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. 2020 Sep 18;117(38):625–632. doi: 10.3238/arztebl.2020.0625

Table 2. Survey-based studies from China and India on the psychological effects of the SARS-CoV-2 pandemic (as of 16.04.2020).

Country Participants; female
(%); age (M ± SD)
[alternative data]
Subgroups Anxiety and worry Depression Posttraumatic stress Sleep Stress/other outcomes
General population
Cao et al.
(2020) (e16)
China 7143; 4975 (69.65%);
n. a.
n. a. GAD-7 n. a. n. a. n. a. n. a.
Liu et al.
(2020) (e7)
China 285; 155 (54.4%); n. a.
[47.7% <35 years]
n. a. n. a. n. a. PCL-5 (higher than norm*1) n. a. n. a.
Qiu et al.
(2020) (e4)
China. Hong Kong. Macao. Taiwan 52 730; 34 131
(64.73%); n. a.
n. a. n. a. n. a. n. a. n. a. CPDI
Roy et al.
(2020) (e17)
India 662; 339 (51.2%);
29.09 ± 8.83
n. a. SD n. a. n. a. SD n. a.
Wang C et al.
(2020) (16)
China 1210; 814 (67.3%);
n. a. [53.1% 21.4–30.8 years]
n. a. DASS-21
subscale on anxiety
DASS-21
subscale on depression
IES-R n. a. DASS-21
subscale on stress
Wang Y et al.
(2020) (e18)
China 600; 333 (55.5%);
34 ± 12
n. a. SAS SDS n. a. n. a. n. a.
Zhang Y et al.
(2020) (e19)
China 263; 157 (60%);
37.7± 14.0
n. a. n. a. n. a. IES n. a. n. a.
Healthcare workers
Cai et al.
(2020) (e1)
China 534; 367 (68.7%);
36.4 ± 16.18 years
P (n = 233).
NS (n = 248)
SD n. a. n. a. n. a. n. a.
Huang JZ et. al.
(2020) (e9)
China 230; 187 (81.30%);
n. a. [53% 30–39 years]
P (n = 70).
NS (n = 160)
SAS n. a. PTSD-SS n. a. n. a.
Kang et al.
(2020) (e20)
China 994; 850 (85.5%); n. a.
[63.4% ca. 30–40 years]
P (n = 183).
NS (n = 811)
GAD-7 PHQ-9 IES-R ISI n. a.
Lai et al.
(2020) (6)
China 1257; 964 (76.7%);
n. a. [64.7% 26–40 years]
P (n = 493).
NS (n = 764)
GAD-7 PHQ-9 IES-R ISI n. a.
Mo et al.
(2020) (e2)
China 180; 162 (90%); 129
(71.7%); 32.71 ± 6.52
n. a. SAS (higher
than norm*2)
n. a. n. a. n. a. SOS
Xiao et al.
(2020) (e3)
China 180; 129 (71.7%);
32.31±4.88
P (n = 82).
NS (n = 98)
SAS (higher
than norm*3)
n. a. n. a. PSQI SASR;
GSES; SSRS
Mixed groups
Huang Y et al.
(2020) (e6)
China 7236; 3952 (54.6%);
35.3 ± 5.6
HW (n = 2250) GAD-7 (higher
than norm*4)
CES-D (higher
than norm*5)
n. a. PSQI n. a.
Li et al. (2020)
(e8)
China 740; 128 (59.81%);
25 [IQR: 22–38.3]
GP (n = 214).
NS (n = 526)
n. a. n. a. VTQ n. a. n. a.
Lu et al. (2020)
(e21)
China 2299; 1785 (77.6%);
n. a. [78% <40 years]
HW (n = 2042).
AS (n = 257)
HAMA.
NRS on fear
HAMD n. a. n. a. n. a.
Yuan et al.
(2020) (e22)
China 939; 582 (61.98%); n. a.
[71.5% 18–39 years]
HW (n = 249).
S (n = 312)
n. a. n. a. n. a. n. a. n. a.
Zhang W et al.
(2020) (e23)
China 2182; 1401 (64.2%);
n. a. [96.3% 18–60 years]
HW (n = 927).
GP (n = 1255)
GAD-2 PHQ-2 n. a. ISI SCL-90-R

*1 Prevalence: 7 versus 3.7%

*2 M ± SD: 32.19 ± 7.56 versus 29.78 ± 0.46; t = 4.27; p <0.001

*3 M ± SD: 8.583 ± 4.567 versus 7 (SD n. a.)

*4 Prevalence: 35.1 versus 5.0%; *5 prevalence: 20.3 versus 3.6%

IQR. interquartile range. M. mean value; n. a.. not available; t. value of the t-test for independent samples; SD. standard deviation

Subgroups: GP. general population; P. physicians; HW. healthcare workers; NS. nursing staff; S. students; AS. administrative staff

Measurement tools: CES-D. Center for Epidemiologic Studies Depression Scale to measure depressive symptoms; CPDI. COVID-19 Peritraumatic Distress Index; DASS-21. Depression. Anxiety and Stress Scale; GAD-2. Generalized Anxiety Disorder Scale-2 to measure symptoms of anxiety; GAD-7. Generalized Anxiety Disorder Scale-7 to measure symptoms of anxiety; GSES. General Self-Efficacy Scale to measure self-efficacy; HAMA. Hamilton Anxiety Scale to measure symptoms of anxiety; HAMD. Hamilton Depression Scale to measure depressive symptoms; IES. Impact of Event Scale to measure posttraumatic stress symptoms; IES-R. Impact of Event Scale—Revised to measure posttraumatic stress symptoms; ISI. Insomnia Severity Index to measure sleep disorders; NRS. Numeric Rating Scale; PCL-5. Posttraumatic Stress Disorder Checklist for DSM-5 for posttraumatic stress symptoms; PHQ-2. Personal Health Questionnaire-2 to measure depressive symptoms; PHQ-9. Personal Health Questionnaire-9 to measure depressive symptoms; PSQI. Pittsburgh Sleep Quality Index to measure sleep quality; PTSD-SS. PTSD Self-rating Scale to measure posttraumatic stress symptoms; SAS. Self-Rating Anxiety Scale to measure anxiety symptoms; SASR. Stanford Acute Stress Reaction questionnaire to measure stress reactions; SCL-90-R. symptom checklist 90—Revised to measure psychological distress; SDS. Self-Rating Depression Scale; SD. self-developed questionnaire; SOS. Stress Overload Scale to measure stress; SSRS. Social Support Rate Scale to assess social support; VTQ:. Vicarious Traumatization Questionnaire to assess secondary traumatization. based. e.g.. on the TSIB (Traumatic Stress Institute Belief Scale). VTS (Vicarious Trauma Scale). and IES