{"doi":"10.3390/ijerph20021367","title":"COVID-19-Related Stressors and Clinical Mental Health Symptoms in a Northeast US Sample","abstract":"Research has linked specific COVID-19-related stressors to the mental health burden, yet most previous studies have examined only a limited number of stressors and have paid little attention to their clinical significance. This study tested the hypothesis that individuals who reported greater COVID-19-related stressors would be more likely to have elevated levels of anxiety, posttraumatic stress symptoms, and serious psychological distress. METHODS: An online survey was administered to a convenience sample from 18 June to 19 July 2020, in US states that were most affected by COVID-19 infections and deaths at the time. Individuals who were 18 or older and residents of five Northeast US states were eligible to participate (N = 1079). In preregistered analyses, we used logistic regression models to test the associations of COVID-19 stressors with symptoms on the Generalized Anxiety Disorder-7 (GAD-7), Impact of Event Scale-Revised, and K6, adjusting for sociodemographic covariates. RESULTS: COVID-19-related stressors (i.e., essential worker status, worry about COVID-19 infection, knowing someone hospitalized by COVID-19, having children under 14 at home, loneliness, barriers to environmental rewards, food insecurity, loss of employment) were associated with meeting thresholds (i.e., positive screening) for anxiety, posttraumatic stress, and/or serious psychological distress. Loneliness and barriers to environmental rewards were associated with all mental health outcomes. LIMITATIONS: We used a non-probability sample and cannot assume temporal precedence of stressors with regard to development of mental health symptoms. CONCLUSIONS: These findings link specific stressors to the mental health burden of the COVID-19 pandemic.","journal":"International Journal of Environmental Research and Public Health","year":2023,"id":342094,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":14,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.954,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":965744,"name":"Samantha E. Clark","orcid":"0000-0002-8821-3195","position":1,"is_corresponding":false},{"id":406586,"name":"Jaqueline Avila","orcid":"0000-0003-2019-6453","position":2,"is_corresponding":false},{"id":445234,"name":"Alexander W. Sokolovsky","orcid":"0000-0003-3545-5745","position":3,"is_corresponding":false},{"id":394426,"name":"Hayley Treloar Padovano","orcid":"0000-0001-5347-4291","position":4,"is_corresponding":false},{"id":802188,"name":"Kimberly Goodyear","orcid":"0000-0001-6937-8974","position":5,"is_corresponding":false},{"id":746013,"name":"Elizabeth R. Aston","orcid":"0000-0001-6965-318X","position":6,"is_corresponding":false},{"id":454471,"name":"Carolina L. Haass‐Koffler","orcid":"0000-0002-5634-5679","position":7,"is_corresponding":false},{"id":307143,"name":"Jennifer W. Tidey","orcid":"0000-0002-8651-4947","position":8,"is_corresponding":false},{"id":274696,"name":"Jasjit S. Ahluwalia","orcid":"0000-0003-1756-3646","position":9,"is_corresponding":false},{"id":746015,"name":"Peter M. Monti","orcid":"0000-0002-9185-4081","position":10,"is_corresponding":false},{"id":364093,"name":"Mollie A. Monnig","orcid":"0000-0002-3166-2336","position":0,"is_corresponding":true}],"reference_count":67,"raw_metadata":null,"created_at":"2026-07-19T01:11:12.506815Z","pmid":"36674123","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}