The Short-Term Psychological Impact of Covid-19: A Systematic Review of the Literature

Journal title RICERCHE DI PSICOLOGIA
Author/s Martina Panzeri, Gaia Santarpia, Chiara Fusar Poli, Sara Molgora, Emanuela Saita, Federica Facchin
Publishing Year 2022 Issue 2021/4 Language Italian
Pages 35 P. 1-35 File size 0 KB
DOI 10.3280/rip2021oa13103
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Covid-19 has originally spread in Wuhan, China, in December 2019. The disease causes respiratory impairments and many other complications, such as fatigue, fever, muscle soreness and, in some cases, diarrhea and nausea, and can lead to death. The correlation between infectious diseases and psychological distress has already emerged during other epidemics, for example during SARS (Severe Acute Respiratory Syndrome) and Ebola. We conducted this systematic review to investigate the short-term psychological consequences of Covid-19 on the general population. Through a thematic analysis procedure, recurring themes have been identified. The most significant results concern the impact of social media, anxiety, and depression. In particular, fake news reported by the media increase the level of anxiety experienced by the population, and factors like being young or being old, being a student, being single or widow, along with a low level of education, further exacerbate anxiety symptoms. On the other hand, following the guidelines proposed by the government and having clear and comprehensible information were identified as protective factors. Our findings highlighted the need to monitor the high-risk population and to investigate the long-term effects of the pandemic. 

Keywords: ; Covid-19; Coronavirus; psychological impact; anxiety; depression

  1. Ahmad, A.R. & Murad, H.R. (2020). The impact of social media on panic during the COVID-19 pandemic in Iraqi Kurdistan: online questionnaire study. Journal of Medical Internet Research, 22(5), e19556.
  2. Ahmed, M.Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L. & Ahmad, A. (2020). Epidemic of COVID-19 in China and associated Psychological Problems. Asian journal of psychiatry, 102092.
  3. Akiskal, K.K. & Akiskal, H.S. (2005). The theoretical underpinnings of affective temperaments: Implications for evolutionary foundations of bipolar disorder and human nature. Journal of Affective Disorders, 85(1-2), 231-239. DOI: 10.1016/j.jad.2004.08.002.
  4. Bao, Y., Sun, Y., Meng, S., Shi, J. & Lu, L. (2020). 2019-nCoV epidemic: Addres mental health care to empower society. Lancet, 22(395), e37-e38. DOI: 10.1016/S0140-6736(20)30309-3.
  5. Baral, I.A. & Bhagawati, K.C. (2019). Post traumatic stress disorder and coping strategies among adult survivors of earthquake, Nepal. BMC psychiatry, 19(1), 1-8. DOI: 10.1186/s12888-019-2090-y.
  6. Bish, A. & Michie, S. (2010). Demographic and attitudinal determinants of protective behaviours during a pandemic: A review. British journal of health psychology, 15(4), 797-824. DOI: 10.1348/135910710X485826.
  7. Biswas, A.T. & Tortajada, C. (2020). Assessing China’s management of the coronavirus crisis. Retrieved: March 15, 2020, from https://www.policyforum.-net/spreading-coronavirus-spreading-fear/.
  8. Li., S., Wang, Y., Xue, J., Zhao, N. & Zhu, T. (2020b). The impact of COVID-19 epidemic declaration on psychological consequences: A study on active Weibo users. International Journal of Environmental Research and Public Health, 17, 2032. DOI: 10.3390/ijerph17062032.
  9. Li, W., Yang, Y., Liu, Z.H., Zhao, Y.J., Zhang, Q., Zhang, L. & Xiang, Y.T. (2020c). Progression of mental health services during the COVID-19 outbreak in China. International Journal of Biological Sciences, 16(10), 1732-1738. DOI: 10.7150/ijbs.45120.
  10. Liang, L., Ren, H., Cao, R., Hu, Y., Qin, Z., Li, C. & Mei, S. (2020). The effect of COVID-19 on youth mental health. Psychiatric Quarterly, 1-12. DOI: 10.1007/s11126-020-09744-3.
  11. Lindström, M. & Rosvall, M. (2012). Marital status, social capital, economic stress, and mental health: A population-based study. The Social Science Journal, 49(3), 339-342. DOI: 10.1016/j.soscij.2012.03.004.
  12. Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., Wu, L., Sun, Z., Zhou, Y., Wang, Y. & Liu, W. (2020). Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry research, 287, 112921. DOI: 10.1016/j.psychres.2020.112921.
  13. Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., Bi, J., Zhan, G., Xu, X., Wang, L., Zhou, Q., Zhou, C., Pan, Y., Liu, S., Zhang, H., Yang, J., Zhu, B., Hu, Y., Hashimoto, K., Jia, Y., Wang, H., Wang, R., Liu, C. & Yang, C. (2020a). Vicarious traumatization in the general public, members, and nonmembers of medical teams aiding in COVID-19 control. Brain, behavior, and immunity. DOI: 10.1016/j.bbi.2020.03.007.
  14. Lee, M., & You, M. (2020). Psychological and behavioral responses in South Korea during the early stages of coronavirus disease 2019 (COVID-19). International Journal of Environmental Research and Public Health, 17(9), 2977. DOI: 10.3390/ijerph17092977.
  15. Lee, S.M., Kang, W.S., Cho, A.R., Kim, T. & Park, J.K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive psychiatry, 87, 123-127. DOI: 10.1016/j.comppsych.2018.10.003.
  16. Lambert, G.W., Reid, C., Kaye, D.M., Jennings, G.L. & Esler, M.D. (2002). Effect of sunlight and season on serotonin turnover in the brain. The Lancet, 360(9348), 1840-1842. DOI: 10.1016/s0140-6736(02)11737-5.
  17. Knipe, D., Evans, H., Marchant, A., Gunnell, D. & John, A. (2020). Mapping population mental health concerns related to COVID-19 and the consequences of physical distancing: A Google trends analysis. Wellcome Open Research, 5(82).
  18. Kendler, K.S., Thornton, L.M. & Prescott, C.A. (2001). Gender differences in the rates of exposure to stressful life events and sensitivity to their depressogenic effects. American Journal of Psychiatry, 158(4), 587-593. DOI: 10.1176/appi.ajp.158.4.587.
  19. Jin, Y., Deng, H., An, J. & Xu, J. (2019). The prevalence of PTSD symptoms and depressive symptoms and related predictors in children and adolescents 3 years after the Ya’an earthquake. Child Psychiatry & Human Development, 50(2), 300-307. DOI: 10.1007/s10578-018-0840-6.
  20. Huang, Y. & Zhao, N. (2020c). Mental health burden for the public affected by the COVID-19 outbreak in China: Who will be the high-risk group? Psychology, Health & Medicine, 1-12. DOI: 10.1080/13548506.2020.1754438.
  21. Huang, Y. & Zhao, N. (2020b). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry research. DOI: 10.1016/j.psychres.2020.112954.
  22. Huang, Y. & Zhao, N. (2020a). Chinese mental health burden during the COVID-19 pandemic. Asian Journal of Psychiatry, 51, 102052. DOI: 10.1016/j.ajp.2020.102052.
  23. Guo, J., He, H., Qu, Z., Wang, X. & Liu, C. (2017). Post-traumatic stress disorder and depression among adult survivors 8 years after the 2008 Wenchuan earthquake in China. Journal of affective disorders, 210, 27-34. DOI: 10.1016/j.jad.2016.12.009.
  24. Guo, X., Meng, Z., Huang, G., Fan, J., Zhou, W., Ling, W., Jiang, J., Long, J. & Su, L. (2016). Meta-analysis of the prevalence of anxiety disorders in mainland China from 2000 to 2015. Scientific reports, 6(1), 1-15. DOI: 10.1038/srep28033.
  25. Popay, J., Roberts, H., Sowden, A., Petticrew, M., Arai, L., Rodgers, M., Britten, N., Roen, K. & Duffy, S. (2006). Guidance on the conduct of narrative synthesis in systematic reviews. Computer science. DOI: 10.13140/2.1.1018.4643.
  26. Qu, Z., Wang, C. W., Zhang, X., Ho, A. H., Wang, X., & Chan, C. L. (2014). Prevalence and determinants of depression among survivors 8 months after the Wenchuan earthquake. The Journal of nervous and mental disease, 202(4), 275-279. DOI: 10.1097/NMD.0000000000000118.
  27. Rimal, R.N. & Real, K. (2003). Perceived risk and efficacy beliefs as motivators of change: Use of the risk perception attitude (RPA) framework to understand health behaviors. Human communication research, 29(3), 370-399. DOI: 10.1111/j.1468-2958.2003.tb00844.x.
  28. Roy, D., Tripathy, S., Kar, S.K., Sharma, N., Verma, S.K. & Kaushal, V. (2020). Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian Journal of Psychiatry, 52. DOI: DOI:10.1016/j.ajp.2020.102083.
  29. Shultz, J.M., Cooper, J.L., Baingana, F., Oquendo, M.A., Espinel, Z., Althouse, B.M., Marcelin, L.H., Towers, S., Espinola, M., McCoy, C.B., Mazurik, L., Wainberg, M.L., Neria, Y. & Rechkemmer, A. (2016). The role of fear-related behaviors in the 2013–2016 West Africa Ebola virus disease outbreak. Current psychiatry reports, 18(11), 104. DOI 10.1007/s11920-016-0741-y.
  30. Sim, M. (2016). Psychological trauma of Middle East Respiratory Syndrome victims and bereaved families. Epidemiology and health, 38. DOI: DOI:10.4178/epih.2016054.
  31. Soni, M., Curran, V.H. & Kamboj, S.K. (2013). Identification of a narrow postovulatory window of vulnerability to distressing involuntary memories in healthy women. Neurobiology of learning and memory, 104, 32-38. DOI: DOI:10.1016/j.nlm.2013.04.003.
  32. Tan, W., Hao, F., McIntyre, R.S., Jiang, L., Jiang, X., Zhang, L., Zhao, X., Zou, Y., Hu, Y., Luo, X., Zhang, Z., Lai, A., Ho, R., Tran, B., Ho, C. & Tam, W. (2020). Is returning to work during the COVID-19 pandemic stressful? A study on immediate mental health status and psychoneuroimmunity prevention measures of Chinese workforce. Brain, Behavior, and Immunity. DOI: DOI:10.1016/j.bbi.2020.04.055.
  33. Tian, F., Li, H., Tian, S., Yang, J., Shao, J. & Tian, C. (2020). Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the level I emergency response to COVID-19. Psychiatry Research, 288. DOI: 10.1016/j.psychres.2020.112992.
  34. Wang, Y., Di, Y., Ye, J. & Wei, W. (2020a). Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychology, Health & Medicine. DOI: 10.1080/13548506.2020.1746817.
  35. Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S. & Ho, R.C. (2020b). Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. International Journal of Environmental research and public health, 17, 1729. DOI: 10.3390/ijerph17051729.
  36. Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R.S., Choo, F.N., Tran, B., Ho, R., Sharma, V.K. & Ho, C. (2020c). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity. DOI: 10.1016/j.bbi.2020.04.028.
  37. Xiang, Y.T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T. & Ng, C.H. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry, 7(3), 228-229. DOI: 10.1016/S2215-0366(20)30046-8.
  38. Xu, J., Wang, Y. & Tang, W. (2018). Posttraumatic stress disorder in Longmenshan adolescents at three years after the 2013 Lushan earthquake. General hospital psychiatry, 54, 45-51. DOI: 10.1016/j.genhosppsych.2018.05.009.
  39. Yang, Y., Li, W., Zhang, Q., Zhang, L., Cheung, T. & Xiang Y.-T. (2020). Mental health services for older adults in China during the COVID-19 outbreak. Lancet Psychiatry, 7(4), e19. DOI: 10.1016/S2215-0366(20)30079-1.
  40. Yao, H., Chen, J.H. & Xu, Y.F. (2020). Rethinking online mental health services in China during the COVID-19 epidemic. Asian Journal of Psychiatry. DOI: 10.1016/j.ajp.2020.102015.
  41. Zhang, Y. & Zheng, F.M. (2020). Impact of the COVID-19 pandemic on mental health and quality of life among local residents in Liaoning province, China: A cross-sectional study. International Journal of Environmental Research and Public Health, 17, 2381. DOI: 10.3390/ijerph17072381.
  42. Zhang, S.X., Wang, Y., Rauch, A. & Wei, F. (2020). Unprecedented disruption of lives and work: Health, distress and life satisfaction of working adults in China one month into the COVID-19 outbreak. Psychiatry Research, 288. DOI: 10.1016/j.psychres.2020.112958.
  43. Zhou, S.J., Zhang, L.G., Wang, L.L., Guo, Z.C., Wang, J.Q., Chen, J.C., Liu, M., Chen, X. & Chen, J.X. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child & Adolescent Psychiatry. DOI: 10.1007/s00787-020-01541-4.
  44. Gardner, P.J. & Moallef, P. (2015). Psychological impact on SARS survivors: Critical review of the English language literature. Canadian Psychology/Psychologie canadienne, 56(1), 123-125. DOI: 10.1037/a0037973.
  45. Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Wang, Y., Fu, H. & Dai, J. (2020). Mental health problems and social media exposure during COVID-19 outbreak. Plos one, 15(4), e0231924. DOI: 10.1371/journal.pone.0231924.
  46. Felmingham, K., Williams, L.M., Kemp, A.H., Liddell, B., Falconer, E., Peduto, A. & Bryant, R. (2010). Neural responses to masked fear faces: sex differences and trauma exposure in posttraumatic stress disorder. Journal of abnormal psychology, 119(1), 241-247. DOI: 10.1037/a0017551.
  47. Everts, J. (2013). Announcing swine flu and the interpretation of pandemic anxiety. Antipode, 45, 809-825. DOI: 10.1111/j.1467-8330.2012.01021.x.
  48. Cui, S., Wang, R., Lu, L., Wang, H. & Zhang, Y. (2019). Influence on education level on mental health and medical coping modes: A correlation analysis in the elderlies. The American Journal of Nursing, 8, 324-328. DOI: 10.11648/j.ajns.20190806.16.
  49. Chou, F.C., Chou, P., Lin, C., Su, T.T.P., Ou-Yang, W.C., Chien, I.C., Su, C.Y., Lu, M.K. & Chen, M.C. (2004). The relationship between quality of life and psychiatric impairment for a Taiwanese community post-earthquake. Quality of Life Research, 13(6), 1089-1097. DOI: 10.1023/B:QURE.0000031337.73269.64.
  50. Cheung, Y.T., Chau, P.H. & Yip, P.S. (2008). A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong. International Journal of Geriatric Psychiatry: 23(12), 1231-1238. DOI: 10.1002/gps.2056.
  51. Cheng, C., Jun, H. & Liang, B. (2014). Psychological health diathesis assessment system: a nationwide survey of resilient trait scale for Chinese adults. Study of Psychology and Behavior, 12, 735-742.
  52. Carmassi, C., Corsi, M., Bertelloni, C.A., Carpita, B., Gesi, C., Pedrinelli, V., Massimetti, G., Pedroni, D.G., Bonuccelli, A., Orsini, A. & Dell’Osso, L. (2018). Mothers and fathers of children with epilepsy: gender differences in post-traumatic stress symptoms and correlations with mood spectrum symptoms. Neuropsychiatric disease and treatment, 14, 1371-1379. DOI: 10.2147/NDT.S158249.
  53. Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J. & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287. DOI: 10.1016/j.psychres.2020.112934.
  54. Brooks, S.K., Webster, R.K., Smith, L.E., Woodland, L., Wessely, S., Greenberg, N. & Rubin, G.J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912-920. DOI: 10.1016/S0140-6736(20)30460-8.
  55. Blakey, S.M., Kirby, A.C., McClure, K.E., Elbogen, E.B., Beckham, J.C., Watkins, L.L. & Clapp, J.D. (2019). Posttraumatic safety behaviors: Characteristics and associations with symptom severity in two samples. Traumatology, 26(1), 74-83. DOI: 10.1037/trm0000205.
  56. Mak, I.W.C., Chu, C.M., Pan, P.C., Yiu, M.G.C. & Chan, V.L. (2009). Longterm psychiatric morbidities among SARS survivors. General Hospital Psychiatry, 31(4), 318-326. DOI: 10.1016/j.genhosppsych.2009.03.001.
  57. Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C. & Roma, P. (2020). A nationwide survey of psychological distress among Italian people during the COVID-19 pandemic: Immediate Psychological Responses and associated factors. International Journal of Environmental Research and Public Health, 17, 3165. DOI: 10.3390/ijerph17093165.
  58. McLean, C.P. & Anderson, E.R. (2009). Brave men and timid women? A review of the gender differences in fear and anxiety. Clinical psychology review, 29(6), 496-505. DOI: 10.1016/j.cpr.2009.05.003.
  59. Mihashi, M., Otsubo, Y., Yinjuan, X., Nagatomi, K., Hoshiko, M. & Ishitake, T. (2009). Predictive factors of psychological disorder development during recovery following SARS outbreak. Health Psychology, 28(1), 91-100. DOI: 10.1037/a0013674.
  60. Moccia, L., Janiri, D., Pepe, M., Dattoli, L., Molinaro, M., De Martin, V., Chieffo, D., Janiri, L., Fiorillo, A., Sani G. & Di Nicola, M. (2020). Affective temperament, attachment style, and the psychological impact of the COVID-10 outbreak: An early report on the Italian general population. Brain, Behavior, and Immunity. DOI: 10.1016/j.bbi.2020.04.048.
  61. Mohammed, A., Sheikh, T.L., Gidado, S., Poggensee, G., Nguku, P., Olayinka, A. Ohuabunwo, C., Waziri, N., Shuaib, F., Adeyemi, J., Uzoma, O., Ahmed, A., Doherty, F., Beysolow Nyanti, S., Nzuki, C. K., Nasidi, A., Oyemakinde, A., Oguntimehin, O., Adeshina Abdus-salam, A. & Obiako, R.O. (2015). An evaluation of psychological distress and social support of survivors and contacts of Ebola virus disease infection and their relatives in Lagos, Nigeria: a cross sectional study - 2014. BMC Public Health, 15, 824-832. DOI: 10.1186/s12889-015-2167-6.
  62. Ni, M.Y., Yang, L., Leung, C.M.C., Li, N., Yao, X.I., Wang, Y., Leung, G.M., Cowling, B.J. & Liao, Q. (2020). Mental health, risk factors, and social media use during the COVID-19 epidemic and cordon sanitaire among the community and health professionals in Wuhan, China: Cross-sectional survey. Journal of Medical Internet Research Mental Health, 7(5), e19009.
  63. Olff, M., Langeland, W., Draijer, N. & Gersons, B. P. (2007). Gender differences in posttraumatic stress disorder. Psychological bulletin, 133(2), 183-204. DOI: 10.1037/0033-2909.133.2.183.
  64. Peng, E.Y.C., Lee, M.B., Tsai, S.T., Yang, C.C., Morisky, D.E., Tsai, L.T., Weng, Y.L. & Lyu, S.Y. (2010). Population-based post-crisis psychological distress: an example from the SARS outbreak in Taiwan. Journal of the Formosan Medical Association, 109(7), 524-532. DOI: 10.1016/S0929-6646(10)60087-3.
  65. Person, B., Sy, F., Holton, K., Govert, B. & Liang, A. (2004). Fear and stigma: the epidemic within the SARS outbreak. Emerging Infectious Diseases, 10(2), 358-363. DOI: 10.3201/eid1002.030750.
  66. Pina, A.A., Villalta, I.K., Ortiz, C.D., Gottschall, A.C., Costa, N.M. & Weems, C. F. (2008). Social support, discrimination, and coping as predictors of posttraumatic stress reactions in youth survivors of Hurricane Katrina. Journal of Clinical Child & Adolescent Psychology, 37(3), 564-574. DOI: 10.1080/15374410802148228.
  67. Poland, G.A. (2010). The 2009-2010 influenza pandemic: Effects on pandemic and seasonal vaccine uptake and lessons learned for seasonal vaccination campaigns. Vaccine, 28, D3-D13. DOI: 10.1016/j.vaccine.2010.08.024.

Martina Panzeri, Gaia Santarpia, Chiara Fusar Poli, Sara Molgora, Emanuela Saita, Federica Facchin, L’impatto psicologico a breve termine del Covid-19: una revisione sistematica della letteratura in "RICERCHE DI PSICOLOGIA" 4/2021, pp 1-35, DOI: 10.3280/rip2021oa13103