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akhilesh
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Eric Robinson, Angelina R.

Sutin, Michael Daly, Andrew Jones,


A systematic review and meta-analysis of longitudinal cohort studies comparing
mental health before versus during the COVID-19 pandemic in 2020,
Journal of Affective Disorders,
Volume 296,
2022,
Pages 567-576,
ISSN 0165-0327,
https://doi.org/10.1016/j.jad.2021.09.098.
(https://www.sciencedirect.com/science/article/pii/S0165032721010570)
Abstract: Background
Increases in mental health problems have been observed during the COVID-19
pandemic. The objectives were to examine the extent to which mental health symptoms
changed during the pandemic in 2020, whether changes were persistent or short
lived, and if changes were symptom specific.
Methods
Systematic review and meta-analysis of longitudinal cohort studies examining
changes in mental health among the same group of participants before vs. during the
pandemic in 2020.
Results
Sixty-five studies were included. Compared to pre-pandemic outbreak, there was an
overall increase in mental health symptoms observed during March-April 2020
(SMC = .102 [95% CI: .026 to .192]) that significantly declined over time and
became non-significant (May-July SMC = .067 [95% CI: -.022 to .157]. Compared to
measures of anxiety (SMC = 0.13, p = 0.02) and general mental health (SMC = -.03,
p = 0.65), increases in depression and mood disorder symptoms tended to be larger
and remained significantly elevated in May-July [0.20, 95% CI: .099 to .302]. In
primary analyses increases were most pronounced among samples with physical health
conditions and there was no evidence of any change in symptoms among samples with a
pre-existing mental health condition.
Limitations
There was a high degree of unexplained heterogeneity observed (I2s > 90%),
indicating that change in mental health was highly variable across samples.
Conclusions
There was a small increase in mental health symptoms soon after the outbreak of the
COVID-19 pandemic that decreased and was comparable to pre-pandemic levels by mid-
2020 among most population sub-groups and symptom types.
Keywords: COVID-19; Coronavirus; Mental health; Longitudinal; Depression; Anxiety

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