ArticleInternational journal of environmental research and public health2020
Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian 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 678 papers, 6 of them syntheses that pooled it.
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The trial behind it
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Who cites it
678 citing papers in PubMed, 6 syntheses or guidelines pooled it, 1,437 citations in OpenAlex.
- Alcohol Consumption During the COVID-19 Pandemic: A Critical Review.Human psychopharmacology · 2025Pooled it
- Daily routine disruptions and psychiatric symptoms amid COVID-19: a systematic review and meta-analysis of data from 0.9 million individuals in 32 countries.BMC medicine · 2024Pooled it
- Effects of different Chinese traditional exercises on mental health during the COVID-19 pandemic: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Impact of COVID-19 lockdown on smoking and vaping: systematic review and meta-analysis.Public health · 2023Pooled it
- Changes in sleep quality and sleep disturbances in the general population from before to during the COVID-19 lockdown: A systematic review and meta-analysis.Frontiers in psychiatry · 2023Pooled it
- The impact of COVID-19 lockdown on snacking habits, fast-food and alcohol consumption: A systematic review of the evidence.Clinical nutrition (Edinburgh, Scotland) · 2022Pooled it
- Examining changes in pain interference via pandemic-induced isolation among patients receiving medication for opioid use disorder: a secondary data analysis.BMC public health · 2024Trial
- The feasibility of a telephone-based weight loss intervention in rural Ohio: A pilot study.PloS one · 2023Trial
- Validation of the General Practice Physical Activity Questionnaire after severe COVID-19.ERJ open research · 2026Article
- Alcohol Use Disorder and Depression Among Community-Based Clinic Patients Before and During the COVID-19 Public Health Emergency, by Smoking Status.AJPM focus · 2026Article
- Understanding Sleep Disturbance Due to Stressors: An Exploratory Mixed-Methods Study During the COVID-19 Pandemic.International journal of environmental research and public health · 2026Article
- Lifestyle and health behaviour changes of ageing Finnish women during early COVID-19 restrictions.Scandinavian journal of public health · 2026Article
- Living Alone as a Persistent Risk Factor for Smoking and High-Risk Drinking: A Three-Year Repeated Cross-Sectional Analysis Before and During the COVID-19 Pandemic in the Republic of Korea.Healthcare (Basel, Switzerland) · 2026Article
- Sleep quality and disturbance during the COVID-19 pandemic among people with HIV globally: associations with social determinants of health.AIDS (London, England) · 2026Observational
- Preoperative Health During a Pandemic: An Observational Study Assessing Lifestyle Changes in Patients Associated With COVID-19 in Western Australia.Health science reports · 2026Article
- Protective Role of Regular Physical Activity on Mental Health During the COVID-19 Pandemic.The Psychiatric quarterly · 2026Article
- Stress, Anxiety, and Depression Among Spanish University Professors: Associations With Lifestyle Habits and Physical and Mental Health Indicators.Actas espanolas de psiquiatria · 2026Article
- How Anxiety Shapes Students' Self-Rated Health at Elite Universities: A Longitudinal Study.Behavioral sciences (Basel, Switzerland) · 2026Article
- Longitudinal Association Between Childhood Psychological Maltreatment, Optimism, Positive Self-Beliefs, and Psychological Symptoms.The Psychiatric quarterly · 2026Article
- Impact of physical activity on cognitive function in long COVID patients: a cross-sectional observational study.Frontiers in sports and active living · 2026Article
618 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
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The novel coronavirus (COVID-19) has enforced dramatic changes to daily living including economic and health impacts. Evidence for the impact of these changes on our physical and mental health and health behaviors is limited. We examined the associations between psychological distress and changes in selected health behaviors since the onset of COVID-19 in Australia. An online survey was distributed in April 2020 and included measures of depression, anxiety, stress, physical activity, sleep, alcohol intake and cigarette smoking. The survey was completed by 1491 adults (mean age 50.5 ± 14.9 years, 67% female). Negative change was reported for physical activity (48.9%), sleep (40.7%), alcohol (26.6%) and smoking (6.9%) since the onset of the COVID-19 pandemic. Significantly higher scores in one or more psychological distress states were found for females, and those not in a relationship, in the lowest income category, aged 18-45 years, or with a chronic illness. Negative changes in physical activity, sleep, smoking and alcohol intake were associated with higher depression, anxiety and stress symptoms. Health-promotion strategies directed at adopting or maintaining positive health-related behaviors should be utilized to address increases in psychological distress during the pandemic. Ongoing evaluation of the impact of lifestyle changes associated with the pandemic is needed.
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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.