The extent of the deleterious effects of the COVID-19 pandemic on mental health is recognized ubiquitously. However, these effects are subject to many modulatory factors from a plethora of domains of examination. It is important to understand the intersection of societal and individual levels for global stressors compared with local phenomena and physical-health outcomes. Here, we consider three perspectives: international/cultural, social, and individual. Both the enduring threat of COVID-19 infection and the protective measures to contain contagion have important consequences on individual mental health. These consequences, together with possible remedial interventions, are the focus of this article. We hope this work will stimulate more research and will suggest factors that need to be considered in the coordination of responses to a global threat, allowing for better preparation in the future.
Adams-PrasslA.BonevaT.GolinM.RauhC. (2020). The impact of the coronavirus lockdown on mental health: Evidence from the US. Apollo, University of Cambridge. https://doi.org/10.17863/CAM.81910
2.
AjdukovićM.RajterM.RezoI. (2018). Individual and contextual factors for the child abuse potential of Croatian mothers: The role of social support in times of economic hardship. Child Abuse & Neglect, 78, 60–70. https://doi.org/10.1016/j.chiabu.2018.01.008
3.
AkechiH.SenjuA.UiboH.KikuchiY.HasegawaT.HietanenJ. K. (2013). Attention to eye contact in the West and East: Autonomic responses and evaluative ratings. PLOS ONE, 8(3), Article e59312. https://doi.org/10.1371/journal.pone.0059312.
4.
AlmeidaM.ShresthaA. D.StojanacD.MillerL. J. (2020). The impact of the COVID-19 pandemic on women’s mental health. Archives of Women’s Mental Health, 23(6), 741–748. https://doi.org/10.1007/s00737-020-01092-2
5.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
6.
AndersenP.GannonJ.KalchikJ. (2013). Proxemic and haptic interaction: The closeness continuum. In HallJ. A.KnappM. L. (Eds.), Nonverbal communication (pp. 295–329). De Gruyter Mouton. https://doi.org/10.1515/9783110238150.295
7.
BernardiniF.AttademoL.RotterM.ComptonM. T. (2021). Social determinants of mental health as mediators and moderators of the mental health impacts of the COVID-19 pandemic. Psychiatric Services, 72(5), 598–601. https://doi.org/10.1176/appi.ps.202000393
BubbS.JonesM.-A. (2020). Learning from the COVID-19 home-schooling experience: Listening to pupils, parents/carers and teachers. Improving Schools, 23(3), 209–222. https://doi.org/10.1177/1365480220958797
12.
BuyukkececiZ. (2020). Cross-country differences in anxiety and behavioral response to the Covid-19 pandemic. European Societies, 23(Suppl. 1), S417–S447. https://doi.org/10.1080/14616696.2020.1828975
13.
CarbonC.-C. (2020). Wearing face masks strongly confuses counterparts in reading emotions. Frontiers in Psychology, 11, Article 566886. https://doi.org/10.3389/fpsyg.2020.566886
14.
CarliL. L. (2020). Women, gender equality and COVID-19. Gender in Management: An International Journal, 35(7–8), 647–655. https://doi.org/10.1108/GM-07-2020-0236
15.
ChiricoF.NuceraG.MagnavitaN. (2020). COVID-19: Protecting healthcare workers is a priority. Infection Control & Hospital Epidemiology, 41(9), 1117–1117. https://doi.org/10.1017/ice.2020.148
16.
CohenS.KamarckT.MermelsteinR. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
17.
CollinsC.MahuronK.BongiovanniT.LancasterE.SosaJ. A.WickE. (2021). Stress and the surgical resident in the COVID-19 pandemic. Journal of Surgical Education, 78(2), 422–430. https://doi.org/10.1016/j.jsurg.2020.07.031
18.
ConnorJ.MadhavanS.MokashiM.AmanuelH.JohnsonN. R.PaceL. E.BartzD. (2020). Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review. Social Science & Medicine, 266, Article 113364. https://doi.org/10.1016/j.socscimed.2020.113364
19.
CzeislerM. É.LaneR. I.PetroskyE.WileyJ. F.ChristensenA.NjaiR.WeaverM. D.RobbinsR.Facer-ChildsE. R.BargerL. K.CzeislerC. A.HowardM. E.RajaratnamS. M. W. (2020). Mental health, substance use, and suicidal ideation during the COVID-19 pandemic—United States, June 24–30, 2020. Morbidity and Mortality Weekly Report, 69(32), 1049–1057. https://doi.org/10.15585/mmwr.mm6932a1
20.
DavillasA.JonesA. M. (2020). The COVID-19 pandemic and its impact on inequality of opportunity in psychological distress in the UK. SSRN. https://doi.org/10.2139/ssrn.3614940
21.
EgedeL. E.RuggieroK. J.FruehB. C. (2020). Ensuring mental health access for vulnerable populations in COVID era. Journal of Psychiatric Research, 129, 147–148. https://doi.org/10.1016/j.jpsychires.2020.07.011
22.
EresR.LimM. H.LanhamS.JillardC.BatesG. (2021). Loneliness and emotion regulation: Implications of having social anxiety disorder. Australian Journal of Psychology, 73(1), 46–56. https://doi.org/10.1111/ajpy.12296
23.
Ferini-StrambiL.ZucconiM.CasoniF.SalsoneM. (2020). COVID-19 and sleep in medical staff: Reflections, clinical evidences, and perspectives. Current Treatment Options in Neurology, 22(10), Article 29. https://doi.org/10.1007/s11940-020-00642-4
24.
FischerA. H.GillebaartM.RotteveelM.BeckerD.VliekM. (2012). Veiled emotions: the effect of covered faces on emotion perception and attitudes. Social Psychological and Personality Science, 3(3), 266–273. https://doi.org/10.1177/1948550611418534
25.
FrithC. (2009). Role of facial expressions in social interactions. Philosophical Transactions of the Royal Society B: Biological Sciences, 364(1535), 3453–3458. https://doi.org/10.1098/rstb.2009.0142
26.
GaleaS.MerchantR. M.LurieN. (2020). The mental health consequences of COVID-19 and physical distancing: The need for prevention and early intervention. JAMA Internal Medicine, 180(6), 817–818. https://doi.org/10.1001/jamainternmed.2020.1562
27.
GauthierG. R.SmithJ. A.GarcíaC.GarciaM. A.ThomasP. A. (2021). Exacerbating inequalities: Social networks, racial/ethnic disparities, and the COVID-19 pandemic in the United States. The Journals of Gerontology B: Psychological Sciences and Social Sciences, 76(3), e88–e92. https://doi.org/10.1093/geronb/gbaa117
28.
GermaniA.BurattaL.DelvecchioE.MazzeschiC. (2020). Emerging adults and COVID-19: The role of individualism-collectivism on perceived risks and psychological maladjustment. International Journal of Environmental Research and Public Health, 17(10), Article 3497. https://doi.org/10.3390/ijerph17103497
29.
GreenbergN.DochertyM.GnanapragasamS.WesselyS. (2020). Managing mental health challenges faced by healthcare workers during covid-19 pandemic. The BMJ, 368, Article m1211. https://doi.org/10.1136/bmj.m1211
30.
GreyI.AroraT.ThomasJ.SanehA.TohmeP.Abi-HabibR. (2020). The role of perceived social support on depression and sleep during the COVID-19 pandemic. Psychiatry Research, 293, Article 113452. https://doi.org/10.1016/j.psychres.2020.113452
31.
GroarkeJ. M.BerryE.Graham-WisenerL.McKenna-PlumleyP. E.McGlincheyE.ArmourC. (2020). Loneliness in the UK during the COVID-19 pandemic: Cross-sectional results from the COVID-19 Psychological Wellbeing Study. PLOS ONE, 15(9), Article e0239698. https://doi.org/10.1371/journal.pone.0239698
32.
HallL. H.JohnsonJ.WattI.TsipaA.O’ConnorD. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PLOS ONE, 11(7), Article e0159015. https://doi.org/10.1371/journal.pone.0159015
HarrisS. M.SandalG. M. (2021). COVID-19 and psychological distress in Norway: The role of trust in the healthcare system. Scandanavian Journal of Public Health, 49(1), 96–103. https://doi10.117.org/7/1403494820971512
35.
HeinrichL. M.GulloneE. (2006). The clinical significance of loneliness: A literature review. Clinical Psychology Review, 26(6), 695–718. https://doi.org/10.1016/j.cpr.2006.04.002
36.
HorigianV. E.SchmidtR. D.FeasterD. J. (2021). Loneliness, mental health, and substance use among US young adults during COVID-19. Journal of Psychoactive Drugs, 53(1), 1–9. https://doi.org/10.1080/02791072.2020.1836435
37.
JackR. E.SchynsP. G. (2015). The human face as a dynamic tool for social communication. Current Biology, 25(14), R621–R634. https://doi.org/10.1016/j.cub.2015.05.052
38.
JohnsonJ.HallL. H.BerzinsK.BakerJ.MellingK.ThompsonC. (2018). Mental healthcare staff well-being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions. International Journal of Mental Health Nursing, 27(1), 20–32. https://doi.org/10.1111/inm.12416
39.
KhanK. S.MamunM. A.GriffithsM. D.UllahI. (2022). The mental health impact of the COVID-19 pandemic across different cohorts. International Journal of Mental Health and Addiction, 20, 380–386. https://doi.org/10.1007/s11469-020-00367-0
40.
KiddJ. D.JackmanK. B.BaruccoR.DworkinJ. D.DolezalC.NavaltaT. V.BelloirJ.BocktingW. O. (2021). Understanding the impact of the COVID-19 pandemic on the mental health of transgender and gender nonbinary individuals engaged in a longitudinal cohort study. Journal of Homosexuality, 68(4), 592–611. https://doi.org/10.1080/00918369.2020.1868185
41.
KillgoreW. D. S.CloonanS. A.TaylorE. C.MillerM. A.DaileyN. S. (2020). Three months of loneliness during the COVID-19 lockdown. Psychiatry Research, 293, Article 113392. https://doi.org/10.1016/j.psychres.2020.113392
42.
KolaL.KohrtB. A.HanlonC.NaslundJ. A.SikanderS.BalajiM.BenjetC.CheungE.EatonJ.GonsalvesP.HailemariamM.LuitelN. P.MachadoD. B.MisganawE.OmigbodunO.RobertsT.SalisburyT. T.ShidhayeR.SunkelC.. . . PatelV. (2021). COVID-19 mental health impact and responses in low-income and middle-income countries: Reimagining global mental health. The Lancet Psychiatry, 8(6), 535–550. https://doi.org/10.1016/S2215-0366(21)00025-0
43.
LeeJ.CagleJ. G. (2017). Validating the 11-item revised University of California Los Angeles Scale to assess loneliness among older adults: An evaluation of factor structure and other measurement properties. The American Journal of Geriatric Psychiatry, 25(11), 1173–1183. https://doi.org/10.1016/j.jagp.2017.06.004
44.
LiL. Z.WangS. (2020). Prevalence and predictors of general psychiatric disorders and loneliness during COVID-19 in the United Kingdom. Psychiatry Research, 291, Article 113267. https://doi.org/10.1016/j.psychres.2020.113267
45.
LovibondP. F.LovibondS. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
46.
LuchettiM.LeeJ. H.AschwandenD.SeskerA.StrickhouserJ. E.TerraccianoA.SutinA. R. (2020). The trajectory of loneliness in response to COVID-19. American Psychologist, 75(7), 897–908. https://doi.org/10.1037/amp0000690
47.
MagsonN. R.FreemanJ. Y. A.RapeeR. M.RichardsonC. E.OarE. L.FardoulyJ. (2021). Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. Journal of Youth and Adolescence, 50, 44–57. https://doi.org/10.1007/s10964-020-01332-9
48.
MarroquínB.VineV.MorganR. (2020). Mental health during the COVID-19 pandemic: Effects of stay-at-home policies, social distancing behavior, and social resources. Psychiatry Research, 293, Article 113419. https://doi.org/10.1016/j.psychres.2020.113419
49.
MatsumotoD.HeeS.FontaineJ. (2008). Mapping expressive differences around the world: The relationship between emotional display rules and individualism versus collectivism. Journal of Cross-Cultural Psychology, 39(1), 55–74. https://doi.org/10.1177/0022022107311854
50.
McGintyE. E.PresskreischerR.HanH.BarryC. L. (2020). Psychological distress and loneliness reported by US adults in 2018 and April 2020. JAMA, 324(1), 93–94. https://doi.org/10.1001/jama.2020.9740
51.
NeelamK.DudduV.AnyimN.NeelamJ.LewisS. (2021). Pandemics and pre-existing mental illness: A systematic review and meta-analysis. Brain, Behavior, & Immunity - Health, 10, Article 100177. https://doi.org/10.1016/j.bbih.2020.100177
52.
OrbenA.TomovaL.BlakemoreS.-J. (2020). The effects of social deprivation on adolescent development and mental health. The Lancet Child & Adolescent Health, 4(8), 634–640. https://doi.org/10.1016/S2352-4642(20)30186-3
53.
Ozamiz-EtxebarriaN.Dosil-SantamariaM.Picaza-GorrochateguiM.Idoiaga-MondragonN. (2020). Niveles de estrés, ansiedad y depresión en la primera fase del brote del COVID-19 en una muestra recogida en el norte de España [Stress, anxiety, and depression levels in the initial stage of the COVID-19 outbreak in a population sample in northern Spain]. Cadernos de Saúde Pública, 36(4), Article e00054020. https://doi.org/10.1590/0102-311x00054020
54.
PetzoldM. B.BendauA.PlagJ.PyrkoschL.Mascarell MaricicL.BetzlerF.RogollJ.GroßeJ.StröhleA. (2020). Risk, resilience, psychological distress, and anxiety at the beginning of the COVID-19 pandemic in Germany. Brain and Behavior, 10(9), Article e01745. https://doi.org/10.1002/brb3.1745
55.
PhelpsC.SperryL. L. (2020). Children and the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S73–S75. https://doi.org/10.1037/tra0000861
56.
RocaE.MelgarP.Gairal-CasadóR.Pulido-RodríguezM. A. (2020). Schools that ‘open doors’ to prevent child abuse in confinement by COVID-19. Sustainability, 12(11), Article 4685. https://doi.org/10.3390/su12114685
57.
RothmanS.GunturuS.KorenisP. (2020). The mental health impact of the COVID-19 epidemic on immigrants and racial and ethnic minorities. QJM: An International Journal of Medicine, 113(11), 779–782. https://doi.org/10.1093/qjmed/hcaa203
58.
RuggieriS.IngogliaS.BonfantiR. C.Lo CocoG. (2020). The role of online social comparison as a protective factor for psychological wellbeing: A longitudinal study during the COVID-19 quarantine. Personality and Individual Differences, 171, Article 110486. https://doi.org/10.1016/j.paid.2020.110486
59.
RussellD.PeplauL. A.CutronaC. E. (1980). The revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology, 39(3), 472–480. https://doi.org/10.1037/0022-3514.39.3.472
60.
SenjuA.JohnsonM. H. (2009). Atypical eye contact in autism: Models, mechanisms and development. Neuroscience & Biobehavioral Reviews, 33(8), 1204–1214. https://doi.org/10.1016/j.neubiorev.2009.06.001
61.
ShermanL. E.MichikyanM.GreenfieldP. M. (2013). The effects of text, audio, video, and in-person communication on bonding between friends. Cyberpsychology: Journal of Psychosocial Research on Cyberspace, 7(2), Article 3. https://doi.org/10.5817/CP2013-2-3
62.
SmithB. W.DalenJ.WigginsK.TooleyE.ChristopherP.BernardJ. (2008). The brief resilience scale: assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200. https://doi.org/10.1080/10705500802222972
63.
SoofiM.NajafiF.Karami-MatinB. (2020). Using insights from behavioral economics to mitigate the spread of COVID-19. Applied Health Economics and Health Policy, 18, 345–350. https://doi.org/10.1007/s40258-020-00595-4
64.
SpinelliM.LionettiF.SettiA.FasoloM. (2020). Parenting stress during the COVID-19 outbreak: Socioeconomic and environmental risk factors and implications for children emotion regulation. Family Process, 60(2), 639–653. https://doi.org/10.1111/famp.12601
65.
Stamu-O’BrienC.CarniciuS.HalvorsenE.JafferanyM. (2020). Psychological aspects of COVID-19. Journal of Cosmetic Dermatology, 19(9), 2169–2173. https://doi.org/10.1111/jocd.13601
66.
StanojevicC.SimicS.MilutinovicD. (2016). Health effects of sleep deprivation on nurses working shifts. Medicinski Pregled, 69(5–6), 183–188. https://doi.org/10.2298/MPNS1606183S
67.
TeoA. R.MarkwardtS.HintonL. (2019). Using Skype to beat the blues: Longitudinal data from a national representative sample. The American Journal of Geriatric Psychiatry, 27(3), 254–262. https://doi.org/10.1016/j.jagp.2018.10.014
68.
ThomasE. Y.AnurudranA.RobbK.BurkeT. F. (2020). Spotlight on child abuse and neglect response in the time of COVID-19. The Lancet Public Health, 5(7), Article e371. https://doi.org/10.1016/S2468-2667(20)30143-2
69.
TiechuanM. (2016). A study on non-verbal communication in cross-culture. Asian Journal of Humanities and Social Sciences, 4(1). https://ajhss.org/pdfs/Vol4Issue1/1.pdf
70.
TsaiH.-H.TsaiY.-F. (2011). Changes in depressive symptoms, social support, and loneliness over 1 year after 3-month videoconference a minimum program for older nursing home residents. Journal of Medical Internet Research, 13(4), Article e93. https://doi.org/10.2196/jmir.1678
71.
TsoI. F.MuiM. L.TaylorS. F.DeldinP. J. (2012). Eye-contact perception in schizophrenia: Relationship with symptoms and socioemotional functioning. Journal of Abnormal Psychology, 121(3), 616–627.
72.
WangM.OliverR. M.ThorstenH. (2016). How time preferences differ: Evidence from 53 countries. Journal of Economic Psychology, 52, 115–135.
73.
XiaoX.ZhuX.FuS.HuY.LiX.XiaoJ. (2020). Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. Journal of Affective Disorders, 274, 405–410. https://doi.org/10.1016/j.jad.2020.05.081
74.
YıldırımM.GülerA. (2022). COVID-19 severity, self-efficacy, knowledge, preventive behaviors, and mental health in Turkey. Death Studies, 46(4), 979–986. https://doi.org/10.1080/07481187.2020.1793434.
