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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.

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[ ] 2

[ ] 3

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[ ] 5

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

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[ ] 2

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

[ ] 1

[ ] 2

[ ] 3

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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

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7. Thinking about the coronavirus makes me very anxious.

[ ] 1

[ ] 2

[ ] 3

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[ ] 5

8. I am feeling overwhelmed by the coronavirus.

[ ] 1

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

[ ] 1

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

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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

Life Stage

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
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