Evidence map›Paper›PMID 33175894›Full record

ArticlePloS one2020

Predictors of mental health during the Covid-19 pandemic in the US: Role of economic concerns, health worries and social distancing.

Fabrice Kämpfen, Iliana V Kohler, Alberto Ciancio, Wändi Bruine de Bruin, Jürgen Maurer, Hans-Peter Kohler

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Non-communicable diseases, COVID-19 and labour market outcomes.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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  9. Racial, Ethnic, and Socioeconomic Disparities in COVID-19 Pandemic Worries.Journal of racial and ethnic health disparities · 2025
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39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fabrice KämpfenPopulation Studies Center and Department of Sociology, University of Pennsylvania, Pennsylvania, PA, United States of America.ORCID 0000-0001-7304-7473
Iliana V KohlerPopulation Studies Center and Department of Sociology, University of Pennsylvania, Pennsylvania, PA, United States of America.
Alberto CiancioDepartment of Economics, University of Lausanne, Lausanne, Switzerland.
Wändi Bruine de BruinSol Price School of Public Policy, University of Southern California, Los Angeles, CA, United States of America.
Jürgen MaurerDepartment of Economics, University of Lausanne, Lausanne, Switzerland.
Hans-Peter KohlerPopulation Studies Center and Department of Sociology, University of Pennsylvania, Pennsylvania, PA, United States of America.

Funding

Toward Next Generation Data on Health and Life Changes at Older Ages: Administrative Supplement to track the effects of the COVID-19 pandemic on American familiesU01AG054580 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI KAPTEYN, ARIE · 2017 to 2022
$27.3M
STATISTICAL DATA ENCLAVE COREP30AG012836 · NIA · UNIVERSITY OF PENNSYLVANIA · PI COE, NORMA B, KOHLER, HANS-PETER · 1999 to 2024
$14.0M
Population Science Research Center Development CoreR24HD044964 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI SMITH, HERBERT L. · 2003 to 2017
$9.8M
Sci-Tech Core-Population Dynamics Research CenterP2CHD044964 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI Xi Song · 2018 to 2026
$5.3M
CORE--PROGRAM DEVELOPMENTP20AG012836 · NIA · UNIVERSITY OF PENNSYLVANIA · PI MENKEN, JANE A · 1994 to 1998
–
NIA NIH HHS P20 AG012836NIA NIH HHS P30 AG012836NIA NIH HHS U01 AG054580NICHD NIH HHS P2C HD044964NICHD NIH HHS R24 HD044964
6 · The paper itself

Abstract

Despite the profound health and economic implications of Covid-19, there is only limited knowledge to date about the role of economic concerns, health worries and social distancing for mental health outcomes during the pandemic. We analyze online survey data from the nationally representative "Understanding America Study" (UAS) covering the period of March 10-31st 2020 (sample size: 6,585). Mental health is assessed by the validated PHQ-4 instrument for measuring symptoms of depression and anxiety. About 29% (CI:27.4-.30.4%) of the US adult population reported some depression/anxiety symptoms over the study period, with symptoms deteriorating over the month of March. Worsening mental health was most strongly associated with concerns about the economic consequences of the pandemic, while concerns about the potential implications of the virus for respondents' own health and social distancing also predicted increases in symptoms of depression and anxiety during the early stages of the pandemic in the US, albeit less strongly. Our findings point towards the possibility of a major mental health crisis unfolding simultaneously with the pandemic, with economic concerns being a key driving force of this crisis. These results highlight the likely importance of economic countermeasures and social policy for mitigating the impact of Covid-19 on adult mental health in the US over and above an effective public health response.

Indexed as

Economic StatusMental HealthAdultAnxietyBetacoronavirusCoronavirus InfectionsCOVID-19DepressionFemaleHealth BehaviorHumansMaleMiddle AgedPandemicsPneumonia, ViralRisk

Identifiers

PMID33175894
PMCPMC7657497

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.