ArticleInternational journal of environmental research and public health2021
Mental Health among Adults during the COVID-19 Pandemic Lockdown: A Cross-Sectional Multi-Country Comparison.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 5 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 5 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- The impact of COVID-19 on students' anxiety and its clarification: a systematic review.Frontiers in psychology · 2023Pooled it
- Systematic review of mental health symptom changes by sex or gender in early-COVID-19 compared to pre-pandemic.Scientific reports · 2022Pooled it
- The evolution of research on depression during COVID-19: A visual analysis using Co-Occurrence and VOSviewer.Frontiers in public health · 2022Pooled it
- Mental Health Among Medical Students During COVID-19: A Systematic Review and Meta-Analysis.Frontiers in psychology · 2022Pooled it
- Meta-analytic evidence of depression and anxiety in Eastern Europe during the COVID-19 pandemic.European journal of psychotraumatology · 2022Pooled it
- Structural relationships among physical literacy, mental toughness, athletic mental energy, achievement emotions, and COVID-19-induced negative psychological states in Chinese adolescents.Scientific reports · 2025Article
- Transitioning to college during COVID-19: A brief report on incoming students' self-reports of mental health from 2020 to 2022.Journal of American college health : J of ACH · 2025Article
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- Examining the relationship between physical literacy and resilience against COVID-19-induced negative mental states in Chinese adolescents.BMC public health · 2024Article
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- Physical activity, anxiety, depression, and coping in Turkish men and women during the first wave of COVID-19.Cadernos de saude publica · 2024Article
- Hope's relationship with resilience and mental health during the COVID-19 pandemic.Current opinion in psychology · 2023Review
- Perceived COVID-19 pandemic impact and protective factors predicting patient-reported depression and anxiety in individuals living with cancer.Journal of patient-reported outcomes · 2023Article
- Changes in mental health across the COVID-19 pandemic for local and international university students in Australia: a cohort study.BMC psychology · 2023Article
- Impact of COVID-19 lockdown on physical activity, insomnia, and loneliness among Spanish women and men.Scientific reports · 2023Article
- Anxiety prevalence and its association with physical activity in patients with non-communicable diseases during COVID-19 lockdown: a cross-sectional study in Shanghai, China.BMC public health · 2023Article
- [Factors associated with adherence to COVID-19 preventive behaviors in ELSA-Brasil participants].Cadernos de saude publica · 2023Article
- Youth perspectives on mental health during COVID-19 lockdown in a Small Island Developing State: implications for emergency response.Frontiers in psychiatry · 2023Article
- How Did the COVID-19 Lockdown Pandemic Affect the Depression Symptomatology in Mediterranean Older Adults with Metabolic Syndrome?Depression and anxiety · 2023Article
Corrections and comments
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Authors and funding
16 authors at 13 institutions in 10 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite the global impact of COVID-19, studies comparing the effects of COVID-19 on population mental health across countries are sparse. This study aimed to compare anxiety and depression symptoms during the COVID-19 lockdown among adults from 11 countries and to examine their associations with country-level COVID-19 factors and personal COVID-19 exposure. A cross-sectional survey was conducted among adults (≥18 years) in 11 countries (Brazil, Bulgaria, China, India, Ireland, North Macedonia, Malaysia, Singapore, Spain, Turkey, United States). Mental health (anxiety, depression, resilient coping, hope) and other study data were collected between June-August 2020. Of the 13,263 participants, 62.8% were female and 51.7% were 18-34 years old. Participants living in Brazil had the highest anxiety and depression symptoms while participants living in Singapore had the lowest. Greater personal COVID-19 exposure was associated with increased anxiety and depression symptoms, but country-level COVID-19 factors were not. Higher levels of hope were associated with reduced anxiety and depression; higher levels of resilient coping were associated with reduced anxiety but not depression. Substantial variations exist in anxiety and depression symptoms across countries during the COVID-19 lockdown, with personal COVID-19 exposure being a significant risk factor. Strategies that mitigate COVID-19 exposure and enhance hope and resilience may reduce anxiety and depression during global emergencies.
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