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Symptoms of anxiety and associated risk factors Anxiety symptoms were assessed in 11 out of the 19 studies, with a noticeable variation in the prevalence of anxiety symptoms ranging from 6. A separate analysis of negative psychological outcomes Out of the nineteen included studies, five studies appeared to be more representative of the general population based on the results of study quality appraisal Table 1. Protective factors against symptoms of mental disorders In addition to associated risk factors, a few studies also identified factors that protect individuals against symptoms of psychological illnesses during the pandemic.

Discussion Our review explored the mental health status of the general population and its predictive factors amid the COVID pandemic. Populations with greater susceptibility Several predictive factors were identified from the studies.

Efforts to reduce symptoms of mental disorders 4. Policymaking The associated risk and protective factors shed light on policy enactment in an attempt to relieve the psychological impacts of the COVID pandemic on the general public.

Individual efforts Individuals can also take initiatives to relieve their symptoms of psychological distress. Strengths Our paper is the first systematic review that examines and summarizes existing literature with relevance to the psychological health of the general population during the COVID outbreak and highlights important associated risk factors to provide suggestions for addressing the mental health crisis amid the global pandemic.

Limitations Certain limitations apply to this review. Conclusion This systematic review examined the psychological status of the general public during the COVID pandemic and stressed the associated risk factors. Authorship contribution statement JX contributed to the overall design, article selection , review, and manuscript preparation.

Declaration of Competing Interest None. Footnotes Supplementary material associated with this article can be found, in the online version, at doi: Supplementary materials Click here to view. Click here to view. References Ahmed M. Asian J. Armed Forces India. The default response to uncertainty and the importance of perceived safety in anxiety and stress: an evolution-theoretical perspective. Anxiety Disord.

Psychiatry Res. Exercise for the treatment of depression and anxiety. Psychiatry Med. Sex differences in depression: insights from clinical and preclinical studies. Prevalence of Underlying Diseases in Hospitalized Patients.

Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours. BMJ Open.

When fear and misinformation go viral: pharmacists' role in deterring medication misinformation during the 'infodemic' surrounding COVID Evolution and depression: issues and implications. Sex differences in the HPA axis. Brain Behav. Diabetes Metab. A case-control study with service and research implications for immunopsychiatry. Mental health strategies to combat the psychological impact of coronavirus disease COVID beyond paranoia and panic.

Prevalence of mental disorders in China: a cross-sectional epidemiological study. Lancet Psychiat. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID outbreak in China: a web-based cross-sectional survey.

Healthy dietary indices and risk of depressive outcomes: a systematic review and meta-analysis of observational studies. Comparison of prevalence and associated factors of anxiety and depression among people affected by versus people unaffected by quarantine during the covid epidemic in southwestern China. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID control. Prevalence of depression in the community from 30 countries between and A nationwide survey of psychological distress among Italian people during the COVID pandemic: immediate psychological responses and associated factors.

Public Health. World Psychiatry. Affective temperament, attachment style, and the psychological impact of the COVID outbreak: an early report on the Italian general population. Diet quality and depression risk: a systematic review and dose-response meta-analysis of prospective studies.

The global economic crisis: effects on mental health and what can be done. Exposure to coronavirus news on mainstream media: the role of risk perceptions and depression. Health Psychol. Stress, anxiety and depression levels in the initial stage of the COVID outbreak in a population sample in the northern Spain.

Levels and predictors of anxiety, depression and health anxiety during COVID pandemic in Turkish society: the importance of gender. Providing mental health care in the context of online mental health notes: advice from patients and mental health clinicians. A nationwide survey of psychological distress among Chinese people in the COVID epidemic: implications and policy recommendations.

An online survey of factors associated with self-perceived stress during the initial stage of the COVID outbreak in Nepal. Health Dev. Acta Neuropsychiatr. Monthly unemployment rate in the United States from May to May Statistic Canada, Labour force characteristics, monthly, seasonally adjusted and trend-cycle, last 5 months.

Tan W. A study on immediate mental health status and psychoneuroimmunity prevention measures of Chinese workforce. Immediate psychological responses and associated factors during the initial stage of the coronavirus disease COVID epidemic among the general population in China. The psychological distress and coping styles in the early stages of the coronavirus disease COVID epidemic in the general mainland Chinese population: a web-based survey.

Study on the public psychological states and its related factors during the outbreak of coronavirus disease COVID in some regions of China. A little bit of local insight goes a long way in the garden! Here is a detailed guide on finding mentorship for your gardening journey. If you are not welcoming the New Year in possession of a pile on the bedside table and another on the dining table, make it the first resolution to order some now.

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