Objective: The COVID-19 pandemic has impacted every country in the world. The responses and outcomes to the pandemic have varied by country. The variations have been associated with the culture, governance, and resources of each country. Emergency preparedness follows the four phases of planning: mitigation, preparedness, response, and recovery. These phases are integral for a mature and functional emergency plan. Most plans do not factor in the emotional responses and mental health consequences of a pandemic. The purpose of this review is to develop a pandemic strategy that uses the four phases of emergency preparedness planning for training and addressing emotional responses and mental health outcomes of a catastrophic global infectious disease outbreak. Methods: The literature on COVID-19 emergency preparedness and mental health outcomes was reviewed. Results: Emotional reactions to public health measures vary depending on the clarity of communication and guidance by the leaders of each affected community. Isolation, anxiety, and depression are common responses to the impact of a pandemic. Risk factors for depression and mental health challenges include people who are essential frontline health and service workers, isolation, economic insecurity, and the duration of the quarantines. Conclusion: This commentary reviews the various nonmedical factors that contribute to stress and mental health challenges in a pandemic. Recommendations are given for planning and interventions in each of the 4 phases of emergency preparedness.
Bezerra, A. C. V., Silva, C. E. M. D., Soares, F. R. G., & Silva, J. A. M. D. (2020). Factors Associated with People’s Behavior in Social Isolation during the COVID-19 Pandemic. Ciencia Saude Coletiva, 25, 2411-2421. https://doi.org/10.1590/1413-81232020256.1.10792020
Botting, E. H. (2021). Predicting the Patriarchal Politics of Pandemics from Mary Shelley to COVID-19. Frontiers in Sociology, 6, Article ID: 624909. https://doi.org/10.3389/fsoc.2021.624909
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The Psychological Impact of the COVID-19 Epidemic on College Students in China. Psychiatry Research, 287, Article ID: 112934. https://doi.org/10.1016/j.psychres.2020.112934
Chevance, A., Gourion, D., Hoertel, N., Llorca, P. M., Thomas, P., Bocher, R., Moro, M. R., Laprévote, V., Benyamina, A., Fossati, P., Masson, M., Leaune, E., Leboyer, M., & Gaillard, R. (2020). Ensuring Mental Health Care during the SARS-CoV-2 Epidemic in France: A Narrative Review. L’Encephale, 46, 193-201. https://doi.org/10.1016/j.encep.2020.04.005
Chu, I. Y.-H., Alam, P., Larson, H. J., & Lin, L. (2020). Social Consequences of Mass Quarantine during Epidemics: A Systematic Review with Implications for the COVID-19 Response. Journal of Travel Medicine, 27. https://doi.org/10.1093/jtm/taaa192
de Bengy Puyvallée, A., & Kittelsen, S. (2019) “Disease Knows No Borders”: Pandemics and the Politics of Global Health Security. In K. Bjørkdahl, & B. Carlsen (Eds.), Pandemics, Publics, and Politics. Palgrave Pivot. https://doi.org/10.1007/978-981-13-2802-2_5
Gantt, P., & Gantt, R. (2012). Disaster Psychology: Dispelling the Myths of Panic. Emergency Planning. https://aeasseincludes.assp.org/professionalsafety/pastissues/057/08/042_049_F1Gan_0812.pdf
Goldberg, M. H., Gustafson, A., Maibach, E. W., Ballew, M. T., Bergquist P., Kotcher, J. E., Marlon, J. R., Rosenthal, S. A., & Leiserowitz, A. (2020). Mask-Wearing Increased after a Government Recommendation: A Natural Experiment in the U.S. during the COVID-19 Pandemic. Frontiers in Communication, 5, 44 p. https://www.frontiersin.org/article/10.3389/fcomm.2020.00044 https://doi.org/10.3389/fcomm.2020.00044
Guessoum, S. B., Lachal, J., Radjack, R., Carretier, E., Minassian, S., Benoit, L., & Moro, M. R. (2020). Adolescent Psychiatric Disorders during the COVID-19 Pandemic and Lockdown. Psychiatry Research, 291, Article ID: 113264. https://doi.org/10.1016/j.psychres.2020.113264
Hao, F., Tan, W., Jiang, L., Zhang, L., Zhao, X., Zou, Y., Hu, Y., Luo, X., Jiang, X., McIntyre, R. S., Tran, B., Sun, J., Zhang, Z., Ho, R., Ho, C., & Tam, W. (2020). Do Psychiatric Patients Experience More Psychiatric Symptoms during COVID-19 Pandemic and Lockdown? A Case-Control Study with Service and Research Implications for Immunopsychiatry. Brain Behavior and Immunity, 87, 100-106.
Hays, J. N. (2005). Epidemics and Pandemics: Their Impacts on Human History. ABC-CLIO.
Heitzman, J. (2020). Impact of COVID-19 Pandemic on Mental Health. Psychiatria Polska, 54, 187-198. https://doi.org/10.12740/PP/120373
Hutchinson, B. (2020). Protests against Coronavirus ‘Stay-at-Home’ Orders Spread across the Country: President Appears to Be Supporting the Protests against His Own Guidelines. ABC News. https://abcnews.go.com/US/protests-coronavirus-stay-home-orders-spread-country/story?id=70242988
Kapiriri, L., & Ross, A. (2020). The Politics of Disease Epidemics: A Comparative Analysis of the SARS, Zika, and Ebola outbreaks. Global Social Welfare, 7, 33-45. https://doi.org/10.1007/s40609-018-0123-y
Kaslow, N. J., Friis-Healy, E. A., Cattie, J. E., Cook, S. C., Crowell, A. L., Cullum, K. A., Del Rio, C., Marshall-Lee, E. D., LoPilato, A. M., VanderBroek-Stice, L., Ward, M. C., White, D. T., & Farber, E. W. (2020). Flattening the Emotional Distress Curve: A Behavioral Health Pandemic Response Strategy for COVID-19. American Psychologist, 75, 875-886. https://doi.org/10.1037/amp0000694
Landesman, L. Y., & Burke, R. V. (2017). Public Health Management of Disasters. The Practice Guide Fourth Edition Alpha Press. https://doi.org/10.2105/9780875532806
Lederberg, J., Shope, R. E., & Oaks, S. C. (1992). Emerging Infections: Microbial Threat to Health in the United States. Institute of Medicine (US) Committee on Emerging Microbial Threats to Health. National Academies Press (US).
Leffler, C. T., Ing, E., Lykins, J. D., Hogan, M. C., McKeown, C. A., & Grzybowski, A. (2020). Association of Country-Wide Coronavirus Mortality with Demographics, Testing, Lockdowns, and Public Wearing of Masks. The American Journal of Tropical Medicine and Hygiene, 103, 2400-2411. https://www.ajtmh.org/view/journals/tpmd/103/6/article-p2400.xml https://doi.org/10.4269/ajtmh.20-1015
Lindahl, J., Bett, B., Robinson, T., & Grace, D. (2017). Rift Valley Fever and the Changing Environment: A case study in East Africa. In M. Bouzid (Ed.), Examining the Role of Environmental Change on Emerging Infectious Diseases and Pandemics (pp. 178-204). The International Livestock Research Institute (ILRI). https://doi.org/10.4018/978-1-5225-0553-2.ch008
Loades, M. E., Chatburn, E., Higson-Sweeney, N., Reynolds, S., Shafran, R., Brigden, A., Linney, C., McManus, M. N., Borwick, C., & Crawley, E. (2020). Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. Journal of American Academy of Child and Adolescent Psychiatry, 59, 1218-1239. https://doi.org/10.1016/j.jaac.2020.05.009
Morrey, L. B., Roberts, W. O., & Wichser, L. (2020). Exercise-Related Mental Health Problems and Solutions during the COVID-19 Pandemic. Current Sports Medicine Reports, 19, 194-195. https://doi.org/10.1249/JSR.0000000000000725
Özdin, S., & Bayrak Özdin, Ş. (2020). Levels and Predictors of Anxiety, Depression and Health Anxiety during COVID-19 Pandemic in Turkish Society: The Importance of Gender. International Journal of Social Psychiatry, 66, 504-511. https://doi.org/10.1177/0020764020927051
Pedrossa, A. L., Bitencourt. L., Fróes. A. C. F., Cazumbá. M. L. B., Campos. R. G. B., de Brito, S. B. C. S., Simões, E., & Silva, A. C. (2020). Emotional, Behavioral, and Psychological Impact of the COVID-19 Pandemic. Frontiers Psychology, 11, Article ID: 566212. https://doi.org/10.3389/fpsyg.2020.566212
Pérez-Cano, H. J., Moreno-Murguía, M. B., Morales-López, O., Crow-Buchanan, O., English, J. A., Lozano-Alcázar, J., & Somilleda-Ventura, S. A. (2020). Anxiety, Depression, and Stress in Response to the Coronavirus Disease-19 Pandemic. Cirugia y Cirujanos, 88, 562-568. https://doi.org/10.24875/CIRU.20000561
Petrocchi, S., Iannello, P., Ongaro, G., Antonietti, A., & Pravettoni, G. (2021). The Interplay between Risk and Protective Factors during the Initial Height of the COVID-19 Crisis in Italy: The Role of Risk Aversion and Intolerance of Ambiguity on Distress. Current Psychology, 19, 1-12. https://doi.org/10.1007/s12144-021-01601-1
Rajkumar, R. P. (2020). COVID-19 and Mental Health: A Review of the Existing Literature. Asian Journal of Psychiatry, 52, Article ID: 102066. https://doi.org/10.1016/j.ajp.2020.102066
Roberts, A. (2020). Pandemics and Politics. Survival, 62, 7-40. https://doi.org/10.1080/00396338.2020.1819641
Röhr, S., Müller, F., Jung, F., Apfelbacher, C., Seidler, A., & Riedel-Heller, S. G. (2020). Psychosocial Impact of Quarantine Measures during Serious Coronavirus Outbreaks: A Rapid Review. Psychiatrische Praxis, 47, 179-189. https://doi.org/10.1055/a-1159-5562
Santiago, A. M., & Smith, R.J. (2020). Community Practice, Social Action, and the Politics of Pandemics. Journal of Community Practice, 28, 89-99. https://doi.org/10.1080/10705422.2020.1763744
Sepúlveda-Loyola, W., Rodríguez-Sánchez, I., Pérez-Rodríguez, P., Ganz, F., Torralba, R., Oliveira, D.V., & Rodríguez-Mañas, L. (2020). Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations. Journal of Nutrition Health & Aging, 24, 938-947. https://doi.org/10.1007/s12603-020-1500-7
Sun, Y., Li, Y., Bao, Y., Meng, S., Sun, Y., Schumann, G., Kosten, T., Strang, J., Lu, L., & Shi, J. (2020). Brief Report: Increased Addictive Internet and Substance Use Behavior during the COVID-19 Pandemic in China. The American Journal on Addictions, 29, 268-270. https://doi.org/10.1111/ajad.13066
Vietta, S. (2013). A Theory of Global Civilization: Rationality and the Irrational as the Driving Forces of History. Kindle Ebooks.
Violant-Holz, V., Gallego-Jiménez, M. G., González-González, C. S., Muñoz-Violant, S., Rodríguez, M. J., Sansano-Nadal, O., & Guerra-Balic, M. (2020). Psychological Health and Physical Activity Levels during the COVID-19 Pandemic: A Systematic Review. International Journal of Environmental Research and Public Health, 17, 9419. https://doi.org/10.3390/ijerph17249419
Zhang, Y., Zhang, H., Ma, X., & Di, Q. (2020). Mental Health Problems during the COVID-19 Pandemics and the Mitigation Effects of Exercise: A Longitudinal Study of College Students in China. International Journal of Environmental Research and Public Health, 17, 3722. https://doi.org/10.3390/ijerph17103722