Evidence map›Paper›PMID 35249586›Full record

ArticleBJPsych open2022

The effect of the COVID-19 pandemic on mental health in individuals with pre-existing mental illness.

Katie J S Lewis, Catrin Lewis, Alice Roberts, Natalie A Richards, Claudia Evison, Holly A Pearce, Keith Lloyd, Alan Meudell, Bethan M Edwards, Catherine A Robinson and 4 more

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Family vulnerability, disruption, and parent mental health problems during the COVID-19 pandemic.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Effect of the COVID-19 Pandemic on Psychiatric Service Use Among Psychiatric Outpatients.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
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  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Katie J S LewisNational Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.ORCID https://orcid.org/0000-0002-2220-6873
Catrin LewisNational Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.
Alice RobertsNational Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.
Natalie A RichardsNational Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.
Claudia EvisonNational Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.
Holly A PearceNational Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.
Keith LloydSwansea Medical School, Swansea University, UK.
Alan MeudellPartnership in Research, National Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.ORCID https://orcid.org/0000-0001-8138-4744
Bethan M EdwardsPartnership in Research, National Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.
Catherine A RobinsonSocial Care and Society Research Group, School of Health Sciences, University of Manchester, UK.
Rob PooleCentre for Mental Health and Society, Bangor University, UK.ORCID https://orcid.org/0000-0002-7914-3981
Ann JohnPopulation Data Science Group, Swansea University Medical School, Swansea University, UK.ORCID https://orcid.org/0000-0002-5657-6995
Jonathan I BissonNational Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.
Ian JonesNational Centre for Mental Health, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK.ORCID https://orcid.org/0000-0001-5821-5889
Centre for Mental Health · GBSwansea University · GBBangor University · GBUniversity of Manchester · GB

Funding

Medical Research Council MR/L010305/1
6 · The paper itself

Abstract

backgroundThere is evidence that the COVID-19 pandemic has negatively affected mental health, but most studies have been conducted in the general population.

aimsTo identify factors associated with mental health during the COVID-19 pandemic in individuals with pre-existing mental illness.

methodParticipants (N = 2869, 78% women, ages 18-94 years) from a UK cohort (the National Centre for Mental Health) with a history of mental illness completed a cross-sectional online survey in June to August 2020. Mental health assessments were the GAD-7 (anxiety), PHQ-9 (depression) and WHO-5 (well-being) questionnaires, and a self-report question on whether their mental health had changed during the pandemic. Regressions examined associations between mental health outcomes and hypothesised risk factors. Secondary analyses examined associations between specific mental health diagnoses and mental health.

resultsA total of 60% of participants reported that mental health had worsened during the pandemic. Younger age, difficulty accessing mental health services, low income, income affected by COVID-19, worry about COVID-19, reduced sleep and increased alcohol/drug use were associated with increased depression and anxiety symptoms and reduced well-being. Feeling socially supported by friends/family/services was associated with better mental health and well-being. Participants with a history of anxiety, depression, post-traumatic stress disorder or eating disorder were more likely to report that mental health had worsened during the pandemic than individuals without a history of these diagnoses.

conclusionsWe identified factors associated with worse mental health during the COVID-19 pandemic in individuals with pre-existing mental illness, in addition to specific groups potentially at elevated risk of poor mental health during the pandemic.

Indexed as

anxiety disordersCOVID-19depressionpost-traumatic stress disorderpre-existing mental illness

Identifiers

PMID35249586
PMCPMC8914135
OpenAlexW4220736542

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.