Mental Health &
The COVID-19 Pandemic
U
ncertain prognoses, looming severe shortages of re- sources for testing and treatment and for protecting re- sponders and health care providers from infection, im- position of unfamiliar public health measures that infringe on personal freedoms, large and growing financial losses, and conflicting messages from authorities are among the major stress- ors that undoubtedly will contribute to widespread emotional distress and increased risk for psychiatric illness associated with Covid-19. Health care providers have an important role in ad- dressing these emotional outcomes as part of the pandemic re- sponse.
Public health emergencies may affect the health, safety, and well-being of both individuals (causing, for example, insecurity, confusion, emotional isolation, and stigma) and communities
(owing to economic loss, work and school closures, inadequate resources for medical response, and deficient distribution of necessities). These effects may translate into a range of emo- tional reactions (such as distress or psychiatric conditions), un- healthy behaviors (such as excessive substance use), and non- compliance with public health directives (such as home confine- ment and vaccination) in people who contract the disease and in the general population. Extensive research in disaster mental health has established that emotional distress is ubiquitous in affected populations — a finding certain to be echoed in popu- lations affected by the Covid-19 pandemic.
After disasters, most people are resilient and do not succumb
to psychopathology. Indeed, some people find new strengths. Nevertheless, in “conventional” natural disasters, technological
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