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. 2020 May 27;61(6):607–615. doi: 10.1016/j.psym.2020.05.018

Table 2.

Findings and Quality Assessment of Studies Reporting Original Quantitative Data

Source Methodology and population Main findings Quality assessment5
Bo et al.7 Cross-sectional survey of 714 Chinese COVID-19 survivors before discharge from a quarantine facility
  • Posttraumatic stress in 96.2% of patients

Weak
Cao et al.8 Cross-sectional survey of 7143 Changzhai medical students in China
  • Mild anxiety in 21.3% and moderate to severe anxiety in 3.8% of respondents

Weak
Castro and Perlis9 Electronic medical records review of 2,689,116 patient encounters in Massachusetts, United States
  • Depression and anxiety documentation decreased by 75–81% in outpatient settings and 44–45% in emergency settings with the increase in COVID-19 documentation

Strong
Chung and Yeung10 Cross-sectional survey of 69 full-time staff in Hong Kong, China
  • Mean Patient Health Questionnaire-9 (PHQ)-9 of 7.6 in respondents

  • Mild depression (PHQ-9 > 10) in 35%

  • Moderate depression (PHQ-9 > 15) in 15%

Weak
American Psychiatric Association11 Cross-sectional survey of 1004 residents in the United States
  • Anxiety around getting or dying from the virus in 40% of respondents

  • Poor sleep in 19%

  • Increased alcohol consumption in 8%

  • Increased conflict with loved ones in 12%

Weak
Lai et al.12 Cross-sectional survey of 1257 health care workers in Hubei, in Wuhan, outside of Wuhan, China
  • Depression symptoms in 50% of respondents

  • Anxiety symptoms in 45%

  • Insomnia in 34%

  • Distress in 72%

  • Highest prevalence in nurses, women, frontline health care workers, and those working in Wuhan

Weak
Liu et al.13 Cross-sectional survey of 285 residents and visitors in Wuhan, China
  • Posttraumatic stress symptoms in 7% of respondents

  • Prevalence greater in females than males and in Wuhan residents/visitors than among residents in surrounding cities

Weak
Lu et al.14 Cross-sectional survey of medical and administrative staff in Fujian, China
  • Moderate to severe fear in 71% vs 58%;

  • Mild to moderate anxiety in 23% and severe anxiety in 2.9% vs 17% and 3%, resp.; and

  • Mild to moderate depression in 12% and severe depression in 0.3% vs 8% and 0.0%, resp. in medical staff vs administrative staff

Weak
Qiu et al.15 Cross-sectional survey of 52,730 residents in China
  • Mild psychological distress in 35% and severe distress in 5% of respondents

Weak
Wang et al.16 Cross-sectional survey of 1210 members of the general public in China
  • Moderate or severe psychological impact in 54% of respondents

  • Moderate to severe depressive symptoms in 17%

  • Moderate to severe anxiety symptoms in 29%

  • Moderate to severe stress levels in 8%

Weak
Zhang et al.17 Cross-sectional survey of 2182 medical and nonmedical workers in Wuhan, China
  • Insomnia (38% vs 31%),

  • anxiety (13 vs 9%),

  • depression (12 vs 10%),

  • somatization (2 vs 0.4%), and

  • obsessive-compulsive symptoms (5 vs 2%) in medical vs nonmedical staff

Weak
Zhu et al.18 Cross-sectional survey of 5062 health care workers in Wuhan, China
  • Stress, depression, and anxiety symptoms in 30%, 14%, and 24% of respondents, respectively. Prevalence highest in females and those who have worked for more than 10 years

Weak