ArticleBMJ open2021
Factors associated with serious psychological distress during the COVID-19 pandemic in Japan: a nationwide cross-sectional internet-based study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Unpaid caregiving and mental health during the COVID-19 pandemic-A systematic review of the quantitative literature.PloS one · 2024Pooled it
- Lifestyle and Psychological Factors Associated With Depression in College Students in Hokkaido, Japan During the COVID-19 Pandemic: A Cross-sectional Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025Article
- Gender inequalities of caregiver mental health and burden in the three years post COVID-19 (CUIDAR-SE Study).International journal for equity in health · 2025Article
- Impact of Non-Payment of Salaries on Treatment Interruption among Patients with Diabetes.JMA journal · 2025Article
- Association of gambling activities and modalities with problem gambling in Japan: A nationwide cross-sectional online survey-based study.Addictive behaviors reports · 2025Article
- Serious psychological distress among slum dwellers and unhoused people in Ho Chi Minh City, Vietnam: a pilot study.Tropical medicine and health · 2025Article
- Article
- Real-world predictors of severe psychological distress during the COVID-19 pandemic in Japan: Insights from a large-scale internet-based cohort study.Neuropsychopharmacology reports · 2024Article
- Gender differences and mental distress during COVID-19: a cross-sectional study in Japan.BMC psychiatry · 2024Article
- Latent Profile Analysis of Acute Stress Disorder Symptoms and Their Links to Individual Characteristics and Mental Health Among College Students During the Early COVID-19 Pandemic.Behavioral sciences (Basel, Switzerland) · 2024Article
- Overcoming times of crisis: unveiling coping strategies and mental health in a transnational general population sample during and after the COVID-19 pandemic.BMC psychology · 2024Article
- Exploring factors associated with increased suicides during the COVID-19 pandemic in Japan: A study using data from postmortem examinations conducted in an urban area.PCN reports : psychiatry and clinical neurosciences · 2024Article
- Real-world predictors of changes in fear of COVID-19 in the Japanese general population: a large-scale internet-based cohort study with 20,712 participants.BMC psychiatry · 2024Article
- Fear of COVID-19 associated with burnout syndrome in dentists of the Health Directorate of the National Police of Peru: a cross-sectional study at national level under multivariable regression model.BMC public health · 2024Article
- Socioeconomic disparities in risk perceptions and precautionary actions against COVID-19 among the working age population aged 18-59 in Japan: a cross-sectional study.BMJ public health · 2024Article
- The Unusual Increase in Suicides Among Women in Japan During the COVID-19 Pandemic: A Time-series Analysis Until October 2021.Journal of epidemiology · 2023Article
- The association between emotion malleability beliefs and severe psychological distress stratified by sex, age, and presence of any psychiatric disorders.Frontiers in psychology · 2023Article
- Relationship between self-esteem and suicidal ideation before and during COVID-19 in a non-clinical sample: mediating effects of psychological distress and hopelessness.Frontiers in psychiatry · 2023Article
- Proposed Cut-Off Score for the Japanese Version of the Fear of Coronavirus Disease 2019 Scale (FCV-19S): Evidence from a Large-Scale National Survey in Japan.International journal of environmental research and public health · 2022Article
- Possible contribution of COVID-19 vaccination to the subsequent mental well-being in Japan.Scientific reports · 2022Article
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
Abstract
objectiveTo investigate the factors associated with serious psychological distress (SPD) during the COVID-19 pandemic in Japan.
designNationwide cross-sectional study using survey data.
settingInternet survey using sampling weights for national estimates conducted between 25 August and 30 September 2020 in Japan. EXPOSURES: Demographics (age, gender), socioeconomic status (income level, employment type, educational attainment, marital status, family composition and caregiving burden); the experience of domestic violence (DV), the state of emergency and fear of and stigma related to COVID-19.
main outcome measuresPrevalence of SPD, defined as Kessler 6 Scale score ≥13.
resultsAmong 25 482 respondents, 10.0% met the criteria of SPD. Overall, women (adjusted OR (aOR) 1.59; 95% CI 1.17 to 2.16; p=0.003), ages 15-29 (aOR 2.35 compared with ages 45-59 years; 95% CI 1.64 to 3.38; p<0.001), low-income level (aOR 1.70 compared with intermediate income; 95% CI 1.16 to 2.49; p=0.007), providing caregiving to family members (aOR 5.48; 95% CI 3.51 to 8.56; p<0.001), experiencing DV (aOR 5.72; 95% CI 3.81 to 8.59; p<0.001) and fear of COVID-19 (aOR 1.96; 95% CI 1.55 to 2.48; p<0.001) were associated with SPD. Among women aged 15-29 years, who have a higher risk of suicide during the COVID-19 pandemic in Japan, caregiving, DV, fear of COVID-19 and COVID-19-related stigma were associated with SPD.
conclusionsEconomic situation, caregiving burden, DV and fear of COVID-19 were independently associated with SPD during the COVID-19 pandemic. Among young women, similar factors, except economic situation, were associated with SPD. Targeted interventions based on age and gender may be more effective in mitigating the negative impact of the COVID-19 pandemic on the population's mental health.
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