Citation: Kassaeva, P.; Belova, E.;
Shashina, E.; Shcherbakov, D.;
Makarova, V.; Ershov, B.; Sukhov, V.;
Zabroda, N.; Sriraam, N.; Mitrokhin,
O.; et al. Anxiety, Depression, and
Other Emotional Disorders during
the COVID-19 Pandemic: A
Narrative Review of the Risk Factors
and Risk Groups. Encyclopedia 2022, 2,
912–927. https://doi.org/10.3390/
encyclopedia2020060
Academic Editors: Milva Pepi and
Raffaele Barretta
Received: 25 February 2022
Accepted: 26 April 2022
Published: 28 April 2022
Publisher’s Note: MDPI stays neutral
with regard to jurisdictional claims in
published maps and institutional affil-
iations.
Copyright: © 2022 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
Review
Anxiety, Depression, and Other Emotional Disorders during the
COVID-19 Pandemic: A Narrative Review of the Risk Factors
and Risk Groups
Polina Kassaeva
1
, Elena Belova
2
, Ekaterina Shashina
2
, Denis Shcherbakov
2
, Valentina Makarova
2
,
Boris Ershov
2
, Vitaly Sukhov
2
, Nadezhda Zabroda
2
, Natarajan Sriraam
3
, Oleg Mitrokhin
2
and Yury Zhernov
1,2,4,
*
1
Department of Medical and Biological Disciplines, REAVIZ Medical University, 107564 Moscow, Russia;
p.kassaeva@yandex.ru
2
Department of General Hygiene, F. Erismann Institute of Public Health, I.M. Sechenov First Moscow State
Medical University (Sechenov University), 119435 Moscow, Russia; belova_e_v@staff.sechenov.ru (E.B.);
shashina_e_a@staff.sechenov.ru (E.S.); shcherbakov_d_v@staff.sechenov.ru (D.S.);
makarova_v_v@staff.sechenov.ru (V.M.); borya.ershov@gmail.com (B.E.); sukhov_v_a@staff.sechenov.ru (V.S.);
zabroda_n_n@staff.sechenov.ru (N.Z.); mitrokhin_o_v@staff.sechenov.ru (O.M.)
3
Center for Medical Electronics and Computing, Ramaiah Institute of Technology, Bangalore 560054, India;
sriraam@msrit.edu
4
Department of Chemistry, Lomonosov Moscow State University, 119991 Moscow, Russia
* Correspondence: zhernov@list.ru; Tel.: +7-(915)-155-20-00
Abstract: The COVID-19 pandemic has affected many aspects of our lives, including mental health.
Identifying risk factors and risk groups associated with anxiety, depression, and other emotional
disorders for reasons related to the COVID-19 pandemic is highly relevant. This narrative review
aims to summarize the evidence to date on risk factors for emotional disorders during the COVID-19
pandemic in order to identify the risk groups of people in need of early psychiatric and psychological
assistance, point out the controversial data on the influence of risk factors on emotional disorders
in COVID-19, and finally offer recommendations for alleviating symptoms of anxiety, depression,
and other emotional disorders in such people. According to the current literature, being under
the age of 40, being female, having contact with a COVID-infected person, and watching the news
about COVID-19 for more than 3 h a day all increase the likelihood of anxiety, depression, and sleep
disturbances. Healthcare workers, particularly nurses, working in the COVID-19 hot zone suffer more
from sleep disorders, anxiety, and depression. It is also noted that people with a previous psychiatric
history, in addition to increased risks of anxiety and depression, have an increased risk of relapse
during the COVID-19 pandemic. The same is true for people who have had episodes of substance
abuse in the past. Aside from socioeconomic factors, the mental wellbeing of those who have had
COVID-19 is also impacted by biological factors (using anti-COVID-19 drugs, COVID-19-associated
immunothrombosis and venous thromboembolism, interferon-gamma-related cytokine storm, etc.),
resulting in a wide range of acute and long-term cognitive disorders. During the restricted resource
time, the aforementioned risk groups should be prioritized for prevention, early identification, and
proper treatment of potential emotional disorders. The risk factors that were found in this narrative
review, as well as how they interact and change over time, will help understand why some studies of
at-risk groups do not agree with each other, justify new preventive measures, and strengthen existing
programs to keep people’s mental health in check during this pandemic and other emergencies.
Keywords: COVID-19; risk factors; self-isolation; lockdown; mental health; emotional disorders;
anxiety; depression; stress disorder; suicidal behavior
Encyclopedia 2022, 2, 912–927. https://doi.org/10.3390/encyclopedia2020060 https://www.mdpi.com/journal/encyclopedia