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CDC Study: Anxiety, Depression Spiked During A Pandemic, Then Decreased

During the winter surge of COVID-19, American adults faced higher rates of anxiety and depression. While levels decreased in June, the levels remained higher than before the pandemic. Symptoms peaked in December 2020 and January 2021, during an epidemic of Coronavirus in the U.S.

Researchers for the Centers for Disease Control and Prevention found that the rise and fall in reports of anxiety and depression symptoms nationwide as well as state by state paralleled the initial COVID-19 cases nationwide during the study period.

CDC Study: Anxiety, Depression Spiked During A Pandemic, Then Decreased

In an analysis of trends in anxiety and depression reported by adults in the 50 states and Washington, D.C. between August 2020 and early June 2021, researchers analyzed reports from all 50 states and Washington, D.C. from August 2020 to December 2020, anxiety symptoms increased by 13% on average.

CDC Study: Anxiety, Depression Spiked During A Pandemic, Then Decreased


From December 2020 through June 2021, it decreased by almost 27%. The frequency of depressive symptoms increased by almost 15% from January 2021 to June 2021, despite the decrease in depression symptoms.

The peak period for reported symptoms occurred between December 2020 and January 2021, at the same time that Coronavirus cases rose in the U.S. Despite this, levels reported in June were still higher than in prior years.


The survey:

Analysis of 1,497 responses from all three surveys found that unpaid caregivers for adults were significantly more likely than others to be dealing with adverse mental health conditions. There was a 3.33fold increase in the odds of unpaid caregivers for adults reporting this behavior in June compared to those who reported it in May (adjusted OR 95% CI = 1.75 to 6.31; p0.001). In June, unpaid caregivers for adults reported 3.03 times the odds of considering suicide compared with those who reported seriously considering suicide in May (adjusted OR 95% CI = 1.20–7.63; p = 0.019).

In writing their study, the authors wrote that anxiety and depression symptoms were increasingly reported during the COVID-19 pandemic, especially among populations disproportionately affected. In recent years, studies have identified an increased rate of mental health issues during the Coronavirus epidemic. During the pandemic, more than half of public health workers reported mental health issues.

In June 2020, Americans reported an increased number of mental health issues, substance use, and suicidal thoughts. In the second quarter of 2019, anxiety disorder symptoms were approximately three times more common (25.5% compared with 8.1%) than depression disorder symptoms (24.3% compared with 6.5%). Nevertheless, this analysis may not directly comparable with data reported on anxiety and depression disorders in 2019 due to the methodological differences and potential unknown biases in survey designs. One in four respondents said they suffered TSRD symptoms, and one in ten said they began or increased substance use because of COVID-19. Additionally, suicidal ideation was slightly higher among respondents in 2018 (referring to the previous year), when compared with adults in the United States (10.7% versus 4.3%).

Certain groups are disproportionately impacted by mental health issues, such as young adults, Hispanic people, black people, unpaid caregivers, and people receiving treatment for preexisting conditions. People who are providing unpaid care to adults who are at increased risk of severe illness from COVID-19 have a higher incidence of severe mental and behavioral disorders than other individuals. Despite the absence of unpaid caregivers for children in this study, approximately 39% of those adults shared a household with children (compared to 27% for everyone else). Considering the findings of this report and the hardships caregivers face, mental health should be considered when assessing caregiver workload in the future.

Especially in light of the increased use of substances related to COVID-19, resources such as social support, treatment options, and harm reduction services should remain readily available. Psychological distress over time can be assessed through screening for mental health, drug use, and suicide ideation. 

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