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      Mental Health During the First Year of the COVID-19 Pandemic: A Review and Recommendations for Moving Forward

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          Abstract

          COVID-19 has infected millions of people and upended the lives of most humans on the planet. Researchers from across the psychological sciences have sought to document and investigate the impact of COVID-19 in myriad ways, causing an explosion of research that is broad in scope, varied in methods, and challenging to consolidate. Because policy and practice aimed at helping people live healthier and happier lives requires insight from robust patterns of evidence, this article provides a rapid and thorough summary of high-quality studies available through early 2021 examining the mental-health consequences of living through the COVID-19 pandemic. Our review of the evidence indicates that anxiety, depression, and distress increased in the early months of the pandemic. Meanwhile, suicide rates, life satisfaction, and loneliness remained largely stable throughout the first year of the pandemic. In response to these insights, we present seven recommendations (one urgent, two short-term, and four ongoing) to support mental health during the pandemic and beyond.

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          Most cited references137

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          The PHQ-9: validity of a brief depression severity measure.

          While considerable attention has focused on improving the detection of depression, assessment of severity is also important in guiding treatment decisions. Therefore, we examined the validity of a brief, new measure of depression severity. The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). The PHQ-9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients. As PHQ-9 depression severity increased, there was a substantial decrease in functional status on all 6 SF-20 subscales. Also, symptom-related difficulty, sick days, and health care utilization increased. Using the MHP reinterview as the criterion standard, a PHQ-9 score > or =10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. Results were similar in the primary care and obstetrics-gynecology samples. In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity. These characteristics plus its brevity make the PHQ-9 a useful clinical and research tool.
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            The psychological impact of quarantine and how to reduce it: rapid review of the evidence

            Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.
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              The PHQ-9

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                Author and article information

                Journal
                Perspect Psychol Sci
                Perspect Psychol Sci
                PPS
                sppps
                Perspectives on Psychological Science
                SAGE Publications (Sage CA: Los Angeles, CA )
                1745-6916
                1745-6924
                19 January 2022
                July 2022
                : 17
                : 4
                : 915-936
                Affiliations
                [1 ]Department of Psychology, Simon Fraser University
                [2 ]Saïd Business School, University of Oxford
                [3 ]Department of Psychology, University of British Columbia
                [4 ]Institute of Epidemiology and Health, University College London
                [5 ]Department of Neurology, New York University School of Medicine
                [6 ]Vancouver School of Economics, University of British Columbia
                [7 ]Department of Surgery and Cancer, Imperial College London
                [8 ]Department of Psychiatry and Clinical Psychology, Saint George Hospital University Medical Center
                [9 ]Centre for Economic Performance, London School of Economics and Political Science
                [10 ]Department of Psychology, University of California, Riverside
                [11 ]Global Food Security Program, Gallup Inc., London, England
                [12 ]Department of Global Health and Population, Harvard T. H. Chan School of Public Health
                [13 ]Department of Epidemiology and Biostatistics, Harvard T. H. Chan School of Public Health
                [14 ]Negotiations, Organizations and Markets Unit, Harvard Business School
                [15 ]Department of Psychology, Stanford University
                [16 ]Center for Sustainable Development, Columbia University
                Author notes
                [*]Lara B. Aknin, Department of Psychology, Simon Fraser University Email: lara_aknin@ 123456sfu.ca
                Author information
                https://orcid.org/0000-0003-0727-5595
                https://orcid.org/0000-0002-1726-6978
                https://orcid.org/0000-0002-0664-2982
                https://orcid.org/0000-0003-1278-8715
                Article
                10.1177_17456916211029964
                10.1177/17456916211029964
                9274782
                35044275
                5b3c5f8b-64cd-497e-9ceb-5035d9671821
                © The Author(s) 2022

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

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                covid-19,mental health,psychological distress,subjective well-being,loneliness,social connection,self-harm,suicide

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