref-45">45</a></sup>. A mixed-method study by Guo and colleagues evaluated and compared the mental status and inflammatory markers among 103 patients tested positive with COVID-19 and recruited 103 matched controls that were COVID-19 negative<sup><a href="#ref-14">14</a></sup>. This study revealed that COVID-19 patients had higher levels of depression (p < 0.001), anxiety (p < 0.001), and post-traumatic stress symptoms (p < 0.001) compared to non-COVID controls. Moreover, the levels of C-reactive protein (CRP), which is a peripheral inflammatory indicator, positively correlated with the PHQ-9 total score (R = .37, p = 0.003, Spearman's correlation) of COVID-19 patients with symptoms of depression. Moreover, a web-based cross-sectional survey among 7,236 Chinese individuals identified the overall prevalence of GAD, depressive symptoms, and deteriorated sleep quality as 35.1%, 20.1%, and 18.2%, respectively<sup><a href="#ref-29">29</a></sup>. Furthermore, suicidal behavior among individuals who were tested positive for COVID-19 is another mental health concern. A case from India suggests that COVID-19 may critically impact psychosocial wellbeing and influence suicidal attempts among the affected individuals, which may also aggravate if the patient has other comorbid diseases<sup><a href="#ref-19">19</a></sup>.</p><p class="" id=d9683e564>COVID-19 may have impacted psychological health among COVID-19 positive individuals with preexisting mental health problems differently than patients with no such history. This was assessed in a study by Hao and colleagues, who evaluated mental health among 76 psychiatric patients and 109 healthy controls from Chongqing, China using the IES-R for PTSD symptoms, Depression, Anxiety and Stress Scale (DASS-21) for anxiety, depression, distress, and Insomnia Severity Index (ISI) for sleep disorders<sup><a href="#ref-44">44</a></sup>. In this study, the mean scores in IES-R, DASS-21 subscales, and ISI were significantly higher among psychiatric patients than healthy controls (p < 0.001). Moreover, worries about their health, anger issues, impulsivity, and suicidal ideation were higher in psychiatric patients compared to the healthy controls (p < 0.05). About one-third of psychiatric patients fulfilled the diagnostic criteria for PTSD, and more than one-quarter of the recruited psychiatric patients had moderately severe to severe insomnia. This study informs that the severity of adverse psychological effects on psychiatric patients during the COVID-19, which similar to another study by Bo and colleagues<sup><a href="#ref-45">45</a></sup>.</p><p class="" id=d9683e575>Multiple primary studies synthesized in reviews provide collective insights on the epidemiological burden. A recent meta-analytic review of 12 studies assessed mental health among 976 patients with COVID-19<sup><a href="#ref-20">20</a></sup>. More of the cases were from Wuhan and other cities in China. These studies provided evidence for neuropsychiatric problems, including delirium. For example, confusion was observed in 65% of the intensive care unit patients, whereas agitation was found in 69% of the intensive care unit patients in one study. Moreover, altered consciousness in 21% of patients who subsequently died as reported in another study. During discharging from the hospital, 33% of COVID-19 patients in a study were experiencing the dysexecutive syndrome.</p><p class="" id=d9683e582><b><i>Healthcare providers.</i></b> Several studies have evaluated the burden of mental health problems among healthcare providers during COVID-19<sup><a href="#ref-21">21</a>,<a href="#ref-28">28</a>,<a href="#ref-46">46</a>–<a href="#ref-55">55</a></sup>. In a single-center cross-sectional survey using a numeric rating scale (NRS) on fear, Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD), 2299 participants were enrolled, including 2042 healthcare providers and 257 administrative staff from the same institution<sup><a href="#ref-48">48</a></sup>. In this study, significant differences in the severity of fear, anxiety, and depression were observed between the two groups. In addition, frontline healthcare providers with close contact with COVID-19 patients were 1.4 times more likely to experience fear and nearly twice more likely to experience anxiety and depression compared to the non-clinical staff. Another study by Cao and colleagues found 6.3% of the participating doctors felt nervous after listening to the news on mass media that some doctors were positive for COVID-19, whereas 52.6% of the participating nurses reported negative emotions, worrying about family, fear of infection, and stress about heavy workload<sup><a href="#ref-49">49</a></sup>. Moreover, a study from Wuhan assessed mental health in 105 healthcare providers who were positive for COVID-19, which found that 88.3% of the participants experienced either psychological stress or emotional changes during the isolation period<sup><a href="#ref-50">50</a></sup>. Furthermore, a comparative assessment by Chen and colleagues found that the mean SDS and SAS scores were significantly higher among Chinese healthcare providers than that of the general Chinese population (47.1 ± 10.5 vs. 41.9 ± 10.6 for SDS; 40.3 ± 11.5 vs. 29.8 ± 10.1 for SAS; <i>Ps</i> < 0.001)<sup><a href="#ref-51">51</a></sup>.</p><p class="" id=d9683e622>Similar studies in different institutions provide a detailed overview of how COVID-19 has impacted mental health among healthcare providers. A study conducted among 120 healthcare provider medical staff used Symptom Checklist 90 (SCL-90), SAS, SDS, and PCL-C to assess their mental health<sup><a href="#ref-52">52</a></sup>. Among the study participants, 60 staff from COVID-19 designated hospitals were assigned to the experimental group, and 60 staff from the non-designated hospital were assigned to the control group. This study found that the SCL-90 scores of somatization, depression, anxiety, and terror were much higher among the staff at the COVID-19 designated hospital. Moreover, the SAS (45.89±1.117), SDS (50.13±1.813), and PCL-C (50.13±1.813) scores were significantly higher in the experimental group than the control participants. Furthermore, the average PSQI score in the experimental group was 16.07±3.761, which informed that the sleep quality was poor among those participants, whereas 61.67% and 26.67% have moderate and severe insomnia, respectively. Another study by Wu and colleagues, the frequency of burnout was assessed and compared between 220 physicians and nurses on the frontline wards and those working in the usual wards using the Maslach Burnout Inventory-medical personnel<sup><a href="#ref-53">53</a></sup>. The findings of this study suggest that the frontline participants had a lower frequency of burnout (13% vs. 39%; p < 0.0001) and were less worried about being infected with coronavirus compared with participants from usual wards. This suggests that working as a frontline provider may not be an independent risk factor for mental health problems. Rather, healthcare providers from both frontline and usual wards may have unique mental health needs and both groups should be considered for preventive mental health measures amid this pandemic.</p><p class="" id=d9683e633>Similar studies have shown a high prevalence of multiple mental health problems across contexts. For example, a cross-sectional survey in Gansu, China, assessed mental health among 79 doctors and 86 nurses with a questionnaire set consisted of the SAS, SDS, and the simplified coping style questionnaire (SCSQ)<sup><a href="#ref-54">54</a></sup>. The prevalence rates of anxiety and depression symptoms among doctors were 11.4% and 45.6%, respectively, whereas the prevalence among nurses was 27.9% and 43.0%, respectively. Moreover, Li and colleagues conducted a cross-sectional study in 948 medical staff in Wuhan and Ningbo, China<sup><a href="#ref-55">55</a></sup>. In this study, the medical staff in Wuhan had higher insomnia than in Ningbo (58.90 vs. 24.97%; p = 0.001) and had higher general psychological symptoms (13.24 vs. 8.64%; p = 0.044). Moreover, Li and colleagues conducted a study among 4369 female healthcare providers. The prevalence of depression, anxiety, and acute stress symptoms among the participants was 14.2%, 25.2%, and 31.6%, respectively<sup><a href="#ref-21">21</a></sup>. Furthermore, Tan and colleagues assessed psychological effects on the workforce returning to work during the COVID-19 using the IES-R, DASS-21, and ISI scales<sup><a href="#ref-46">46</a></sup>. Among the study participants, 10.8% had PTSD symptoms after returning to work. Furthermore, participants in this study had a prevalence of anxiety disorders (3.8%), depression (3.7%), stress (1.5%), and insomnia (2.3%).</p><p class="" id=d9683e652>Another study by Kang and colleagues evaluated the mental health status of 994 medical and nursing staff in Wuhan<sup><a href="#ref-28">28</a></sup>. In this study, 36.9% of the participants had subthreshold mental health disturbances (mean PHQ-9: 2.4), 34.4% had mild disturbances (mean PHQ-9: 5.4), 22.4% had moderate disturbances (mean PHQ-9: 9.0), and 6.2% had severe disturbance (mean PHQ-9: 15.1) in the immediate wake of the viral epidemic. Studies outside China have shown a similar burden of mental health problems among the healthcare providers during COVID-19. For example, Chew and colleagues assessed mental health among 906 healthcare workers in Singapore and India<sup><a href="#ref-47">47</a></sup>. Among the study participants, 48 (5.3%) were screened positive for moderate to very-severe depressive symptoms, 79 (8.7%) had moderate to extremely severe anxiety symptoms, 20 (2.2%) had moderate to extremely severe stress, and 34 (3.8%) had moderate to severe levels of psychological distress. Moreover, a headache was the commonest reported symptom (32.3%), whereas 33.4% of participants reported having more than four neuropsychiatric symptoms.</p></div><div class=section><a name=d9683e664 class=n-a></a><h3 class=section-title>Factors associated with mental health problems during COVID-19</h3><p class="" id=d9683e669><b><i>Age.</i></b> Several studies reported younger age as a risk factor for mental health problems amid COVID-19<sup><a href="#ref-28">28</a>,<a href="#ref-29">29</a>,<a href="#ref-56">56</a></sup>. For example, Huang and colleagues found that younger people had a significantly higher prevalence of generalized anxiety and depressive symptoms compared to older people<sup><a href="#ref-29">29</a></sup>. Moreover, Wang and colleagues reported the anxiety risk of people above 40 years old was 0.40 times (95% CI: 0.16–0.99) than participants aged below 40 years, suggesting that younger individuals had a higher risk of anxiety<sup><a href="#ref-56">56</a></sup>. However, Chew and colleagues found mental health problems as more prevalent among older adults, contradicting studies discussed earlier<sup><a href="#ref-47">47</a></sup>.</p><p class="" id=d9683e697><b><i>Gender.</i></b> Female gender was reported as a common risk factor for mental health problems in several studies<sup><a href="#ref-13">13</a>,<a href="#ref-21">21</a>,<a href="#ref-28">28</a>,<a href="#ref-41">41</a>,<a href="#ref-55">55</a>–<a href="#ref-57">57</a></sup>. For example, Li and colleagues reported that female patients were more likely to have anxiety (OR = 3.206, 95% CI: 1.073–9.583, p < 0.05) and depression (OR = 9.111, 95% CI: 2.143–38.729, p < 0.01) compared to male patients<sup><a href="#ref-57">57</a></sup>. In another study by Guo and colleagues, female patients with COVID-19 had a higher perceived helplessness compared to male patients (Z = 2.56, p = 0.010), and controls of both female (Z = 2.37, p = 0.018) and male genders (Z = 2.87, p = 0.004)<sup><a href="#ref-14">14</a></sup>. Another study among medical staffs in Wuhan conducted by Li and colleagues found that the symptoms of insomnia were significantly related to female gender (OR = 1.379, p = 0.042, 95% CI: 0.65–2.17)<sup><a href="#ref-55">55</a></sup>.</p><p class="" id=d9683e734><b><i>Marital status.</i></b> Marital status was associated with mental health status among individuals experiencing mental health problems during COVID-19. Li and colleagues found that insomnia was related to marital status (OR = 0.57, p = 0.046, 95% CI: 0.33–0.99) among medical staff in Ningbo, China<sup><a href="#ref-55">55</a></sup>. Another study by Tan and colleagues reported that the severity of psychiatric symptoms in the workforce returning to the workplace was significantly associated with marital status (p < 0.05)<sup><a href="#ref-46">46</a></sup>.</p><p class="" id=d9683e748><b><i>Education.</i></b> Several studies have reported education as an associated factor of mental health status and problems during the COVID-19 pandemic<sup><a href="#ref-13">13</a>,<a href="#ref-35">35</a>–<a href="#ref-37">37</a>,<a href="#ref-55">55</a>,<a href="#ref-56">56</a></sup>. For example, Liang and colleagues found that mental health among young participants was significantly related to being less educated (OR = 8.71, 95% CI: 1.97–38.43)<sup><a href="#ref-36">36</a></sup>. Also, Lei and colleagues reported that low education was associated with poor mental health outcomes<sup><a href="#ref-35">35</a></sup>. In contrast, Zhou and colleagues found that students in senior high school and those with higher grades had a greater prevalence of depressive and anxiety symptoms<sup><a href="#ref-13">13</a></sup>. Similarly, Wang and colleagues reported that those with a bachelor's degree group had a depression risk of 0.39 times (95% CI: 0.17-0.87) compared to participants with a master's degree or above<sup><a href="#ref-56">56</a></sup>. This evidence highlights that education may have some protective roles as seen in the study by Lei or Liang and colleagues, but later studies emphasized that the added academic stress may affect mental health amid this pandemic.</p><p class="" id=d9683e787><b><i>Occupation and income.</i></b> Empirical studies reported associations of occupation, income, and economic conditions with susceptibility to mental health problems<sup><a href="#ref-21">21</a>,<a href="#ref-29">29</a>,<a href="#ref-35">35</a>,<a href="#ref-36">36</a>,<a href="#ref-56">56</a></sup>. For example, Huang and colleagues found that healthcare workers were more likely to have poor sleep quality compared to other occupational groups<sup><a href="#ref-29">29</a></sup>. Another study by Liang and colleagues found that participants working as an employee in the local enterprises (OR = 2.36, 95% CI: 1.09-5.09) had an elevated risk of poor mental health outcomes compared to other occupational groups<sup><a href="#ref-36">36</a></sup>. Also, lost economic opportunities due to lockdown were reported in a suicide case of a farmer in India, which informs socioeconomic challenges that may critically impact mental health among marginalized individuals<sup><a href="#ref-43">43</a></sup>. Moreover, people with property loss and adverse economic conditions are more vulnerable to mental health problems<sup><a href="#ref-35">35</a></sup>. These highlight the impacts of occupational stress as well as economic instability or challenges in mental health during COVID-19.</p><p class="" id=d9683e825><b><i>Place of living and close contact with people with COVID-19.</i></b> In several studies, the location or place of living was associated with mental health problems among study participants<sup><a href="#ref-35">35</a>,<a href="#ref-41">41</a>,<a href="#ref-55">55</a></sup>. For example, Özdin and colleagues reported that living in urban areas was associated with depression<sup><a href="#ref-41">41</a></sup>. Moreover, Lei and colleagues found that individuals living in Chongqing had higher anxiety and depression scores than those living in Yunnan Province<sup><a href="#ref-35">35</a></sup>, highlighting two cities in the same country may have different levels of associations with mental health among residents living in those cities. Another study by Li and colleagues found that patients with contact history and people in the epidemic area were more likely to experience depression (OR = 3.267, 95% CI: 1.082-9.597, p <0.05)<sup><a href="#ref-55">55</a></sup>. Moreover, close contact with COVID-19 patients impacted mental health and wellbeing. For example, suspected or confirmed cases among family members or relatives were significantly associated with depressive symptoms (OR = 1.93; 95% CI: 1.29-2.86; p = 0.001) among women healthcare providers<sup><a href="#ref-21">21</a></sup>, which added psychosocial burden in addition to their occupational stress in hospitals where they spent the most time during COVID-19.</p><p class="" id=d9683e857><b><i>Comorbid physical health problems.</i></b> The presence of comorbid physical health problems like diabetes, cerebrovascular diseases, heart diseases and other chronic conditions as a risk factor associated with mental health problems amid COVID-19 in several studies<sup><a href="#ref-21">21</a>,<a href="#ref-41">41</a>,<a href="#ref-44">44</a>,<a href="#ref-46">46</a>,<a href="#ref-47">47</a></sup>. For example, accompanying chronic diseases were identified as risk factors for anxiety during COVID-19 in a study by Özdin and colleagues<sup><a href="#ref-41">41</a></sup>. Another study by Chew and colleagues found that comorbid physical symptoms experienced in the preceding month were significantly associated with depression (OR = 2.79, 95% CI: 1.54-5.07, p = 0.001), anxiety (OR = 2.18, 95% CI: 1.36-3.48, p = 0.001), stress (OR = 3.06, 95% CI: 1.27-7.41, p = 0.13), and PTSD (OR = 2.20, 95% CI: 1.12-4.35, p = 0.023) among the study participants<sup><a href="#ref-47">47</a></sup>.</p><p class="" id=d9683e887><b><i>Comorbid mental health problems.</i></b> People with preexisting mental health problems are highly vulnerable to experience psychological impacts of COVID-19<sup><a href="#ref-21">21</a>,<a href="#ref-35">35</a>–<a href="#ref-37">37</a>,<a href="#ref-41">41</a>,<a href="#ref-44">44</a>,<a href="#ref-47">47</a>,<a href="#ref-54">54</a>,<a href="#ref-55">55</a></sup>. For example, Hao and colleagues found that comorbid psychiatric illness was significantly associated with higher mean IES-R, DASS depression, anxiety, and stress subscale scores and ISI scores (p < 0.05). The findings of this study inform that the severity of negative mental health impacts was higher among individuals with a clinical history of psychiatric comorbidity<sup><a href="#ref-44">44</a></sup>. Also, people with substance use disorders are susceptible to COVID-19<sup><a href="#ref-58">58</a></sup>, which may also increase their vulnerability to subsequent mental health problems. In another study, Liang and colleagues found that suffering from PTSD symptoms was significantly associated with mental health (OR = 1.05, 95% CI: 1.03-1.07) among young participants<sup><a href="#ref-36">36</a></sup>. Moreover, Zhu and colleagues reported that a history of depression or anxiety was a significant risk factor for doctors (T = -2.644, p = 0.010, 95% CI: -10.514~-1.481), which was also associated with an increased risk of anxiety symptoms (T = -3.635, p = 0.000, 95% CI: -16.360~-4.789) and depression symptoms (T = -2.835, p = 0.005, 95% CI: -18.238~-3.254) among the participating nurses<sup><a href="#ref-54">54</a></sup>.</p><p class="" id=d9683e935><b><i>Exposure to COVID-19 related news and social media.</i></b> Several studies have reported that exposure to COVID-19 related social media contents or mass media news was associated with adverse mental health outcomes amid COVID-19<sup><a href="#ref-29">29</a>,<a href="#ref-39">39</a></sup>. Ni and colleagues found that spending more than 2 hours per day on COVID-19 related news via social media was associated with anxiety and depression among community-based adults<sup><a href="#ref-39">39</a></sup>. Another study by Huang and colleagues reported that time spent focusing on the COVID-19 for equal or more than 3 hours per day was associated with generalized anxiety disorder<sup><a href="#ref-29">29</a></sup>.</p><p class="" id=d9683e956><b><i>Coping styles.</i></b> In COVID-19, mental health outcomes among individuals were associated with their coping skills. For example, Liang and colleagues assessed the magnitude and predictors of mental health problems among youth and found that negative coping styles were significantly associated (OR = 1.03, 95% CI: 1.00–1.07) with adverse mental health outcomes<sup><a href="#ref-36">36</a></sup>. Similar findings from Zhu and colleagues suggest that the total score of positive coping was negatively correlated with the total score of anxiety (r = -0.182, p = 0.002) and depression (r = -0.253, p = 0.001) among individuals affected by the COVID-19 pandemic<sup><a href="#ref-54">54</a></sup>.</p><p class="" id=d9683e971><b><i>Psychosocial support.</i></b> Psychosocial stressors during COVID-19 had low impacts on individuals who had better psychological and social support from their family and social networks<sup><a href="#ref-35">35</a>,<a href="#ref-39">39</a></sup>. Lei and colleagues found that individuals with no psychosocial support were highly vulnerable to anxiety and depression during this pandemic<sup><a href="#ref-35">35</a></sup>. Moreover, Ni and colleagues reported that social support was associated with a lower risk of anxiety and depression among both health professionals and community-based adults in their study sample<sup><a href="#ref-39">39</a></sup>.</p><p class="" id=d9683e992><b><i>Other factors associated with mental health impacts during COVID-19.</i></b> Several other factors associated with the mental health impacts of COVID-19 has been reported. For example, Wang and colleagues reported that a high level of confidence in doctors, perceived likelihood of survival, personal protective measures, satisfaction with health communication, and a low risk of contracting COVID-19 minimized the risks of adverse mental health outcomes during COVID-19<sup><a href="#ref-40">40</a></sup>. Similarly, Tan and colleagues found that personal prevention measures including hand hygiene and wearing face masks and organizational measures, including improvement of workplace hygiene and proactive approaches from the company, were associated with a significantly lower risk of mental health problems (p < 0.05) among healthcare providers<sup><a href="#ref-46">46</a></sup>. In addition, stigma to COVID-19 was a major challenge associated with adverse mental health outcomes and events, including suicidal behavior<sup><a href="#ref-14">14</a>,<a href="#ref-59">59</a></sup>. Moreover, exercise habit was found as a common protective factor of depression, anxiety, and acute stress symptoms in female healthcare providers in a study by Li and colleagues<sup><a href="#ref-21">21</a></sup>. Furthermore, participants in this study reported that working in other departments (OR = 0.78; 95% CI: 0.65 to 0.94; p = 0.009) was a protective factor of mental health during COVID-19. Among the study participants, those who worked in the isolation wards had more resigning thoughts (16.9% vs. 7.8% in other departments; p < 0.001) and life-threatening thoughts once infected (67.7% vs. 56.4% in other departments; p < 0.001), which suggests that the placement within workplace had significantly impacted mental health outcomes among the participants.</p></div></div><div id=article1-body class=generated-article-body><h2 class=main-title id=d9683e1021>Discussion</h2><div class=section><a name=d9683e1024 class=n-a></a><h3 class=section-title>Overview of the epidemiology of mental health problems in COVID-19</h3><p class="" id=d9683e1029>This review evaluated and narratively synthesized available scholarly articles on the impacts of COVID-19 on mental health in different populations alongside factors associated with mental health conditions in those studies. The available literature suggests that people have a wide range of mental health problems, including depression, anxiety disorders, stress, panic, anger, impulsivity, somatization disorder, sleep disorders, emotional disturbance, PTSD, suicidal behavior, and so on<sup><a href="#ref-14">14</a>,<a href="#ref-21">21</a>,<a href="#ref-28">28</a>,<a href="#ref-35">35</a>,<a href="#ref-37">37</a>,<a href="#ref-41">41</a>,<a href="#ref-44">44</a>,<a href="#ref-46">46</a>,<a href="#ref-47">47</a>,<a href="#ref-60">60</a></sup>. Studies have shown that the general population who had been experiencing different levels of psychosocial stressors amid the COVID-19 pandemic had developed mental health problems<sup><a href="#ref-13">13</a>,<a href="#ref-31">31</a>–<a href="#ref-42">42</a></sup>. In addition to general stressors, a fear of ongoing outbreak, susceptibility to infection, exposure, or close contact with someone with COVID-19 affected mental health and wellbeing among the general population<sup><a href="#ref-35">35</a>,<a href="#ref-41">41</a></sup>. Moreover, individuals with COVID-19 diagnosis had profound psychological distress, anxiety, depression, and other mental health problems compared to those who were not infected<sup><a href="#ref-14">14</a>,<a href="#ref-19">19</a>,<a href="#ref-20">20</a>,<a href="#ref-29">29</a>,<a href="#ref-44">44</a></sup>. This illustrates the fear of adverse health outcomes due to COVID-19 may have affected mental health, which also highlights the mental health aspect of a physical health problem among those individuals. Furthermore, healthcare providers working as frontline workers or other departments had varying levels of psychosocial burden amid this pandemic<sup><a href="#ref-28">28</a>,<a href="#ref-46">46</a>–<a href="#ref-55">55</a></sup>. For those workers, prolonged exposure or contact to persons with COVID-19, preexisting psychosocial challenges, and low institutional and social support contributed to the deterioration of mental health status<sup><a href="#ref-28">28</a>,<a href="#ref-46">46</a>,<a href="#ref-47">47</a>,<a href="#ref-50">50</a>,<a href="#ref-52">52</a></sup>. This review also found several socio-demographic and psychosocial factors associated with mental health problems in the COVID-19 pandemic. People of younger and older age had different risks of developing mental health problems<sup><a href="#ref-28">28</a>,<a href="#ref-56">56</a></sup>, whereas women were at a higher risk of such problems compared to men<sup><a href="#ref-13">13</a>,<a href="#ref-41">41</a>,<a href="#ref-56">56</a>,<a href="#ref-57">57</a></sup>. Moreover, marital status, education, and economic challenges, including unemployment, loss of income, or economic opportunities due to lockdown or other social measures were associated with mental health outcomes<sup><a href="#ref-36">36</a>,<a href="#ref-41">41</a>,<a href="#ref-46">46</a>,<a href="#ref-60">60</a></sup>. Furthermore, the place of residence or living near outbreak areas impacted mental wellbeing<sup><a href="#ref-41">41</a>,<a href="#ref-55">55</a></sup>, whereas comorbid physical and mental health problems made individuals highly susceptible to mental health problems during this pandemic<sup><a href="#ref-35">35</a>–<a href="#ref-37">37</a>,<a href="#ref-41">41</a>,<a href="#ref-44">44</a>,<a href="#ref-54">54</a>,<a href="#ref-55">55</a></sup>. In addition, spending more time on social media content or news related to COVID-19, lack of social support, stigma, inadequate personal preventive measures, and working in COVID-designated departments were associated with a high risk of mental health problems amid this pandemic<sup><a href="#ref-14">14</a>,<a href="#ref-29">29</a>,<a href="#ref-39">39</a>,<a href="#ref-46">46</a>,<a href="#ref-61">61</a></sup>. These findings on mental health burden and associated factors inform several critical insights on the psychosocial epidemiology of this pandemic alongside unique perspectives on how to mitigate mental health problems through future research, policymaking, and practice.</p></div><div class=section><a name=d9683e1201 class=n-a></a><h3 class=section-title>Implications for future mental health research in COVID-19</h3><p class="" id=d9683e1206><b><i>Understanding the psychopathological variations in COVID-19.</i></b> Empirical studies evaluating mental health amid COVID-19 have shown how different factors associated with mental health problems impacted individuals and populations. However, those factors may not affect everyone in a similar way. For example, people with existing mental disorders or poor socioeconomic challenges may have suboptimal mental health status<sup><a href="#ref-15">15</a>,<a href="#ref-17">17</a></sup>, which highlights the need for a comprehensive assessment of risk factors for specific mental health problems alongside a holistic assessment of overall mental health and wellbeing in those individuals and populations. Moreover, individuals may have different levels of psychological resilience and coping mechanisms to stressful events, which may result in different mental health outcomes among individuals despite having similar exposure to psychosocial stressors<sup><a href="#ref-62">62</a></sup>. These unique variations are evident in the existing literature on COVID-19 and mental health, which necessitates more research on psychopathological processes and outcomes in individuals and populations globally.</p><p class="" id=d9683e1223><b><i>Evaluating the temporality of mental health impacts of COVID-19.</i></b> Most studies available on COVID-19 and mental health are cross-sectional in nature, which may not inform the incremental changes in mental health outcomes among the affected individuals. Although some studies recruited matched controls or compared with the earlier mental health status of the individuals<sup><a href="#ref-14">14</a>,<a href="#ref-52">52</a></sup>, there is a critical need to evaluate such changes using longitudinal study designs. Moreover, such studies should evaluate how different risk factors contribute to psycho-pathogenesis in diverse populations in different contexts over time.</p><p class="" id=d9683e1236><b><i>Improving measurements and methodological approaches.</i></b> Studies in the review have used a wide range of methods and instruments for measuring mental health, which included SAS, SDS, GHQ, PHQ, GAD-7, IES-R, HADS, HAMA, and HAMD. Many of these are widely used across mental health studies<sup><a href="#ref-63">63</a></sup>; however, the reliability and validity of these instruments in the context of a pandemic affecting almost every aspect of human life remain unknown. In addition, the meanings of sub-scales or questions in each instrument may appear to be different from the individuals who experienced profound psychosocial stress during this pandemic. One consideration for future research can be focused on the development and adoption of instruments that may provide more accurate measurements of mental health and psychosocial constructs in this pandemic as well as other public health emergencies.</p><p class="" id=d9683e1246><b><i>Promoting multi-disciplinary mental health research.</i></b> COVID-19 has brought unique challenges to all aspects of health and wellbeing, which include social, cultural, educational, occupational, economic, political, and other dimensions of human lives<sup><a href="#ref-7">7</a></sup>. This phenomenon is evident in the findings of this review as well; a wide range of factors associated with mental health problems suggest that those should be examined using multi-disciplinary approaches enabling researchers from different disciplines to bring their unique insights and resources to better understand the social determinants of mental health in the era of a pandemic. Although health systems remain on the focus in such research efforts, other social systems and stakeholders should be engaged in future mental health research in COVID-19 and similar disruptive global events<sup><a href="#ref-64">64</a>,<a href="#ref-65">65</a></sup>.</p><p class="" id=d9683e1264><b><i>Emphasizing on research and evidence mapping on mental health.</i></b> This review found a high burden of different mental health problems reported in empirical studies, case studies, and reviews. However, it cannot be concluded that the current evidence illustrates the true burden of mental health problems for several reasons. One such reason is a critical lack of studies from Africa, the Americas, and South Asia, which informs a lack of mental health research during COVID-19 in those contexts. Perhaps, those countries started having COVID-19 cases after China and European countries, which could be a reason for delayed research and scholarly publications on mental health during COVID-19. Another challenge is the rapidly evolving literature on COVID-19 that provides early stage of research evidence<sup><a href="#ref-66">66</a></sup>. As more primary studies become available, it will be necessary to perform a systematic appraisal and synthesis of the evidence of those studies for effective decision-making. These issues should be addressed through strengthening research capacities in resource-constrained contexts and facilitating rigorous evidence synthesis in global mental health.</p></div><div class=section><a name=d9683e1275 class=n-a></a><h3 class=section-title>Implications for mental health policymaking and practice</h3><p class="" id=d9683e1280><b><i>Developing effective mental health interventions and strategies.</i></b> The current evidence on the epidemiological burden of mental health problems in COVID-19 necessitates the development and implementation of multipronged interventions and strategies addressing the same. In this discourse, the mental health needs in vulnerable populations, including those with preexisting physical and mental health problems, should be assessed and managed carefully. Moreover, as in-person mental health services are most disrupted, psychosocial interventions offered through digital platforms like the internet, social media, mobile phones, and apps are increasingly being adopted<sup><a href="#ref-67">67</a></sup>. However, the effectiveness, safety, and quality of such digital mental health interventions should be assessed prior to recommending those in practice<sup><a href="#ref-68">68</a></sup>. Moreover, the digital divide in different population groups like those who have low education, old age, or living in a rural area with limited access to technologies may not use these services<sup><a href="#ref-69">69</a></sup>. Therefore, context-specific strategies allowing multiple ways for access to mental health should be ensured. In this regard, mental health policies and programs should be revisited and strengthened, considering the operational challenges amid COVID-19.</p><p class="" id=d9683e1298><b><i>Prioritizing and integrating mental health in existing systems of care.</i></b> A high prevalence of mental health problems inform a widespread need for mental health services, whereas most countries lack adequate infrastructure and human resources to provide the same. Earlier, scholars and practitioners have argued about integrating mental health services in primary care<sup><a href="#ref-70">70</a></sup>, which may substantially improve access to mental health services globally. Another way to improve mental health care can be strengthening community-based and social health programs and incorporating mental health components with the provision of referral care whenever required<sup><a href="#ref-71">71</a></sup>. The appropriateness of such approaches should be assessed for each context and adopted, ensuring infection prevention strategies complementing those approaches.</p><p class="" id=d9683e1312><b><i>Improving access to information and mental health resources.</i></b> Many studies highlighted the fact that access to accurate information was associated with a lower risk of mental health problems. Since the beginning of the pandemic, rumors or misinformation had emerged in mass and social media platforms<sup><a href="#ref-72">72</a></sup>. This highlights inadequate health communication amid this pandemic, which might have induced fear and affected mental health globally. It is essential to ensure effective health communication regarding the facts and preventive measures in a timely way to prevent public anxiety and fear of COVID-19<sup><a href="#ref-72">72</a></sup>. Moreover, access to resources promoting positive mental health can substantially help in addressing and self-managing mental health challenges among individuals<sup><a href="#ref-73">73</a></sup>. Online resources like self-help meditation, mental health education, information on early signs, and caregiving could be helpful, which should be considered for preventing COVID-19 and associated mental health problems.</p><p class="" id=d9683e1330><b><i>Addressing mental health inequities.</i></b> Several social determinants of mental health are identified in the current literature, which emphasizes the roles of the structural inequities in different contexts that influence psychosocial stressors and overall mental health outcomes among the affected individuals. Therefore, addressing inequities in the social determinants of mental health should be a long-term goal of future policymaking and mental health practice<sup><a href="#ref-74">74</a></sup>. Such efforts, if adopted, might help in developing resilience to mental health challenges, preventing mental disorders, and promoting positive mental health at the population level.</p><p class="" id=d9683e1341><b><i>Mobilizing social and community resources and organizations.</i></b> Public health challenges necessitate mobilizing resources available within and between contexts. In COVID-19, psychosocial challenges experienced by individuals may be addressed by local and regional organizations through enhancing collaboration and extending social capital. Mobilizing two types of social capital, i.e., bonding capital within a context and bridging capital from another context, may help communities to improve their psychosocial wellbeing and other factors associated with mental health<sup><a href="#ref-75">75</a></sup>, which can be considered as a strategy amid the COVID-19 pandemic.</p><p class="" id=d9683e1351><b><i>Strengthening mental health systems for COVID-19 and future public health emergencies.</i></b> Health systems around the world have experienced a critical lack of preparedness in fighting COVID-19, which includes the mental health impacts of this pandemic as well. Most nations do not have strong mental health systems that may ensure a continuum of mental health care from prevention to institutional care for severe mental disorders; therefore, those systems may not address the added burden of mental health problems in this pandemic. Perhaps, one of the greatest lessons from COVID-19 would be strengthening mental health systems ensuring resilience to systematic shocks as seen during public health emergencies<sup><a href="#ref-11">11</a></sup>. Potential strategies to achieve such resilience may include establishing mental health policies, developing population-based programs, enhancing institutional capacities to develop mental health workforce, revising health systems financing for mental health, engaging communities, and institutions to address barriers to access to mental health and promote positive mental health across populations.</p></div><div class=section><a name=d9683e1362 class=n-a></a><h3 class=section-title>Limitations of this review</h3><p class="" id=d9683e1367>There are several limitations of this review, which should be acknowledged. First, this is not a systematic review, which makes this review subject to selection bias while searching for databases without a structured format. For the same reason, a rigorous appraisal and synthesis of the global evidence are not done in this review that affects the quality of evidence presented in this study. Second, this review did not focus on a specific mental health problem, which could have provided a more in-depth analysis of the literature on that issue. Third, this review did not focus on context-specific correlates of mental health problems separately, which could have facilitated local-level decision making. Despite these challenges, this narrative review provides a comprehensive overview of mental health epidemiology in COVID-19 based on the early-stage research findings. The limitations of this review should be addressed in future reviews adopting a more systematic approach with the emergence of more epidemiological studies, which would inform substantially better evidence for policymaking and practice.</p></div></div><div id=article1-body class=generated-article-body><h2 class=main-title id=d9683e1374>Conclusion</h2><p class="" id=d9683e1377>COVID-19 is a global public health emergency with enormous impacts on mental health. This narrative review found that individuals affected in the pandemic may have a high epidemiological burden of depression, anxiety disorders, stress, panic attack, somatization disorder, sleep disorders, emotional disturbance, PTSD symptoms, suicidal behavior, and many more mental health problems. Moreover, a wide range of demographic and psychosocial factors are associated with mental health problems during this pandemic that highlights some people who are especially vulnerable to those adverse outcomes. Taken together, the epidemiological distribution of mental health problems informs a psychiatric epidemic is cooccurring with the COVID-19 pandemic, which is evidently becoming a global health challenge. This evidence should be widely communicated with the general public and global health community to prevent the psychological consequences of COVID-19 in different population groups. Nonetheless, it is essential to identify highly vulnerable individuals and connect them to required care, whereas access to mental health services and resources should be promoted, aiming positive mental health outcomes and psychosocial resilience across populations. This review provides an overview of early research on mental health epidemiology and encourages extensive research and evidence synthesis in the future, exploring the severity and causality of mental health problems. Lastly, evidence-based policymaking and practice should be adopted to guide how those mental health challenges can be mitigated in different contexts amid COVID-19 pandemic and future public health emergencies.</p><p class="" id=d9683e1380>Pre-print: A previous version of this article is available as a preprint from PsyArXiv: <a target=xrefwindow href="https://doi.org/10.31234/osf.io/q8e5u" id=d9683e1382>https://doi.org/10.31234/osf.io/q8e5u</a><sup><a href="#ref-76">76</a></sup></p></div><div id=article1-body class=generated-article-body><h2 class=main-title id=d9683e1391>Data availability</h2><div class=section><a name=d9683e1394 class=n-a></a><h3 class=section-title>Underlying data</h3><p class="" id=d9683e1399>No data are associated with this article.</p></div></div><div id=article1-back class=generated-article-footer><div class=back-section><a name=d9683e1407 class=n-a></a><span class="research-layout prime-recommended-wrapper reference-heading is-hidden"><span class="f1r-icon icon-79_faculty_recommended_badge red vmiddle default-cursor"></span><span class="prime-red big">F1000 recommended</span></span><h2 class=main-title id=d10202>References</h2><div class="section ref-list"><a name=d9683e1407 class=n-a></a><ul><li><a name=ref-1 class=n-a></a><span class=label>1. </span> <span class=citation><a name=d9683e1414 class=n-a></a>World Health Organization: Coronavirus disease (COVID-19) pandemic. 2020; (accessed May 25, 2020). <a target=xrefwindow id=d9683e1416 href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019">Reference Source</a></span></li><li><a name=ref-2 class=n-a></a><span class=label>2. </span> <span class=citation><a name=d9683e1425 class=n-a></a>Legido-Quigley H, Asgari N, Teo YY, <i> et al.</i>: Are high-performing health systems resilient against the COVID-19 epidemic? <i>Lancet.</i> 2020; <b>395</b>(10227): 848–50. <a target=xrefwindow id=d9683e1436 href="http://www.ncbi.nlm.nih.gov/pubmed/32151326">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1439 href="https://doi.org/10.1016/S0140-6736(20)30551-1">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1443 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7124523">Free Full Text </a></span></li><li><a name=ref-3 class=n-a></a><span class=label>3. </span> <span class=citation><a name=d9683e1452 class=n-a></a>Shamasunder S, Holmes SM, Goronga T, <i> et al.</i>: COVID-19 reveals weak health systems by design: Why we must re-make global health in this historic moment. <i>Glob Public Health.</i> 2020; 1–7. <a target=xrefwindow id=d9683e1460 href="http://www.ncbi.nlm.nih.gov/pubmed/32352911">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1463 href="https://doi.org/10.1080/17441692.2020.1760915">Publisher Full Text </a></span></li><li><a name=ref-4 class=n-a></a><span class=label>4. </span> <span class=citation><a name=d9683e1472 class=n-a></a>Pfefferbaum B, North CS: Mental Health and the Covid-19 Pandemic. <i>N Engl J Med.</i> 2020. <a target=xrefwindow id=d9683e1477 href="https://doi.org/10.1056/NEJMp2008017">Publisher Full Text </a></span></li><li><a name=ref-5 class=n-a></a><span class=label>5. </span> <span class=citation><a name=d9683e1486 class=n-a></a>United Nations: COVID-19 and the Need for Action on Mental Health. 2020; (accessed May 25, 2020). <a target=xrefwindow id=d9683e1488 href="https://www.un.org/sites/un2.un.org/files/un_policy_brief-covid_and_mental_health_final.pdf">Reference Source</a></span></li><li><a name=ref-6 class=n-a></a><span class=label>6. </span> <span class=citation><a name=d9683e1498 class=n-a></a>Nicola M, Alsafi Z, Sohrabi C, <i> et al.</i>: The Socio-Economic Implications of the Coronavirus and COVID-19 Pandemic: A Review. <i>Int J Surg.</i> 2020; <b>78</b>: 185–193. <a target=xrefwindow id=d9683e1509 href="http://www.ncbi.nlm.nih.gov/pubmed/32305533">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1512 href="https://doi.org/10.1016/j.ijsu.2020.04.018">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1516 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7162753">Free Full Text </a></span></li><li><a name=ref-7 class=n-a></a><span class=label>7. </span> <span class=citation><a name=d9683e1525 class=n-a></a>Holmes EA, O’Connor RC, Perry VH, <i> et al.</i>: Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. <i>Lancet Psychiatry.</i> 2020; <b>7</b>(6): 547–560. <a target=xrefwindow id=d9683e1536 href="http://www.ncbi.nlm.nih.gov/pubmed/32304649">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1539 href="https://doi.org/10.1016/S2215-0366(20)30168-1">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1543 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7159850">Free Full Text </a></span></li><li><a name=ref-8 class=n-a></a><span class=label>8. </span> <span class=citation><a name=d9683e1552 class=n-a></a>Chaves C, Castellanos T, Abrams M, <i> et al.</i>: The impact of economic recessions on depression and individual and social well-being: the case of Spain (2006-2013). <i>Soc Psychiatry Psychiatr Epidemiol.</i> 2018; <b>53</b>(9): 977–86. <a target=xrefwindow id=d9683e1563 href="http://www.ncbi.nlm.nih.gov/pubmed/29992341">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1566 href="https://doi.org/10.1007/s00127-018-1558-2">Publisher Full Text </a></span></li><li><a name=ref-9 class=n-a></a><span class=label>9. </span> <span class=citation><a name=d9683e1575 class=n-a></a>Granados JAT, Christine PJ, Ionides EL, <i> et al.</i>: Cardiovascular Risk Factors, Depression, and Alcohol Consumption During Joblessness and During Recessions Among Young Adults in CARDIA. <i>Am J Epidemiol.</i> 2018; <b>187</b>(11): 2339–45. <a target=xrefwindow id=d9683e1586 href="http://www.ncbi.nlm.nih.gov/pubmed/29955769">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1589 href="https://doi.org/10.1093/aje/kwy127">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1593 href="http://www.ncbi.nlm.nih.gov/pmc/articles/6211238">Free Full Text </a></span></li><li><a name=ref-10 class=n-a></a><span class=label>10. </span> <span class=citation><a name=d9683e1602 class=n-a></a>Beaglehole B, Mulder RT, Frampton CM, <i> et al.</i>: Psychological distress and psychiatric disorder after natural disasters: Systematic review and meta-analysis. <i>Br J Psychiatry.</i> 2018; <b>213</b>(6): 716–22. <a target=xrefwindow id=d9683e1613 href="http://www.ncbi.nlm.nih.gov/pubmed/30301477">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1616 href="https://doi.org/10.1192/bjp.2018.210">Publisher Full Text </a></span></li><li><a name=ref-11 class=n-a></a><span class=label>11. </span> <span class=citation><a name=d9683e1625 class=n-a></a>Hossain MM, Sultana A, Purohit N: Mental Health Outcomes of Quarantine and Isolation for Infection Prevention: A Systematic Umbrella Review of the Global Evidence. <i>SSRN Electron J.</i> 2020. <a target=xrefwindow id=d9683e1630 href="https://doi.org/10.2139/ssrn.3561265">Publisher Full Text </a></span></li><li><a name=ref-12 class=n-a></a><span class=label>12. </span> <span class=citation><a name=d9683e1640 class=n-a></a>Brooks SK, Webster RK, Smith LE, <i> et al.</i>: The psychological impact of quarantine and how to reduce it: rapid review of the evidence. <i>Lancet.</i> 2020; <b>395</b>(10227): 912–20. <a target=xrefwindow id=d9683e1651 href="http://www.ncbi.nlm.nih.gov/pubmed/32112714">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1654 href="https://doi.org/10.1016/S0140-6736(20)30460-8">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1658 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7158942">Free Full Text </a></span></li><li><a name=ref-13 class=n-a></a><span class=label>13. </span> <span class=citation><a name=d9683e1667 class=n-a></a>Zhou SJ, Zhang LG, Wang LL, <i> et al.</i>: Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. <i>Eur Child Adolesc Psychiatry.</i> 2020; 1–10. <a target=xrefwindow id=d9683e1675 href="http://www.ncbi.nlm.nih.gov/pubmed/32363492">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1678 href="https://doi.org/10.1007/s00787-020-01541-4">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1681 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7196181">Free Full Text </a></span></li><li><a name=ref-14 class=n-a></a><span class=label>14. </span> <span class=citation><a name=d9683e1690 class=n-a></a>Guo Q, Zheng Y, Shi J, <i> et al.</i>: Immediate psychological distress in quarantined patients with COVID-19 and its association with peripheral inflammation: a mixed-method study. <i>Brain Behav Immun.</i> 2020; S0889-1591(20)30618-8. <a target=xrefwindow id=d9683e1698 href="http://www.ncbi.nlm.nih.gov/pubmed/32416290">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1701 href="https://doi.org/10.1016/j.bbi.2020.05.038">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1704 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7235603">Free Full Text </a></span></li><li><a name=ref-15 class=n-a></a><span class=label>15. </span> <span class=citation><a name=d9683e1713 class=n-a></a>Kavoor AR: COVID-19 in People with Mental Illness: Challenges and Vulnerabilities. <i>Asian J Psychiatr.</i> 2020; <b>51</b>: 102051. <a target=xrefwindow id=d9683e1721 href="http://www.ncbi.nlm.nih.gov/pubmed/32298968">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1724 href="https://doi.org/10.1016/j.ajp.2020.102051">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1727 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7139245">Free Full Text </a></span></li><li><a name=ref-16 class=n-a></a><span class=label>16. </span> <span class=citation><a name=d9683e1736 class=n-a></a>Guan WJ, Liang WH, Zhao Y, <i> et al.</i>: Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis. <i>Eur Respir J.</i> 2020; <b>55</b>(5): 2000547. <a target=xrefwindow id=d9683e1747 href="http://www.ncbi.nlm.nih.gov/pubmed/32217650">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1750 href="https://doi.org/10.1183/13993003.00547-2020">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1754 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7098485">Free Full Text </a></span></li><li><a name=ref-17 class=n-a></a><span class=label>17. </span> <span class=citation><a name=d9683e1763 class=n-a></a>Hossain MM, Khan N, Sultana A, <i> et al.</i>: Prevalence of comorbid psychiatric disorders among people with autism spectrum disorder: An umbrella review of systematic reviews and meta-analyses. <i>Psychiatry Res.</i> 2020; <b>287</b>: 112922. <a target=xrefwindow id=d9683e1774 href="http://www.ncbi.nlm.nih.gov/pubmed/32203749">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1777 href="https://doi.org/10.1016/j.psychres.2020.112922">Publisher Full Text </a></span></li><li><a name=ref-18 class=n-a></a><span class=label>18. </span> <span class=citation><a name=d9683e1787 class=n-a></a>Hossain MM, Purohit N, Sultana A, <i> et al.</i>: Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses. <i>Asian J Psychiatr.</i> 2020; <b>51</b>: 102041. <a target=xrefwindow id=d9683e1798 href="http://www.ncbi.nlm.nih.gov/pubmed/32315966">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1801 href="https://doi.org/10.1016/j.ajp.2020.102041">Publisher Full Text </a></span></li><li><a name=ref-19 class=n-a></a><span class=label>19. </span> <span class=citation><a name=d9683e1810 class=n-a></a>Hossain MM, Tasnim S, Sultana A, <i> et al.</i>: COVID-19 and suicide of an army soldier in India: perspectives on psychosocial epidemiology of suicidal behavior. <i>SocArXiv.</i> 2020. <a target=xrefwindow id=d9683e1818 href="https://doi.org/10.31235/osf.io/k2jgf">Publisher Full Text </a></span></li><li><a name=ref-20 class=n-a></a><span class=label>20. </span> <span class=citation><a name=d9683e1827 class=n-a></a>Rogers JP, Chesney E, Oliver D, <i> et al.</i>: Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections : a systematic review and meta-analysis with comparison to the COVID-19 pandemic. <i>Lancet Psychiatry.</i> 2020; 1–17. <a target=xrefwindow id=d9683e1835 href="http://www.ncbi.nlm.nih.gov/pubmed/32437679">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1838 href="https://doi.org/10.1016/S2215-0366(20)30203-0">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1841 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7234781">Free Full Text </a></span></li><li><a name=ref-21 class=n-a></a><span class=label>21. </span> <span class=citation><a name=d9683e1850 class=n-a></a>Li G, Miao J, Wang H, <i> et al.</i>: Psychological impact on women health workers involved in COVID-19 outbreak in Wuhan: a cross-sectional study. <i>J Neurol Neurosurg Psychiatry.</i> 2020; jnnp-2020-323134. <a target=xrefwindow id=d9683e1858 href="http://www.ncbi.nlm.nih.gov/pubmed/32366684">PubMed Abstract </a></span></li><li><a name=ref-22 class=n-a></a><span class=label>22. </span> <span class=citation><a name=d9683e1867 class=n-a></a>Sultana A, Sharma R, Hossain M: Burnout Among Healthcare Providers During COVID-19 Pandemic : Challenges and Evidence-based Interventions. <i>SocArXiv Pap.</i> 2020. <a target=xrefwindow id=d9683e1872 href="https://doi.org/10.31235/osf.io/4hxga">Publisher Full Text </a></span></li><li><a name=ref-23 class=n-a></a><span class=label>23. </span> <span class=citation><a name=d9683e1881 class=n-a></a>Pappa S, Ntella V, Giannakas T, <i> et al.</i>: Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. <i>Brain Behav Immun.</i> 2020; S0889-1591(20)30845-X. <a target=xrefwindow id=d9683e1889 href="http://www.ncbi.nlm.nih.gov/pubmed/32437915">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1892 href="https://doi.org/10.1016/j.bbi.2020.05.026">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1895 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7206431">Free Full Text </a></span></li><li><a name=ref-24 class=n-a></a><span class=label>24. </span> <span class=citation><a name=d9683e1905 class=n-a></a>Patel RS, Bachu R, Adikey A, <i> et al.</i>: Factors related to physician burnout and its consequences: A review. <i>Behav Sci (Basel).</i> 2018; <b>8</b>(11): 98. <a target=xrefwindow id=d9683e1916 href="http://www.ncbi.nlm.nih.gov/pubmed/30366419">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1919 href="https://doi.org/10.3390/bs8110098">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1923 href="http://www.ncbi.nlm.nih.gov/pmc/articles/6262585">Free Full Text </a></span></li><li><a name=ref-25 class=n-a></a><span class=label>25. </span> <span class=citation><a name=d9683e1932 class=n-a></a>Ehrlich H, McKenney M, Elkbuli A: Protecting our healthcare workers during the COVID-19 pandemic. <i>Am J Emerg Med.</i> 2020. <a target=xrefwindow id=d9683e1937 href="http://www.ncbi.nlm.nih.gov/pubmed/32336585">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1940 href="https://doi.org/10.1016/j.ajem.2020.04.024">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1943 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7162741">Free Full Text </a></span></li><li><a name=ref-26 class=n-a></a><span class=label>26. </span> <span class=citation><a name=d9683e1952 class=n-a></a>Wang J, Zhou M, Liu F: Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. <i>J Hosp Infect.</i> 2020; <b>105</b>(1): 100–101. <a target=xrefwindow id=d9683e1960 href="http://www.ncbi.nlm.nih.gov/pubmed/32147406">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1963 href="https://doi.org/10.1016/j.jhin.2020.03.002">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1966 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7134479">Free Full Text </a></span></li><li><a name=ref-27 class=n-a></a><span class=label>27. </span> <span class=citation><a name=d9683e1975 class=n-a></a>Chirico F, Nucera G, Magnavita N: COVID-19: Protecting Healthcare Workers is a priority. <i>Infect Control Hosp Epidemiol.</i> 2020; <b>1</b>. <a target=xrefwindow id=d9683e1983 href="http://www.ncbi.nlm.nih.gov/pubmed/32299519">PubMed Abstract </a> | <a target=xrefwindow id=d9683e1986 href="https://doi.org/10.1017/ice.2020.148">Publisher Full Text </a> | <a target=xrefwindow id=d9683e1989 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7198459">Free Full Text </a></span></li><li><a name=ref-28 class=n-a></a><span class=label>28. </span> <span class=citation><a name=d9683e1998 class=n-a></a>Kang L, Ma S, Chen M, <i> et al.</i>: Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. <i>Brain Behav Immun.</i> 2020. <a target=xrefwindow id=d9683e2006 href="http://www.ncbi.nlm.nih.gov/pubmed/32240764">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2009 href="https://doi.org/10.1016/j.bbi.2020.03.028">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2012 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7118532">Free Full Text </a></span></li><li><a name=ref-29 class=n-a></a><span class=label>29. </span> <span class=citation><a name=d9683e2021 class=n-a></a>Huang Y, Zhao N: Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. <i>Psychiatry Res.</i> 2020; <b>288</b>: 112954. <a target=xrefwindow id=d9683e2029 href="http://www.ncbi.nlm.nih.gov/pubmed/32325383">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2032 href="https://doi.org/10.1016/j.psychres.2020.112954">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2035 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7152913">Free Full Text </a></span></li><li><a name=ref-30 class=n-a></a><span class=label>30. </span> <span class=citation><a name=d9683e2045 class=n-a></a>Walton M, Murray E, Christian MD: Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. <i>Eur Hear J Acute Cardiovasc Care.</i> 2020; <b>9</b>(3): 241–247. <a target=xrefwindow id=d9683e2053 href="http://www.ncbi.nlm.nih.gov/pubmed/32342698">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2056 href="https://doi.org/10.1177/2048872620922795">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2059 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7189614">Free Full Text </a></span></li><li><a name=ref-31 class=n-a></a><span class=label>31. </span> <span class=citation><a name=d9683e2068 class=n-a></a>Goyal K, Chauhan P, Chhikara K, <i> et al.</i>: Fear of COVID 2019: First suicidal case in India ! <i>Asian J Psychiatr.</i> 2020; <b>49</b>: 101989. <a target=xrefwindow id=d9683e2079 href="http://www.ncbi.nlm.nih.gov/pubmed/32143142">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2082 href="https://doi.org/10.1016/j.ajp.2020.101989">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2086 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7130010">Free Full Text </a></span></li><li><a name=ref-32 class=n-a></a><span class=label>32. </span> <span class=citation><a name=d9683e2095 class=n-a></a>Mamun MA, Griffiths MD: First COVID-19 suicide case in Bangladesh due to fear of COVID-19 and xenophobia: Possible suicide prevention strategies. <i>Asian J Psychiatr.</i> 2020; <b>51</b>: 102073. <a target=xrefwindow id=d9683e2103 href="http://www.ncbi.nlm.nih.gov/pubmed/32278889">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2106 href="https://doi.org/10.1016/j.ajp.2020.102073">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2109 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7139250">Free Full Text </a></span></li><li><a name=ref-33 class=n-a></a><span class=label>33. </span> <span class=citation><a name=d9683e2118 class=n-a></a>Mamun MA, Ullah I: COVID-19 suicides in Pakistan, dying off not COVID-19 fear but poverty? – The forthcoming economic challenges for a developing country. <i>Brain Behav Immun.</i> 2020. <a target=xrefwindow id=d9683e2123 href="http://www.ncbi.nlm.nih.gov/pubmed/32407859">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2126 href="https://doi.org/10.1016/j.bbi.2020.05.028">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2129 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7212955">Free Full Text </a></span></li><li><a name=ref-34 class=n-a></a><span class=label>34. </span> <span class=citation><a name=d9683e2138 class=n-a></a>Wang C, Pan R, Wan X, <i> et al.</i>: Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. <i>Int J Environ Res Public Health.</i> 2020; <b>17</b>(5): 1729. <a target=xrefwindow id=d9683e2149 href="http://www.ncbi.nlm.nih.gov/pubmed/32155789">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2152 href="https://doi.org/10.3390/ijerph17051729">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2156 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7084952">Free Full Text </a></span></li><li><a name=ref-35 class=n-a></a><span class=label>35. </span> <span class=citation><a name=d9683e2165 class=n-a></a>Lei L, Huang X, Zhang S, <i> et al.</i>: Comparison of Prevalence and Associated Factors of Anxiety and Depression Among People Affected by versus People Unaffected by Quarantine During the COVID-19 Epidemic in Southwestern China. <i>Med Sci Monit.</i> 2020; <b>26</b>: e924609. <a target=xrefwindow id=d9683e2176 href="http://www.ncbi.nlm.nih.gov/pubmed/32335579">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2179 href="https://doi.org/10.12659/MSM.924609">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2183 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7199435">Free Full Text </a></span></li><li><a name=ref-36 class=n-a></a><span class=label>36. </span> <span class=citation><a name=d9683e2193 class=n-a></a>Liang L, Ren H, Cao R, <i> et al.</i>: The Effect of COVID-19 on Youth Mental Health. <i>Psychiatr Q.</i> 2020; 1–12. <a target=xrefwindow id=d9683e2201 href="http://www.ncbi.nlm.nih.gov/pubmed/32319041">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2204 href="https://doi.org/10.1007/s11126-020-09744-3">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2207 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7173777">Free Full Text </a></span></li><li><a name=ref-37 class=n-a></a><span class=label>37. </span> <span class=citation><a name=d9683e2216 class=n-a></a>Tang W, Hu T, Hu B, <i> et al.</i>: Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. <i>J Affect Disord.</i> 2020; <b>274</b>: 1–7. <a target=xrefwindow id=d9683e2227 href="http://www.ncbi.nlm.nih.gov/pubmed/32405111">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2230 href="https://doi.org/10.1016/j.jad.2020.05.009">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2234 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7217769">Free Full Text </a></span></li><li><a name=ref-38 class=n-a></a><span class=label>38. </span> <span class=citation><a name=d9683e2243 class=n-a></a>Li S, Wang Y, Xue J, <i> et al.</i>: The Impact of COVID-19 Epidemic Declaration on Psychological Consequences: A Study on Active Weibo Users. <i>Int J Environ Res Public Health.</i> 2020; <b>17</b>(6): 2032. <a target=xrefwindow id=d9683e2254 href="http://www.ncbi.nlm.nih.gov/pubmed/32204411">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2257 href="https://doi.org/10.3390/ijerph17062032">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2261 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7143846">Free Full Text </a></span></li><li><a name=ref-39 class=n-a></a><span class=label>39. </span> <span class=citation><a name=d9683e2270 class=n-a></a>Ni MY, Yang L, Leung CMC, <i> et al.</i>: Mental Health, Risk Factors, and Social Media Use During the COVID-19 Epidemic and Cordon Sanitaire Among the Community and Health Professionals in Wuhan, China: Cross-Sectional Survey. <i>JMIR Ment Heal.</i> 2020; <b>7</b>(5): e19009. <a target=xrefwindow id=d9683e2281 href="http://www.ncbi.nlm.nih.gov/pubmed/32365044">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2284 href="https://doi.org/10.2196/19009">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2288 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7219721">Free Full Text </a></span></li><li><a name=ref-40 class=n-a></a><span class=label>40. </span> <span class=citation><a name=d9683e2297 class=n-a></a>Wang C, Pan R, Wan X, <i> et al.</i>: A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. <i>Brain Behav Immun.</i> 2020. <a target=xrefwindow id=d9683e2305 href="http://www.ncbi.nlm.nih.gov/pubmed/32298802">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2308 href="https://doi.org/10.1016/j.bbi.2020.04.028">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2311 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7153528">Free Full Text </a></span></li><li><a name=ref-41 class=n-a></a><span class=label>41. </span> <span class=citation><a name=d9683e2320 class=n-a></a>Özdin S, Bayrak Özdin Ş: Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. <i>Int J Soc Psychiatry.</i> 2020; 20764020927051. <a target=xrefwindow id=d9683e2325 href="http://www.ncbi.nlm.nih.gov/pubmed/32380879">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2328 href="https://doi.org/10.1177/0020764020927051">Publisher Full Text </a></span></li><li><a name=ref-42 class=n-a></a><span class=label>42. </span> <span class=citation><a name=d9683e2338 class=n-a></a>Roy D, Tripathy S, Kar SK, <i> et al.</i>: Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. <i>Asian J Psychiatr.</i> 2020; <b>51</b>: 102083. <a target=xrefwindow id=d9683e2349 href="http://www.ncbi.nlm.nih.gov/pubmed/32283510">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2352 href="https://doi.org/10.1016/j.ajp.2020.102083">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2356 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7139237">Free Full Text </a></span></li><li><a name=ref-43 class=n-a></a><span class=label>43. </span> <span class=citation><a name=d9683e2365 class=n-a></a>Hossain MM, Purohit N, Sharma R, <i> et al.</i>: Suicide of a farmer amid COVID-19 in India: Perspectives on social determinants of suicidal behavior and prevention strategies. <i>SocArXiv.</i> 2020. <a target=xrefwindow id=d9683e2373 href="https://doi.org/10.31235/osf.io/ekam3">Publisher Full Text </a></span></li><li><a name=ref-44 class=n-a></a><span class=label>44. </span> <span class=citation><a name=d9683e2382 class=n-a></a>Hao F, Tan W, Jiang L, <i> et al.</i>: Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. <i>Brain Behav Immun.</i> 2020; S0889-1591(20)30626–7. <a target=xrefwindow id=d9683e2390 href="http://www.ncbi.nlm.nih.gov/pubmed/32353518">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2393 href="https://doi.org/10.1016/j.bbi.2020.04.069">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2396 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7184991">Free Full Text </a></span></li><li><a name=ref-45 class=n-a></a><span class=label>45. </span> <span class=citation><a name=d9683e2405 class=n-a></a>Bo HX, Li W, Yang Y, <i> et al.</i>: Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China. <i>Psychol Med.</i> 2020; 1–2. <a target=xrefwindow id=d9683e2413 href="http://www.ncbi.nlm.nih.gov/pubmed/32216863">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2416 href="https://doi.org/10.1017/S0033291720000999">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2419 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7200846">Free Full Text </a></span></li><li><a name=ref-46 class=n-a></a><span class=label>46. </span> <span class=citation><a name=d9683e2428 class=n-a></a>Tan W, Hao F, McIntyre RS, <i> et al.</i>: Is returning to work during the COVID-19 pandemic stressful? A study on immediate mental health status and psychoneuroimmunity prevention measures of Chinese workforce. <i>Brain Behav Immun.</i> 2020; S0889-1591(20)30603–6. <a target=xrefwindow id=d9683e2436 href="http://www.ncbi.nlm.nih.gov/pubmed/32335200">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2439 href="https://doi.org/10.1016/j.bbi.2020.04.055">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2442 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7179503">Free Full Text </a></span></li><li><a name=ref-47 class=n-a></a><span class=label>47. </span> <span class=citation><a name=d9683e2451 class=n-a></a>Chew NWS, Lee GKH, Tan BYQ, <i> et al.</i>: A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. <i>Brain Behav Immun.</i> 2020; S0889-1591(20)30523–7. <a target=xrefwindow id=d9683e2459 href="http://www.ncbi.nlm.nih.gov/pubmed/32330593">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2462 href="https://doi.org/10.1016/j.bbi.2020.04.049">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2465 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7172854">Free Full Text </a></span></li><li><a name=ref-48 class=n-a></a><span class=label>48. </span> <span class=citation><a name=d9683e2475 class=n-a></a>Lu W, Wang H, Lin Y, <i> et al.</i>: Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. <i>Psychiatry Res.</i> 2020; <b>288</b>: 112936. <a target=xrefwindow id=d9683e2486 href="http://www.ncbi.nlm.nih.gov/pubmed/32276196">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2489 href="https://doi.org/10.1016/j.psychres.2020.112936">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2493 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7195354">Free Full Text </a></span></li><li><a name=ref-49 class=n-a></a><span class=label>49. </span> <span class=citation><a name=d9683e2502 class=n-a></a>Cao J, Wei J, Zhu H, <i> et al.</i>: A Study of Basic Needs and Psychological Wellbeing of Medical Workers in the Fever Clinic of a Tertiary General Hospital in Beijing during the COVID-19 Outbreak. <i>Psychother Psychosom.</i> 2020; 1–3. <a target=xrefwindow id=d9683e2510 href="http://www.ncbi.nlm.nih.gov/pubmed/32224612">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2513 href="https://doi.org/10.1159/000507453">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2516 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7179543">Free Full Text </a></span></li><li><a name=ref-50 class=n-a></a><span class=label>50. </span> <span class=citation><a name=d9683e2525 class=n-a></a>Jin Y-H, Huang Q, Wang Y-Y, <i> et al.</i>: Perceived infection transmission routes, infection control practices, psychosocial changes, and management of COVID-19 infected healthcare workers in a tertiary acute care hospital in Wuhan: a cross-sectional survey. <i>Mil Med Res.</i> 2020; <b>7</b>(1): 24. <a target=xrefwindow id=d9683e2536 href="http://www.ncbi.nlm.nih.gov/pubmed/32393381">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2539 href="https://doi.org/10.1186/s40779-020-00254-8">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2543 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7211983">Free Full Text </a></span></li><li><a name=ref-51 class=n-a></a><span class=label>51. </span> <span class=citation><a name=d9683e2552 class=n-a></a>Chen Y, Zhou H, Zhou Y, <i> et al.</i>: Prevalence of self-reported depression and anxiety among pediatric medical staff members during the COVID-19 outbreak in Guiyang, China. <i>Psychiatry Res.</i> 2020; <b>288</b>: 113005. <a target=xrefwindow id=d9683e2563 href="http://www.ncbi.nlm.nih.gov/pubmed/32315886">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2566 href="https://doi.org/10.1016/j.psychres.2020.113005">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2570 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7160637">Free Full Text </a></span></li><li><a name=ref-52 class=n-a></a><span class=label>52. </span> <span class=citation><a name=d9683e2579 class=n-a></a>Wu K, Wei X: Analysis of Psychological and Sleep Status and Exercise Rehabilitation of Front-Line Clinical Staff in the Fight Against COVID-19 in China. <i>Med Sci Monit Basic Res.</i> 2020; <b>26</b>: e924085. <a target=xrefwindow id=d9683e2587 href="http://www.ncbi.nlm.nih.gov/pubmed/32389999">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2590 href="https://doi.org/10.12659/MSMBR.924085">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2593 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7241216">Free Full Text </a></span></li><li><a name=ref-53 class=n-a></a><span class=label>53. </span> <span class=citation><a name=d9683e2602 class=n-a></a>Wu Y, Wang J, Luo C, <i> et al.</i>: A Comparison of Burnout Frequency Among Oncology Physicians and Nurses Working on the Frontline and Usual Wards During the COVID-19 Epidemic in Wuhan, China. <i>J Pain Symptom Manage.</i> 2020; published online April 10. <a target=xrefwindow id=d9683e2610 href="http://www.ncbi.nlm.nih.gov/pubmed/32283221">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2613 href="https://doi.org/10.1016/j.jpainsymman.2020.04.008">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2616 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7151285">Free Full Text </a></span></li><li><a name=ref-54 class=n-a></a><span class=label>54. </span> <span class=citation><a name=d9683e2626 class=n-a></a>Zhu J, Sun L, Zhang L, <i> et al.</i>: Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against COVID-19 in Gansu. <i>Front Psychiatry.</i> 2020; <b>11</b>: 386. <a target=xrefwindow id=d9683e2637 href="http://www.ncbi.nlm.nih.gov/pubmed/32411034">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2640 href="https://doi.org/10.3389/fpsyt.2020.00386">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2644 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7202136">Free Full Text </a></span></li><li><a name=ref-55 class=n-a></a><span class=label>55. </span> <span class=citation><a name=d9683e2653 class=n-a></a>Li X, Yu H, Bian G, <i> et al.</i>: Prevalence, risk factors, and clinical correlates of insomnia in volunteer and at home medical staff during the COVID-19. <i>Brain Behav Immun.</i> 2020; published online May 5. <a target=xrefwindow id=d9683e2661 href="http://www.ncbi.nlm.nih.gov/pubmed/32380272">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2664 href="https://doi.org/10.1016/j.bbi.2020.05.008">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2667 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7198418">Free Full Text </a></span></li><li><a name=ref-56 class=n-a></a><span class=label>56. </span> <span class=citation><a name=d9683e2676 class=n-a></a>Wang Y, Di Y, Ye J, <i> et al.</i>: Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. <i>Psychol Health Med.</i> 2020:1–10. <a target=xrefwindow id=d9683e2684 href="http://www.ncbi.nlm.nih.gov/pubmed/32223317">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2687 href="https://doi.org/10.1080/13548506.2020.1746817">Publisher Full Text </a></span></li><li><a name=ref-57 class=n-a></a><span class=label>57. </span> <span class=citation><a name=d9683e2696 class=n-a></a>Li X, Dai T, Wang H, <i> et al.</i>: [Clinical analysis of suspected COVID-19 patients with anxiety and depression]. <i>Zhejiang Da Xue Xue Bao Yi Xue Ban.</i> 2020; <b>49</b>(2): 203–8. <a target=xrefwindow id=d9683e2707 href="http://www.ncbi.nlm.nih.gov/pubmed/32391665">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2710 href="https://doi.org/10.3785/j.issn.1008-9292.2020.03.02">Publisher Full Text </a></span></li><li><a name=ref-58 class=n-a></a><span class=label>58. </span> <span class=citation><a name=d9683e2719 class=n-a></a>Volkow ND: Collision of the COVID-19 and Addiction Epidemics. <i>Ann Intern Med.</i> 2020; M20–1212. <a target=xrefwindow id=d9683e2724 href="http://www.ncbi.nlm.nih.gov/pubmed/32240293">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2727 href="https://doi.org/10.7326/M20-1212">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2730 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7138334">Free Full Text </a></span></li><li><a name=ref-59 class=n-a></a><span class=label>59. </span> <span class=citation><a name=d9683e2739 class=n-a></a>Griffiths MD, Mamun MA: COVID-19 suicidal behavior among couples and suicide pacts: Case study evidence from press reports. <i>Psychiatry Res.</i> 2020; <b>289</b>: 113105. <a target=xrefwindow id=d9683e2747 href="http://www.ncbi.nlm.nih.gov/pubmed/32425277">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2750 href="https://doi.org/10.1016/j.psychres.2020.113105">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2753 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7229970">Free Full Text </a></span></li><li><a name=ref-60 class=n-a></a><span class=label>60. </span> <span class=citation><a name=d9683e2763 class=n-a></a>Zhang C, Yang L, Liu S, <i> et al.</i>: Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak. <i>Front Psychiatry.</i> 2020; <b>11</b>: 306. <a target=xrefwindow id=d9683e2774 href="http://www.ncbi.nlm.nih.gov/pubmed/32346373">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2777 href="https://doi.org/10.3389/fpsyt.2020.00306">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2781 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7171048">Free Full Text </a></span></li><li><a name=ref-61 class=n-a></a><span class=label>61. </span> <span class=citation><a name=d9683e2790 class=n-a></a>Zhang Y, Ma ZF: Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study. <i>Int J Environ Res Public Health.</i> 2020; <b>17</b>(7): 2381. <a target=xrefwindow id=d9683e2798 href="http://www.ncbi.nlm.nih.gov/pubmed/32244498">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2801 href="https://doi.org/10.3390/ijerph17072381">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2804 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7177660">Free Full Text </a></span></li><li><a name=ref-62 class=n-a></a><span class=label>62. </span> <span class=citation><a name=d9683e2813 class=n-a></a>Tugade MM, Fredrickson BL, Barrett LF: Psychological resilience and positive emotional granularity: Examining the benefits of positive emotions on coping and health. <i>J Pers.</i> 2004; <b>72</b>(6): 1161–90. <a target=xrefwindow id=d9683e2821 href="http://www.ncbi.nlm.nih.gov/pubmed/15509280">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2824 href="https://doi.org/10.1111/j.1467-6494.2004.00294.x">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2827 href="http://www.ncbi.nlm.nih.gov/pmc/articles/1201429">Free Full Text </a></span></li><li><a name=ref-63 class=n-a></a><span class=label>63. </span> <span class=citation><a name=d9683e2836 class=n-a></a>Cameron IM, Crawford JR, Lawton K, <i> et al.</i>: Psychometric comparison of PHQ-9 and HADS for measuring depression severity in primary care. <i>Br J Gen Pract.</i> 2008; <b>58</b>(546): 32–6. <a target=xrefwindow id=d9683e2847 href="http://www.ncbi.nlm.nih.gov/pubmed/18186994">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2850 href="https://doi.org/10.3399/bjgp08X263794">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2854 href="http://www.ncbi.nlm.nih.gov/pmc/articles/2148236">Free Full Text </a></span></li><li><a name=ref-64 class=n-a></a><span class=label>64. </span> <span class=citation><a name=d9683e2863 class=n-a></a>Mazumder H, Hossain MM, Das A: Geriatric Care during Public Health Emergencies: Lessons Learned from Novel Corona Virus Disease (COVID-19) Pandemic. <i>J Gerontol Soc Work.</i> 2020; <b>63</b>(4): 257–258. <a target=xrefwindow id=d9683e2871 href="http://www.ncbi.nlm.nih.gov/pubmed/32216550">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2874 href="https://doi.org/10.1080/01634372.2020.1746723">Publisher Full Text </a></span></li><li><a name=ref-65 class=n-a></a><span class=label>65. </span> <span class=citation><a name=d9683e2883 class=n-a></a>Hossain MM, Mazumder H, Tasnim S, <i> et al.</i>: Geriatric health in Bangladesh during COVID-19: challenges and recommendations. <i>SocArXiv.</i> 2020. <a target=xrefwindow id=d9683e2891 href="https://doi.org/10.31235/osf.io/x2b8w">Publisher Full Text </a></span></li><li><a name=ref-66 class=n-a></a><span class=label>66. </span> <span class=citation><a name=d9683e2901 class=n-a></a>Hossain MM: Current status of global research on novel coronavirus disease (COVID-19): a bibliometric analysis and knowledge mapping. <i>F1000Res.</i> 2020; <b>9</b>: 374. <a target=xrefwindow id=d9683e2909 href="https://doi.org/10.12688/f1000research.23690.1">Publisher Full Text </a></span></li><li><a name=ref-67 class=n-a></a><span class=label>67. </span> <span class=citation><a name=d9683e2918 class=n-a></a>Liu S, Yang L, Zhang C, <i> et al.</i>: Online mental health services in China during the COVID-19 outbreak. <i>Lancet Psychiatry.</i> 2020; <b>7</b>(4): e17–8. <a target=xrefwindow id=d9683e2929 href="http://www.ncbi.nlm.nih.gov/pubmed/32085841">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2932 href="https://doi.org/10.1016/S2215-0366(20)30077-8">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2936 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7129099">Free Full Text </a></span></li><li><a name=ref-68 class=n-a></a><span class=label>68. </span> <span class=citation><a name=d9683e2945 class=n-a></a>Yao H, Chen JH, Xu YF: Rethinking online mental health services in China during the COVID-19 epidemic. <i>Asian J Psychiatr.</i> 2020; <b>50</b>: 102015. <a target=xrefwindow id=d9683e2953 href="http://www.ncbi.nlm.nih.gov/pubmed/32247261">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2956 href="https://doi.org/10.1016/j.ajp.2020.102015">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2959 href="http://www.ncbi.nlm.nih.gov/pmc/articles/7271098">Free Full Text </a></span></li><li><a name=ref-69 class=n-a></a><span class=label>69. </span> <span class=citation><a name=d9683e2968 class=n-a></a>Chang BL, Bakken S, Brown SS, <i> et al.</i>: Bridging the digital divide: Reaching vulnerable populations. <i>J Am Med Informatics Assoc.</i> 2004; <b>11</b>(6): 448–57. <a target=xrefwindow id=d9683e2979 href="http://www.ncbi.nlm.nih.gov/pubmed/15299002">PubMed Abstract </a> | <a target=xrefwindow id=d9683e2982 href="https://doi.org/10.1197/jamia.M1535">Publisher Full Text </a> | <a target=xrefwindow id=d9683e2986 href="http://www.ncbi.nlm.nih.gov/pmc/articles/524624">Free Full Text </a></span></li><li><a name=ref-70 class=n-a></a><span class=label>70. </span> <span class=citation><a name=d9683e2995 class=n-a></a>Thielke S, Vannoy S, Unützer J: Integrating Mental Health and Primary Care. <i>Prim Care.</i> 2007; <b>34</b>(3): 571–92. <a target=xrefwindow id=d9683e3003 href="http://www.ncbi.nlm.nih.gov/pubmed/17868760">PubMed Abstract </a> | <a target=xrefwindow id=d9683e3006 href="https://doi.org/10.1016/j.pop.2007.05.007">Publisher Full Text </a></span></li><li><a name=ref-71 class=n-a></a><span class=label>71. </span> <span class=citation><a name=d9683e3015 class=n-a></a>Castillo EG, Ijadi-Maghsoodi R, Shadravan S, <i> et al.</i>: Community Interventions to Promote Mental Health and Social Equity. <i>Curr Psychiatry Rep.</i> 2019; <b>21</b>(5): 35. <a target=xrefwindow id=d9683e3026 href="http://www.ncbi.nlm.nih.gov/pubmed/30927093">PubMed Abstract </a> | <a target=xrefwindow id=d9683e3029 href="https://doi.org/10.1007/s11920-019-1017-0">Publisher Full Text </a> | <a target=xrefwindow id=d9683e3033 href="http://www.ncbi.nlm.nih.gov/pmc/articles/6440941">Free Full Text </a></span></li><li><a name=ref-72 class=n-a></a><span class=label>72. </span> <span class=citation><a name=d9683e3043 class=n-a></a>Tasnim S, Hossain MM, Mazumder H: Impact of rumors or misinformation on coronavirus disease (COVID-19) in social media. <i>J Prev Med Public Heal.</i> 2020; <b>53</b>(3): 171–174. <a target=xrefwindow id=d9683e3051 href="http://www.ncbi.nlm.nih.gov/pubmed/32498140">PubMed Abstract </a> | <a target=xrefwindow id=d9683e3054 href="https://doi.org/10.3961/jpmph.20.094">Publisher Full Text </a></span></li><li><a name=ref-73 class=n-a></a><span class=label>73. </span> <span class=citation><a name=d9683e3063 class=n-a></a>Karasouli E, Adams A: Assessing the Evidence for e-Resources for Mental Health Self-Management: A Systematic Literature Review. <i>JMIR Ment Heal.</i> 2014; <b>1</b>(1): e3. <a target=xrefwindow id=d9683e3071 href="http://www.ncbi.nlm.nih.gov/pubmed/26543903">PubMed Abstract </a> | <a target=xrefwindow id=d9683e3074 href="https://doi.org/10.2196/mental.3708">Publisher Full Text </a> | <a target=xrefwindow id=d9683e3077 href="http://www.ncbi.nlm.nih.gov/pmc/articles/4607376">Free Full Text </a></span></li><li><a name=ref-74 class=n-a></a><span class=label>74. </span> <span class=citation><a name=d9683e3086 class=n-a></a>Lund C, Brooke-Sumner C, Baingana F, <i> et al.</i>: Social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews. <i>Lancet Psychiatry.</i> 2018; <b>5</b>(4): 357–69. <a target=xrefwindow id=d9683e3097 href="http://www.ncbi.nlm.nih.gov/pubmed/29580610">PubMed Abstract </a> | <a target=xrefwindow id=d9683e3100 href="https://doi.org/10.1016/S2215-0366(18)30060-9">Publisher Full Text </a></span></li><li><a name=ref-75 class=n-a></a><span class=label>75. </span> <span class=citation><a name=d9683e3109 class=n-a></a>Kim D, Subramanian SV, Kawachi I: Bonding versus bridging social capital and their associations with self rated health: A multilevel analysis of 40 US communities. <i>J Epidemiol Community Health.</i> 2006; <b>60</b>(2): 116–22. <a target=xrefwindow id=d9683e3117 href="http://www.ncbi.nlm.nih.gov/pubmed/16415259">PubMed Abstract </a> | <a target=xrefwindow id=d9683e3120 href="https://doi.org/10.1136/jech.2005.038281">Publisher Full Text </a> | <a target=xrefwindow id=d9683e3123 href="http://www.ncbi.nlm.nih.gov/pmc/articles/2566138">Free Full Text </a></span></li><li><a name=ref-76 class=n-a></a><span class=label>76. </span> <span class=citation><a name=d9683e3132 class=n-a></a>Hossain M, Tasnim S, Sultana A, <i> et al.</i>: Epidemiology of mental health problems in COVID-19: a review. 2020. <a target=xrefwindow id=d9683e3137 href="https://doi.org/10.31234/osf.io/q8e5u">Publisher Full Text </a></span></li></ul></div></div></div> </div> <div id=article-comments class="article-comments padding-bottom-20"> <div class=current-article-comment-section> <h2 class=main-title name=add-new-comment id=add-new-comment> <span class="research-layout f1r-article-mobile-inline valign-middle"> <span class="f1r-icon icon-104_comments size30"></span> </span> <span class=f1r-article-desk-inline>Comments on this article</span> <span class=f1r-article-mobile-inline>Comments (0)</span> <span class="f1r-article-mobile-inline float-right"> <span class="f1r-icon icon-14_more_small"></span> <span class="f1r-icon icon-10_less_small"></span> </span> </h2> </div> <div class="f1r-article-desk-inline referee-report-info-box referee-report-version-box"> Version 1 </div> <div class="f1r-article-mobile research-layout mobile-version-info padding-top-30"> <span class=mversion>VERSION 1</span> <span class=details>PUBLISHED 23 Jun 2020</span> <span class="article-pubinfo-mobile versions-section"> </span> </div> <div class="f1r-article-mobile research-layout margin-top-20 is-centered"> <a href="/login?originalPath=/articles/9-636&scrollTo=add-new-comment" class=register-report-comment-button data-test-id=add-comment_mob> <button class="primary orange extra-padding comment-on-this-report">ADD YOUR COMMENT</button> </a> </div> <a href="/login?originalPath=/articles/9-636&scrollTo=add-new-comment" class="f1r-article-desk register-report-comment-button" data-test-id=add-comment> <span class=contracted></span>Comment </a> </div> <div class="f1r-article-mobile margin-bottom-30"> <div class=contracted-details> <a href="#" class="contracted-details-label author-affiliations"><span class=contracted></span>Author details</a> <a href="#" class=section-title>Author details</a> <span class="f1r-icon icon-14_more_small section-control"></span> <span class="f1r-icon icon-10_less_small section-control"></span> <div class="expanded-details affiliations is-hidden"> <sup>1</sup> Nature Study Society of Bangladesh, Khulna, 09000, Bangladesh<br/> <sup>2</sup> Texas A&M School of Public Health, College Station, TX, 77843, USA<br/> <sup>3</sup> Bangladesh Medical Association, Dhaka, 09000, Bangladesh<br/> <sup>4</sup> Gazi Medical College, Khulna, 09000, Bangladesh<br/> <sup>5</sup> United Nations Population Fund, Cox's Bazar, Bangladesh<br/> <sup>6</sup> Ipas, Dhaka, Bangladesh<br/> <sup>7</sup> Exercise & Mental Health Laboratory, School of Psychology, Shenzhen University, Shenzen, 518060, China<br/> <sup>8</sup> National Institute of Mental Health (NIMH), Dhaka, 1207, Bangladesh<br/> <p> <div class=margin-bottom> Md. Mahbub Hossain <br/> <span>Roles: </span> Conceptualization, Data Curation, Formal Analysis, Methodology, Writing – Original Draft Preparation, Writing – Review & Editing </div> <div class=margin-bottom> Samia Tasnim <br/> <span>Roles: </span> Conceptualization, Formal Analysis, Writing – Original Draft Preparation, Writing – Review & Editing </div> <div class=margin-bottom> Abida Sultana <br/> <span>Roles: </span> Conceptualization, Writing – Original Draft Preparation, Writing – Review & Editing </div> <div class=margin-bottom> Farah Faizah <br/> <span>Roles: </span> Data Curation, Methodology, Writing – Review & Editing </div> <div class=margin-bottom> Hoimonty Mazumder <br/> <span>Roles: </span> Data Curation, Methodology, Writing – Review & Editing </div> <div class=margin-bottom> Liye Zou <br/> <span>Roles: </span> Methodology, Writing – Review & Editing </div> <div class=margin-bottom> E. Lisako J. McKyer <br/> <span>Roles: </span> Formal Analysis, Writing – Review & Editing </div> <div class=margin-bottom> Helal Uddin Ahmed <br/> <span>Roles: </span> Formal Analysis, Writing – Review & Editing </div> <div class=margin-bottom> Ping Ma <br/> <span>Roles: </span> Supervision, Writing – Review & Editing </div> </p> </div> </div> <div class=contracted-details> <a href="#" class=section-title>Competing interests</a> <span class="f1r-icon icon-14_more_small section-control"></span> <span class="f1r-icon icon-10_less_small section-control"></span> <div class="expanded-details grant-information article-page is-hidden"> No competing interests were disclosed. </div> </div> <div class=contracted-details> <a href="#" class=section-title>Grant information</a> <span class="f1r-icon icon-14_more_small section-control"></span> <span class="f1r-icon icon-10_less_small section-control"></span> <div class="expanded-details grant-information article-page is-hidden"> The author(s) declared that no grants were involved in supporting this work. </div> </div> <div class=contracted-details> <a href="#" class=section-title>Article Versions (1)</a> <span class="f1r-icon icon-14_more_small section-control"></span> <span class="f1r-icon icon-10_less_small section-control"></span> <div class="expanded-details grant-information article-page is-hidden"> <div> <a href="https://f1000research.com/articles/9-636/v1" title="Open version 1 of this article." class="" gahelper=1>version 1</a> <span class="article-pubinfo-mobile versions-section"> </span> </div> <div> Published: 23 Jun 2020, 9:636 </div> <div class=""><a href="https://doi.org/10.12688/f1000research.24457.1">https://doi.org/10.12688/f1000research.24457.1</a></div> </div> </div> <div class=contracted-details> <a href="#" class=section-title> <span class="f1r-icon icon-100_open_access"></span> Copyright </a> <span class="f1r-icon icon-14_more_small section-control"></span> <span class="f1r-icon icon-10_less_small section-control"></span> <div class="expanded-details grant-information article-page is-hidden"> © 2020 Hossain MM <em>et al</em>. 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Reviewer Report For: Epidemiology of mental health problems in COVID-19: a review [version 1; peer review: 2 approved]</span>. <i>F1000Research</i> 2020, <b>9</b>:636 (<a class=new-orange href="https://doi.org/10.5256/f1000research.26979.r69817" target=_blank>https://doi.org/10.5256/f1000research.26979.r69817</a>) </span> <div class=padding-top data-test-id=report-url> The direct URL for this report is:<br> <a href="https://f1000research.com/articles/9-636/v1#referee-response-69817" class=new-orange target=_blank>https://f1000research.com/articles/9-636/v1#referee-response-69817</a> </div> <div class="popup-window-title small note margin-top-20 margin-bottom-20"> <strong>NOTE:</strong> it is important to ensure the information in square brackets after the title is included in this citation. </div> <div class=float-right> <button class="secondary no-fill orange-text-and-border margin-right-20 close-cite-popup uppercase">Close</button> <button class="secondary orange copy-cite-article-version uppercase js-clipboard" title="Copy the current citation details to the clipboard." data-clipboard-target="#cite-report-text-69817-1" data-test-id=mob_report_copy-citation_button>Copy Citation Details</button> </div> </div> </div> </div> </div> </div> <div class="referee-report-info-box referee-report-details-box"> <span class="bold mobile-report-text">Reviewer Report</span> <span class=mobile-report-info>09 Oct 2020</span> </div> <span class="info-separation padding-bottom padding-left"> <div> <span class=bold>Reindolf Anokye<a href="http://orcid.org/0000-0002-7669-7057" target=_blank title="Open ORCID"><span class=orcid-logo-for-author-list></span></a></span><span class=f1r-article-desk-inline>,</span> Edith Cowan University, Joondalup, Australia  </div> </span> <div class="research-layout referee-report-status-line"> <span class="f1r-icon icon-86_approved status-green smaller" title=Approved></span> <span class=status-text>Approved</span> </div> <div class=f1r-article-mobile> <span class=article-pubinfo-mobile> <div class="version-info-box views">VIEWS 0</div> </span> </div> <div class=referee-report-content> <div class=hidden-text> <a href="https://doi.org/10.5256/f1000research.26979.r69817" target=_blank>https://doi.org/10.5256/f1000research.26979.r69817</a> </div> <span class=truncated-comment> Thank you for giving me the opportunity to review this article reporting the epidemiology of mental health problems in COVID-19. This is an important well-written article that will contribute to the literature in public health. The authors have done a ... <span class="f1r-article-desk-inline continue-reading-container response-and-comment increment-view-count" data-reportID=69817>Continue reading</span> <div class="f1r-article-mobile research-layout margin-top-30 is-centered"> <button class="primary orange-text white-bg bigger-text expand-button-mobile continue-reading-container show with-border"> READ ALL <span class="f1r-icon icon-14_more_small orange vmiddle big"></span> </button> </div> </span> <span class="hidden hidden-report-text"> <div class=hidden-report-text__comment>Thank you for giving me the opportunity to review this article reporting the epidemiology of mental health problems in COVID-19. This is an important well-written article that will contribute to the literature in public health. The authors have done a great job putting this together and I would recommend that this review is published.<br/> <br/> I would also recommend that authors take their time to go through the article and correct any grammatical errors in the manuscript.<br/> <br/> Also, words such as psychological impact, psychological dimensions and psychological stress should not be used interchangeably with mental health if it is not probably a direct quote. For example, the sentence “psychological dimensions of COVID-19 are yet to be understood” could be rephrased as the mental health burden of COVID-19. Another statement “COVID-19 may have impacted psychological health among COVID-19 positive individuals” could also be rephrased. The consistency in the usage of mental health throughout the manuscript will make it easier for readers who are not expertise in this area to understand what the article is reporting.<br/> <br/> Furthermore, please indicate in the limitations section that most of the included studies were conducted in countries/places that reported most of the early cases of COVID-19.</div> <div class=md> <div class=questionnaire> <ul class=c-questionnaire> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Is the topic of the review discussed comprehensively in the context of the current literature?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Are all factual statements correct and adequately supported by citations?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Is the review written in accessible language?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Are the conclusions drawn appropriate in the context of the current research literature?</p> <p class=c-questionnaire__answer>Yes</p> </li> </ul> </div> </div> <p style="margin-top: 10px;"><b class=mobile-block-display>Competing Interests:</b> No competing interests were disclosed.</p> <p><b>Reviewer Expertise:</b> health psychology,mental health,public health.</p> <span class="info-separation padding-top padding-bottom comment-statement-mobile"> <div class=f1r-article-mobile> <div class="content-divider report-info"></div> </div> <strong> I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. </strong> </span> <div class=f1r-article-mobile> <div class="content-divider report-info"></div> </div> <span class="f1r-article-desk hide-comment-container response-and-comment">Close</span> <div class="f1r-article-mobile research-layout margin-top-30 is-centered"> <button class="primary orange-text white-bg bigger-text expand-button-mobile hide-comment-container hide with-border"> READ LESS <span class="f1r-icon icon-10_less_small orange vmiddle big"></span> </button> </div> </span> <div class="f1r-article-mobile cite-report-wrapper"> <a href="#" class=mobile-cite-report>CITE</a> </div> <div class="research-layout mobile-cite-report-popup-wrapper"> <div class=bgmask></div> <div class=mobile-cite-report-popup> <span class="f1r-icon icon-88_not_approved close-cite-report-popup"></span> <div class=cite-report-popup-title>CITE</div> <span class=cite-report-popup-top-content> HOW TO CITE THIS REPORT </span> <div class=cite-report-popup-content> <span class=copy-cite-report id=cite-report-text-mobile-69817-1> <span class=article-title-and-info>Anokye R. Reviewer Report For: Epidemiology of mental health problems in COVID-19: a review [version 1; peer review: 2 approved]</span>. <i>F1000Research</i> 2020, <b>9</b>:636 (<a class=new-orange href="https://doi.org/10.5256/f1000research.26979.r69817" target=_blank>https://doi.org/10.5256/f1000research.26979.r69817</a>) </span> </div> <div class=cite-report-popup-divider></div> <div class=cite-report-popup-content data-test-id=report-url> The direct URL for this report is:<br> <a href="https://f1000research.com/articles/9-636/v1#referee-response-69817" class=new-orangetarget=_blank>https://f1000research.com/articles/9-636/v1#referee-response-69817</a> </div> <div class=cite-report-popup-divider></div> <div class=cite-report-popup-content> NOTE: <em>it is important to ensure the information in <b>square brackets after the title</b> is included in all citations of this article.</em> </div> <div class=cite-report-popup-buttons> <button type=button class="primary orange extra-padding copy-cite-report-mobile js-clipboard" title="Copy the current citation details to the clipboard." data-clipboard-target="#cite-report-text-mobile-69817-1" data-test-id=mob_report_copy-citation_button>COPY CITATION DETAILS</button> </div> </div> </div> <div class=report-concern-wrapper> <a class=report-a-concern-link href="mailto:research@f1000.com?subject=Report a concern (24457) ">Report a concern</a> </div> </div> <div class=comments-list-container id=referee-comments-69817-1> <div class=f1r-article-desk> <ul class=all-comment-wrapper data-reportID=69817> <li class="comment-wrapper not-sortable"> <div class="one-comment respond-or-comment"> <a href="/login?originalPath=/articles/9-636&scrollTo=referee-response-69817" class=register-report-comment-button data-test-id=add-response-comment><span class=contracted></span>Respond or Comment</a> </div> </li> </ul> </div> <div class="f1r-article-mobile research-layout"> <ul class=all-comment-wrapper data-reportID=69817> <li class="comment-wrapper not-sortable button-wrapper"> <div class=comment-button-wrapper> <a href="/login?originalPath=/articles/9-636&scrollTo=referee-response-69817" class=register-report-comment-button data-test-id=add-report-comment> <button class="primary orange extra-padding"> COMMENT ON THIS REPORT </button> </a> </div> </li> </ul> </div> </div> </div> <div class="referee-response-container no-border last-report-for-version" data-reportID=71938> <div class="f1r-article-mobile research-layout"> <div class="version-border current"></div> </div> <a name=referee-response-71938></a> <div id=report-metadata-71938 class=is-hidden> <input type=hidden name=reportId value=71938 /> </div> <div class="f1r-article-mobile-inline research-layout float-right margin-right-20"> <span class="f1r-icon-circle-wrapper with-border white-bg big referee-reports"> <span class="f1r-icon icon-86_approved status-green smaller" title=Approved></span> </span> </div> <div class="article-count-box response-and-comment has-shadow"> <div class=comments-count-title>Views</div> <div class=comments-count-container>0</div> <div class="article-interaction-info article-page"> <div class="cite-article-popup-wrapper article-page-interaction-box"> <div class="article-interaction-button cite-article-button" title="Cite this report" data-windowref=cite-report-popup-71938-2> <span class="f1r-icon icon-82_quote"></span> <a href="#" class="button-link cite-article-popup-link response-and-comment" title="Cite Report" data-test-id=cite-report-2>Cite</a> </div> <div id=cite-report-popup-71938-2 class="popup-window-wrapper is-hidden"> <div class=cite-popup-background></div> <div class="popup-window cite-this-article-box research-layout"> <div class="popup-window-title small cite-title">How to cite this report:</div> <span id=cite-report-text-71938-2 data-test-id=mob_report_copy-citation_text> <span class="article-title-and-info in-popup">Alonzi S and Silverstein MW. Reviewer Report For: Epidemiology of mental health problems in COVID-19: a review [version 1; peer review: 2 approved]</span>. <i>F1000Research</i> 2020, <b>9</b>:636 (<a class=new-orange href="https://doi.org/10.5256/f1000research.26979.r71938" target=_blank>https://doi.org/10.5256/f1000research.26979.r71938</a>) </span> <div class=padding-top data-test-id=report-url> The direct URL for this report is:<br> <a href="https://f1000research.com/articles/9-636/v1#referee-response-71938" class=new-orange target=_blank>https://f1000research.com/articles/9-636/v1#referee-response-71938</a> </div> <div class="popup-window-title small note margin-top-20 margin-bottom-20"> <strong>NOTE:</strong> it is important to ensure the information in square brackets after the title is included in this citation. </div> <div class=float-right> <button class="secondary no-fill orange-text-and-border margin-right-20 close-cite-popup uppercase">Close</button> <button class="secondary orange copy-cite-article-version uppercase js-clipboard" title="Copy the current citation details to the clipboard." data-clipboard-target="#cite-report-text-71938-2" data-test-id=mob_report_copy-citation_button>Copy Citation Details</button> </div> </div> </div> </div> </div> </div> <div class="referee-report-info-box referee-report-details-box"> <span class="bold mobile-report-text">Reviewer Report</span> <span class=mobile-report-info>07 Oct 2020</span> </div> <span class="info-separation padding-bottom padding-left"> <div> <span class=bold>Sarah Alonzi</span><span class=f1r-article-desk-inline>,</span> Loyola University, New Orleans, USA  </div> <div> <span class=bold>Madison W Silverstein</span><span class=f1r-article-desk-inline>,</span> Department of Psychological Sciences, Loyola University New Orleans, New Orleans, USA  </div> </span> <div class="research-layout referee-report-status-line"> <span class="f1r-icon icon-86_approved status-green smaller" title=Approved></span> <span class=status-text>Approved</span> </div> <div class=f1r-article-mobile> <span class=article-pubinfo-mobile> <div class="version-info-box views">VIEWS 0</div> </span> </div> <div class=referee-report-content> <div class=hidden-text> <a href="https://doi.org/10.5256/f1000research.26979.r71938" target=_blank>https://doi.org/10.5256/f1000research.26979.r71938</a> </div> <span class=truncated-comment> <b>Review of Epidemiology of mental health problems in COVID-19: a review. </b><br/> Thank you for the opportunity to review this manuscript reporting the prevalence of depression, anxiety, and other adverse mental health effects of the COVID-19 pandemic. This is ... <span class="f1r-article-desk-inline continue-reading-container response-and-comment increment-view-count" data-reportID=71938>Continue reading</span> <div class="f1r-article-mobile research-layout margin-top-30 is-centered"> <button class="primary orange-text white-bg bigger-text expand-button-mobile continue-reading-container show with-border"> READ ALL <span class="f1r-icon icon-14_more_small orange vmiddle big"></span> </button> </div> </span> <span class="hidden hidden-report-text"> <div class=hidden-report-text__comment><b>Review of Epidemiology of mental health problems in COVID-19: a review. </b><br/> Thank you for the opportunity to review this manuscript reporting the prevalence of depression, anxiety, and other adverse mental health effects of the COVID-19 pandemic. This is an interesting narrative review, with useful recommendations for researchers and clinicians. Minor revisions are needed to make findings and implications clearer to readers. I hope these suggestions can be of help! <br/> <br/> <u><b>Abstract</b></u><br/> The abstract contained minor grammatical and sentence structure issues, which could be remedied as suggested. <ul> <li>Two sentences in the abstract, (1) “the current literature” through “behavior” and (2) “moreover” through “survival”, are very long. These sentences can be broken up, or focus on a few of these factors (that authors deem most important for research and practice) to make the focus of the paper clearer to readers.<br/>  </li> <li>Remove “on” from “future epidemiological studies should emphasize <u>on </u>psychopathological variations”</li> </ul> <b><u>Introduction</u></b> <ul> <li>Paragraph 2, sentence 2. I found the sentence hard to read. It could be improved by changing persistence stress to persistent stress.<br/>  </li> <li>Paragraph 2, final sentence. The fact that the review was “rapid” does not need to be mentioned and playing up the rapid peer review may undermine readers’ confidence in the validity of those findings.<br/>  </li> <li>Paragraph 3, sentence 1. Change individuals who are tested positive to individuals who have tested positive.<br/>  </li> <li>Paragraph 4, sentence 2. “As COVID-19 cases are <u>impacting </u>the capacities of health systems” is too vague. Include the way that they are impacting the capacities (e.g., adversely).</li> </ul> <b><u>Literature review on the epidemiology of mental health problems in COVID-19 </u></b> <ul> <li>General population. In this section, it is unclear to me whether you are referring to the “general population” of a specific region, country, etc., or just summarizing existing population-level studies across locations and cultures. I would assume there is some variation in population-level stress across locations, so the term general population might be too broad. In addition to the heading, the body would benefit from more description of the countries and populations these reviews are focused on.<br/>  </li> <li>Paragraph 5, final sentence. The sentence “furthermore, more than 80% of participants in this study perceived a need for mental health services,” is unclear. Did 80% perceive that they needed MH services, or that there should be MH services made available for the general population to cope with COVID-19?<br/>  </li> <li>Patients with COVID-19. Removed were from “Furthermore, suicidal behavior among individuals who <u>were</u> tested positive”.<br/>  </li> <li>Paragraph 9, sentence 5. The sentence, “moreover, altered consciousness in 21% of patients who subsequently died as reported in another study,” is confusing and needs revision.</li> </ul> <b><u>Factors associated with mental health problems during COVID-19 </u></b> <ul> <li>Marital status. As you did in the previous paragraphs, it is necessary to state what marital status is associated with better or worse mental health outcomes.<br/>  </li> <li>Comorbid mental health problems. The statement, “also, people with substance use disorders are susceptible to COVID-19, which may also increase their vulnerability to subsequent mental health problems” was quite confusing to me. The phrasing makes it seem as if people with substance use disorders are more susceptible than others, which id not supported by the literature.</li> </ul> <b><u>Discussion</u></b> <ul> <li>Emphasizing on research and evidence mapping on mental health. The sentence starting with “perhaps, those countries” and ending with “on mental health during COVID-19” should be rephrased. Perhaps is unnecessary in this context, as data show that the countries listed in the previous section did, in fact, begin seeing COVID-19 cases later than China and Europe.</li> </ul> <b><u>Limitations </u></b> <ul> <li>I would recommend adding that most of the literature cited in your review emerged from studies in China at the beginning of what became a global pandemic. As such, these findings might not be consistent across other affected countries and it is unclear how these mental health trends are developing as the pandemic continues.</li> </ul></div> <div class=md> <div class=questionnaire> <ul class=c-questionnaire> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Is the topic of the review discussed comprehensively in the context of the current literature?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Are all factual statements correct and adequately supported by citations?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Is the review written in accessible language?</p> <p class=c-questionnaire__answer>Partly</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Are the conclusions drawn appropriate in the context of the current research literature?</p> <p class=c-questionnaire__answer>Yes</p> </li> </ul> </div> </div> <p style="margin-top: 10px;"><b class=mobile-block-display>Competing Interests:</b> No competing interests were disclosed.</p> <p><b>Reviewer Expertise:</b> Mental health during COVID-19, PTSD, health psych</p> <span class="info-separation padding-top padding-bottom comment-statement-mobile"> <div class=f1r-article-mobile> <div class="content-divider report-info"></div> </div> <strong> We confirm that we have read this submission and believe that we have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. </strong> </span> <div class=f1r-article-mobile> <div class="content-divider report-info"></div> </div> <span class="f1r-article-desk hide-comment-container response-and-comment">Close</span> <div class="f1r-article-mobile research-layout margin-top-30 is-centered"> <button class="primary orange-text white-bg bigger-text expand-button-mobile hide-comment-container hide with-border"> READ LESS <span class="f1r-icon icon-10_less_small orange vmiddle big"></span> </button> </div> </span> <div class="f1r-article-mobile cite-report-wrapper"> <a href="#" class=mobile-cite-report>CITE</a> </div> <div class="research-layout mobile-cite-report-popup-wrapper"> <div class=bgmask></div> <div class=mobile-cite-report-popup> <span class="f1r-icon icon-88_not_approved close-cite-report-popup"></span> <div class=cite-report-popup-title>CITE</div> <span class=cite-report-popup-top-content> HOW TO CITE THIS REPORT </span> <div class=cite-report-popup-content> <span class=copy-cite-report id=cite-report-text-mobile-71938-2> <span class=article-title-and-info>Alonzi S and Silverstein MW. Reviewer Report For: Epidemiology of mental health problems in COVID-19: a review [version 1; peer review: 2 approved]</span>. <i>F1000Research</i> 2020, <b>9</b>:636 (<a class=new-orange href="https://doi.org/10.5256/f1000research.26979.r71938" target=_blank>https://doi.org/10.5256/f1000research.26979.r71938</a>) </span> </div> <div class=cite-report-popup-divider></div> <div class=cite-report-popup-content data-test-id=report-url> The direct URL for this report is:<br> <a href="https://f1000research.com/articles/9-636/v1#referee-response-71938" class=new-orangetarget=_blank>https://f1000research.com/articles/9-636/v1#referee-response-71938</a> </div> <div class=cite-report-popup-divider></div> <div class=cite-report-popup-content> NOTE: <em>it is important to ensure the information in <b>square brackets after the title</b> is included in all citations of this article.</em> </div> <div class=cite-report-popup-buttons> <button type=button class="primary orange extra-padding 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icon-14_more_small"></span> <span class="f1r-icon icon-10_less_small"></span> </span> </h2> </div> <div class="f1r-article-desk-inline referee-report-info-box referee-report-version-box"> Version 1 </div> <div class="f1r-article-mobile research-layout mobile-version-info padding-top-30"> <span class=mversion>VERSION 1</span> <span class=details>PUBLISHED 23 Jun 2020</span> <span class="article-pubinfo-mobile versions-section"> </span> </div> <div class="f1r-article-mobile research-layout margin-top-20 is-centered"> <a href="/login?originalPath=/articles/9-636&scrollTo=add-new-comment" class=register-report-comment-button data-test-id=add-comment_mob> <button class="primary orange extra-padding comment-on-this-report">ADD YOUR COMMENT</button> </a> </div> <a href="/login?originalPath=/articles/9-636&scrollTo=add-new-comment" class="f1r-article-desk register-report-comment-button" data-test-id=add-comment> <span class=contracted></span>Comment </a> </div> </div> </div> <div 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class="p-article__sidebar-highlight u-mb--2 u-pr--1"> <div class="o-actions o-actions--middle"> <div class=o-actions__primary> <h4 class="u-mt--0 u-mb--0 u-ib u-middle t-h4 u-weight--md u-mr--1/2">Reviewer Status</h4> <div class="c-referee-status__icons u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--approved " title=Approved #data-refInfo=76135-71938></i> <i class="c-icn--f1r-icon c-icn--approved " title=Approved #data-refInfo=69556-69817></i> </div> </div> <div class="o-actions__secondary _mdl-layout"> <div class="c-block-tip p-article__sidebar-tooltip c-block-tip--below c-block-tip--small-arrow c-block-tip--sm-padding"> <button type=button class="c-button c-button--icon c-button--text c-block-tip__toggle"><i class="material-icons c-button--icon__icon">info_outline</i></button> <div class=c-block-tip__content> <p class="t-body u-mt--0 u-mb--0"><em class=u-weight--md>Alongside their report, reviewers assign a status to the article:</em></p> <dl class=c-definitions> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--approved " title=Approved #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Approved</span></dt> <dd class="c-definitions__description t-caption">The paper is scientifically sound in its current form and only minor, if any, improvements are suggested</dd> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--reservations" title="Approved with Reservations" #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Approved with reservations</span></dt> <dd class="c-definitions__description t-caption"> A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. </dd> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--not-approved " title="Not Approved" #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Not approved</span></dt> <dd class="c-definitions__description t-caption">Fundamental flaws in the paper seriously undermine the findings and conclusions</dd> </dl> </div> </div> </div> </div> </div> <div class="o-layout__item u-mb--1"><h4 class="u-mt--0 u-mb--0 u-ib u-middle t-h4 u-weight--md">Reviewer Reports</h4></div> <table class="c-report-timeline u-mb--2"> <thead class=c-report-timeline__headings> <tr> <th></th> <th class="u-pb--1/2" colspan=2><em class="t-body u-weight--rg">Invited Reviewers</em></th> </tr> <tr class=c-report-timeline__headings-row> <th></th> <th class="c-report-timeline__headings-version p-article__color--dark">1</th> <th class="c-report-timeline__headings-version p-article__color--dark">2</th> </tr> </thead> <tbody> <tr class="c-report-timeline__row c-report-timeline__row--selected "> <th class=c-report-timeline__version> <a data-test-id=sidebar_timeline_v1_version href="https://f1000research.com/articles/9-636/v1">Version 1</a><br/> <span class=p-article__color--dark> <span data-test-id=sidebar_timeline_v1_date class=c-report-timeline__date>23 Jun 20</span> </span> </th> <td class="c-report-timeline__report c-report-timeline__cell "> <a class="js-route c-report-timeline__report-link" title="07 Oct 2020" href="https://f1000research.com/articles/9-636/v1#referee-response-71938" data-path="/reports/71938" target-attr=referee-response-71938 data-reportID=71938 style="cursor: pointer;"> <i class="c-icn--f1r-icon c-icn--approved small" title=Approved #data-refInfo=""></i> <span class="u-block c-report-timeline__report-read u-mt--1">read</span> </a> </td> <td class="c-report-timeline__report c-report-timeline__cell "> <a class="js-route c-report-timeline__report-link" title="09 Oct 2020" href="https://f1000research.com/articles/9-636/v1#referee-response-69817" data-path="/reports/69817" target-attr=referee-response-69817 data-reportID=69817 style="cursor: pointer;"> <i class="c-icn--f1r-icon c-icn--approved small" title=Approved #data-refInfo=""></i> <span class="u-block c-report-timeline__report-read u-mt--1">read</span> </a> </td> </tr> </tbody> </table> <div class=o-layout__item> <hr class="c-hr c-hr--low u-mb--2"> <ol class=p-article__sidebar-referees-list> <li class="u-pl--1 u-mb--1/2 t-small"> <div data-test-id=sidebar_referee> <strong data-test-id=sidebar_referee_name>Sarah Alonzi</strong>, Loyola University, New Orleans, USA </div> <div data-test-id=sidebar_referee> <strong data-test-id=sidebar_referee_name>Madison W Silverstein</strong>, Loyola University New Orleans, New Orleans, USA </div> </li> <li class="u-pl--1 u-mb--1/2 t-small"> <div data-test-id=sidebar_referee> <strong data-test-id=sidebar_referee_name>Reindolf Anokye</strong><a href="http://orcid.org/0000-0002-7669-7057" target=_blank title="Open ORCID"><span class=orcid-logo-for-author-list></span></a>, Edith Cowan University, Joondalup, Australia </div> </li> </ol> </div> </section> </div> <section class="o-layout__item u-pl"> <div class=u-pl> <hr class="c-hr c-hr--low c-hr--md u-mb--3"> <h4 class="t-h3 u-weight--md u-mt--0 u-mb--2">Comments on this article</h4> <div class=u-mb--4> <p class="u-mt--0 u-mb--1 t-h4"><a class=p-article__color--light href="#article-comments">All Comments</a><span class=" u-ib u-ml--1/2 p-article__color--light">(0)</span></p> <a class=t-h4 href="/login?originalPath=/articles/9-636&scrollTo=add-new-comment" data-test-id=add-comment>Add a comment</a> </div> <hr class="c-hr c-hr--low c-hr--md u-mb--4"> <div class="research-layout f1r-article-desk"> <div class="heading6 c-ribbon-wrapper c-ribbon-wrapper--etoc f1000research "> <div class=c-ribbon-wrapper__body>Sign up for content alerts</div> </div> </div> <div class="research-layout sidebar-sign-up-form f1r-article-desk u-mb--4 "> <form class=js-email-alert-signup 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class="t-h3 u-weight--md u-mt--0 u-mb--1">Browse by related subjects</h4> <div class="article-subcontainer article-subcontainer--sidebar"> <ul class=js-terms-list></ul> </div> </section> </div> </section> </div> </section> <div class="p-article__sidebar-view u-pl u-hide js-article-sidebar-view" data-view=report-69817> <a class="u-block js-route js-article-sidebar-view-fixed-header c-link--basic p-article__sidebar-back" href="#" data-path="/"><i class="material-icons c-link__icon">keyboard_arrow_left</i> <span class=c-link__text>Back to all reports</span></a> <aside class="c-referee-report js-referee-report t-body u-pr--2 u-pb--8" data-reportid=69817 data-test-id=article_referee_report> <div class=o-layout> <header class="o-layout__item c-referee-report__header"> <div class="o-actions o-actions--middle u-mb--1"> <div class=o-actions__primary> <h2 class="t-h3 u-weight--md u-mb--0 u-mt--0">Reviewer Report</h2> </div> <div class="o-actions__secondary u-hide@expanded"> <span class="t-body u-weight--rg js-report-view-count u-ml--1 u-black--medium"><span class=js-referee-report-views>0</span> Views</span> </div> <div class="o-actions__secondary u-hide@expanded"> <div class="c-block-tip p-article__sidebar-tooltip c-block-tip--below c-block-tip--small-arrow c-block-tip--sm-padding"> <button type=button class="c-button c-button--icon c-button--text c-block-tip__toggle"><i class="material-icons c-button--icon__icon">copyright</i></button> <div class="c-block-tip__content u-fs--normal"> <span class=u-weight--bd>© 2020 Anokye R.</span> This is an open access peer review report distributed under the terms of the <a href="https://creativecommons.org/licenses/by/4.0/" target=_blank>Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. </div> </div> </div> </div> <p class="u-black--medium u-mt--0 u-mb--1"><em>09 Oct 2020 | for Version 1</em></p> <div class="u-mb--1/2"> <span class=bold>Reindolf Anokye<a href="http://orcid.org/0000-0002-7669-7057" target=_blank title="Open ORCID"><span class=orcid-logo-for-author-list></span></a></span><span class=f1r-article-desk-inline>,</span> Edith Cowan University, Joondalup, Australia  </div> <hr class="c-hr c-hr--low u-mt--2 u-mb--2 u-hide@expanded"> </header> <div class="o-layout__item c-referee-report__actions u-mb--2"> <span class="t-body u-weight--rg js-report-view-count u-mt--0 u-mb--1 u-black--medium u-show@expanded"><span class=js-referee-report-views>0</span> Views</span> <div id=copyrightInfo class="c-block-tip p-article__sidebar-tooltip c-block-tip--below c-block-tip--small-arrow u-show@expanded u-fr"> <button type=button class="c-button c-button--icon c-button--text c-block-tip__toggle"><i class="material-icons c-button--icon__icon">copyright</i></button> <div class="c-block-tip__content u-fs--normal"> <span class=u-weight--bd>© 2020 Anokye R.</span> This is an open access peer review report distributed under the terms of the <a href="https://creativecommons.org/licenses/by/4.0/" target=_blank>Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. </div> </div> <a class="u-block c-link--basic u-mb--1 js-route" data-path="/reports/69817/cite" href="#" data-test-id=article_referee-report_cite-link><i class="material-icons c-link__icon">format_quote</i> <span class="u-ml--1 c-link__text">Cite this report</span></a> <a href="#report-responses-69817" class="u-block c-link--basic u-mb--1/2 js-route" data-path="/reports/69817/responses" href="#" data-test-id=article_referee-report_responses-link><i class="material-icons c-link__icon">speaker_notes</i> <span class="u-ml--1 u-mr--1/2 c-link__text u-ib">Responses</span><span class="u-black--medium u-ib u-middle">(0)</span></a> </div> <div class="u-mb--1 u-show@expanded"></div> </div> <hr class="c-hr c-hr--low u-mt--0 u-mb--2"> <div class="o-actions o-actions--middle u-mb--1"> <div class="o-actions__primary p-article__color--dark"> <i class="c-icn--f1r-icon c-icn--approved " title=Approved #data-refInfo=69556-69817></i> <span class="p-article__report-status t-caption u-upper-spacing u-upper u-ib u-middle u-weight--md">Approved</span> </div> <div class="o-actions__secondary _mdl-layout"> <div class="c-block-tip p-article__sidebar-tooltip c-block-tip--below c-block-tip--small-arrow c-block-tip--sm-padding"> <button type=button class="c-button c-button--icon c-button--text c-block-tip__toggle"><i class="material-icons c-button--icon__icon">info_outline</i></button> <div class=c-block-tip__content> <p class="t-body u-mt--0 u-mb--0"><em class=u-weight--md>Alongside their report, reviewers assign a status to the article:</em></p> <dl class=c-definitions> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--approved " title=Approved #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Approved</span></dt> <dd class="c-definitions__description t-caption">The paper is scientifically sound in its current form and only minor, if any, improvements are suggested</dd> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--reservations" title="Approved with Reservations" #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Approved with reservations</span></dt> <dd class="c-definitions__description t-caption"> A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. </dd> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--not-approved " title="Not Approved" #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Not approved</span></dt> <dd class="c-definitions__description t-caption">Fundamental flaws in the paper seriously undermine the findings and conclusions</dd> </dl> </div> </div> </div> </div> <div class="">Thank you for giving me the opportunity to review this article reporting the epidemiology of mental health problems in COVID-19. This is an important well-written article that will contribute to the literature in public health. The authors have done a great job putting this together and I would recommend that this review is published.<br/> <br/> I would also recommend that authors take their time to go through the article and correct any grammatical errors in the manuscript.<br/> <br/> Also, words such as psychological impact, psychological dimensions and psychological stress should not be used interchangeably with mental health if it is not probably a direct quote. For example, the sentence “psychological dimensions of COVID-19 are yet to be understood” could be rephrased as the mental health burden of COVID-19. Another statement “COVID-19 may have impacted psychological health among COVID-19 positive individuals” could also be rephrased. The consistency in the usage of mental health throughout the manuscript will make it easier for readers who are not expertise in this area to understand what the article is reporting.<br/> <br/> Furthermore, please indicate in the limitations section that most of the included studies were conducted in countries/places that reported most of the early cases of COVID-19.</div> <div class=u-mb--2> <div class=md> <div class=questionnaire> <ul class=c-questionnaire> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Is the topic of the review discussed comprehensively in the context of the current literature?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Are all factual statements correct and adequately supported by citations?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Is the review written in accessible language?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Are the conclusions drawn appropriate in the context of the current research literature?</p> <p class=c-questionnaire__answer>Yes</p> </li> </ul> </div> </div> </div> <hr class="c-hr c-hr--low u-mb--2"> <h5 class="t-body u-weight--md u-mt--0 u-mb--1/2">Competing Interests</h5> <p class="u-mt--0 u-mb--2 u-italic">No competing interests were disclosed.</p> <hr class="c-hr c-hr--low u-mb--2"> <h5 class="t-body u-weight--md u-mt--0 u-mb--1/2">Reviewer Expertise</h5> <p class="u-mb--2 u-mt--0">health psychology,mental health,public health.</p> <hr class="c-hr c-hr--low u-mb--3"> <p class="u-mb--3 u-mt--0"> <strong> I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. </strong> </p> <div class="_mdl-layout u-mb--3"> <a href="/login?originalPath=/articles/9-636&scrollTo=referee-response-69817" class="u-1/1 mdl-button mdl-js-button mdl-button--outline mdl-button--multi-line mdl-button--colored mdl-button--white-ish" data-test-id=article_referee-report_respond><i class="material-icons u-ib u-middle">reply</i><span class="p-article__sidebar-report-respond-text u-ib u-middle">Respond to this report</span></a> </div> <hr class="c-hr c-hr--low c-hr--md u-mb--3"> <section id=report-responses-69817> <h4 class="t-h3 u-weight--md u-mb--2 u-mt--0">Responses <span class="u-weight--rg u-black--medium t-body">(0)</span></h4> </section> <script type="text/template" data-template=refereeReportCitation-69817 id=refereeReportCitation-69817 class=u-hide> <div class="u-black--high"> <p id="referee-report-citation" data-test-id="report_copy-citation_text" >Anokye R. Peer Review Report For: Epidemiology of mental health problems in COVID-19: a review [version 1; peer review: 2 approved]</span>. <i>F1000Research</i> 2020, <b>9</b>:636 (<a class="new-orange" href="https://doi.org/10.5256/f1000research.26979.r69817" target="_blank">https://doi.org/10.5256/f1000research.26979.r69817)</a></p> <p class="c-modal__flush u-pl u-pr u-pt--3/2 u-pb--3/2 u-red u-bg--12"><strong>NOTE:</strong> it is important to ensure the information in square brackets after the title is included in this citation.</p> <p class="t-body">The direct URL for this report is: <br><a href="https://f1000research.com/articles/9-636/v1#referee-response-69817" target="_blank">https://f1000research.com/articles/9-636/v1#referee-response-69817</a></p> </div> </script> </aside> </div> <div class="p-article__sidebar-view u-pl u-hide js-article-sidebar-view" data-view=report-71938> <a class="u-block js-route js-article-sidebar-view-fixed-header c-link--basic p-article__sidebar-back" href="#" data-path="/"><i class="material-icons c-link__icon">keyboard_arrow_left</i> <span class=c-link__text>Back to all reports</span></a> <aside class="c-referee-report js-referee-report t-body u-pr--2 u-pb--8" data-reportid=71938 data-test-id=article_referee_report> <div class=o-layout> <header class="o-layout__item c-referee-report__header"> <div class="o-actions o-actions--middle u-mb--1"> <div class=o-actions__primary> <h2 class="t-h3 u-weight--md u-mb--0 u-mt--0">Reviewer Report</h2> </div> <div class="o-actions__secondary u-hide@expanded"> <span class="t-body u-weight--rg js-report-view-count u-ml--1 u-black--medium"><span class=js-referee-report-views>0</span> Views</span> </div> <div class="o-actions__secondary u-hide@expanded"> <div class="c-block-tip p-article__sidebar-tooltip c-block-tip--below c-block-tip--small-arrow c-block-tip--sm-padding"> <button type=button class="c-button c-button--icon c-button--text c-block-tip__toggle"><i class="material-icons c-button--icon__icon">copyright</i></button> <div class="c-block-tip__content u-fs--normal"> <span class=u-weight--bd>© 2020 Silverstein M et al.</span> This is an open access peer review report distributed under the terms of the <a href="https://creativecommons.org/licenses/by/4.0/" target=_blank>Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. </div> </div> </div> </div> <p class="u-black--medium u-mt--0 u-mb--1"><em>07 Oct 2020 | for Version 1</em></p> <div class="u-mb--1/2"> <span class=bold>Sarah Alonzi</span><span class=f1r-article-desk-inline>,</span> Loyola University, New Orleans, USA  </div> <div class="u-mb--1/2"> <span class=bold>Madison W Silverstein</span><span class=f1r-article-desk-inline>,</span> Department of Psychological Sciences, Loyola University New Orleans, New Orleans, USA  </div> <hr class="c-hr c-hr--low u-mt--2 u-mb--2 u-hide@expanded"> </header> <div class="o-layout__item c-referee-report__actions u-mb--2"> <span class="t-body u-weight--rg js-report-view-count u-mt--0 u-mb--1 u-black--medium u-show@expanded"><span class=js-referee-report-views>0</span> Views</span> <div id=copyrightInfo class="c-block-tip p-article__sidebar-tooltip c-block-tip--below c-block-tip--small-arrow u-show@expanded u-fr"> <button type=button class="c-button c-button--icon c-button--text c-block-tip__toggle"><i class="material-icons c-button--icon__icon">copyright</i></button> <div class="c-block-tip__content u-fs--normal"> <span class=u-weight--bd>© 2020 Silverstein M et al.</span> This is an open access peer review report distributed under the terms of the <a href="https://creativecommons.org/licenses/by/4.0/" target=_blank>Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. </div> </div> <a class="u-block c-link--basic u-mb--1 js-route" data-path="/reports/71938/cite" href="#" data-test-id=article_referee-report_cite-link><i class="material-icons c-link__icon">format_quote</i> <span class="u-ml--1 c-link__text">Cite this report</span></a> <a href="#report-responses-71938" class="u-block c-link--basic u-mb--1/2 js-route" data-path="/reports/71938/responses" href="#" data-test-id=article_referee-report_responses-link><i class="material-icons c-link__icon">speaker_notes</i> <span class="u-ml--1 u-mr--1/2 c-link__text u-ib">Responses</span><span class="u-black--medium u-ib u-middle">(0)</span></a> </div> <div class="u-mb--1 u-show@expanded"></div> </div> <hr class="c-hr c-hr--low u-mt--0 u-mb--2"> <div class="o-actions o-actions--middle u-mb--1"> <div class="o-actions__primary p-article__color--dark"> <i class="c-icn--f1r-icon c-icn--approved " title=Approved #data-refInfo=69556-69817></i> <span class="p-article__report-status t-caption u-upper-spacing u-upper u-ib u-middle u-weight--md">Approved</span> </div> <div class="o-actions__secondary _mdl-layout"> <div class="c-block-tip p-article__sidebar-tooltip c-block-tip--below c-block-tip--small-arrow c-block-tip--sm-padding"> <button type=button class="c-button c-button--icon c-button--text c-block-tip__toggle"><i class="material-icons c-button--icon__icon">info_outline</i></button> <div class=c-block-tip__content> <p class="t-body u-mt--0 u-mb--0"><em class=u-weight--md>Alongside their report, reviewers assign a status to the article:</em></p> <dl class=c-definitions> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--approved " title=Approved #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Approved</span></dt> <dd class="c-definitions__description t-caption">The paper is scientifically sound in its current form and only minor, if any, improvements are suggested</dd> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--reservations" title="Approved with Reservations" #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Approved with reservations</span></dt> <dd class="c-definitions__description t-caption"> A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. </dd> <dt class="c-definitions__term u-upper t-control u-weight--md u-black--high"><span class="u-ib u-middle"> <i class="c-icn--f1r-icon c-icn--not-approved " title="Not Approved" #data-refInfo=""></i> </span> <span class="u-middle u-ib u-ml--1/2">Not approved</span></dt> <dd class="c-definitions__description t-caption">Fundamental flaws in the paper seriously undermine the findings and conclusions</dd> </dl> </div> </div> </div> </div> <div class=""><b>Review of Epidemiology of mental health problems in COVID-19: a review. </b><br/> Thank you for the opportunity to review this manuscript reporting the prevalence of depression, anxiety, and other adverse mental health effects of the COVID-19 pandemic. This is an interesting narrative review, with useful recommendations for researchers and clinicians. Minor revisions are needed to make findings and implications clearer to readers. I hope these suggestions can be of help! <br/> <br/> <u><b>Abstract</b></u><br/> The abstract contained minor grammatical and sentence structure issues, which could be remedied as suggested. <ul> <li>Two sentences in the abstract, (1) “the current literature” through “behavior” and (2) “moreover” through “survival”, are very long. These sentences can be broken up, or focus on a few of these factors (that authors deem most important for research and practice) to make the focus of the paper clearer to readers.<br/>  </li> <li>Remove “on” from “future epidemiological studies should emphasize <u>on </u>psychopathological variations”</li> </ul> <b><u>Introduction</u></b> <ul> <li>Paragraph 2, sentence 2. I found the sentence hard to read. It could be improved by changing persistence stress to persistent stress.<br/>  </li> <li>Paragraph 2, final sentence. The fact that the review was “rapid” does not need to be mentioned and playing up the rapid peer review may undermine readers’ confidence in the validity of those findings.<br/>  </li> <li>Paragraph 3, sentence 1. Change individuals who are tested positive to individuals who have tested positive.<br/>  </li> <li>Paragraph 4, sentence 2. “As COVID-19 cases are <u>impacting </u>the capacities of health systems” is too vague. Include the way that they are impacting the capacities (e.g., adversely).</li> </ul> <b><u>Literature review on the epidemiology of mental health problems in COVID-19 </u></b> <ul> <li>General population. In this section, it is unclear to me whether you are referring to the “general population” of a specific region, country, etc., or just summarizing existing population-level studies across locations and cultures. I would assume there is some variation in population-level stress across locations, so the term general population might be too broad. In addition to the heading, the body would benefit from more description of the countries and populations these reviews are focused on.<br/>  </li> <li>Paragraph 5, final sentence. The sentence “furthermore, more than 80% of participants in this study perceived a need for mental health services,” is unclear. Did 80% perceive that they needed MH services, or that there should be MH services made available for the general population to cope with COVID-19?<br/>  </li> <li>Patients with COVID-19. Removed were from “Furthermore, suicidal behavior among individuals who <u>were</u> tested positive”.<br/>  </li> <li>Paragraph 9, sentence 5. The sentence, “moreover, altered consciousness in 21% of patients who subsequently died as reported in another study,” is confusing and needs revision.</li> </ul> <b><u>Factors associated with mental health problems during COVID-19 </u></b> <ul> <li>Marital status. As you did in the previous paragraphs, it is necessary to state what marital status is associated with better or worse mental health outcomes.<br/>  </li> <li>Comorbid mental health problems. The statement, “also, people with substance use disorders are susceptible to COVID-19, which may also increase their vulnerability to subsequent mental health problems” was quite confusing to me. The phrasing makes it seem as if people with substance use disorders are more susceptible than others, which id not supported by the literature.</li> </ul> <b><u>Discussion</u></b> <ul> <li>Emphasizing on research and evidence mapping on mental health. The sentence starting with “perhaps, those countries” and ending with “on mental health during COVID-19” should be rephrased. Perhaps is unnecessary in this context, as data show that the countries listed in the previous section did, in fact, begin seeing COVID-19 cases later than China and Europe.</li> </ul> <b><u>Limitations </u></b> <ul> <li>I would recommend adding that most of the literature cited in your review emerged from studies in China at the beginning of what became a global pandemic. As such, these findings might not be consistent across other affected countries and it is unclear how these mental health trends are developing as the pandemic continues.</li> </ul></div> <div class=u-mb--2> <div class=md> <div class=questionnaire> <ul class=c-questionnaire> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Is the topic of the review discussed comprehensively in the context of the current literature?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Are all factual statements correct and adequately supported by citations?</p> <p class=c-questionnaire__answer>Yes</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Is the review written in accessible language?</p> <p class=c-questionnaire__answer>Partly</p> </li> <li class=c-questionnaire__item> <p class=c-questionnaire__question>Are the conclusions drawn appropriate in the context of the current research literature?</p> <p class=c-questionnaire__answer>Yes</p> </li> </ul> </div> </div> </div> <hr class="c-hr c-hr--low u-mb--2"> <h5 class="t-body u-weight--md u-mt--0 u-mb--1/2">Competing Interests</h5> <p class="u-mt--0 u-mb--2 u-italic">No competing interests were disclosed.</p> <hr class="c-hr c-hr--low u-mb--2"> <h5 class="t-body u-weight--md u-mt--0 u-mb--1/2">Reviewer Expertise</h5> <p class="u-mb--2 u-mt--0">Mental health during COVID-19, PTSD, health psych</p> <hr class="c-hr c-hr--low u-mb--3"> <p class="u-mb--3 u-mt--0"> <strong> We confirm that we have read this submission and believe that we have an appropriate level of expertise to confirm that it is of an acceptable scientific standard. </strong> </p> <div class="_mdl-layout u-mb--3"> <a href="/login?originalPath=/articles/9-636&scrollTo=referee-response-71938" class="u-1/1 mdl-button mdl-js-button mdl-button--outline mdl-button--multi-line mdl-button--colored mdl-button--white-ish" data-test-id=article_referee-report_respond><i class="material-icons u-ib u-middle">reply</i><span class="p-article__sidebar-report-respond-text u-ib u-middle">Respond to this report</span></a> </div> <hr class="c-hr c-hr--low c-hr--md u-mb--3"> <section id=report-responses-71938> <h4 class="t-h3 u-weight--md u-mb--2 u-mt--0">Responses <span class="u-weight--rg u-black--medium t-body">(0)</span></h4> </section> <script type="text/template" data-template=refereeReportCitation-71938 id=refereeReportCitation-71938 class=u-hide> <div class="u-black--high"> <p id="referee-report-citation" data-test-id="report_copy-citation_text" >Alonzi S and Silverstein MW. Peer Review Report For: Epidemiology of mental health problems in COVID-19: a review [version 1; peer review: 2 approved]</span>. <i>F1000Research</i> 2020, <b>9</b>:636 (<a class="new-orange" href="https://doi.org/10.5256/f1000research.26979.r71938" target="_blank">https://doi.org/10.5256/f1000research.26979.r71938)</a></p> <p class="c-modal__flush u-pl u-pr u-pt--3/2 u-pb--3/2 u-red u-bg--12"><strong>NOTE:</strong> it is important to ensure the information in square brackets after the title is included in this citation.</p> <p class="t-body">The direct URL for this report is: <br><a href="https://f1000research.com/articles/9-636/v1#referee-response-71938" target="_blank">https://f1000research.com/articles/9-636/v1#referee-response-71938</a></p> </div> </script> </aside> </div> </div> <script src="/js/shared_scripts/modal-dialogue.js"></script> <script src="/js/shared_scripts/read-more.js"></script> <script src="/js/article/article-router.js"></script> <script src="/js/article/article-sidebar.js"></script> <script src="/js/referee/new/referee_helpers.js"></script> <script src="/js/article/article-column-toggle.js"></script> </div> </div> </div> </main> <input type=hidden id=_articleVersionUrl value="https://f1000research.com/articles/9-636/v1/"> <div class=research-help id=about-referee-status> <div class="research-layout research-help-content about-referee-status"> <span class="close-research-help dark-cross" title=Close></span> Alongside their report, reviewers assign a status to the article: <div class="cf research-help-row"> <span class="f1r-icon icon-86_approved status-green smaller" title=Approved></span> <span class=research-help-text>Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested</span> </div> <div class="cf research-help-row"> <span class="f1r-icon icon-87_approved_reservations status-green smaller" title="Approved with Reservations"></span> <span class=research-help-text>Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. </span> </div> <div class="cf research-help-row"> <span class="f1r-icon icon-88_not_approved status-red small" title="Not Approved"></span> <span class=research-help-text>Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions</span> </div> </div> </div> <div id=datasets-info class=is-hidden> </div> <div class=article-interactive-content-container style="display: none;"> <a name=f-template class=n-a></a> <div class="interactive-content-wrapper padding-20"> <img src="" class=interactive-content-image title="Open the interactive image display"> <div class=interactive-content-title></div> <div class=interactive-content-text></div> <div class="f1r-article-desk interactive-content-ribbon" data-interactive-content-type=R-Script> <div class=interactive-content-label>Adjust parameters to alter display</div> <div class=interactive-content-button></div> </div> <div class="f1r-article-mobile mobile-interactive-note"> View on desktop for interactive features <img src="/img/icon/interactive_content.png" class="float-right margin-right-40"/> </div> <div class=clearfix></div> </div> </div> <div id=article-interactive-omero-container class=article-interactive-omero-container style="display: none;"> <div class=interactive-content-wrapper> <div class="interactive-omero-button omero-content" title="Open the interactive content window." data-interactive-content-type=Omero></div> <div class=has-interactive-content-image> <span class=box-arrow></span> <span class=box-middle>Includes Interactive Elements</span> <span class=box-end></span> </div> <div class="fig panel clearfix" style="margin: 0; padding-bottom: 20px;"> <a name=templatelink class=n-a></a> <a target=_blank href="" class=link-for-omero-image> <img src="" class=interactive-omero-image title="Open the image display window."> </a> <div class=caption> <div class=interactive-content-title></div> <div class=interactive-content-text></div> </div> <div class="is-hidden omero-image-list"></div> </div> <div class="f1r-article-mobile mobile-interactive-note omero"> View on desktop for interactive features <img src="/img/icon/interactive_content.png" class="float-right margin-right-40"/> </div> <div class=clearfix></div> </div> </div> <div class="modal-window-wrapper is-hidden"> <div id=conflicts-interests class="modal-window padding-20"> <div class=modal-window__content> <h2 class=h2-title>Competing Interests Policy</h2> <p> Provide sufficient details of any financial or non-financial competing interests to enable users to assess whether your comments might lead a reasonable person to question your impartiality. 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data-country-code=FO>Faroe Islands</option> <option value=FM data-country-code=FM>Federated States of Micronesia</option> <option value=FJ data-country-code=FJ>Fiji</option> <option value=FI data-country-code=FI>Finland</option> <option value=FR data-country-code=FR>France</option> <option value=GF data-country-code=GF>French Guiana</option> <option value=PF data-country-code=PF>French Polynesia</option> <option value=TF data-country-code=TF>French Southern Territories</option> <option value=GA data-country-code=GA>Gabon</option> <option value=GE data-country-code=GE>Georgia</option> <option value=DE data-country-code=DE>Germany</option> <option value=GH data-country-code=GH>Ghana</option> <option value=GI data-country-code=GI>Gibraltar</option> <option value=GR data-country-code=GR>Greece</option> <option value=GL data-country-code=GL>Greenland</option> <option value=GD data-country-code=GD>Grenada</option> <option value=GP data-country-code=GP>Guadeloupe</option> <option value=GU data-country-code=GU>Guam</option> <option value=GT data-country-code=GT>Guatemala</option> <option value=GG data-country-code=GG>Guernsey</option> <option value=GN data-country-code=GN>Guinea</option> <option value=GW data-country-code=GW>Guinea-Bissau</option> <option value=GY data-country-code=GY>Guyana</option> <option value=HT data-country-code=HT>Haiti</option> <option value=HM data-country-code=HM>Heard Island and Mcdonald Islands</option> <option value=VA data-country-code=VA>Holy See (Vatican City State)</option> <option value=HN data-country-code=HN>Honduras</option> <option value=HK data-country-code=HK>Hong Kong</option> <option value=HU data-country-code=HU>Hungary</option> <option value=IS data-country-code=IS>Iceland</option> <option value=IN data-country-code=IN>India</option> <option value=ID data-country-code=ID>Indonesia</option> <option value=IR data-country-code=IR>Iran</option> <option value=IQ data-country-code=IQ>Iraq</option> <option value=IE data-country-code=IE>Ireland</option> <option value=IL data-country-code=IL>Israel</option> <option value=IT data-country-code=IT>Italy</option> <option value=JM data-country-code=JM>Jamaica</option> <option value=JP data-country-code=JP>Japan</option> <option value=JE data-country-code=JE>Jersey</option> <option value=JO data-country-code=JO>Jordan</option> <option value=KZ data-country-code=KZ>Kazakhstan</option> <option value=KE data-country-code=KE>Kenya</option> <option value=KI data-country-code=KI>Kiribati</option> <option value=XK data-country-code=XK>Kosovo (Serbia and Montenegro)</option> <option value=KW data-country-code=KW>Kuwait</option> <option value=KG data-country-code=KG>Kyrgyzstan</option> <option value=LA data-country-code=LA>Lao People's Democratic Republic</option> <option value=LV data-country-code=LV>Latvia</option> <option value=LB data-country-code=LB>Lebanon</option> <option value=LS data-country-code=LS>Lesotho</option> <option value=LR data-country-code=LR>Liberia</option> <option value=LY data-country-code=LY>Libya</option> <option value=LI data-country-code=LI>Liechtenstein</option> <option value=LT data-country-code=LT>Lithuania</option> <option value=LU data-country-code=LU>Luxembourg</option> <option value=MO data-country-code=MO>Macao</option> <option value=MG data-country-code=MG>Madagascar</option> <option value=MW data-country-code=MW>Malawi</option> <option value=MY data-country-code=MY>Malaysia</option> <option value=MV data-country-code=MV>Maldives</option> <option value=ML data-country-code=ML>Mali</option> <option value=MT data-country-code=MT>Malta</option> <option value=MH data-country-code=MH>Marshall Islands</option> <option value=MQ data-country-code=MQ>Martinique</option> <option value=MR data-country-code=MR>Mauritania</option> <option value=MU data-country-code=MU>Mauritius</option> <option value=YT data-country-code=YT>Mayotte</option> <option value=MX data-country-code=MX>Mexico</option> <option value=UM data-country-code=UM>Minor Outlying Islands of the United States</option> <option value=MD data-country-code=MD>Moldova</option> <option value=MC data-country-code=MC>Monaco</option> <option value=MN data-country-code=MN>Mongolia</option> <option value=ME data-country-code=ME>Montenegro</option> <option value=MS data-country-code=MS>Montserrat</option> <option value=MA data-country-code=MA>Morocco</option> <option value=MZ data-country-code=MZ>Mozambique</option> <option value=MM data-country-code=MM>Myanmar</option> <option value=NA data-country-code=NA>Namibia</option> <option value=NR data-country-code=NR>Nauru</option> <option value=NP data-country-code=NP>Nepal</option> <option value=AN data-country-code=AN>Netherlands Antilles</option> <option value=NC data-country-code=NC>New Caledonia</option> <option value=NZ data-country-code=NZ>New Zealand</option> <option value=NI data-country-code=NI>Nicaragua</option> <option value=NE data-country-code=NE>Niger</option> <option value=NG data-country-code=NG>Nigeria</option> <option value=NU data-country-code=NU>Niue</option> <option value=NF data-country-code=NF>Norfolk Island</option> <option value=KP data-country-code=KP>North Korea</option> <option value=MK data-country-code=MK>North Macedonia</option> <option value=MP data-country-code=MP>Northern Mariana Islands</option> <option value=NO data-country-code=NO>Norway</option> <option value=OM data-country-code=OM>Oman</option> <option value=PK data-country-code=PK>Pakistan</option> <option value=PW data-country-code=PW>Palau</option> <option value=PS data-country-code=PS>Palestinian Territory</option> <option value=PA data-country-code=PA>Panama</option> <option value=PG data-country-code=PG>Papua New Guinea</option> <option value=PY data-country-code=PY>Paraguay</option> <option value=PE data-country-code=PE>Peru</option> <option value=PH data-country-code=PH>Philippines</option> <option value=PN data-country-code=PN>Pitcairn</option> <option value=PL data-country-code=PL>Poland</option> <option value=PT data-country-code=PT>Portugal</option> <option value=PR data-country-code=PR>Puerto Rico</option> <option value=QA data-country-code=QA>Qatar</option> <option value=RE data-country-code=RE>Reunion</option> <option value=RO data-country-code=RO>Romania</option> <option value=RU data-country-code=RU>Russian Federation</option> <option value=RW data-country-code=RW>Rwanda</option> <option value=SH data-country-code=SH>Saint Helena</option> <option value=KN data-country-code=KN>Saint Kitts and Nevis</option> <option value=LC data-country-code=LC>Saint Lucia</option> <option value=PM data-country-code=PM>Saint Pierre and Miquelon</option> <option value=VC data-country-code=VC>Saint Vincent and the Grenadines</option> <option value=WS data-country-code=WS>Samoa</option> <option value=SM data-country-code=SM>San Marino</option> <option value=ST data-country-code=ST>Sao Tome and Principe</option> <option value=SA data-country-code=SA>Saudi Arabia</option> <option value=SN data-country-code=SN>Senegal</option> <option value=RS data-country-code=RS>Serbia</option> <option value=SC data-country-code=SC>Seychelles</option> <option value=SL data-country-code=SL>Sierra Leone</option> <option value=SG data-country-code=SG>Singapore</option> <option value=SK data-country-code=SK>Slovakia</option> <option value=SI data-country-code=SI>Slovenia</option> <option value=SB data-country-code=SB>Solomon Islands</option> <option value=SO data-country-code=SO>Somalia</option> <option value=ZA data-country-code=ZA>South Africa</option> <option value=GS data-country-code=GS>South Georgia and the South Sandwich Is</option> <option value=KR data-country-code=KR>South Korea</option> <option value=SS data-country-code=SS>South Sudan</option> <option value=ES data-country-code=ES>Spain</option> <option value=LK data-country-code=LK>Sri Lanka</option> <option value=SD data-country-code=SD>Sudan</option> <option value=SR data-country-code=SR>Suriname</option> <option value=SJ data-country-code=SJ>Svalbard and Jan Mayen</option> <option value=SZ data-country-code=SZ>Swaziland</option> <option value=SE data-country-code=SE>Sweden</option> <option value=CH data-country-code=CH>Switzerland</option> <option value=SY data-country-code=SY>Syria</option> <option value=TW data-country-code=TW>Taiwan</option> <option value=TJ data-country-code=TJ>Tajikistan</option> <option value=TZ data-country-code=TZ>Tanzania</option> <option value=TH data-country-code=TH>Thailand</option> <option value=GM data-country-code=GM>The Gambia</option> <option value=NL data-country-code=NL>The Netherlands</option> <option value=TL data-country-code=TL>Timor-Leste</option> <option value=TG data-country-code=TG>Togo</option> <option value=TK data-country-code=TK>Tokelau</option> <option value=TO data-country-code=TO>Tonga</option> <option value=TT data-country-code=TT>Trinidad and Tobago</option> <option value=TN data-country-code=TN>Tunisia</option> <option value=TR data-country-code=TR>Turkey</option> <option value=TM data-country-code=TM>Turkmenistan</option> <option value=TC data-country-code=TC>Turks and Caicos Islands</option> <option value=TV data-country-code=TV>Tuvalu</option> <option value=GB data-country-code=GB>UK</option> <option value=US data-country-code=US>USA</option> <option value=UG data-country-code=UG>Uganda</option> <option value=UA data-country-code=UA>Ukraine</option> <option value=AE data-country-code=AE>United Arab Emirates</option> <option value=VI data-country-code=VI>United States Virgin Islands</option> <option value=UY data-country-code=UY>Uruguay</option> <option value=UZ data-country-code=UZ>Uzbekistan</option> <option value=VU data-country-code=VU>Vanuatu</option> <option value=VE data-country-code=VE>Venezuela</option> <option value=VN data-country-code=VN>Vietnam</option> <option value=WF data-country-code=WF>Wallis and Futuna</option> <option value=ZZ 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