Alliance for Pandemic Preparedness

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Topic: Mental Health and Personal Impact


June 16, 2020

Flattening the Emotional Distress Curve: A Behavioral Health Pandemic Response Strategy for COVID-19

Kaslow et al. propose a 6-phase framework for managing and responding to the behavioral health impacts of the COVID-19 pandemic: preplanning, response readiness, response mobilization, intervention, continuation, and amelioration. The authors describe the Caring Communities initiative as an exemplar of action steps that behavioral health professionals and organizations can take to improve behavioral health care and reduce…


June 12, 2020

The Psychological Impact of Preexisting Mental and Physical Health Conditions during the COVID-19 Pandemic

As young adults may have less stability in their careers, education, and social lives than other demographic groups, Alonzi et al. identified young adult subgroups at increased risk for depression and anxiety during the COVID-19 pandemic. They found that gender non–binary participants followed by females and those with pre-existing health conditions reported a higher prevalence of emotional distress.  Alonzi et al. (June…


Work-Related and Personal Factors Associated with Mental Well-Being during COVID-19 Response A Survey of Health Care and Other Workers.

[pre-print, not peer reviewed] Evanoff et al. report that the prevalence of anxiety, depression, and work exhaustion were higher in clinicians than non-clinicians among 5,550 faculty, staff, and post-doctoral fellows surveyed at a university and academic medical center. Community or occupational exposure to COVID-19, lack of support from supervisors, younger age, and family/home stressors were also risk factors…


June 11, 2020

Association between SARS-CoV-2 Infection Exposure Risk and Mental Health among a Cohort of Essential Retail Workers in the United States

[pre-print, not peer reviewed] A cross-sectional study of 104 workers in a single grocery retail store in Massachusetts showed that employees with direct customer exposure were more likely to test positive for SARS-CoV-2 (OR=4.7, 95%CI 1.2 to 32.0), while smokers were less likely to test positive (OR=0.1, 95%CI 0.01 to 0.8). The ability to social distance consistently at work was a significant protective factor…


June 9, 2020

The Impact of COVID-19 on Suicidal Ideation and Alcohol Presentations to Emergency Departments in a Large Healthcare System

A retrospective multicenter study in 20 emergency departments in the Midwest found that suicidal ideation as a percentage of behavioral health visits decreased from 33% to 18%, but the actual suicide rate during the study period could not be ascertained. Alcohol encounters as a percentage of behavioral health visits increased from 28% to 33%.  Smalley et al. (May 18, 2020). The Impact…


June 5, 2020

Depression, Anxiety, Stress Levels of Physicians and Associated Factors in Covid-19 Pandemics

Symptoms of depression, anxiety, and stress were common among healthcare workers responding to an online survey. High depression and anxiety scores were associated with being female, young, and single; having less work experience, doing frontline work, and increased weekly working hours. Having a child was associated with lower scores.  Elbay et al. (May 27, 2020). Depression, Anxiety, Stress…


June 4, 2020

Trajectories of Depression and Anxiety during Enforced Isolation Due to COVID-19 Longitudinal Analyses of 59318 Adults in the UK with and without Diagnosed Mental Illness

[pre-print, not peer reviewed] Fancourt et al. conducted a nationwide study exploring anxiety and depression over the first two months of lockdown in the UK. In total 24% of the population had moderate-severe anxiety (GAD-7 score ≥10), and 31% had moderate or severe depressive symptoms (PHQ-9 score ≥10) at first wave of data collection. There was a slight decrease in anxiety levels and…


June 3, 2020

COVID-19 Pandemic and Mental Health Consequences: Systematic Review of the Current Evidence

In a systematic review of the mental health consequences of the SARS-CoV-2 pandemic, Vindegaard and Benros found only 2 studies that evaluated patients with confirmed COVID-19 infection. These studies reported a high level of post-traumatic stress symptoms (96%) and depressive symptoms among COVID-19 patients.  The remaining 41 studies focused on the indirect effects of the pandemic on healthcare workers,…


May 28, 2020

Projected Increases in Suicide in Canada as a Consequence of COVID-19

McIntyre and Lee predict the number of excess suicides in Canada resulting from the impact of COVID-19 on unemployment. They estimate that an incremental 1-percentage point increase in unemployment from 2020 to 2021 would be associated with a 1.0% increase in the suicide rate. Assuming a small increase in unemployment (1.2-1.6%), they predict a total of 418 excess suicides in…


Clinically Significant Fear and Anxiety of COVID-19: A Psychometric Examination of the Coronavirus Anxiety Scale

Lee et al. developed and evaluated a Coronavirus Anxiety Scale (CAS) using an online survey of 398 US adults. The CAS was correlated with coronavirus diagnosis, history of anxiety, coronavirus fear, functional impairment, alcohol/drug coping, religious coping, hopelessness, suicidal ideation, as well as social attitudes (e.g., satisfaction with President Trump). These findings support the validity…



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