Findings
Follow-up Survey of US Adult Reports of Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic, September 2020
In a later phase of the COVID-19 pandemic (September 2020), the prevalence of adverse mental health symptoms among US adults remained elevated compared with prepandemic estimates. This finding contradicts the notion that adverse mental health symptoms were transient, self-limiting responses. Despite increased COVID-19–related morbidity and mortality risk, adverse mental health symptoms among older adults remained less prevalent. Evidence of sustained adverse mental health symptoms among more than 5000 community-dwelling US adults highlights the need to promote preventive behaviors, expand mental health care access, and integrate medical and behavioral health services to mitigate the mental health effects of COVID-19.
Mental Health, Substance Use, and Suicidal Ideation Among Unpaid Caregivers in the United States During the COVID-19 Pandemic: Relationships to Age, Race/Ethnicity, Employment, and Caregiver Intensity
Caregivers, who accounted for one in four US adult respondents in this demographically diverse sample, more commonly reported adverse mental health symptoms than non-caregivers. Increased visibility of and access to mental health care resources might help to address mental health challenges among unpaid caregivers.
Peer-reviewed Publications
Prior sleep-wake behaviors are associated with mental health outcomes during the COVID-19 pandemic among adult users of a wearable device in the United States
Published 20 April 2022
Suvada KA, Quan SF, Weaver MD, Sreedhara M, Czeisler MÉ, Como-Sabetti K, Lynfield R, Grounder P, Traub E, Amoon A, Ladva CN, Howard ME, Czeisler CA, Rajaratnam SMW, Ekwueme DU, Flannery B, Lane RI. Intent among Parents to Vaccinate Children before Pediatric COVID-19 Vaccine Recommendations, Minnesota and Los Angeles County, California—May–September 2021. Vaccines. 2022; 10(9):1441. DOI: https://doi.org/10.3390/vaccines10091441.
Prior sleep-wake behaviors are associated with mental health outcomes during the COVID-19 pandemic among adult users of a wearable device in the United States
Published 20 April 2022
Czeisler MÉ, Capodilupo ER, Weaver MD, Czeisler CA, Howard ME, Rajaratnam SMW. Prior sleep-wake behaviors are associated with mental health outcomes during the COVID-19 pandemic among adult users of a wearable device in the United States. Sleep Health. 2022. DOI: https://doi.org/10.1016/j.sleh.2022.03.001.
Health Care Access and Use Among Adults with Diabetes During the COVID-19 Pandemic — United States, February–March 2021
Published 19 November 2021
Czeisler MÉ, Barrett CE, Siegel KR, Weaver MD, Czeisler CA, Rajaratnam SMW, Howard ME, Bullard KM. Health Care Access and Use Among Adults with Diabetes During the COVID-19 Pandemic - United States, February-March 2021. MMWR Morb Mortal Wkly Rep. 2021 Nov 19;70(46):1597-1602. DOI: https://doi.org/10.15585/mmwr.mm7046a2. PMID: 34793416.
Mental Health, Substance Use, and Suicidal Ideation Among Unpaid Caregivers in the United States During the COVID-19 Pandemic: Relationships to Age, Race/Ethnicity, Employment, and Caregiver Intensity
Published 23 September 2021
Czeisler, MÉ, Drane A, Winnay SS, Capodilupo ER, Czeisler CA, Rajaratnam SMW, Howard ME. Mental Health, Substance Use, and Suicidal Ideation Among Unpaid Caregivers in the United States During the COVID-19 Pandemic: Relationships to Age, Race/Ethnicity, Employment, and Caregiver Intensity. J Affect Disord. 2021;295:1259-1268. DOI: https://doi.org/10.1016/j.jad.2021.08.130
Mental Health and Substance Use Among Adults with Disabilities During the COVID-19 Pandemic - United States, February-March 2021
Published 27 August 2021
Czeisler MÉ, Board A, Thierry JM, Czeisler CA, Rajaratnam SMW, Howard ME, Clarke KEN. Mental Health and Substance Use Among Adults with Disabilities During the COVID-19 Pandemic - United States, February-March 2021. MMWR Morb Mortal Wkly Rep. 2021;70(34):1142-1149. DOI: https://dx.doi.org/10.15585/mmwr.mm7034a3 PMID: 34437518.
In-person vs. home schooling during the COVID-19 pandemic: Differences in sleep, circadian timing, and mood in early adolescence
Published 17 July 2021
Stone JE, Phillips AJK, Chachos E, Hand AJ, Lu S, Carskadon MA, Klerman EB, Lockley SW, Wiley JF, Bei B, Rajaratnam SMW; CLASS Study Team. In-person vs. home schooling during the COVID-19 pandemic: Differences in sleep, circadian timing, and mood in early adolescence. J Pineal Res. 2021 Jul 17:e12757. DOI: https://dx.doi.org/10.1111/jpi.12757. Epub ahead of print. PMID: 34273194.
Mental Health Among Parents of Children Aged <18 Years and Unpaid Caregivers of Adults During the COVID-19 Pandemic — United States, December 2020 and February–March 2021
Published 17 June 2021
Czeisler MÉ, Rohan EA, Melillo S, Matjasko JL, DePadilla L, Patel CG, Weaver MD, Drane A, Winnay SS, Capodilupo ER, Robbins R, Wiley JF, Facer-Childs ER, Barger LK, Czeisler CA, Howard ME, Rajaratnam SMW. Mental Health Among Parents of Children Aged <18 Years and Unpaid Caregivers of Adults During the COVID-19 Pandemic — United States, December 2020 and February–March 2021. MMWR Morb Mortal Wkly Rep. 2021;70:879—887. DOI: https://dx.doi.org/10.15585/mmwr.mm7024a3 PMID: 34138835.
Mental health, substance use, and suicidal ideation during a prolonged COVID-19–related lockdown in a region with low SARS-CoV-2 prevalence
Published 4 June 2021
Czeisler MÉ, Wiley JF, Facer-Childs ER, Robbins R, Weaver MD, Barger LK, Czeisler CA, Howard ME, Rajaratnam SMW. Mental health, substance use, and suicidal ideation during a prolonged COVID-19–related lockdown in a region with low SARS-CoV-2 prevalence. J Psychiatr Res. 2021;140:533—544. Epub ahead of print June 2021. DOI: https://doi.org/10.1016/j.jpsychires.2021.05.080
Delay or avoidance of routine, urgent and emergency medical care due to concerns about COVID-19 in a region with low COVID-19 prevalence: Victoria, Australia
Published 3 June 2021
Czeisler MÉ, Kennedy JL, Wiley JF, Facer-Childs ER, Robbins R, Barger LK, Czeisler CA, Rajaratnam SMW, Howard ME. Delay or avoidance of routine, urgent and emergency medical care due to concerns about COVID-19 in a region with low COVID-19 prevalence: Victoria, Australia. Respirology. 2021;1—6. DOI: https://doi.org/10.1111/resp.14094 PMID: 34081819.
Uncovering Survivorship Bias in Longitudinal Mental Health Surveys During the COVID-19 Pandemic
Published 26 May 2021
Czeisler MÉ, Wiley JF, Czeisler CA, Rajaratnam SMW, Howard ME. Uncovering Survivorship Bias in Longitudinal Mental Health Surveys During the COVID-19 Pandemic. Epidemiol Psychiatr Sci. 2021;30(E45). DOI: https://dx.doi.org/10.1017/S204579602100038X PMID: 34036933; PMCID: PMC8207539.
Early public adherence with and support for stay-at-home COVID-19 mitigation strategies despite adverse life impact: a transnational cross-sectional survey study in the United States and Australia
Published 15 March 2021
Czeisler MÉ, Howard ME, Robbins R, Facer-Childs ER, Barger LK, Rajaratnam SMW, Czeisler CA. Early public adherence with and support for stay-at-home COVID-19 mitigation strategies despite adverse life impact: a transnational cross-sectional survey study in the United States and Australia. BMC Public Health. 2021;21(1):503. DOI: https://dx.doi.org/10.1186/s12889-021-10410-x. PMID: 33722226
Follow-up Survey of US Adult Reports of Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic, September 2020
Published 19 February 2021
Czeisler MÉ, Lane RI, Wiley JF, Czeisler CA, Howard ME, Rajaratnam SMW. Follow-up Survey of US Adult Reports of Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic, September 2020. JAMA Netw Open. 2021;4(2):e2037665. DOI: https://dx.doi.org/10.1001/jamanetworkopen.2020.37665. PMID: 33606030
Sleep and mental health in athletes during COVID-19 lockdown
Published 4 February 2021
Facer-Childs ER, Hoffman D, Tran JN, Drummond SPA, Rajaratnam SMW. Sleep and mental health in athletes during COVID-19 lockdown. Sleep. 2021;44(5):zsaa261. DOI: https://doi.org/10.1093/sleep/zsaa261. PMID: 33535229
Demographic Characteristics, Experiences, and Beliefs Associated with Hand Hygiene Among Adults During the COVID-19 Pandemic — United States, June 24–30, 2020
Published 15 October 2020 (Global Handwashing Day!)
Czeisler MÉ, Garcia-Williams AG, Molinari N, Gharpure R, Li Y, Barrett CE, Robbins R, Facer-Childs ER, Barger LK, Czeisler CA, Rajaratnam SMW, Howard ME. Delay or Avoidance of Demographic Characteristics, Experiences, and Beliefs Associated with Hand Hygiene Among Adults During the COVID-19 Pandemic — United States, June 24–30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1485—1491. DOI: http://dx.doi.org/10.15585/mmwr.mm6941a3. PMID: 33056951. PMCID: PMC7561087
Delay or Avoidance of Medical Care Because of COVID-19–Related Concerns — United States, June 2020
Published 10 September 2020
Czeisler MÉ, Marynak K, Clarke KE, Salah Z, Shakya I, Thierry JM, Ali N, McMillan H, Wiley JF, Weaver, MD, Czeisler CA, Rajaratnam SMW, Howard ME. Delay or Avoidance of Medical Care Because of COVID-19–Related Concerns — United States, June 2020. MMWR Morb Mortal Wkly Rep 2020;69:1250—1257. DOI: http://dx.doi.org/10.15585/mmwr.mm6936a4. PMID: 32915166. PMCID: PMC7499838
Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020
Published 13 August 2020
Czeisler MÉ, Lane RI, Petrosky E, Wiley JF, Christensen A, Njai R, Weaver MD, Robbins R, Facer-Childs ER, Barger LK, Czeisler CA, Howard ME, Rajaratnam SMW. Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1049—1057. DOI: http://dx.doi.org/10.15585/mmwr.mm6932a1. PMID: 32790653 PMCID: PMC7440121
Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance
Published 12 June 2020
Czeisler MÉ, Tynan MA, Howard ME, Honeycutt S, Fulmer EB, Kidder DP, Robbins R, Barger LK, Facer-Childs ER, Baldwin G, Rajaratnam SMW, Czeisler CA. Public Attitudes, Behaviors, and Beliefs Related to COVID-19, Stay-at-Home Orders, Nonessential Business Closures, and Public Health Guidance — United States, New York City, and Los Angeles, May 5–12, 2020. MMWR Morb Mortal Wkly Rep 2020;69:751—758. DOI: http://dx.doi.org/10.15585/mmwr.mm6924e1. PMID: 32555138. PMCID: PMC7302477.
Pre-print Reports
Intent among Parents to Vaccinate Children before Pediatric Vaccine Recommendations, Minnesota and Los Angeles County, California--May-September 2021
Posted 27 July 2022 - now published in Vaccines (citation above)
Suvada KA, Quan SF, Weaver MD, Sreedhara M, Czeisler MÉ, Como-Sabetti K, Lynfield R, Grounder P, Traub E, Amoon A, Ladva C, Howard ME, Czeisler CA, Rajaratnam SMW, Ekwueme DU, Flannery B, Lane RI. Intent among Parents to Vaccinate Children before Pediatric Vaccine Recommendations, Minnesota and Los Angeles County, California--May-September 2021 . Preprints. Posted online July 2022. [Preprint Manuscript]. DOI: https://doi.org/10.20944/preprints202207.0418.v1.
Years of Life Lost in the United States During the COVID-19 Pandemic, March 2020 to October 2021
Posted 22 July 2022
Czeisler MÉ, Czeisler CA. Years of Life Lost in the United States During the COVID-19 Pandemic, March 2020 to October 2021. medRxiv. Posted online July 2022. [Preprint Manuscript]. DOI: https://doi.org/10.1101/2022.07.22.22277899.
Prior sleep-wake behavior predicts mental health resilience among adults in the United States during the COVID-19 pandemic
Posted 22 June 2021 - now published in Sleep Health (citation above)
Czeisler MÉ, Capodilupo ER, Weaver MD, Czeisler CA, Howard ME, Rajaratnam SMW. Prior sleep-wake behavior predicts mental health resilience among adults in the United States during the COVID-19 pandemic. medRxiv. Posted online June 2021. [Preprint Manuscript]. DOI: https://doi.org/10.1101/2021.06.15.21258983.
COVID-19 Vaccine Intentions in the United States, December 2020 to March 2021
Posted 17 May 2021
Czeisler MÉ, Rajaratnam SMW, Howard ME, Czeisler CA. COVID-19 Vaccine Intentions in the United States, December 2020 to March 2021. medRxiv. Posted online May 2021. [Preprint Manuscript]. DOI: https://dx.doi.org/10.1101/2021.05.16.21257290.
Uncovering Survivorship Bias in Longitudinal Mental Health Surveys
Posted 17 February 2021 - now published in Epidemiology and Psychiatric Sciences (citation above)
Czeisler MÉ, Wiley JF, Czeisler CA, Rajaratnam SMW, Howard ME. Uncovering Survivorship Bias in Longitudinal Mental Health Surveys. medRxiv. Posted online February 2021. [Preprint Manuscript]. DOI: https://dx.doi.org/0.1101/2021.01.28.21250694.
Mental Health, Substance Use, and Suicidal Ideation Among Unpaid Caregivers in the United States During the COVID-19 Pandemic: Relationships to Age, Race/Ethnicity, Employment, and Caregiver Intensity
Posted 5 February 2021 - now published in Journal of Affective Disorders (citation above)
Czeisler, MÉ, Drane A, Winnay SS, Capodilupo ER, Czeisler CA, Rajaratnam SMW, Howard ME. Mental Health, Substance Use, and Suicidal Ideation Among Unpaid Caregivers in the United States During the COVID-19 Pandemic: Relationships to Age, Race/Ethnicity, Employment, and Caregiver Intensity. medRxiv. Posted online February 2021. [Preprint Manuscript]. DOI: https://dx.doi.org/0.1101/2021.02.02.21251042
Public Adherence with and Support for COVID-19 Stay-at-Home Mitigation Strategies
Posted 24 April 2020 - now published in BMC Public Health (citation above)
Czeisler MÉ, Howard ME, Robbins R, Barger LK, Facer-Childs ER, Rajaratnam SMW, Czeisler CA. COVID-19: Public Compliance with and Public Support for Stay-at-Home Mitigation Strategies. medRxiv. Posted online April 2020. [Preprint Manuscript]. DOI: https://doi.org/10.1101/2020.04.22.20076141.