» Articles » PMID: 33108569

Prevalence, Psychological Responses and Associated Correlates of Depression, Anxiety and Stress in a Global Population, During the Coronavirus Disease (COVID-19) Pandemic

Overview
Specialty Health Services
Date 2020 Oct 27
PMID 33108569
Citations 220
Authors
Affiliations
Soon will be listed here.
Abstract

Uncertainty and isolation have been linked to mental health problems. Uncertainty surrounding the COVID-19 pandemic has the potential to trigger mental health problems, which include anxiety, stress, and depression. This paper evaluates the prevalence, psychological responses, and associated correlates of depression, anxiety, and stress in a global population during the Coronavirus Disease (COVID-19) pandemic. A cross-sectional study design was adopted. 678 completed forms were collected during the COVID-19 quarantine/lockdown. An online questionnaire was designed and DASS-21 was used as the screening tool. A non-probability sampling technique strategy was applied. 50.9% of participants showed traits of anxiety, 57.4% showed signs of stress, and 58.6% exhibited depression. Stress, anxiety, and depression are overwhelmingly prevalent across the globe during this COVID-19 pandemic, and multiple factors can influence the rates of these mental health conditions. Our factorial analysis showed notable associations and manifestations of stress, anxiety, and depressive symptoms. People aged 18-24, females, and people in non-marital relationships experienced stress, anxiety, and depression. Separated individuals experienced stress and anxiety. Married people experienced anxiety. Single and divorced people experienced depression. Unemployed individuals experienced stress and depression. Students experienced anxiety and depression. Canada, the UK, and Pakistan are all countries that are experiencing stress and depression as a whole. An extended number of days in quarantine was associated with increased stress, anxiety, and depression. Family presence yielded lower levels of stress, anxiety, and depression. Lastly, lack of exercise was associated with increased stress, anxiety, and depression.

Citing Articles

Technology for sustainable living: The impact of digital inclusion on the health of China's elderly living alone.

Yan Y, Xing H SSM Popul Health. 2025; 29:101751.

PMID: 39886258 PMC: 11780947. DOI: 10.1016/j.ssmph.2025.101751.


Impact of social isolation during the COVID-19 pandemic on the mental health of university students and recommendations for the post-pandemic period: A systematic review.

Martins T, Lorenzetti Branco J, Martins T, Santos G, Andrade A Brain Behav Immun Health. 2025; 43():100941.

PMID: 39845808 PMC: 11751499. DOI: 10.1016/j.bbih.2024.100941.


Personality traits, mindfulness, and perceived stress in Chinese adults: a sequential explanatory mixed-methods approach.

Zhao L Front Psychol. 2025; 15():1498458.

PMID: 39830852 PMC: 11739080. DOI: 10.3389/fpsyg.2024.1498458.


Exploring the Levels of Stress, Anxiety, Depression, Resilience, Hope, and Spiritual Well-Being Among Greek Dentistry and Nursing Students in Response to Academic Responsibilities Two Years After the COVID-19 Pandemic.

Mangoulia P, Kanellopoulou A, Manta G, Chrysochoou G, Dimitriou E, Kalogerakou T Healthcare (Basel). 2025; 13(1.

PMID: 39791661 PMC: 11719476. DOI: 10.3390/healthcare13010054.


Chronic impacts of natural infrastructure on the physical and psychological health of university students during and after COVID-19: a case study of Chengdu, China.

Peng Y, He H, Lv B, Wang J, Qin Q, Song J Front Public Health. 2024; 12:1508539.

PMID: 39735753 PMC: 11671516. DOI: 10.3389/fpubh.2024.1508539.


References
1.
Kasalova P, Prasko J, Holubova M, Vrbova K, Zmeskalova D, Slepecky M . Anxiety disorders and marital satisfaction. Neuro Endocrinol Lett. 2018; 38(8):555-564. View

2.
Wang C, Horby P, Hayden F, Gao G . A novel coronavirus outbreak of global health concern. Lancet. 2020; 395(10223):470-473. PMC: 7135038. DOI: 10.1016/S0140-6736(20)30185-9. View

3.
Beiter R, Nash R, McCrady M, Rhoades D, Linscomb M, Clarahan M . The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord. 2014; 173:90-6. DOI: 10.1016/j.jad.2014.10.054. View

4.
Matthews T, Danese A, Wertz J, Odgers C, Ambler A, Moffitt T . Social isolation, loneliness and depression in young adulthood: a behavioural genetic analysis. Soc Psychiatry Psychiatr Epidemiol. 2016; 51(3):339-48. PMC: 4819590. DOI: 10.1007/s00127-016-1178-7. View

5.
Shaw T, Campbell M, Runions K, Zubrick S . Properties of the DASS-21 in an Australian Community Adolescent Population. J Clin Psychol. 2016; 73(7):879-892. DOI: 10.1002/jclp.22376. View