lancet-header
Preprints with The Lancet is part of SSRN´s First Look, a place where journals and other research experts identify content of interest prior to publication. These preprint papers are not peer-reviewed. Authors have either opted in at submission to The Lancet family of journals to post their preprints on Preprints with The Lancet, or submitted directly via SSRN. The usual SSRN checks and a Lancet-specific check for appropriateness and transparency have been applied. Preprints available here are not Lancet publications or necessarily under review with a Lancet journal. These papers should not be used for clinical decision making or reporting of research to a lay audience without indicating that this is preliminary research that has not been peer-reviewed. For more information see the Comment published in The Lancet, or visit The Lancet´s FAQ page, and for any feedback please contact preprints@lancet.com

The Impact of the Corona Virus Disease 2019 Outbreak on Chinese Residents’ Mental Health

30 Pages Posted: 31 Mar 2020

See all articles by Xiaoxv Yin

Xiaoxv Yin

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Jing Wang

Huazhong University of Science and Technology (Formerly Tongi Medical University) - Department of Occupational and Environmental Health

Jie Feng

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Zhenyuan Chen

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Nan Jiang

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Jianxiong Wu

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

Shijiao Yan

Hainan Medical University - School of Public Health; Hainan Medical University - Key Laboratory of Emergency and Trauma of Ministry of Education

Hui Li

Huazhong University of Science and Technology (Formerly Tongi Medical University)

Chuanzhu Lv

Hainan Medical University - Department of Emergency; Hainan Medical University - Emergency and Trauma College; Hainan Medical University - Key Laboratory of Emergency and Trauma of Ministry of Education

Zuxun Lu

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health; Huazhong University of Science and Technology (Formerly Tongi Medical University) - Department of Social Medicine and Health Management; Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Medicine and Health Management

Yanhong Gong

Huazhong University of Science and Technology (Formerly Tongi Medical University) - Department of Social Medicine and Health Management

More...

Abstract

Background: This study aims to quantitatively evaluate the influence of the Corona Virus Disease 2019 (COVID-19) outbreak on residents’ mental health.

Methods: This research carried out two cross-sectional surveys in seven provinces of China from January to February 2019, and again in February 2020 (during the COVID-19 outbreak), involving 22,886 and 8,151 residents, respectively. It compares the incidences of anxiety and depressive symptoms between the two surveys, and analyzes the regional differences of the impact among areas with different epidemic severities. Logistic regression is applied to analyze the factors affecting residents’ mental health.

Outcomes: During the COVID-19 outbreak, the incidence of anxiety and depressive symptoms in residents was 7·69% and 15·02%, which had increased significantly by 15% and 11%, respectively, compared to 2019. In epidemic low-risk areas, medium-risk areas, high-risk areas, and the outbreak area, the incidence of anxiety symptoms in 2020 increased by 12%, 8%, 17%, and 32%, respectively, and the incidence of depressive symptoms increased by 8%, 6%, 14%, and 24%, respectively. The occurrence of anxiety and depressive symptoms is related to self-reported health status, exercise, social support, and perceptions of the death toll, and treatment difficulty of COVID-19.

Interpretation: During the outbreak of COVID-19, the incidences of anxiety and depressive symptoms both increased, and the rate increased with the severity of the epidemic. It is necessary to conduct mental health monitoring of residents during the outbreak, and optimize public service announcements to improve mental health.

Funding Statement: This study was funded by the Fundamental Research Funds for the Central Universities (No. 2016YXMS224), Huazhong University of Science and Technology.

Declaration of Interests: The authors declare no conflicts of interest.

Ethics Approval Statement: This study was approved by the Medical Ethics Committee of Tongji Medical College, Huazhong University of Science and Technology. All the respondents’ participation was voluntary and informed consent was obtained.

Keywords: COVID-19; outbreak; mental health; China

Suggested Citation

Yin, Xiaoxv and Wang, Jing and Feng, Jie and Chen, Zhenyuan and Jiang, Nan and Wu, Jianxiong and Yan, Shijiao and Li, Hui and Lv, Chuanzhu and Lu, Zuxun and Gong, Yanhong, The Impact of the Corona Virus Disease 2019 Outbreak on Chinese Residents’ Mental Health (3/14/2020). Available at SSRN: https://ssrn.com/abstract=3556680 or http://dx.doi.org/10.2139/ssrn.3556680

Xiaoxv Yin

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health ( email )

1037 Luoyu Rd
Wuhan
China

Jing Wang

Huazhong University of Science and Technology (Formerly Tongi Medical University) - Department of Occupational and Environmental Health

13 Hangkong Rd
Wuhan, 430030
China

Jie Feng

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Zhenyuan Chen

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Nan Jiang

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Jianxiong Wu

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health

1037 Luoyu Rd
Wuhan
China

Shijiao Yan

Hainan Medical University - School of Public Health

China

Hainan Medical University - Key Laboratory of Emergency and Trauma of Ministry of Education

Hainan
China

Hui Li

Huazhong University of Science and Technology (Formerly Tongi Medical University) ( email )

1037 Luoyu Rd
Wuhan, Hubei 430074
China

Chuanzhu Lv

Hainan Medical University - Department of Emergency

China

Hainan Medical University - Emergency and Trauma College

China

Hainan Medical University - Key Laboratory of Emergency and Trauma of Ministry of Education

Hainan
China

Zuxun Lu

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Public Health ( email )

1037 Luoyu Rd
Wuhan
China

Huazhong University of Science and Technology (Formerly Tongi Medical University) - Department of Social Medicine and Health Management ( email )

Wuhan
China

Huazhong University of Science and Technology (Formerly Tongi Medical University) - School of Medicine and Health Management

13 Hangkong Road
Qiaokou District
Wuhan, 430030
China

Yanhong Gong (Contact Author)

Huazhong University of Science and Technology (Formerly Tongi Medical University) - Department of Social Medicine and Health Management

Wuhan
China

Click here to go to TheLancet.com

Paper statistics

Abstract Views
985
Downloads
178