Impact of COVID-19 on Mental Health

Posted February 21, 2025
By the Annie E. Casey Foundation
A young asian man looks out the windoww, his chin rests on his folded arms on the ledge; he's wearing a mask to prevent the spread of COVID-19.

COVID-19 and Men­tal Health

In March 2020, the World Health Orga­ni­za­tion declared the COVID-19 out­break a pan­dem­ic and glob­al health emer­gency, and dai­ly life instant­ly and dras­ti­cal­ly changed world­wide. Entire com­mu­ni­ties, sys­tems and economies shut down, and — over the course of the next three years — experts linked more than 750 mil­lion con­firmed cas­es and near­ly 7 mil­lion con­firmed deaths to COVID-19.

Five years on, sci­en­tists are still study­ing the reper­cus­sions of the pan­dem­ic. This research con­tin­ues to indi­cate that the impact of COVID-19 on men­tal health was pro­found, unprece­dent­ed and over­whelm­ing­ly — but not total­ly — negative.

Neg­a­tive Effects of COVID-19 on Men­tal Health

The COVID-19 pan­dem­ic — and the uncer­tain­ty and iso­la­tion it caused — con­tributed to many indi­vid­u­als feel­ing height­ened and pro­longed lev­els of stress, fear, lone­li­ness and con­fu­sion. Exist­ing social net­works, formed through schools, places of wor­ship, work and recre­ation, were dis­rupt­ed and some­times impos­si­ble to main­tain. And com­mon out­lets for stress relief — from social gath­er­ings and sport­ing engage­ments to cul­tur­al events and mile­stone cel­e­bra­tions — instant­ly disappeared.

Some com­pelling find­ings on the impact of COVID-19 and men­tal health include:

  • The preva­lence of anx­i­ety and depres­sion across the globe increased by a mas­sive 25% in the pandemic’s first year, accord­ing to the World Health Organization.
  • Com­pared to a prepan­dem­ic base­line, men­tal health-relat­ed emer­gency vis­its in year two of the pan­dem­ic increased by 22.1% among teen girls, ages 13 to 17, accord­ing to a study sup­port­ed by the Nation­al Insti­tute of Men­tal Health.
  • About 37% of U.S. high-school stu­dents report­ed expe­ri­enc­ing poor men­tal health dur­ing the pan­dem­ic, accord­ing to a 2021 sur­vey admin­is­tered by the Cen­ters for Dis­ease Con­trol and Prevention. 
  • Com­pared to the gen­er­al non-COVID pop­u­la­tion dur­ing the pan­dem­ic, COVID-19 sur­vivors had high­er rates of depres­sion (45% ver­sus 33%), anx­i­ety (47% ver­sus 31%) and sleep dis­tur­bances (34% ver­sus 20%), as report­ed by the Sub­stance Abuse and Men­tal Health Ser­vices Administration.

Vis­it the 2024 KIDS COUNT® Data Book for more on child and fam­i­ly well-being

Men­tal Health and Spe­cif­ic Populations

The con­se­quences and changes sparked by COVID-19 affect­ed some groups more than oth­ers. The World Health Orga­ni­za­tion exam­ined stud­ies on the pan­dem­ic and men­tal health and iden­ti­fied some of the hard­est-hit demo­graph­ic groups. This group included:

  • Peo­ple with pre­ex­ist­ing men­tal dis­or­ders. The risk of severe ill­ness and death from COVID-19 is high­er among peo­ple liv­ing with men­tal disorders. 
  • Health care pro­fes­sion­als: Exhaust­ed health care work­ers were found to be at greater risk for sui­ci­dal thoughts rel­a­tive to the gen­er­al population. 

Black peo­ple — and com­mu­ni­ties of col­or more gen­er­al­ly — were anoth­er hard-hit demo­graph­ic. In Mary­land, for exam­ple, researchers from Johns Hop­kins School of Med­i­cine com­pared sui­cide deaths in Black ver­sus white res­i­dents before and dur­ing the pan­dem­ic. The rate of sui­cide deaths dou­bled for Black residents while it did the oppo­site — near­ly halved — for their white neighbors.

Many young peo­ple strug­gled with the shift to remote learn­ing. Stu­dents felt increas­ing­ly iso­lat­ed, aware of miss­ing impor­tant life mile­stones, and found them­selves sud­den­ly home-bound, tied to tech­nol­o­gy and seden­tary — all fac­tors that can fuel increased stress, anx­i­ety and depres­sion. Younger peo­ple also ran a high­er risk of exhibit­ing sui­ci­dal behav­iors dur­ing the pan­dem­ic when com­pared to old­er age groups, accord­ing to the World Health Organization.

Young females, in par­tic­u­lar, faced steep­er men­tal health chal­lenges, reports KFF, a lead­ing health pol­i­cy orga­ni­za­tion in the Unit­ed States. Symp­toms indica­tive of depres­sive dis­or­der rose in ado­les­cent women — increas­ing from 47% in 2019 to 57% in 2021. Ado­les­cent men were far less impact­ed, expe­ri­enc­ing these same symp­toms at a rate of 27% to 29% over the same time frame.

Learn more about Kids, Fam­i­lies and COVID-19

Pos­i­tive Effects of COVID-19 on Men­tal Health

COVID-19’s impact on men­tal health wasn’t all neg­a­tive. The pan­dem­ic pushed men­tal health chal­lenges and needs into sharp focus.

Among the pos­i­tive impacts of COVID-19 on men­tal health: It jump start­ed a new era of acces­si­ble med­ical care. Telemed­i­cine encoun­ters surged 766% dur­ing the ear­li­est months of the pan­dem­ic, accord­ing to a nation­al sur­vey of pri­vate insur­ance claims data for 36 mil­lion work­ing-age individuals.

The study found that tele­health appoint­ments expand­ed from 0.3% to 23.6% of all inter­ac­tions over the same four-month peri­od in 2019 ver­sus 2020. This increase in tele­health adop­tion has enabled doc­tors to deliv­er spe­cial­ty care to new areas and patients, includ­ing patient from rur­al areas, accord­ing to the Uni­ver­si­ty of Alaba­ma at Birmingham. 

Tech­nol­o­gy also helped counter some of the neg­a­tive con­se­quences of social iso­la­tion dur­ing the pan­dem­ic, accord­ing to an online sur­vey of ado­les­cents. Researchers from Cal­i­for­nia State Uni­ver­si­ty, who con­duct­ed the sur­vey, found that More online friend com­mu­ni­ca­tion and friend sup­port were relat­ed to less lone­li­ness and stress.”

Final­ly: The pan­dem­ic inspired some peo­ple to rethink their own com­mit­ment to well-being. Twen­ty-six per­cent of Amer­i­cans sur­veyed by the Pew Research Cen­ter in 2022 report­ed that stay­ing healthy had become more impor­tant to them dur­ing the pandemic.