ArticleInternational journal of environmental research and public health2020
Coping with COVID-19: Exposure to COVID-19 and Negative Impact on Livelihood Predict Elevated Mental Health Problems in Chinese Adults.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 7 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
103 citing papers in PubMed, 7 syntheses or guidelines pooled it, 230 citations in OpenAlex.
- Sleep disturbances during the COVID-19 pandemic: A systematic review, meta-analysis, and meta-regression.Sleep medicine reviews · 2022Pooled it
- Insomnia symptoms during the early and late stages of the COVID-19 pandemic in China: a systematic review and meta-analysis.Sleep medicine · 2022Pooled it
- Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: a systematic review and meta-analysis.Scientific reports · 2021Pooled it
- Prevalence of post-traumatic stress symptoms among people influenced by coronavirus disease 2019 outbreak: A meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2021Pooled it
- The psychological impact of COVID-19 pandemic lockdowns: a review and meta-analysis of longitudinal studies and natural experiments.Psychological medicine · 2021Pooled it
- Infectious Disease Outbreak and Post-Traumatic Stress Symptoms: A Systematic Review and Meta-Analysis.Frontiers in psychology · 2021Pooled it
- Pooled it
- Effectiveness of emergency surgeries performed by nurse-surgeons and other non-physician providers: a systematic review and proportional meta-analysis.BMC nursing · 2026Article
- Exploring the role of trained surgical care nurses in cricothyrotomy and other emergency procedures: a systematic review and meta-analysis.Frontiers in surgery · 2025Review
- How does COVID-19-related social media usage influence disordered eating? A daily diary study among Chinese adults during lockdown.Journal of eating disorders · 2023Article
- Effect of Sleep Quality on Anxiety and Depression Symptoms among College Students in China's Xizang Region: The Mediating Effect of Cognitive Emotion Regulation.Behavioral sciences (Basel, Switzerland) · 2023Article
- The Role of Mass Media in Influencing the Lifestyle of the Elderly during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2023Article
- Impact of the COVID-19 pandemic on the quality of life and accessing rehabilitation services among patients with spinal cord injury and their fear of COVID-19.Journal of orthopaedic surgery and research · 2023Observational
- Parents' Perceptions of Children's Behavioral Difficulties and the Parent-Child Interaction During the COVID-19 Lockdown.Journal of family issues · 2023Article
- Indian Healthcare Workers' Issues, Challenges, and Coping Strategies during the COVID-19 Pandemic: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- The Impact of Information About COVID-19 on the Endocrine Stress System and Cognitive Distortions.Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2023Article
- A multifactorial framework of psychobehavioral determinants of coping behaviors: an online survey at the early stage of the COVID-19 pandemic.Frontiers in psychiatry · 2023Article
- Mental Health During the COVID-19 Pandemic in Japan: Applying Topic Modeling in Daily Life Descriptions.International journal of mental health and addiction · 2023Article
- The impacts of the coronavirus pandemic on the mental health of Brazilian diagnosed with COVID-19 and comparison of symptoms of depression, anxiety, insomnia, and post-traumatic stress with undiagnosed subjects.Frontiers in psychiatry · 2023Article
- Fear of coronavirus (COVID-19) and mental health outcomes in Palestine: The mediating role of social support.Current psychology (New Brunswick, N.J.) · 2023Article
43 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
The COVID-19 pandemic might lead to more mental health problems. However, few studies have examined sleep problems, depression, and posttraumatic symptoms among the general adult population during the COVID-19 outbreak, and little is known about coping behaviors. This survey was conducted online in China from February 1st to February 10th, 2020. Quota sampling was used to recruit 2993 Chinese citizens aged ≥18 years old. Mental health problems were assessed with the Post-Traumatic Stress Disorders (PTSD) Checklist for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the Center for Epidemiological Studies Depression inventory, and the Pittsburgh Sleep Quality Index. Exposure to COVID-19 was measured with questions about residence at outbreak, personal exposure, media exposure, and impact on livelihood. General coping style was measured by the brief Coping Style Questionnaire (SCSQ). Respondents were also asked 12 additional questions about COVID-19 specific coping behaviors. Direct exposure to COVID-19 instead of the specific location of (temporary) residence within or outside the epicenter (Wuhan) of the pandemic seems important (standardized beta: 0.05, 95% confidence interval (CI): 0.02-0.09). Less mental health problems were also associated with less intense exposure through the media (standardized beta: -0.07, 95% CI: -0.10--0.03). Perceived negative impact of the pandemic on livelihood showed a large effect size in predicting mental health problems (standardized beta: 0.15, 95% CI: 0.10-0.19). More use of cognitive and prosocial coping behaviors were associated with less mental health problems (standardized beta: -0.30, 95% CI: -0.34--0.27). Our study suggests that the mental health consequences of the lockdown impact on livelihood should not be underestimated. Building on cognitive coping behaviors reappraisal or cognitive behavioral treatments may be most promising.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.