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 Table of Contents    
Year : 2020  |  Volume : 62  |  Issue : 4  |  Page : 354-362
Psychological impact of COVID-19 lockdown: An online survey from India

1 Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, Punjab, India
2 Fortis Hospital, Mohali, Punjab, India
3 Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India
4 Department of Psychiatry, TNMC and BYL Nair Ch. Hospital, Mumbai, Maharashtra, India
5 Department of Psychiatry, Hi-Tech Medical College, Bhubaneswar, Odisha, India
6 Asha Hospital, Hyderabad, Telangana, India
7 Clinic Brain Neuropsychiatric Institute and Research Center, Barasat, West Bengal, India
8 Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
9 Department of Psychiatry, College of Medicine and J.N.M Hospital, WBUHS, Kalyani, West Bengal, India
10 Department of Psychiatry, NIMHANS, Bengaluru, Karnataka, India
11 Samvedana Group of Hospital and Research Centre, Ahmadabad, Gujarat, India
12 Department of Psychiatry, NRS Medical College, Kolkata, West Bengal, India
13 Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
14 Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
15 Gautam hospital and Research Center, Jaipur, Rajasthan, India
16 Department of Psychiatry, JSS Medical College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
17 Manoved Mind Hospital, Patna, Bihar, India

Click here for correspondence address and email

Date of Submission01-May-2020
Date of Decision03-May-2020
Date of Acceptance07-May-2020
Date of Web Publication27-Jul-2020


Background: The COVID-19 pandemic has led to a complete shut-down of the entire world and almost all the countries are presently in a “lockdown” mode. While the lockdown strategy is an essential step to curb the exponential rise of COVID-19 cases, the impact of the same on mental health is not well known.
Aim: This study aimed to evaluate the psychological impact of lockdown due to COVID-19 pandemic on the general public with an objective to assess the prevalence of depression, anxiety, perceived stress, well-being, and other psychological issues.
Materials and Methods: It was an online survey conducted under the aegis of the Indian Psychiatry Society. Using the Survey Monkey platform, a survey link was circulated using the Whatsapp. The survey questionnaire included perceived stress scale, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Warwick-Edinburgh Mental Well-being Scale to assess perceived stress, anxiety, depression, and mental well-being, respectively. The survey link was circulated starting from April 6, 2020 and was closed on April 24, 2020.
Results: During the survey, a total of 1871 responses were collected, of which 1685 (90.05%) responses were analyzed. About two-fifth (38.2%) had anxiety and 10.5% of the participants had depression. Overall, 40.5% of the participants had either anxiety or depression. Moderate level of stress was reported by about three-fourth (74.1%) of the participants and 71.7% reported poor well-being.
Conclusions: The present survey suggests that more than two-fifths of the people are experiencing common mental disorders, due to lockdown and the prevailing COVID-19 pandemic. This finding suggests that there is a need for expanding mental health services to everyone in the society during this pandemic situation.

Keywords: Anxiety, COVID-19, Depression, Stress

How to cite this article:
Grover S, Sahoo S, Mehra A, Avasthi A, Tripathi A, Subramanyan A, Pattojoshi A, Rao G P, Saha G, Mishra K K, Chakraborty K, Rao NP, Vaishnav M, Singh OP, Dalal P K, Chadda RK, Gupta R, Gautam S, Sarkar S, Sathyanarayana Rao T S, Kumar V, Janardran Reddy Y C. Psychological impact of COVID-19 lockdown: An online survey from India. Indian J Psychiatry 2020;62:354-62

How to cite this URL:
Grover S, Sahoo S, Mehra A, Avasthi A, Tripathi A, Subramanyan A, Pattojoshi A, Rao G P, Saha G, Mishra K K, Chakraborty K, Rao NP, Vaishnav M, Singh OP, Dalal P K, Chadda RK, Gupta R, Gautam S, Sarkar S, Sathyanarayana Rao T S, Kumar V, Janardran Reddy Y C. Psychological impact of COVID-19 lockdown: An online survey from India. Indian J Psychiatry [serial online] 2020 [cited 2022 Nov 29];62:354-62. Available from:

   Introduction Top

One of the extreme challenges for survival is facing a pandemic of an infectious disease of the COVID-19 type.[1] The World Health Organization (WHO) declared COVID-19 as a pandemic on March 11, 2020 and as on March 24, 2020, more than 3.5 lakhs cases have been confirmed and more than 14,000 deaths have been reported, affecting 190 countries worldwide (WHO website dated March 24, 2020 at 21:00 pm Indian standard time)[2] and these figures have exponentially increased to about 27.19 lakhs cases with about 1.9 lakhs deaths in 1 month time (WHO website date April 25, 2020 at 05:30 pm Indian standard time).[3]

To tackle the rapid rise of cases in India and to curb the community spread, national level “lockdown” was declared starting from midnight of March 25, 2020 initially for 21 days, which was later extended up to May 3, 2020, with assurance that the basic needs of the general public will be taken care of.[4]

“Lockdown” is an emergency protocol that prevents public from moving from one area to the other. Complete lockdown further means that persons should stay where they are currently and no entry/exit movements would be allowed further. It can be both a preventive and an emergency strategy in order to save the lives of the vulnerable or at-risk persons. In this scenario, all educational institutions, shopping arcades, factories, offices, local markets, transport vehicles, airports, railways, metros, and buses are completely shut down except hospitals, police stations, emergency services like fire station, petrol pumps, etc., and groceries. In recent times, lockdown had been very well documented during September 9/11 attacks in New York (3 day lockdown) and during riots in several countries. As social distancing is an important public health solution to tackle the spread of COVID-19, many affected countries such as China, Italy, the United States, France, and Malaysia have also enforced lockdowns of public spaces effectively.[5],[6]

While lockdown can be a significant and effective strategy of social distancing to tackle the increasing spread of the highly infectious COVID-19 virus, at the same time, it can have some degree of psychological impact on the public. It is well known that quarantine/isolation for any cause and in the context of a pandemic (Severe Acute Respiratory distress Syndrome, 2003) has been associated with significant mental health problems ranging from anxiety, fear, depressive symptoms, sense of loneliness, sleep disturbances, anger, etc., in the immediate few days of isolation, and later with symptoms of posttraumatic stress disorder and depression after discharge from the hospital.[7] However, the psychological impact of lockdown on the general public has not been studied yet. Man being a social animal, such restrictions on free movements can lead to anger, frustration, loneliness and depressive symptoms. There can be fear/apprehension among the public related to supply of basic amenities like groceries and milk supplies, medicines, care of previously sick persons in the family due to other medical causes, elderly persons staying alone, restriction of free movements, having a prevailing sense of being imprisoned in one's own house or “being in house arrest,” etc., Moreover, lockdown can lead to a “panic” mode of stockpiling of essential commodities without maintaining social distancing as advised by the government.[8]

Lockdown can have different effects on different age groups. It may be difficult to engage the children at home throughout the day. This can be a source of stress to the parents. Similarly, due to the vulnerability of elderly for COVID-19 infections, others would avoid to meet the elderly, which can be a major source of distress, both for the elderly and their family members.

Unlike western countries, Indians are thought to be more social and have more social networks, engage in several religious festivals, and get-togethers across the year.[9] This can be attributed to India's diverse culture and traditions.[10] In this regard, a complete lockdown can have a downgrading effect on the psyche of the general public. It can also have a long lasting effect on the economy, farming and daily wage earners of the country. While it is an utmost necessary step to be taken at present to combat the COVID-19 infection, steps should be taken to mitigate the possible psychological impact of lockdown in the general public.

Moreover, recent reports suggest that the government's sudden enforcement of lockdown has created many hurdles to the economically disadvantaged populations as evident from the mass exodus of migrant workers and concerns about starvation among people in slum areas.[4] A recently published sentiment analysis of lockdown through twitter (analysis as evident from tweets extracted from 25th to 28th March 2020; n = 24,000 tweets) reported that the prominent sentiment was positive and trust on the government; further, many respondents reported sadness and worries about the problems of daily wage laborers during lockdown.[11] However, no national-wide data on the psychological impact of lockdown in India are available. Therefore, the current study was planned with an aim to evaluate the psychological impact of lockdown on the general public with an objective to assess the fear, perceived stress, and psychological problems related to lockdown due to COVID-19 infection in India.

   Materials and Methods Top

It was an online survey conducted under the aegis of Research, Education and Training sub-Committee of Indian Psychiatric Society. Using the Survey Monkey platform, a survey link was circulated using the Whatsapp. The survey questionnaire was translated into 11 Indian languages (Hindi, Odia, Bengali, Marathi, Tamil, Telugu, Kannada, Malayalam, Punjabi, Gujrati, and Urdu) besides being used in English. The link was designed in such a way, that only 1 response can be generated using one device. The survey questionnaire consisted of the following instruments:

Demographics and personal characteristics

A basic information sheet which included information about the subject's age, gender, marital status, educational qualifications, and current work profile.

A questionnaire to evaluate the effect of lockdown on relationship with family members/neighbors/significant others and how lockdown had affected one's emotions, feelings, and behaviors in different aspects of life.

The Warwick-Edinburgh Mental Well-being Scale [12]

It is 14-item scale covering both hedonic and eudaimonic aspects of mental health including positive affect (feelings of optimism, cheerfulness, and relaxation), satisfying interpersonal relationships and positive functioning (energy, clear thinking, self-acceptance, personal development, competence, and autonomy). It has good content validity and high test-retest reliability.[12] The total score was determined by adding the score of all the 14 items. A higher score indicates greater positive well-being. A score of ≤40 has been reported to indicate high risk for depression.[13],[14]

Patient Health Questionnaire-9

The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders.[15] The PHQ-9 is the depression module, which scores each of the 9 Diagnostic and Statistical Manual-IV criteria as “0” (not at all) to “3” (nearly every day). This questionnaire is found to have excellent reliability and validity, and sensitivity and specificity of 88% for major depression.

Generalized Anxiety Disorder-7 Scale

It is a 7-item anxiety scale with good reliability as well as criterion, construct, factorial, and procedural validity. Cutoff points of 5, 10, and 15 are interpreted as representing mild, moderate, and severe levels of anxiety on the Generalized Anxiety Disorder (GAD)-7.[16] Increasing scores on the scale are strongly associated with multiple domains of functional impairment. Although GAD and depression symptoms frequently co-occurred, factor analysis confirmed them as distinct dimensions. Moreover, GAD and depression symptoms have differing but independent effects on functional impairment and disability. There is good agreement between self-report and interviewer administered versions of the scale. This study employed self-reported version.

Perceived stress scale

It is a 10-item scale widely used to assess the perception of stress. It is a measure of the degree to which situations in one's life are appraised as stressful. Items were designed to tap how unpredictable, uncontrollable, and overloaded respondents find their lives. The scale also includes a number of direct queries about current levels of experienced stress.[17] The questions are of a general nature and hence are relatively free of content specific to any subpopulation group. The questions in the perceived stress scale (PSS) ask about feelings and thoughts during the last month. It has adequate psychometric properties.[18] For this survey, we had reduced the time limit to 15 days.

The survey link was circulated in 12 Indian languages starting from of April 6, 2020, i.e. after 10 days of declaration of lockdown, and the survey was closed on April 24, 2020. The link was circulated by the Exponential Non-Discriminative snowballing method, people receiving the message were requested to complete the survey and then forward the link to their close contacts in various Whatsapp group, Facebook, and Twitter platforms.

The study was approved by the Ethics Committee of the Indian Psychiatric Society, for the research purposes. Descriptive statistics were applied and the data collected was analyzed using SPSS 20.0 version. Pearson's co-relation co-efficient and Spearman's co-relation co-efficient were used to find the association between different variables.

   Results Top

During the survey, a total of 1871 responses were collected of which 1685 (90.05%) responses were analyzed (which were complete in all aspects, except for information on age available for 1653 participants only). The median duration of completing the survey was 12th day of the lockdown period (mean: 12.84, standard deviation [SD]:2.04); Range: 11th day to 21st day).

The mean age of the participants (1653 responses) was 41.26 (SD: 13.67) years. About three-fifths of the participants (63.7%) were male, about three-fourth were married (72.6%), three-fifth had completed postgraduation (61.8%), majority were employed (self-employed/employed in government sector or private sector) (78.9%). With regard to profession, slightly less than half of the responders (47.1%) were health-care workers (HCWs). In terms of current level of working during lockdown, about one-fifth of responders (21.1%) were not going to work and rest were either working from home for few hours (17.7%) or for usual hours (8.5%) and some were going for work for few hours (16.6%) [Table 1].
Table 1: Sociodemographic profile (n=1685)

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Perceived stress, anxiety, depression, and mental well-being during lockdown

The mean PSS score for the study participants was 16.56 (SD - 5.60) and about 70% of the participants reported moderate level of stress and one-fourth reported mild stress after the onset of the lockdown period. The mean GAD-7 score was 4.14 (SD - 4.84) and about one-fourth participants (23.7%) fell into the category of moderate symptom severity. The mean PHQ-9 score of the participants was 3.63 (SD - 4.81) with majority of the participants reported “no or minimal depressive symptoms” but 18.5% reported mild depressive symptoms and a small proportion of the participants reported moderate (5.8%) and moderate-to-severe depression (3.0%). The mean Warwick-Edinburgh Mental Well-being Scale (WEMWBS) score for the study participants was 43.92 (SD - 8.79). When the cut off for high risk of depression (i.e., score ≤40) was applied, about 70% of the participants (71.7%) had score ≤40, suggesting poor mental well-being [Table 2].
Table 2: Perceived stress, anxiety, depression, and mental well-being during lockdown and comparison of these variables between health care workers and nonhealth-care workers

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Comparison of anxiety, depression, stress, and well-being of health-care workers and non health-care workers

As about a half of the responders were HCWs (47.1%), we compared the data of the HCWs and those who were not HCWs. Compared to HCWs, non-HCWs had significantly higher mean PHQ-9 score, higher proportion of them had depression, if mild depression is taken into account, and lower proportion of them had poor mental well-being. Details are mentioned in [Table 2].

Effect of lockdown on relationships

Nearly half of the responders reported marked improvement in their relationships with their spouse/partner (47.4%), children (44.2%), and with parents (47.3%) after the beginning of lockdown period. Further, about three-fifth of the participants reported marked improvement in their relationship with their neighbors (61.8%) and office colleagues (59.6%) during the lockdown period [Table 3].
Table 3: Effect of lockdown on relationships

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Effect of lockdown on one's emotions, feelings and various aspects of life

The effect of lockdown on one's emotions, feelings, and various aspects of life was evaluated on likert scale with the following, options “no change,” “slightly increased,” “markedly increased,” “slightly decreased,” “markedly decreased,” and “can't say” [Table 3]. In most of the areas, majority of the participants reported no change, yet about one-third of the study participants reported slight worsening (increase) of negative emotions such as sadness (30.7%), anxiety (36%), irritability (32.2%), frustration (32.3%), and fear and apprehension (33.8%). About one-fifth of the participants reported increase in feelings of loneliness (21.3%) and fear of death (20.8%). Another 10%–15% of participants reported marked worsening of these negative emotions. Slight increased in social connectedness was reported by 18.7% and marked increase in use of social media was reported by about one-third (35.1%) of the participants.

Regarding somatic symptoms, sleep, appetite and fatigue, there was slight worsening (increase) in these features in about one-fifths of responders [Table 4]. About one-third to about three-fifth of the participants reported slight or marked increase in activities such as exercise, faith in God, watching movies, internet gaming, playing indoor games, sexual activity, reading books, painting, cooking, and cleaning [Table 4]. There was marked reduction in shopping and spending in a significant proportion of the participants.
Table 4: Effect of lockdown on one's emotions, feelings, and various aspects of life

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Stress due to COVID-19 infection

More than one-third of the participants (38.5%) had fear of getting infected with COVID-19 infection, always wore masks and protective equipment even in open spaces (37.9%), invested majority of their time reading or watching COVID-related facts (38.5%), and had anxiety when dealing with febrile patients/family members (38.8%). One-fourth of the responders reported feelings of pessimism or hopelessness (23.3%), feeling detached from others (24.0%), feeling exhausted (24.3%) and had trouble falling asleep/frequent awakenings (27.7%). Further, about one-fifth of the responders reported having avoided COVID-19-related information (20.8%), had anxiety/palpitations (19.3%) and had deterioration in the work performance (19.3%). About 30% of the participants reported of feeling irritated and angry on self or others, and with the uncertainty about frequent modifications of infection control procedures (32.0%). About one-fourth of the participants also reported fear of going out of home, because of fear of infecting family members. Only 10% of the responders reported experiencing stigma and rejection in neighborhood because of working in the hospital/being kept in quarantined facility, and a similar proportion was reluctant to work or considered resignation after discharge [Table 5].
Table 5: Stress due to coronavirus disease-19 infection

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Relationship between anxiety, stress, sadness, mental well-being, and duration of lockdown period

Higher level of stress, depression, and anxiety correlated positively with each other and negatively with the well-being. It was further seen that there was significant positive correlation between the perceived stress and severity of depression with the duration of lockdown period [Table 6].
Table 6: The association between day of response of lockdown with reported perceived stress, sadness, anxiety, and mental well-being during lockdown

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   Discussion Top

With no alternative ways to escape from the COVID pandemic, almost all the countries have adopted the lockdown strategy as a potentially effective strategy to fight against the COVID-19. India was also quite early in its response to impose lockdown, as early as, within 2 weeks of declaration of COVID-19 as a pandemic, i.e., March 25 (WHO declared COVID-19 to be pandemic on March 11, 2020). Even though this strategy is an important measure to tackle the exponential rise of COVID cases, it has widespread impact on the economy, psyche, and daily living of the public. In this regard, the current study was planned to evaluate the psychological impact of lockdown on the general public with an objective to assess the fear, perceived stress, and psychological problems related to lockdown due to COVID-19 pandemic in India.

Some of the strengths of the survey were that it was translated into 11 Indian languages along with English. Further, the survey questionnaires also included the evaluation of impact of lockdown on relationship with significant others and how the lockdown affected one's emotions and feelings. Besides, the use of some self-designed questionnaire, the survey also included well-validated scales usually used for community surveys such as GAD-7, PHQ-9, PSS, and WEMWBS (for well-being).[19],[20],[21],[22]

The prevalence rates of depressive symptoms and anxiety symptoms based on cut off scores of PHQ-9 and GAD-7 were 10.5% and 38.2%, respectively. A comparison of our findings with those of the National Mental Health Survey (NMHS)[23] shows that psychiatric morbidity of common mental illnesses may be higher in our study (40.5%) than the estimated prevalence of 10% in the NMHS.[24] It can be argued that the significantly higher prevalence of psychiatric morbidity in the present study compared to the NMHS may be due to the use of different sampling methods and use screening instruments (whereas NMHS employed Mini International Neuropsychiatric Interview), but the screening instruments have been found to have high sensitivity and specificity against the diagnosis made by mental health professionals.[25],[26] Thus, the difference in the prevalence rates cannot be completely attributed to the difference in the methodology. Hence, it is possible that lockdown period has led to a significant increase in the mental morbidity of mostly milder intensity in the general public. A web-based survey from China, which evaluated the psychological problems among the Chinese people (n = 1074) close to the COVID-19 epidemic peak and subsequent lockdown, reported anxiety (mild/moderate/severe as evident from Beck's Anxiety Inventory) in 29% of participants and depression (mild/moderate/severe as evident from Beck's Depression Inventory) in 37% of participants, and poor mental well-being in one-third of its participants.[27] The prevalence of anxiety found in the present study is comparable to the previous study from China, but the prevalence rate of depression is lower. The lower rate of depression in the present survey, compared to the study from China, could be due to the difference in the timing of the study, in terms of the number of COVID-19 cases in the country. The present survey was done at the beginning of the epidemic in the country, compared to the survey from China, which was done, close to the peak of epidemic. The association of higher prevalence of depression, close to the peak of the epidemic, can be understood by the fact that the COVID-19 was associated with higher mortality rate in China, compared to current statistics from India. In the present study too, the association of depression and longer duration of lockdown was seen, which could be an indicator of increase in prevalence of depression with an increase in the number of cases of COVID-19 infection. The prevalence of mild-to-moderate anxiety and depression, in 40.5% of the participants in the present survey indicate that the pandemic and the lockdown is having a big toll on the mental health of people in the country and suggest an urgent need to address the same. The Indian Psychiatric Society took a lead in this direction, in the early stages of the lockdown, by providing free mental health aid to the people desirous of seeking mental health care.

In the present survey, 47.1% of the participants were HCWs and when the prevalence of psychiatric morbidity was compared between the HCWs, when the mild depression (i.e., PHQ-9 score of 5-9) was also included as an indicator of depression. However, when the cut-off of ≥ 10 was used for depression, there was no significant different between the 2 groups. and non-HCWs, it was seen that the prevalence of depression to be significantly higher among the non-HCWs. Existing literature on the mental health problems faced by the HCWs in China during the COVID-19 crisis suggests a significant proportion of HCWs (36.9%) suffered from subthreshold mental health disturbances (as assessed by PHQ-9, GAD-7, Insomnia Severity Index)[28] and about 22.4%–50% of HCWs reported experiencing depression, anxiety, significant distress and insomnia.[29] Our findings are comparable to these studies among HCWs, if mild anxiety and mild depression are taken into account.

In the present study, in general, majority of the participants reported positive impact of the lockdown on the relationship dimension in terms of relationship with parents, children, spouse, colleagues, and neighbors. The improved relationship could be attributed to the availability of more free time, less work pressure and possible fulfillment of long desired free time. Findings of the present study are supported by many available websites/blogs, which have reported positive aspects of lockdown such as improvement in air quality/healing of nature,[30] making people realize value of re-connecting with families [31] and improvement in love/dating and family relationships.[32] However, the improved relationship dimensions could also be attributed to the fact that, when everyone is fighting a common enemy, the interpersonal relationship issues are forgotten, which is possibly reflected as improved relationships.[33],[34] Another explanation for the improved relationship could be a fear of death, which often makes people perceive themselves as weak, and hence, have less initiative to fight with others.[35]

However, despite improvement in the interpersonal dimension, there was increase in the prevalence of negative emotions such as sadness, loneliness, anxiety, frustration, and fear and apprehension in about one-third to nearly half of the participants. These findings again support the possible increase in the prevalence of depression and anxiety, in the wake of the pandemic. When asked about the COVID-19 infection per se, about one-fourth to one-third of the participants reported presence of symptoms related to possible COVID-19 infection to be stressful. Some of the other reported areas for which a significant proportion of participants reported significant stress were fear of getting infected with COVID-19 infection, always wore masks and protective equipment even in open spaces, invested majority of their time reading or watching COVID related facts, had anxiety when dealing with febrile patients/family members, feelings of pessimism or hopelessness, feeling detached from others, feeling exhausted and had trouble falling asleep/frequent awakenings, avoiding COVID-19-related information, having anxiety/palpitations, deterioration in the work performance and some experiencing stigma and rejection due to their profession related to HCWs or due to being under quarantine. All these findings reflect the fear of infection of contracting COVID-19. While fear of contracting COVID-19 can be considered as justified, considering the worldwide mortality and infection rates, but these could also be attributed to the issues such as media hype and prevailing myths related to COVID-19 infection.

This survey has certain limitations. Despite attempts to circulate widely in all possible social media platforms, wider participation was expected. Accordingly, it can be said that the response rate for the survey was low. About half of the participants were doctors, which suggest that the survey did not have the desired snowballing effect, as much as it was expected. A majority of the participants were postgraduates, which was possibly again influenced by the higher proportion of participants being doctors. The survey was limited to those, who had access to a smart phone device and it can be said that the study participants may not be representative of people from various strata of the country. However, considering the situation, this was the possible best methodology to reach to the people to understand the psychological impact. These limitations suggest that the findings may not be generalizable to every strata of the society.

   Conclusions Top

To conclude, the present survey suggests that more than two-fifth of the people are experiencing anxiety and depression, due to lockdown and the prevailing COVID-19 pandemic. This finding suggests that there is a need of expanding the mental health services to everyone in the society during this pandemic situation.

Financial support and sponsorship


Conflicts of interest

We would like to thank the following colleagues for helping out in the Translation of scales in different languages: Dr. Abdul Maajid, Dr. Ajay Kumar, Dr. Amal Jolly, Joseph, Aniruddha Deb, Dr. Dalton N, Debashish Chatterjee, Prof. Jasmin Patel, Dr. Nandita Hazari, Dr. Natrajan V, Dr. Naveen Anand, Dr. Rajshekhar Bipeta, Dr. Ritu Nehra, Dr. Roshan Bhad, Dr. S Sai Spoorthy, Dr. Shaheena Parveen, Dr. Shahul Ameen.

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Correspondence Address:
Sandeep Grover
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/psychiatry.IndianJPsychiatry_427_20

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Sandeep Grover, Aseem Mehra, Swapnajeet Sahoo, Ajit Avasthi, TS Sathyanarayana Rao, Mrugesh Vaishnav, PK Dalal, Gautam Saha, OmPrakash Singh, Kaustav Chakraborty, YC Janardran Reddy, NarenP Rao, Adarsh Tripathi, RakeshK Chadda, KK Mishra, GPrasad Rao, Vinay Kumar, Shiv Gautam, Siddharth Sarkar, Vijay Krishnan, Alka Subramanyam
Indian Journal of Psychiatry. 2021; 63(3): 222
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Seema Jain, Komal Anand, Vertika Agarwal, Harivansh Chopra, Tanveer Bano, Arun Kumar, Ganesh Singh, Chhaya Mittal, Neelam Gautam
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79 COVID-19 and manifest psychological morbidity: A case series
Parmod Kumar, Shubham Kamal, Shubhangi Tuli, Nitin Gupta
Indian Journal of Psychiatry. 2021; 63(3): 294
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80 Psychological effects of the COVID-19 pandemic on parents in an urban setting in Andhra Pradesh
Shvetha Chilukuri, Srinivas Singisetti, Srikrishna Nukala, Archana Vinnakota, Abhilash Garapati, Vidya Sanapala, LaxmanRao Nambaru
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81 A cross-sectional study of psychological distress in patients hospitalized for COVID-19
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82 A Well-Structured Follow-Up Program is Required after Recovery from Coronavirus Disease 2019 (COVID-19); Release from Quarantine is Not the End of Treatment
Keun-Mi Lee, Hae-Jin Ko, Geon Ho Lee, A-Sol Kim, Dong-Wook Lee
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83 Prevalence of Depression among Healthcare Workers during the COVID-19 Outbreak: A Systematic Review and Meta-Analysis
Beatriz Olaya, María Pérez-Moreno, Juan Bueno-Notivol, Patricia Gracia-García, Isabel Lasheras, Javier Santabárbara
Journal of Clinical Medicine. 2021; 10(15): 3406
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84 Impact of COVID-19 on the Anxiety Perceived by Healthcare Professionals: Differences between Primary Care and Hospital Care
Ana C. Londońo-Ramírez, Sandro García-Pla, Purificación Bernabeu-Juan, Enrique Pérez-Martínez, Jesús Rodríguez-Marín, Carlos J. van-der Hofstadt-Román
International Journal of Environmental Research and Public Health. 2021; 18(6): 3277
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85 Quality of Life and Symptoms of PTSD during the COVID-19 Lockdown in Italy
Sabrina Bonichini, Marta Tremolada
International Journal of Environmental Research and Public Health. 2021; 18(8): 4385
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86 Perception of Threat and Psychological Impact of COVID-19 among Expatriates in Makkah Region, Saudi Arabia
Majed A. Algarni, Mohammad S. Alzahrani, Yasser Alatawi, Raghad A. Alasmari, Hashem O. Alsaab, Atiah H. Almalki, Abdullah A. Alhifany, Yusuf S. Althobaiti
International Journal of Environmental Research and Public Health. 2021; 18(12): 6650
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87 Factors Associated with Mental Health among International Students during the COVID-19 Pandemic in South Korea
Hae Ran Kim, Eun Jung Kim
International Journal of Environmental Research and Public Health. 2021; 18(21): 11381
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88 The Impact of the COVID-19 Pandemic on Chinese Postgraduate Students’ Mental Health
Zhengyan Liang, Derong Kang, Minqiang Zhang, Yuanlin Xia, Qing Zeng
International Journal of Environmental Research and Public Health. 2021; 18(21): 11542
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89 Routines, Time Dedication and Habit Changes in Spanish Homes during the COVID-19 Lockdown. A Large Cross-Sectional Survey
Miguel Ángel Navas-Martín, José Antonio López-Bueno, Ignacio Oteiza, Teresa Cuerdo-Vilches
International Journal of Environmental Research and Public Health. 2021; 18(22): 12176
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90 Rethinking the Epidemiogenic Power of Modern Western Societies
Annabelle Lever, Lou Safra
Frontiers in Sociology. 2021; 6
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91 Death Anxiety in Social Workers as a Consequence of the COVID-19 Pandemic
José Ángel Martínez-López, Cristina Lázaro-Pérez, José Gómez-Galán
Behavioral Sciences. 2021; 11(5): 61
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92 Inner Harmony as an Essential Facet of Well-Being: A Multinational Study During the COVID-19 Pandemic
David F. Carreno, Nikolett Eisenbeck, José Antonio Pérez-Escobar, José M. García-Montes
Frontiers in Psychology. 2021; 12
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93 Reimagining Community Mental Health Care Services: Case Study of a Need Based Biopsychosocial Response Initiated During Pandemic
Poornima Sunder, Anu Sonia Vincent, Meenu K. Saju, Anu S. Moorthy, Godson Paulose, Roshni Robins, Anupama V. Prabhu, M. Arun, Anita Rajah, Chitra Venkateswaran
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94 Anxiety and Insomnia Among Urban Slum Dwellers in Bangladesh: The Role of COVID-19 and Its Associated Factors
Kamrun Nahar Koly, Mosammat Ivylata Khanam, Md. Saiful Islam, Shehrin Shaila Mahmood, Syed Manzoor Ahmed Hanifi, Daniel D. Reidpath, Fatema Khatun, Sabrina Rasheed
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95 A look behind the scenes: COVID-19 impact on depression and perceived stress of UAE population
Zelal Kharaba, Sayer Al-Azzam, Ahmed Alhusban, Khawla Nuseir
Middle East Current Psychiatry. 2021; 28(1)
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96 Yoga an effective strategy for self-management of stress-related problems and wellbeing during COVID19 lockdown: A cross-sectional study
Pooja Swami Sahni, Kamlesh Singh, Nitesh Sharma, Rahul Garg, Gagan Deep
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97 COVID-19 and psychological distress: Lessons for India
Vaijayanthee Anand, Luv Verma, Aekta Aggarwal, Priyadarshini Nanjundappa, Himanshu Rai, Ritesh G. Menezes
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98 Exploration of COVID-19 related fears deterring from blood donation in India
Suchet Sachdev, Kamal Kishore, Lakhvinder Singh, Divjot Singh Lamba, Rekha Hans, Hari Krishan Dhawan, Sandeep Grover, Ratti Ram Sharma
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99 Efficacy and Safety of Ashwagandha Root Extract on Cognitive Functions in Healthy, Stressed Adults: A Randomized, Double-Blind, Placebo-Controlled Study
Kumarpillai Gopukumar, Shefali Thanawala, Venkateswarlu Somepalli, T. S. Sathyanaryana Rao, Vijaya Bhaskar Thamatam, Sanjaya Chauhan, Ciara Hughes
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100 Varying Psychological Impacts of COVID-19 and Functional/Dysfunctional Coping Strategies: A Mixed-Method Approach
Parul Rishi, Suchitra Acharya, Sushovan Das, Anushka Sood
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101 Psychological Impact of COVID-19 Pandemic in Bangladesh: Analysis of a Cross-Sectional Survey
Tanvir Abir, Uchechukwu L. Osuagwu, Nazmul Ahsan Kalimullah, Dewan Muhammad Nur-A Yazdani, Taha Husain, Palash Basak, Piwuna Christopher Goson, Abdullah Al Mamun, P. Yukthamarani Permarupan, Abul Hasnat Milton, Md Adnan Rahman, Md Lutfar Rahman, Kingsley Emwinyore Agho
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102 Smart shopping: the adoption of grocery shopping apps
Lee-Andra Bruwer, Nkosivile Welcome Madinga, Nqobile Bundwini
British Food Journal. 2021; ahead-of-p(ahead-of-p)
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103 Assessing the knowledge, perceptions, and mental health impact of COVID-19 among students in Rwanda
Hawa Iye Obaje, Grace Chinelo Okengwu, Jolly Josiah Kenan, Aimable Uwimana, Andre Ndayambaje, Timothy A. Carey, Rex Wong
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104 Effect of COVID-19 on perceived stress among Bangladeshi people
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105 Effects of the COVID-19 Emergency and National Lockdown on Italian Citizens’ Economic Concerns, Government Trust, and Health Engagement: Evidence From a Two-Wave Panel Study
The Milbank Quarterly. 2021; 99(2): 369
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106 The invisible frontline workers: lived experiences of urban Indian mothers during COVID-19 in India
Ketoki Mazumdar, Isha Sen, Sneha Parekh
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107 Adequacy of telework spaces in homes during the lockdown in Madrid, according to socioeconomic factors and home features
Teresa Cuerdo-Vilches, Miguel Ángel Navas-Martín, Sebastiŕ March, Ignacio Oteiza
Sustainable Cities and Society. 2021; 75: 103262
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108 Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis
Md Mahbub Hossain, Mariya Rahman, Nusrat Fahmida Trisha, Samia Tasnim, Tasmiah Nuzhath, Nishat Tasnim Hasan, Heather Clark, Arindam Das, E. Lisako J. McKyer, Helal Uddin Ahmed, Ping Ma
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109 Effects of COVID-19-related stay-at-home order on neuropsychophysiological response to urban spaces: Beneficial role of exposure to nature?
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110 Yoga and Naturopathy intervention for reducing anxiety and depression of Covid-19 patients – A pilot study
R. Jenefer Jerrin, S. Theebika, P. Panneerselvam, ST. Venkateswaran, N. Manavalan, K. Maheshkumar
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111 Glycemic parameters in patients with new-onset diabetes during COVID-19 pandemic are more severe than in patients with new-onset diabetes before the pandemic: NOD COVID India Study
Amerta Ghosh, Ranjit Mohan Anjana, Coimbatore Subramanian Shanthi Rani, Saravanan Jeba Rani, Ritesh Gupta, Alka Jha, Vimal Gupta, Mohammad Shafi Kuchay, Atul Luthra, Suhail Durrani, Koel Dutta, Kanika Tyagi, Ranjit Unnikrishnan, Brijendra Kumar Srivastava, Muthu Ramu, Nadiminty Ganapathi Sastry, Prasanna Kumar Gupta, Ganesan Umasankari, Ramamoorthy Jayashri, Viswanathan Mohan, Anoop Misra
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112 Impact of overtime working and social interaction on the deterioration of mental well-being among full-time workers during the COVID-19 pandemic in Japan: Focusing on social isolation by household composition
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113 Arts for the Blues: The development of a new evidence-based creative group psychotherapy for depression
Joanna Omylinska-Thurston, Vicky Karkou, Ailsa Parsons, Kerry Nair, Linda Dubrow-Marshall, Jennifer Starkey, Scott Thurston, Irene Dudley-Swarbrick, Surina Sharma
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114 Factors associated with psychological outcomes among frontline healthcare providers of India during COVID-19 pandemic
Jaison Jacob, Vijay VR, Alwin Issac, Shine Stephen, Manju Dhandapani, Rakesh VR, Aruna Kumar Kasturi, Sam Jose, Renju Sussan Baby, Nicolas Rouben, Dhikhil CD, Naseem M, Arun TM
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115 Trends in deaths attributable to suicide during COVID-19 pandemic and its association with alcohol use and mental disorders: Findings from autopsies conducted in two districts of India
Chittaranjan Behera, Sudhir Kumar Gupta, Swarndeep Singh, Yatan Pal Singh Balhara
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116 Telepsychiatry: A game-changer during Covid-19 pandemic and a wave of future psychiatry in India
Gurvinder Pal Singh
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117 Borderline microscopic organism and lockdown impacted across the borders—global shakers
Shariq Suleman, Asim Farooqui, Pradakshina Sharma, Nitesh Malhotra, Neelam Yadav, Jagriti Narang, Md Saquib Hasnain, Amit Kumar Nayak
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118 Lemon Tree Hotels: managing business during COVID-19
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119 Prevalence of Insomnia and Internet Dependence Amidst the COVID 19 among the Northeast Indian Population: A Preliminary Study
Sanjenbam Yaiphaba Meitei, P. S. Vaveine Pao, Kh. Dimkhoihoi Baite, Henry Konjengbam
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120 Profile of patients availing psychiatry emergency services pre and post lockdown at a tertiary care center of North India
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121 Increased meaningful activity while social distancing dampens affectivity; mere busyness heightens it: Implications for well-being during COVID-19
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122 “We’ve got through hard times before” : acute mental distress and coping among disadvantaged groups during COVID-19 lockdown in North India - a qualitative study
Kaaren Mathias, Meenal Rawat, Sharad Philip, Nathan Grills
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Psychological State and Associated Factors During the 2019 Coronavirus Disease (COVID-19) Pandemic Among Filipinos with Rheumatoid Arthritis or Systemic Lupus Erythematosus

Cherica A Tee, Evelyn O Salido, Patrick Wincy C Reyes, Roger C Ho, Michael L Tee
Open Access Rheumatology: Research and Reviews. 2020; Volume 12: 215
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124 COVID-19 Pandemic and Death Anxiety in Security Forces in Spain
Cristina Lázaro-Pérez, José Ángel Martínez-López, José Gómez-Galán, María del Mar Fernández-Martínez
International Journal of Environmental Research and Public Health. 2020; 17(21): 7760
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125 Change in Physical Activity, Sleep Quality, and Psychosocial Variables during COVID-19 Lockdown: Evidence from the Lothian Birth Cohort 1936
Judith A. Okely, Janie Corley, Miles Welstead, Adele M. Taylor, Danielle Page, Barbora Skarabela, Paul Redmond, Simon R. Cox, Tom C. Russ
International Journal of Environmental Research and Public Health. 2020; 18(1): 210
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126 Combating depression in India, an experiential perspective and its implications in COVID-19 pandemic
M Kishor, Suhas Chandran
International Journal of Health & Allied Sciences. 2020; 9(4): 301
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127 COVID-19 crisis: Concerns about depression and obesity among adolescents in India
Megha Tandure, M Kishor
International Journal of Health & Allied Sciences. 2020; 9(4): 378
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Eskisehir Türk Dünyasi Uygulama ve Arastirma Merkezi Halk Sagligi Dergisi. 2020;
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129 Covid 19 and access to mental health care – Need of increased investment
OP Singh
Indian Journal of Psychiatry. 2020; 62(9): 328
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130 Mental health concerns related to COVID19 outbreak in the middle-aged and elderly population: A web-based, cross-sectional survey from Haryana, North India
Jaison Joseph, Karobi Das, Suryakanti Dhal, Tamanna Sehrawat, Sweety Reshamia, Gazal Huria
Journal of Geriatric Mental Health. 2020; 7(2): 100
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131 COVID-19 pandemic: A crisis for health-care workers
Sandeep Grover, Seema Rani, Aseem Mehra, Swapnajeet Sahoo
Journal of Mental Health and Human Behaviour. 2020; 25(1): 1
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132 Impact of the COVID-19 pandemic on psychosocial health and well-being in South-Asian (World Psychiatric Association zone 16) countries: A systematic and advocacy review from the Indian Psychiatric Society
Debanjan Banerjee, Mrugesh Vaishnav, TS Sathyanarayana Rao, MS V K Raju, PK Dalal, Afzal Javed, Gautam Saha, KshirodK Mishra, Vinay Kumar, MukheshP Jagiwala
Indian Journal of Psychiatry. 2020; 62(9): 343
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133 Psychological impact of COVID-19 lockdown: An online survey from India: Few concerns
Avinash Shukla
Indian Journal of Psychiatry. 2020; 62(5): 591
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134 Medical Council of India module on pandemic management: Neglecting mental health training a major lacuna
Bheemsain Tekkalaki, M Kishor
Indian Journal of Psychiatry. 2020; 62(6): 750
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135 When will the pandemic end?
Mrugesh Vaishnav, PK Dalal, Afzal Javed
Indian Journal of Psychiatry. 2020; 62(9): 330
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136 Accelerated research for COVID-19: Methodological ruminations for internet-based research
Anindya Das
Indian Journal of Psychiatry. 2020; 62(5): 594
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137 Comments on psychological impact of COVID-19 lockdown: An online survey from India
Sandeep Grover, Swapnajeet Sahoo, Aseem Mehra, Ajit Avasthi, Adarsh Tripathi, Alka Subramanyan, Amrit Pattojoshi, GPrasad Rao, Gautam Saha, KK Mishra, Kaustav Chakraborty, NarenP Rao, Mrugesh Vaishnav, OmPrakash Singh, PK Dalal, RakeshK Chadda, Ravi Gupta, Shiv Gautam, Siddharth Sarkar, TS Sathyanarayana Rao, Vinay Kumar, YC Janardran Reddy
Indian Journal of Psychiatry. 2020; 62(5): 595
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138 Emerging mental health issues during the COVID-19 pandemic: An Indian perspective
PK Dalal, Deblina Roy, Prashant Choudhary, SujitaKumar Kar, Adarsh Tripathi
Indian Journal of Psychiatry. 2020; 62(9): 354
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139 State of mental health services in various training centers in India during the lockdown and COVID-19 pandemic
Sandeep Grover, Aseem Mehra, Swapnajeet Sahoo, Ajit Avasthi, Adarsh Tripathi, Avinash D'Souza, Gautam Saha, A Jagadhisha, Mahesh Gowda, Mrugesh Vaishnav, Omprakash Singh, PK Dalal, Parmod Kumar
Indian Journal of Psychiatry. 2020; 62(4): 363
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140 Impact of COVID-19 pandemic and lockdown on the state of mental health services in the private sector in India
Sandeep Grover, Aseem Mehra, Swapnajeet Sahoo, Ajit Avasthi, Adarsh Tripathi, Avinash D'Souza, Gautam Saha, A Jagadhisha, Mahesh Gowda, Mrugesh Vaishnav, Omprakash Singh, PK Dalal, Parmod Kumar
Indian Journal of Psychiatry. 2020; 62(5): 488
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141 What mental health experts in Slovakia are learning from COVID-19 pandemic?
Lubomira Izakova, Dagmar Breznoscakova, Katarina Jandova, Vanda Valkucakova, Gabriela Bezakova, Jozef Suvada
Indian Journal of Psychiatry. 2020; 62(9): 459
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142 Impact on anxiety of COVID-19 and lockdown
VinaySingh Chauhan, Kaushik Chatterjee, KirtiSingh Chauhan, Jyoti Prakash, Kalpana Srivastava
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