ArticleSocial psychiatry and psychiatric epidemiology2021
Civil unrest, COVID-19 stressors, anxiety, and depression in the acute phase of the pandemic: a population-based study in Hong Kong.
Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- 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
- COVID-19 depression and its risk factors in Asia Pacific - A systematic review and meta-analysis.Journal of affective disorders · 2022Pooled it
- Testing a New Protocol of Nature-Based Intervention to Enhance Well-Being: A Randomized Control Trial.International journal of environmental research and public health · 2022Trial
- Prevalence, persistence, and severity of 12-month and 30-day DSM-5 disorders in the World Mental Health Hong Kong Study.The Lancet regional health. Western Pacific · 2025Article
- Analyzing Themes, Sentiments, and Coping Strategies Regarding Online News Coverage of Depression in Hong Kong: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Suicide in Hong Kong during the COVID-19 pandemic: an observational study.BMJ public health · 2024Article
- Short-term changes in mental health help-seeking behaviors following exposure to multiple social stressors and a natural disaster.Social science & medicine (1982) · 2024Article
- Sociopolitical Factors and Mental Health Following the Turkey-Syria Earthquake.JAMA network open · 2024Article
- Low-intensity online mindfulness-based intervention for university students with anxiety during the COVID-19 pandemic-A randomized controlled trial with 3-month follow-up.Internet interventions · 2023Article
- Rumination as a Transdiagnostic Phenomenon in the 21st Century: The Flow Model of Rumination.Brain sciences · 2023Review
- The Indirect Effect of Sleep on the Association Between Protracted Social Stressors and Psychological Distress Among Hong Kong Young People.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Monitoring socioeconomic inequalities in health in Hong Kong: insights and lessons from the UK and Australia.The Lancet regional health. Western Pacific · 2023Review
- A randomized clinical trial of mindfulness meditation versus exercise in Parkinson's disease during social unrest.NPJ Parkinson's disease · 2023Article
- July 2021 civil unrest: South African diagnostic radiography students' experiences.Health SA = SA Gesondheid · 2023Article
- Differences in mental indicators and state-hope related to the level of engagement in social unrest: Israel 2023.Frontiers in public health · 2023Article
- Stress and depressive symptoms in university students in Hong Kong under the pandemic: Moderating effect of positive psychological attributes.Frontiers in psychology · 2023Article
- Psychometric properties of the Patient Health Questionnaire-4 among Hong Kong young adults in 2021: Associations with meaning in life and suicidal ideation.Frontiers in psychiatry · 2023Article
- Coping during socio-political uncertainty.Frontiers in psychiatry · 2023Article
- Feasibility of Self-Guided Online Cognitive Behavioral Therapy for University Students During COVID-19.Research on social work practice · 2022Article
- Low assets predict persistent depression through living difficulties amid large-scale disasters: A cohort study.Journal of affective disorders · 2022Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
purposeTo examine the joint associations of civil unrest and COVID-19 with probable anxiety and depression during the first half of 2020 in Hong Kong. Associations were compared between persons with low or high assets.
methodsA population-representative sample of 4011 Hong Kong Chinese residents aged 15 years or older were recruited between February and May 2020. Respondents reported current anxiety and depressive symptoms, unrest stress, COVID-19 stress, assets (savings and home ownership), and demographics.
resultsStress due to unrest and COVID-19 was associated with higher prevalence of probable anxiety and depression; persons with both stressors had higher prevalence. This pattern was consistent among persons with low or high assets, but the probabilities of mental disorder were substantially higher among persons with fewer assets.
conclusionsThe effect of stressors on probable anxiety and depression are cumulative: persons with stress due to civil unrest and to COVID-19 reported more mental disorders than persons with stress due to only one, or none of these factors. Overall high assets appear to buffer the consequences of stressors, lowering the risk of mental disorder.
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