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Protocol - COVID-19 and Mental Health Impacts

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Description

A survey to help better understand how the novel coronavirus (COVID-19) pandemic is affecting people’s emotional and mental health.

Specific Instructions

None

Protocol

I would like to ask you some questions about how you have been feeling since the COVID-19 pandemic (March 1, 2020).

1. In the past week, how often…

Not at all or less than 1 day

1-2 days

3-4 days

5-7 days

a. Have you felt nervous, anxious, or on edge?

[ ] 1

[ ] 2

[ ] 3

[ ] 4

b. Have you felt depressed?

[ ] 1

[ ] 2

[ ] 3

[ ] 4

c. Have you felt lonely?

[ ] 1

[ ] 2

[ ] 3

[ ] 4

d. Have you felt hopeful about the future?

[ ] 1

[ ] 2

[ ] 3

[ ] 4

e. Have you had physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart, when thinking about your experience with the novel coronavirus (COVID-19) pandemic?

[ ] 1

[ ] 2

[ ] 3

[ ] 4

Please tell me if you agree or disagree with the following statements

Strongly Disagree

Disagree

Neither Agree nor Disagree

Agree

Strongly Agree

2. I am very worried about getting the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

3. I am very worried about my family/friends getting the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

4. I am very worried about giving someone else the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

5. I have a hard time sleeping because of the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

6. I have had difficulties concentrating because of the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

7. Thinking about the coronavirus makes me very anxious.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

8. I am feeling overwhelmed by the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

9. I am worried about money because of the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

10. I am worried about having enough food because of the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

11. I am worried about loss of income if I get sick from the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

12. I am spending more money because of the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

13. I am worried about medical bills if I get sick from the coronavirus.

[ ] 1

[ ] 2

[ ] 3

[ ] 4

[ ] 5

Availability

Available

Personnel and Training Required

Equipment Needs

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Lifestage

Infant, Toddler, Child, Adolescent, Adult, Senior, Pregnancy

Participants

Not specified

Selection Rationale

PhenX used input from crowdsourcing to enable rapid response and release of COVID-19 related protocols in the Toolkit. 

Language

English

Standards
StandardNameIDSource
caDSR Common Data Elements (CDE) COVID-19 Mental Health Impact Questionnaire Assessment Text   7482978 CDE Browser
Derived Variables

Process and Review

Not applicable

Protocol Name from Source

COVID-19 Community Response Survey

Source

COVID-19 and Mental Health Measurement Working Group, GAD-7, CES-D, Impact to Event Scale – Revised, CDC, Latkin and Dayton, COVID-19 Community Response Survey Module 6: Mental Health Impacts (2020)

General References

Protocol ID

960101

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX960101_Covid19_Community_Mental_Health_Impacts_Anxiety
PX960101020600 Please tell me if you agree or disagree with more
the following statements. Thinking about the coronavirus makes me very anxious. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Difficulty_Concentrating
PX960101020500 Please tell me if you agree or disagree with more
the following statements. I have had difficulties concentrating because of the coronavirus show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Difficulty_Sleeping
PX960101020400 Please tell me if you agree or disagree with more
the following statements. I have a hard time sleeping because of the coronavirus show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Food
PX960101020900 Please tell me if you agree or disagree with more
the following statements. I am worried about having enough food because of the coronavirus. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Income_Loss
PX960101021000 Please tell me if you agree or disagree with more
the following statements. I am worried about loss of income if I get sick from the coronavirus. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Medical_Bills
PX960101021200 Please tell me if you agree or disagree with more
the following statements. I am worried about medical bills if I get sick from the coronavirus. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Money
PX960101020800 Please tell me if you agree or disagree with more
the following statements. I am worried about money because of the coronavirus. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Overwhelmed
PX960101020700 Please tell me if you agree or disagree with more
the following statements. I am feeling overwhelmed by the coronavirus. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Past_Week_Depressed
PX960101010200 In the past week, how often: Have you felt more
depressed? show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Past_Week_Hopeful
PX960101010400 In the past week, how often: Have you felt more
hopeful about the future? show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Past_Week_Lonely
PX960101010300 In the past week, how often: Have you felt lonely? N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Past_Week_Nervous
PX960101010100 In the past week, how often: Have you felt more
nervous, anxious, or on edge? show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Past_Week_Physical_Reactions
PX960101010500 In the past week, how often: Have you had more
physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart, when thinking about your experience with the novel coronavirus (COVID-19) pandemic? show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Spending_Habits
PX960101021100 Please tell me if you agree or disagree with more
the following statements. I am spending more money because of the coronavirus. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Worried
PX960101020100 Please tell me if you agree or disagree with more
the following statements. I am very worried about getting the coronavirus. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Worried_Friends_Family
PX960101020200 Please tell me if you agree or disagree with more
the following statements. I am very worried about my family/friends getting the coronavirus. show less
N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Worried_Others
PX960101020300 Please tell me if you agree or disagree with more
the following statements. I am very worried about giving someone else the coronavirus. show less
N/A
COVID-19 Research
Measure Name

COVID-19 and Mental Health Impacts

Release Date

October 30, 2020

Definition

The COVID-19 Community Response Survey, Mental Health Impact Module is a 13-item questionnaire that was developed to better understand people’s experiences about how their lives have changed as a result of COVID-19

Purpose

A survey to help better understand how the novel coronavirus (COVID-19) pandemic is affecting people’s emotional and mental health.

Keywords

COVID-19, COVID, coronavirus, Mental Health, Community Response Survey, Emotional Well-being, Coronavirus

Measure Protocols
Protocol ID Protocol Name
960101 COVID-19 and Mental Health Impacts
Publications

There are no publications listed for this protocol.