2020
DOI: 10.1177/2150132720953682
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Mental Health Burden of the COVID-19 Outbreak in Germany: Predictors of Mental Health Impairment

Abstract: Introduction: COVID-19 is causing an enormous psychological burden for most people. This study aims to assess individual changes in mental health and health status before and after the COVID-19 outbreak, and to explore potential predictors of change. Methods: A cross-sectional study in Germany (n = 15 037) were conducted. Demographics, depression and anxiety symptoms (PHQ-2, GAD-2), distress (DT), and health status (EQ-5D-3L) were assessed. Additionally, all instruments used were adapted to measure the partici… Show more

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Cited by 133 publications
(159 citation statements)
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“…For instance, Bäuerle et al . [ 32 ] found a significant increase in distress, anxiety and depression symptoms and a decrease in health status since the onset of the COVID-19 outbreak in a cross-sectional study with more than 15,000 participants. These mental health effects were predicted by pandemic-related fear, while trust in the government's actions and subjective level of information predicted a weaker increase in mental strain.…”
Section: Evidence From the German Health Sectormentioning
confidence: 99%
“…For instance, Bäuerle et al . [ 32 ] found a significant increase in distress, anxiety and depression symptoms and a decrease in health status since the onset of the COVID-19 outbreak in a cross-sectional study with more than 15,000 participants. These mental health effects were predicted by pandemic-related fear, while trust in the government's actions and subjective level of information predicted a weaker increase in mental strain.…”
Section: Evidence From the German Health Sectormentioning
confidence: 99%
“…Perceived stress can be defined as an understanding of a person of the amount of stress he or she is exposed to in a given point of time or in a specific period [ 14 ]. Bäuerle et al [ 15 ] assessed mental health and health status of 15,037 German adults before and after the COVID-19 outbreak. The level of distress became higher after the outbreak compared to before the outbreak: the frequency of elevated levels of distress changed from 51.8% to 65.2% of respondents.…”
Section: Introductionmentioning
confidence: 99%
“…The level of distress became higher after the outbreak compared to before the outbreak: the frequency of elevated levels of distress changed from 51.8% to 65.2% of respondents. Their results indicate an increased prevalence of mental health burden during the COVID-19 pandemic [ 15 ].…”
Section: Introductionmentioning
confidence: 99%
“…During the nationwide lockdown, people were socially isolated (8), and experienced negative emotions such as fear and stress (9)(10)(11) and lifestyle changes including reduced physical activity and increased sedentary time (12)(13)(14). The lockdown due to the epidemic of COVID-19 had a negative effect on mental health for both patients with COVID-19 (15)(16)(17) and general populations (17)(18)(19)(20)(21), also re ected by the health-related quality of life (HRQoL) (22,23).…”
Section: Introductionmentioning
confidence: 99%