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Health","doi-asserted-by":"publisher","award":["K01AA026874"],"award-info":[{"award-number":["K01AA026874"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000027","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23AA024808"],"award-info":[{"award-number":["K23AA024808"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3390\/ijerph20021367","type":"journal-article","created":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T01:32:26Z","timestamp":1673487146000},"page":"1367","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["COVID-19-Related Stressors and Clinical Mental Health Symptoms in a Northeast US Sample"],"prefix":"10.3390","volume":"20","author":[{"given":"Mollie A.","family":"Monnig","sequence":"first","affiliation":[{"name":"Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI 02912, USA"},{"name":"Center for Addiction and Disease Risk Exacerbation, Brown University, Providence, RI 02912, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8821-3195","authenticated-orcid":false,"given":"Samantha E.","family":"Clark","sequence":"additional","affiliation":[{"name":"Center for Addiction and Disease Risk Exacerbation, Brown University, Providence, RI 02912, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2019-6453","authenticated-orcid":false,"given":"Jaqueline C.","family":"Avila","sequence":"additional","affiliation":[{"name":"Center for Addiction and Disease Risk Exacerbation, Brown University, Providence, RI 02912, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3545-5745","authenticated-orcid":false,"given":"Alexander W.","family":"Sokolovsky","sequence":"additional","affiliation":[{"name":"Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI 02912, USA"},{"name":"Center for Addiction and Disease Risk Exacerbation, Brown University, Providence, RI 02912, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5347-4291","authenticated-orcid":false,"given":"Hayley","family":"Treloar Padovano","sequence":"additional","affiliation":[{"name":"Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI 02912, USA"},{"name":"Center for Addiction and Disease Risk Exacerbation, Brown University, Providence, RI 02912, USA"},{"name":"Center for Alcohol and Addiction Studies, Department of Psychiatry and Human Behavior, Brown University, Providence, RI 02912, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Goodyear","sequence":"additional","affiliation":[{"name":"Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI 02912, 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Behavioral and Social Sciences, Brown University, Providence, RI 02912, USA"},{"name":"Center for Addiction and Disease Risk Exacerbation, Brown University, Providence, RI 02912, USA"},{"name":"Center for Alcohol and Addiction Studies, Department of Psychiatry and Human Behavior, Brown University, Providence, RI 02912, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer W.","family":"Tidey","sequence":"additional","affiliation":[{"name":"Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI 02912, USA"},{"name":"Center for Addiction and Disease Risk Exacerbation, Brown University, Providence, RI 02912, USA"},{"name":"Center for Alcohol and Addiction Studies, Department of Psychiatry and Human Behavior, Brown University, Providence, RI 02912, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1756-3646","authenticated-orcid":false,"given":"Jasjit 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