Social Determinants of Mental Health As Mediators and Moderators of the Mental Health Impacts of the COVID-19 Pandemic.

Psychiatr Serv

Department of Mental Health, Psychiatric Diagnosis and Care Service (SPDC) Pordenone, Azienda Sanitaria Friuli Occidentale, Pordenone, Italy (Bernardini); Planetary Health Lab, University of Edinburgh, Edinburgh (Bernardini, Attademo); Department of Mental Health, SPDC Potenza, ASP Basilicata, Potenza, Italy (Attademo); Albert Einstein College of Medicine, New York City (Rotter); New York State Psychiatric Institute, New York City (Compton). Ruth S. Shim, M.D., M.P.H., and Michael T. Compton, M.D., M.P.H., are editors of this column.

Published: May 2021

Contracting COVID-19, being exposed to it, or being affected by societal containment measures can have consequences that are themselves social determinants of health. Preexisting social determinants of health also drive the disproportionately high prevalence of COVID-19 infection and deaths among minority, marginalized, and other vulnerable populations. Thus, the social determinants of mental health act as both mediators and moderators of the pandemic's impacts, and like all social determinants, the effects of the pandemic are underpinned by public policies and social norms. The major economic impacts of containment measures have had cascading effects that will affect mental health for years to come.

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Source
http://dx.doi.org/10.1176/appi.ps.202000393DOI Listing

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