Ding, KeleYang, JingzhenChin, Ming-KaiSullivan, LindsayDemirhan, GiyasettinViolant, VerónicaUvinha, Ricardo R.Dai, JianhuiXu, XiaPopeska, BiljanaMladenova, ZornitzaKhan, WaheedaKuan, GarryBalasekaran, GovindasamySmith, Gary A.2021-03-162021-03-162021-03-071661-7827https://hdl.handle.net/2445/175190Despite the global impact of COVID-19, studies comparing the effects of COVID-19 on population mental health across countries are sparse. This study aimed to compare anxiety and depression symptoms during the COVID-19 lockdown among adults from 11 countries and to examine their associations with country-level COVID-19 factors and personal COVID-19 exposure. A cross-sectional survey was conducted among adults (≥18 years) in 11 countries (Brazil, Bulgaria, China, India, Ireland, North Macedonia, Malaysia, Singapore, Spain, Turkey, United States). Mental health (anxiety, depression, resilient coping, hope) and other study data were collected between June-August 2020. Of the 13,263 participants, 62.8% were female and 51.7% were 18-34 years old. Participants living in Brazil had the highest anxiety and depression symptoms while participants living in Singapore had the lowest. Greater personal COVID-19 exposure was associated with increased anxiety and depression symptoms, but country-level COVID-19 factors were not. Higher levels of hope were associated with reduced anxiety and depression; higher levels of resilient coping were associated with reduced anxiety but not depression. Substantial variations exist in anxiety and depression symptoms across countries during the COVID-19 lockdown, with personal COVID-19 exposure being a significant risk factor. Strategies that mitigate COVID-19 exposure and enhance hope and resilience may reduce anxiety and depression during global emergencies.16 p.application/pdfengcc-by (c) Ding, Kele et al., 2021http://creativecommons.org/licenses/by/3.0/esCOVID-19Confinament (Emergència sanitària)Salut mentalAnsietatDepressió psíquicaResiliència (Tret de la personalitat)COVID-19Confinement (Sanitary emergency)Mental healthAnxietyMental depressionResilience (Personality trait)info:eu-repo/semantics/article7081442021-03-16info:eu-repo/semantics/openAccess