Background: The COVID-19 pandemic has had profound impacts on mental health. We examined whether mental health differed based on sociodemographic and background characteristics, political party affiliation, and concerns about COVID-19. Methods: A cross-sectional, national sample of 1095 U.S. adults were surveyed October 22-26, 2020. The survey collected information on demographics, risk and protective behaviors for COVID-19, and mental health using the Mental Health Inventory-5 (MHI-5) scale. Independent samples t-tests, one-way Analysis of Variance tests, and a multivariable linear regression model were conducted. Results: Regression results showed respondents with criminal justice (B = -6.56, 95% CI = -10.05, -3.06) or opioid misuse (B = -9.98, 95% CI = -14.74, -5.23) histories reported poorer mental health than those without. Those who took protective behaviors (e.g., wearing masks) reported poorer mental health compared to those who indicated protective behaviors were unnecessary (B = 7.00, 95% CI = 1.61, 12.38) while those who took at least one risk behavior (e.g., eating in a restaurant) reported better mental health than those who did not. Conclusions: Our study shows that certain groups have experienced poorer mental health during the COVID-19 pandemic, suggesting that mental health should continue to be monitored so that public health interventions and messaging help prevent the spread of COVID-19 without increasing poor mental health outcomes.
KeywordsCOVID-19Mental HealthMHI-5
Alkhayyat, A., & Pankhania, K. (2020). Defining COVID-19 as a Disaster Helps Guide Public Mental Health Policy. Disaster Medicine and Public Health Preparedness, 14, e44-e45.
Bernabe-Valero, G., Melero-Fuentes, D., De Lima Argimon, I. I., & Germino, M. (2021). Individual Differences Facing the COVID-19 Pandemic: The Role of Age, Gender, Personality, and Positive Psychology. Frontiers in Psychology, 12, Article ID: 644286. https://doi.org/10.3389/fpsyg.2021.644286
Berwick, D. M., Murphy, J. M., Goldman, P. A., Ware Jr., J. E., Barsky, A. J., & Weinstein, M. C. (1991). Performance of a Five-Item Mental Health Screening Test. Medical Care, 29, 169-176. https://doi.org/10.1097/00005650-199102000-00008
Bilgen, I., Dennis, J. M., & Ganesh, N. (2018). Nonresponse Follow-Up Impact on AmeriSpeak Panel Sample Composition and Representativeness. NORC.
Centers for Disease Control and Prevention (2021). COVID Data Tracker Weekly Review. CDC. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview/index.html
Clinton, J., Cohen, J., Lapinski, J., & Trussler, M. (2021). Partisan Pandemic: How Partisanship and Public Health Concerns Affect Individuals’ Social Mobility during COVID-19. Science Advances, 7, eabd7204. https://doi.org/10.1126/sciadv.abd7204
Cullen, W., Gulati, G., & Kelly, B. D. (2020). Mental Health in the COVID-19 Pandemic. QJM: An International Journal of Medicine, 113, 311-312. https://doi.org/10.1093/qjmed/hcaa110
Cypress, B. S. (2021). Collective Trauma: An Evolutionary Concept Analysis. Nursing Forum, 56, 396-403. https://doi.org/10.1111/nuf.12550
Czeisler, M. é., Lane, R. I., Petrosky, E., Wiley, J. F., Christensen, A., Njai, R. et al. (2020). Mental Health, Substance Use, and Suicidal Ideation during the COVID-19 Pandemic—United States, June 24-30, 2020. MMWR Morbidity and Mortality Weekly Report, 69, 1049-1057. https://doi.org/10.15585/mmwr.mm6932a1
Czeisler, M. é., Lane, R. I., Wiley, J. F., Czeisler, C. A., Howard, M. E., & Rajaratnam, S. M. W. (2021). Follow-Up Survey of US Adult Reports of Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic, September 2020. JAMA Network Open, 4, e2037665. https://doi.org/10.1001/jamanetworkopen.2020.37665
Dennis, J. M. (2019). AmeriSpeak Omnibus Field Report. NORC at the University of Chicago.
Ehlers, A., & Clark, D. M. (2000). A Cognitive Model of Posttraumatic Stress Disorder. Behaviour Research and Therapy, 38, 319-345. https://doi.org/10.1016/S0005-7967(99)00123-0
Galarneau, L. R., Hilburt, J., O’Neill, Z. R., Buxton, J. A., Scheuermeyer, F. X., Dong, K. et al. (2021). Experiences of People with Opioid Use Disorder during the COVID-19 Pandemic: A Qualitative Study. PLoS ONE, 16. https://doi.org/10.1371/journal.pone.0255396
Giuntella, O., Hyde, K., Saccardo, S., & Sadoff, S. (2021). Lifestyle and Mental Health Disruptions during COVID-19. Proceedings of the National Academy of Sciences of the United States of America, 118, e2016632118. https://doi.org/10.1073/pnas.2016632118
Gold, J. A., Rossen, L. M., Ahmad, F. B., Sutton, P., Li, Z., Salvatore, P. P. et al. (2020). Race, Ethnicity, and Age Trends in Persons Who Died from COVID-19—United States, May-August 2020. MMWR Morbidity and Mortality Weekly Report, 69, 1517-1521. https://doi.org/10.15585/mmwr.mm6942e1
Holland, K. M., Jones, C., Vivolo-Kantor, A. M., Idaikkadar, N., Zwald, M., Hoots, B. et al. (2021). Trends in US Emergency Department Visits for Mental Health, Overdose, and Violence Outcomes Before and During the COVID-19 Pandemic. JAMA Psychiatry, 78, 372-379. https://doi.org/10.1001/jamapsychiatry.2020.4402
Holman, E. A., Thompson, R. R., Garfin, D. R., & Silver, R. C. (2020). The Unfolding COVID-19 Pandemic: A Probability-Based, Nationally Representative Study of Mental Health in the United States. Science Advances, 6, eabd5390. https://doi.org/10.1126/sciadv.abd5390
Johns Hopkins University & Medicine (2021). Coronavirus Resource Center.
Kendall, S., Redshaw, S., Ward, S., Wayland, S., & Sullivan, E. (2018). Systematic Review of Qualitative Evaluations of Reentry Programs Addressing Problematic Drug Use and Mental Health Disorders amongst People Transitioning from Prison to Communities. Health & Justice, 6, Article No. 4. https://doi.org/10.1186/s40352-018-0063-8
Khatri, U. G., & Perrone, J. (2020). Opioid Use Disorder and COVID-19: Crashing of the Crises. Journal of Addiction Medicine, 14, e6-e7. https://doi.org/10.1097/ADM.0000000000000684
Killgore, W. D. S., Cloonan, S. A., Taylor, E. C., & Dailey, N. S. (2020). Loneliness: A Signature Mental Health Concern in the Era of COVID-19. Psychiatry Research, 290, Article ID: 113117. https://doi.org/10.1016/j.psychres.2020.113117
Kohli, P., & Virani Salim, S. (2020). Surfing the Waves of the COVID-19 Pandemic as a Cardiovascular Clinician. Circulation, 142, 98-100.
Makwana, N. (2019). Disaster and Its Impact on Mental Health: A Narrative Review. Journal of Family Medicine and Primary Care, 8, 3090-3095. https://doi.org/10.4103/jfmpc.jfmpc_893_19
Mattson, C. L., Tanz, L. J., Quinn, K., Mariisa, M., Patel, P., & Davis, N. L. (2021). Trends and Geographic Patterns in Drug and Synthetic Opioid Overdose Deaths—United States, 2013-2019. MMWR Morbidity Mortality Weekly Report, 70, 202-207. https://doi.org/10.15585/mmwr.mm7006a4
Mitchell, T. O., & Li, L. (2021). State-Level Data on Suicide Mortality during COVID-19 Quarantine: Early Evidence of a Disproportionate Impact on Racial Minorities. Psychiatry Research, 295, Article ID: 113629. https://doi.org/10.1016/j.psychres.2020.113629
Montgomery, R., Dennis J. M., & Ganesh, N. (2016). Response Rate Calculation Methodology for Recruitment of a Two-Phase Probability-Based Panel: The Case of AmeriSpeak. NORC at the University of Chicago White Paper.
North, C. S., Surís, A. M., & Pollio, D. E. (2021). A Nosological Exploration of PTSD and Trauma in Disaster Mental Health and Implications for the COVID-19 Pandemic. Behavioral Sciences, 11, Article No. 7. https://doi.org/10.3390/bs11010007
Pfefferbaum, B., & North, C. S. (2020). Mental Health and the Covid-19 Pandemic. New England Journal of Medicine, 383, 510-512. https://doi.org/10.1056/NEJMp2008017
Pinto, R. J., Henriques, S. P., Jongenelen, I., Carvalho, C., & Maia, Â. C. (2015). The Strongest Correlates of PTSD for Firefighters: Number, Recency, Frequency, or Perceived Threat of Traumatic Events? Journal of Traumatic Stress, 28, 434-440. https://doi.org/10.1002/jts.22035
Ramaswamy, M., Hemberg, J., Faust, A., Wickliffe, J., Comfort, M., Lorvick, J., & Cropsey, K. (2020). Criminal Justice-Involved Women Navigate COVID-19: Notes From the Field. Health Education & Behavior, 47, 544-548. https://doi.org/10.1177/1090198120927304
Schimmel, J., & Manini, A. F. (2020). Opioid Use Disorder and COVID-19: Biological Plausibility for Worsened Outcomes. Substance Use & Misuse, 55, 1900-1901. https://doi.org/10.1080/10826084.2020.1791184
Shiina, A., Niitsu, T., Kobori, O., Idemoto, K., Hashimoto, T., Sasaki, T. et al. (2020). Relationship between Perception and Anxiety about COVID-19 Infection and Risk Behaviors for Spreading Infection: A National Survey in Japan. Brain, Behavior, & Immunity, 6, Article ID: 100101. https://doi.org/10.1016/j.bbih.2020.100101
Sugie, N. F., & Turney, K. (2017). Beyond Incarceration: Criminal Justice Contact and Mental Health. American Sociological Review, 82, 719-743. https://doi.org/10.1177/0003122417713188
Usher, K., Durkin, J., & Bhullar, N. (2020). The COVID-19 Pandemic and Mental Health Impacts. International Journal of Mental Health Nursing, 29, 315-318. https://doi.org/10.1111/inm.12726
Vahratian, A., Blumberg, S. J., Terlizzi, E. P., & Schiller, J. S. (2021). Symptoms of Anxiety or Depressive Disorder and Use of Mental Health Care among Adults During the COVID-19 Pandemic—United States, August 2020-February 2021. MMWR Morbidity and Mortality Weekly Report, 70, 490-494. https://doi.org/10.15585/mmwr.mm7013e2
Veit, C. T., & Ware, J. E. (1983). The Structure of Psychological Distress and Well-Being in General Populations. Journal of Consulting and Clinical Psychology, 51, 730-742. https://doi.org/10.1037/0022-006X.51.5.730
Veldhuis, C. B., Nesoff, E. D., McKowen, A. L. W., Rice, D. R., Ghoneima, H., Wootton, A. R. et al. (2021). Addressing the Critical Need for Long-Term Mental Health Data during the COVID-19 Pandemic: Changes in Mental Health from April to September 2020. Preventive Medicine, 146, Article ID: 106465. https://doi.org/10.1016/j.ypmed.2021.106465
Vindegaard, N., & Benros, M. E. (2020). COVID-19 Pandemic and Mental Health Consequences: Systematic Review of the Current Evidence. Brain, Behavior, and Immunity, 89, 531-542. https://doi.org/10.1016/j.bbi.2020.05.048
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International Journal of Environmental Research and Public Health, 17, Article No. 1729. https://www.mdpi.com/1660-4601/17/5/1729 https://doi.org/10.3390/ijerph17051729
Ware, J., Snow, K., Kosinski, M., & Gandek, B. (1993). SF36 Health Survey: Manual and Interpretation Guide. The Health Institute, New England Medical Center.
Winkelman, T. N. A., Chang, V. W., Binswanger, I.A. (2018). Health, Polysubstance Use, and Criminal Justice Involvement among Adults with Varying Levels of Opioid Use. JAMA Network Open, 1, e180558. https://doi.org/10.1001/jamanetworkopen.2018.0558
Zhou, Y., MacGeorge, E. L., & Myrick, J. G. (2020). Mental Health and Its Predictors during the Early Months of the COVID-19 Pandemic Experience in the United States. International Journal of Environmental Research and Public Health, 17, Article No. 6315. https://www.mdpi.com/1660-4601/17/17/6315 https://doi.org/10.3390/ijerph17176315