ArticleBundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz2021
[Change in psychological burden during the COVID-19 pandemic in Germany: fears, individual behavior, and the relevance of information and trust in governmental institutions].
Article in Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Effects of In-Classroom Physical Activity Breaks on Children's Academic Performance, Cognition, Health Behaviours and Health Outcomes: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.International journal of environmental research and public health · 2022Pooled it
- The impact of psychological distress on working memory during COVID-19 by disentangling cognitive deficits from emotional burden.Scientific reports · 2026Article
- "It was simply disturbing" - evaluation of the stress factors of nursing staff on special COVID-19 wards during the pandemic: a qualitative study.BMC nursing · 2025Article
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- Psychometric evaluation and community norms of the GAD-7, based on a representative German sample.Frontiers in psychology · 2025Article
- COVID-19 Vaccine for Children: Determinants and Beliefs Contributing to Vaccination Decision of Parents in Germany 2021/2022.Vaccines · 2023Article
- Long COVID: Costs for the German economy and health care and pension system.BMC health services research · 2023Article
- Article
- Changes in behavior and quality of life in German young children during the COVID-19 pandemic-results from the COVID kids bavaria study.Frontiers in pediatrics · 2023Article
- "How is your thesis going?"-Ph.D. students' perspectives on mental health and stress in academia.PloS one · 2023Article
- Personality traits and mental distress after COVID-19 testing. Prospective long-term analysis in a Viennese cohort.Frontiers in psychiatry · 2023Article
- Different facets of COVID-19-related stress in relation to emotional well-being, life satisfaction, and sleep quality.Frontiers in psychology · 2023Article
- Trends in psychiatric diagnoses by COVID-19 infection and hospitalization among patients with and without recent clinical psychiatric diagnoses in New York city from March 2020 to August 2021.Translational psychiatry · 2022Article
- COVID-19 Vaccine for Children: Vaccination Willingness of Parents and Its Associated Factors-A Network Analysis.Vaccines · 2022Article
- Alcohol Use of German Adults during Different Pandemic Phases: Repeated Cross-Sectional Analyses in the COVID-19 Snapshot Monitoring Study (COSMO).International journal of environmental research and public health · 2022Article
- Pandemic fatigue, psychopathological risk factors, and vaccination attitudes during the COVID-19 pandemic in 2021-a network analysis.Journal of affective disorders reports · 2022Article
- Association between fear of COVID-19 and hoarding behavior during the outbreak of the COVID-19 pandemic: The mediating role of mental health status.Frontiers in psychology · 2022Article
- Ambivalent heroism? - Psychological burden and suicidal ideation among nurses during the Covid-19 pandemic.Nursing open · 2022Article
- [Vaccination willingness against COVID-19 among healthcare workers in Germany : Results from a University Medicine Network survey between November 2020 and January 2021].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
Corrections and comments
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Authors and funding
14 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe potential impact of the COVID-19 pandemic on mental health was evident early on. The extent of the effects, especially cumulative over the long period of the pandemic, has not yet been fully investigated for Germany.
objectivesThe aim of the study was to determine psychological burden as well as COVID-19-related experience and behavior patterns and to show how they changed during the different phases of the pandemic in Germany. MATERIALS AND
methodsThe Germany-wide online-based cross-sectional study (03/10-07/27/2020) included 22,961 people (convenience sample). Generalized anxiety (GAD-7), depression (PHQ-2), and psychological distress (DT) were collected, as well as COVID-19-related experiences and behavior patterns: COVID-19-related fear, trust in governmental actions, subjective level of information, adherent safety behavior, and personal risk assessment for infection/severe course of illness. The pandemic was retrospectively divided into five phases (initial, crisis, lockdown, reorientation, and new normality).
resultsCompared to pre-COVID-19 reference values, GAD‑7, PHQ‑2, and DT levels were significantly elevated and persistent throughout the different phases of the pandemic. COVID-19-related fear, information level, trust, safety behavior, and the risk assessment for infection/severe course of illness showed, after initial strong increase, a strong decrease to partly below the initial value. Exceptions were constant risk assessments of having a severe course of illness or dying of it.
conclusionsThe increased levels of psychological burden, which have persisted throughout all phases of the pandemic, illustrate the need for sustainable support services. Declining values over the duration of the pandemic in terms of trust in governmental actions and the feeling of being well informed underline the need for more targeted education.
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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.