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The Mental Health Consequences of COVID-19 and Physical DistancingThe Need for Prevention and Early Intervention

Educational Objective
To understand how physical distancing can affect the mental health of patients
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Article Information

Corresponding Author: Sandro Galea, MD, Office of the Dean, Boston University School of Public Health, 715 Albany St, Talbot 301, Boston, MA 02118 (sgalea@bu.edu).

Published Online: April 10, 2020. doi:10.1001/jamainternmed.2020.1562

Conflict of Interest Disclosures: None reported.

References
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Tracy  M , Norris  FH , Galea  S .  Differences in the determinants of posttraumatic stress disorder and depression after a mass traumatic event.   Depress Anxiety. 2011;28(8):666-675. doi:10.1002/da.20838 PubMedGoogle ScholarCrossref
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Galea  S , Ahern  J , Resnick  H ,  et al.  Psychological sequelae of the September 11 terrorist attacks in New York City.   N Engl J Med. 2002;346(13):982-987. doi:10.1056/NEJMsa013404 PubMedGoogle ScholarCrossref
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Vlahov  D , Galea  S , Ahern  J , Resnick  H , Kilpatrick  D .  Sustained increased consumption of cigarettes, alcohol, and marijuana among Manhattan residents after September 11, 2001.   Am J Public Health. 2004;94(2):253-254. doi:10.2105/AJPH.94.2.253 PubMedGoogle ScholarCrossref
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Grattan  LM , Roberts  S , Mahan  WT  Jr , McLaughlin  PK , Otwell  WS , Morris  JG  Jr .  The early psychological impacts of the Deepwater Horizon oil spill on Florida and Alabama communities.   Environ Health Perspect. 2011;119(6):838-843. doi:10.1289/ehp.1002915 PubMedGoogle ScholarCrossref
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Lee  AM , Wong  JG , McAlonan  GM ,  et al.  Stress and psychological distress among SARS survivors 1 year after the outbreak.   Can J Psychiatry. 2007;52(4):233-240. doi:10.1177/070674370705200405PubMedGoogle ScholarCrossref
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Mental Health UK. Managing your mental health during the coronavirus outbreak. https://mentalhealth-uk.org/help-and-information/covid-19-and-your-mental-health/. Accessed March 31, 2020.
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Merchant  RM , Lurie  N .  Social media and emergency preparedness in response to novel coronavirus  [published online March 23, 2020].  JAMA. doi:10.1001/jama.2020.4469 PubMedGoogle Scholar
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Cohen  GH , Tamrakar  S , Lowe  S ,  et al.  Comparison of simulated treatment and cost-effectiveness of a stepped care case-finding intervention vs usual care for posttraumatic stress disorder after a natural disaster.   JAMA Psychiatry. 2017;74(12):1251-1258. doi:10.1001/jamapsychiatry.2017.3037 PubMedGoogle ScholarCrossref
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List of services payable under the Medicare Physician Fee Schedule when furnished via telehealth. https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes Accessed April 1, 2020.
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