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. 2020 Nov;110(11):1628–1634. doi: 10.2105/AJPH.2020.305857

TABLE 2—

Mental Distress (PHQ-4 Levels) Over Calendar Time, in High-Count and Low-Count US States: March 10 to 16, 2020

Survey Date PHQ-4 Level Frequency, %
High-Count States Low-Count States
Mar 10, 2020 Normal 75.4 73.2
Mar 10, 2020 Mild 10.4 13.3
Mar 10, 2020 Moderate 8.1 7.3
Mar 10, 2020 Severe 6.0 6.2
Mar 11, 2020 Normal 69.5 75.4
Mar 11, 2020 Mild 19.1 13.6
Mar 11, 2020 Moderate 6.2 6.0
Mar 11, 2020 Severe 5.2 5.0
Mar 12, 2020 Normal 71.6 76.2
Mar 12, 2020 Mild 14.3 14.8
Mar 12, 2020 Moderate 9.9 6.5
Mar 12, 2020 Severe 4.1 2.5
Mar 13, 2020 Normal 64.4 73.9
Mar 13, 2020 Mild 22.8 18.1
Mar 13, 2020 Moderate 9.1 6.2
Mar 13, 2020 Severe 3.6 1.8
Mar 14, 2020 Normal 62.3 80.3
Mar 14, 2020 Mild 21.3 15.1
Mar 14, 2020 Moderate 4.9 2.8
Mar 14, 2020 Severe 11.4 1.7
Mar 15, 2020 Normal 69.3 72.1
Mar 15, 2020 Mild 22.8 14.3
Mar 15, 2020 Moderate 1.9 6.0
Mar 15, 2020 Severe 6.0 7.6
Mar 16, 2020 Normal 59.0 65.6
Mar 16, 2020 Mild 24.1 24.3
Mar 16, 2020 Moderate 8.6 5.3
Mar 16, 2020 Severe 8.3 4.8

Note. PHQ-4 = 4-item version of the Patient Health Questionnaire. High-count states are those with 50 or more confirmed COVID-19 cases as of March 10, 2020 (WA, NY, CA, MA). Low-count states are all remaining US states, with fewer than 50 cases.