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Recent Patents on Biotechnology

Editor-in-Chief

ISSN (Print): 1872-2083
ISSN (Online): 2212-4012

Review Article

Impact of COVID-19 on Brain and Psychological Health, its Possible Mechanisms, and Coping Strategies

Author(s): Faizan Zarreen Simnani, Dibyangshee Singh, Anmol Choudhury and Ansab Akhtar*

Volume 17, Issue 1, 2023

Published on: 29 August, 2022

Page: [62 - 79] Pages: 18

DOI: 10.2174/1872208316666220617110402

Price: $65

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Abstract

COVID-19 pandemic has been depicted to possess a robust association with psychological disorders. SARS-CoV-2 is the most recent virus of the coronavirus family and has the potential to bind the angiotensin-converting enzyme (ACE) receptor. The receptor is mainly present peripherally and to some extent in the brain. Different psychological and neurodegenerative disorders can arise due to the peripheral origin of destruction. These triggers could be inflammatory pathways releasing pro-inflammatory cytokines reaching the brain and causing neuroinflammation. In continuation with traditional viruses, SARS-CoV-2 too might lead to brain diseases like meningitis, encephalitis, etc. Besides, several peripheral hormonal changes like cortisol can influence neurochemical alterations, thereby inflicting mood-related activities and psychological phenomena. In this regard, health care workers, frontline line warriors and relatives of COVID-19 patients can be the secondary victims; however, patients with COVID-19 remain the primary ones prone to neurological health problems. Several strategies like socialization, engagement, physical activity, etc., are well-opted measures to get relief from and check psychiatric disturbances. The worth of this review can be attributed to the understanding of brain-related mechanisms of COVID-19 in the context of its mechanism of action to create the pathology pertaining to brain disorder, precisely psychological devastation. Likewise, its epidemiological relevance has concisely been mentioned. Furthermore, different categories and classes of people prone to psychological deterioration are briefly elaborated on. Lastly, some coping strategies and approaches have been discussed to minimize or combat mental health problems.

Keywords: COVID-19, SARS-CoV-2, ACE receptor, cortisol, neuroinflammation, psychological disorders.

[1]
Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Health 2020; 25(3): 278-80.
[http://dx.doi.org/10.1111/tmi.13383] [PMID: 32052514]
[2]
Ciotti M, Angeletti S, Minieri M, et al. COVID-19 outbreak: An overview. Chemotherapy 2019; 64(5-6): 215-23.
[http://dx.doi.org/10.1159/000507423] [PMID: 32259829]
[3]
Baud D, Qi X, Nielsen-Saines K, Musso D, Pomar L, Favre G. Real estimates of mortality following COVID-19 infection. Lancet Infect Dis 2020; 20(7): 773.
[http://dx.doi.org/10.1016/S1473-3099(20)30195-X] [PMID: 32171390]
[4]
Ciotti M, Ciccozzi M, Terrinoni A, Jiang WC, Wang CB, Bernardini S. The COVID-19 pandemic. Crit Rev Clin Lab Sci 2020; 57(6): 365-88.
[http://dx.doi.org/10.1080/10408363.2020.1783198] [PMID: 32645276]
[5]
McBride O, Murphy J, Shevlin M, et al. Monitoring the psychological impact of the COVID-19 pandemic in the general population: An overview of the context, design and conduct of the COVID-19 Psychological Research Consortium (C19PRC) Study. Int J Methods Psychiatr Res 2021; 30(1): e1861.
[6]
Sun J, He WT, Wang L, et al. COVID-19: Epidemiology, evolution, and cross-disciplinary perspectives. Trends Mol Med 2020; 26(5): 483-95.
[http://dx.doi.org/10.1016/j.molmed.2020.02.008] [PMID: 32359479]
[7]
Leibel SL, Sun X. COVID-19 in early life: Infants and children are affected too. Physiology 2021; 36(6): 359-66.
[http://dx.doi.org/10.1152/physiol.00022.2021] [PMID: 34704855]
[8]
Bhuiyan MU, Stiboy E, Hassan MZ, et al. Epidemiology of COVID-19 infection in young children under five years: A systematic review and meta-analysis. Vaccine 2021; 39(4): 667-77.
[http://dx.doi.org/10.1016/j.vaccine.2020.11.078] [PMID: 33342635]
[9]
Howard-Jones AR, Bowen AC, Danchin M, et al. COVID-19 in children: I. Epidemiology, prevention and indirect impacts. J Paediatr Child Health 2022; 58(1): 39-45.
[http://dx.doi.org/10.1111/jpc.15791] [PMID: 34643307]
[10]
Hashan MR, Smoll N, King C, et al. Epidemiology and clinical features of COVID-19 outbreaks in aged care facilities: A systematic review and meta-analysis. EClinicalMedicine 2021; 33: 100771.
[http://dx.doi.org/10.1016/j.eclinm.2021.100771] [PMID: 33681730]
[11]
Deng J, Zhou F, Hou W, et al. The prevalence of depression, anxiety, and sleep disturbances in COVID-19 patients: A meta-analysis. Ann N Y Acad Sci 2021; 1486(1): 90-111.
[http://dx.doi.org/10.1111/nyas.14506] [PMID: 33009668]
[12]
Hagezom HM, Gebrehiwet AB, Haftom GM, Alemseged EA. Prevalence of depression and associated factors among quarantined individuals during the COVID-19 pandemic in Tigrai treatment and quarantine centers, Tigrai, Ethiopia, 2020: A cross-sectional study. Infect Drug Resist 2021; 14: 2113-9.
[http://dx.doi.org/10.2147/IDR.S289659] [PMID: 34113138]
[13]
Wang Y, Duan Z, Ma Z, et al. Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatry 2020; 10(1): 263.
[http://dx.doi.org/10.1038/s41398-020-00950-y] [PMID: 32737292]
[14]
Mao L, Jin H, Wang M, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol 2020; 77(6): 683-90.
[http://dx.doi.org/10.1001/jamaneurol.2020.1127] [PMID: 32275288]
[15]
Desforges M, Le Coupanec A, Dubeau P, et al. Human coronaviruses and other respiratory viruses: Underestimated opportunistic pathogens of the central nervous system? Viruses 2019; 12(1): 14.
[http://dx.doi.org/10.3390/v12010014] [PMID: 31861926]
[16]
Li YC, Bai WZ, Hashikawa T. The neuroinvasive potential of SARS-CoV2 may play a role in the respiratory failure of COVID-19 patients. J Med Virol 2020; 92(6): 552-5.
[http://dx.doi.org/10.1002/jmv.25728] [PMID: 32104915]
[17]
Asadi-Pooya AA, Simani L. Central nervous system manifestations of COVID-19: A systematic review. J Neurol Sci 2020; 413: 116832.
[http://dx.doi.org/10.1016/j.jns.2020.116832] [PMID: 32299017]
[18]
Butler MJ, Barrientos RM. The impact of nutrition on COVID-19 susceptibility and long-term consequences. Brain Behav Immun 2020; 87: 53-4.
[http://dx.doi.org/10.1016/j.bbi.2020.04.040] [PMID: 32311498]
[19]
Lee MH, Perl DP, Nair G, et al. Microvascular injury in the brains of patients with COVID-19. N Engl J Med 2021; 384(5): 481-3.
[http://dx.doi.org/10.1056/NEJMc2033369] [PMID: 33378608]
[20]
Gheblawi M, Wang K, Viveiros A, et al. Angiotensin-converting enzyme 2: SARS-CoV-2 receptor and regulator of the renin-angiotensin system: Celebrating the 20th anniversary of the discovery of ACE2. Circ Res 2020; 126(10): 1456-74.
[http://dx.doi.org/10.1161/CIRCRESAHA.120.317015] [PMID: 32264791]
[21]
Mao XY, Jin WL. The COVID-19 pandemic: Consideration for brain infection. Neuroscience 2020; 437: 130-1.
[http://dx.doi.org/10.1016/j.neuroscience.2020.04.044] [PMID: 32380269]
[22]
Hoffmann M, Kleine-Weber H, et al. SARS-CoV-2 cell entry depends on ACE2 and TMPRSS2 and is blocked by a clinically proven protease inhibitor cell 2020; 181: 271-80.
[23]
Inoue Y, Tanaka N, Tanaka Y, et al. Clathrin-dependent entry of severe acute respiratory syndrome coronavirus into target cells expressing ACE2 with the cytoplasmic tail deleted. J Virol 2007; 81(16): 8722-9.
[http://dx.doi.org/10.1128/JVI.00253-07] [PMID: 17522231]
[24]
Moriguchi T, Harii N, Goto J, et al. A first case of meningitis/encephalitis associated with SARS-Coronavirus-2. Int J Infect Dis 2020; 94: 55-8.
[http://dx.doi.org/10.1016/j.ijid.2020.03.062] [PMID: 32251791]
[25]
Klironomos S, Tzortzakakis A, Kits A, et al. Nervous system involvement in coronavirus disease 2019: Results from a retrospective consecutive neuroimaging cohort. Radiology 2020; 297(3): E324-34.
[http://dx.doi.org/10.1148/radiol.2020202791] [PMID: 32729812]
[26]
Kremer S, Lersy F, de Sèze J, et al. Brain MRI findings in severe COVID-19: A retrospective observational study. Radiology 2020; 297(2): E242-51.
[http://dx.doi.org/10.1148/radiol.2020202222] [PMID: 32544034]
[27]
Radmanesh A, Derman A, Lui YW, et al. COVID-19–associated diffuse leukoencephalopathy and microhemorrhages. Radiology 2020; 297(1): E223-7.
[http://dx.doi.org/10.1148/radiol.2020202040] [PMID: 32437314]
[28]
Avula A, Nalleballe K, Narula N, et al. COVID-19 presenting as stroke. Brain Behav Immun 2020; 87: 115-9.
[http://dx.doi.org/10.1016/j.bbi.2020.04.077] [PMID: 32360439]
[29]
Iyer D. Meningitis: Deborah Iyer can confidently recognise the signs and symptoms of meningitis and meningococcal septicaemia after reading a learning zone article. Nurs Stand 2010; 24(30): 50-1.
[30]
Putz K, Hayani K, Zar FA. Meningitis. Prim Care 2013; 40(3): 707-26.
[http://dx.doi.org/10.1016/j.pop.2013.06.001] [PMID: 23958365]
[31]
Chadwick DR. Viral meningitis. Br Med Bull 2006; 75-76: 1-14.
[http://dx.doi.org/10.1093/bmb/ldh057] [PMID: 16474042]
[32]
Venkatesan A, Murphy OC. Viral encephalitis. Neurol Clin 2018; 36(4): 705-24.
[http://dx.doi.org/10.1016/j.ncl.2018.07.001] [PMID: 30366550]
[33]
Patterson MC. Leukoencephalopathy Encyclopedia of the Neurological Sciences. Elsevier Inc. 2014; pp. 878-9.
[http://dx.doi.org/10.1016/B978-0-12-385157-4.01043-5]
[34]
Kumar A, Olivera A, Mueller N, Howard J, Lewis A. Delayed SARS-CoV-2 leukoencephalopathy without Severe Hypoxia. J Neurol Sci 2020; 418: 117146.
[http://dx.doi.org/10.1016/j.jns.2020.117146] [PMID: 32977227]
[35]
De Brier N, Stroobants S, Vandekerckhove P, De Buck E. Factors affecting mental health of health care workers during coronavirus disease outbreaks (SARS, MERS & COVID-19): A rapid systematic review. PLoS One 2020; 15(12): e0244052.
[http://dx.doi.org/10.1371/journal.pone.0244052] [PMID: 33320910]
[36]
Qianwei L, Guozhen Z, Bo J, Yitian L. Analysis of the influence of the psychology changes of fear induced by the COVID-19 epidemic on the body. World J Acupunct Moxibustion 2020; 30(2): 85-9.
[37]
Cavanagh D. Coronaviruses in poultry and other birds. Avian Pathol 2005; 34(6): 439-48.
[http://dx.doi.org/10.1080/03079450500367682] [PMID: 16537157]
[38]
Talbot PJ, Desforges M, Brison E, Jacomy H, Tkachev S. Coronaviruses as encephalitis-inducing infectious agents non-flavirus encephalitis. In-Tech 2011; pp. 185-202.
[39]
Mahalakshmi AM, Ray B, Tuladhar S, et al. Does COVID-19 contribute to development of neurological disease? Immun Inflamm Dis 2021; 9(1): 48-58.
[http://dx.doi.org/10.1002/iid3.387] [PMID: 33332737]
[40]
Baig AM, Khaleeq A, Ali U, Syeda H. Evidence of the COVID-19 virus targeting the CNS: Tissue distribution, host-virus interaction, and proposed neurotropic mechanisms. ACS Chem Neurosci 2020; 11(7): 995-8.
[http://dx.doi.org/10.1021/acschemneuro.0c00122] [PMID: 32167747]
[41]
Tsai LK, Hsieh ST, Chang YC. Neurological manifestations in severe acute respiratory syndrome. Acta Neurol Taiwan 2005; 14(3): 113-9.
[PMID: 16252612]
[42]
Wu Y, Xu X, Chen Z, et al. Nervous system involvement after infection with COVID-19 and other coronaviruses. Behavior Immunity 2020; 87: 18-22.
[43]
Liu Q, Zhou YH, Yang ZQ. The cytokine storm of severe influenza and development of immunomodulatory therapy. Cell Mol Immunol 2016; 13(1): 3-10.
[http://dx.doi.org/10.1038/cmi.2015.74] [PMID: 26189369]
[44]
Yuee P, Guoping H. Investigation of mental health level and correlative factors of fever patients in period of sars at out-patient department Heilongjiang Nurs J 2005; 20.
[45]
Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun 2020; 89: 531-42.
[http://dx.doi.org/10.1016/j.bbi.2020.05.048] [PMID: 32485289]
[46]
Zhu J, Sun L, Zhang L, et al. Prevalence and influencing factors of anxiety and depression symptoms in the first-line medical staff fighting against COVID-19 in Gansu. Front Psychiatry 2020; 11: 386.
[http://dx.doi.org/10.3389/fpsyt.2020.00386] [PMID: 32411034]
[47]
Machado DB, Alves FJ, Teixeira CS, et al. Effects of COVID-19 on anxiety, depression and other mental health issues: A worldwide scope review. Res Square 2020.
[48]
Wu W, Zhang Y, Wang P, et al. Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. J Med Virol 2020; 92(10): 1962-70.
[http://dx.doi.org/10.1002/jmv.25914] [PMID: 32314806]
[49]
Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry 2020; 7(4): e17-8.
[http://dx.doi.org/10.1016/S2215-0366(20)30077-8] [PMID: 32085841]
[50]
Zhang Y, Wei L, Li H, et al. The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues Ment Health Nurs 2020; 41(6): 525-30.
[http://dx.doi.org/10.1080/01612840.2020.1752865] [PMID: 32497451]
[51]
Greenberg N, Weston D, Hall C, Caulfield T, Williamson V, Fong K. Mental health of staff working in intensive care during COVID-19. Occup Med 2021; 71(2): 62-7.
[http://dx.doi.org/10.1093/occmed/kqaa220] [PMID: 33434920]
[52]
Crowe S, Howard AF, Vanderspank-Wright B, et al. The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: A mixed method study. Intensive Crit Care Nurs 2021; 63: 102999.
[http://dx.doi.org/10.1016/j.iccn.2020.102999] [PMID: 33342649]
[53]
Liu JJ, Bao Y, Huang X, Shi J, Lu L. Mental health considerations for children quarantined because of COVID-19. Lancet Child Adolesc Health 2020; 4(5): 347-9.
[http://dx.doi.org/10.1016/S2352-4642(20)30096-1] [PMID: 32224303]
[54]
Jiao WY, Wang LN, Liu J, et al. Behavioral and emotional disorders in children during the COVID-19 epidemic. J Pediatr 2020; 221: 264-266.e1.
[http://dx.doi.org/10.1016/j.jpeds.2020.03.013] [PMID: 32248989]
[55]
Oh DL, Jerman P, Silvério Marques S, et al. Systematic review of pediatric health outcomes associated with childhood adversity. BMC Pediatr 2018; 18(1): 83.
[http://dx.doi.org/10.1186/s12887-018-1037-7] [PMID: 29475430]
[56]
Mahajan C, Kapoor I, Prabhakar H. Psychological effects of COVID-19 on children of health care workers. Anesth Analg 2020; 131(3): e169-70.
[http://dx.doi.org/10.1213/ANE.0000000000005034] [PMID: 32487892]
[57]
Cagnin A, Di Lorenzo R, Marra C, et al. Behavioral and psychological effects of coronavirus disease-19 quarantine in patients with dementia. Front Psychiatry 2020; 11: 578015.
[http://dx.doi.org/10.3389/fpsyt.2020.578015] [PMID: 33033486]
[58]
Gedde MH, Husebo BS, Vahia IV, et al. Impact of COVID-19 restrictions on behavioural and psychological symptoms in home-dwelling people with dementia: A prospective cohort study (PAN.DEM). BMJ Open 2022; 12(1): e050628.
[PMID: 35074810]
[59]
Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord 2020; 277: 5-13.
[http://dx.doi.org/10.1016/j.jad.2020.07.126] [PMID: 32777604]
[60]
Schwartz DA, Graham AL. Potential maternal and infant outcomes from (Wuhan) coronavirus 2019-nCoV infecting pregnant women: Lessons from SARS, MERS, and other human coronavirus infections. Viruses 2020; 12(2): 194.
[http://dx.doi.org/10.3390/v12020194] [PMID: 32050635]
[61]
Mauvais-Jarvis F, Klein SL, Levin ER. Estradiol, progesterone, immunomodulation, and COVID-19 outcomes. Endocrinology 2020; 161(9): bqaa127.
[62]
Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. Lancet Public Health 2020; 5(5): e256.
[http://dx.doi.org/10.1016/S2468-2667(20)30061-X] [PMID: 32199471]
[63]
De Pue S, Gillebert C, Dierckx E, Vanderhasselt MA, De Raedt R, Van den Bussche E. The impact of the COVID-19 pandemic on wellbeing and cognitive functioning of older adults. Sci Rep 2021; 11(1): 4636.
[http://dx.doi.org/10.1038/s41598-021-84127-7] [PMID: 33633303]
[64]
McKinlay AR, Fancourt D, Burton A. A qualitative study about the mental health and wellbeing of older adults in the UK during the COVID-19 pandemic. BMC Geriatr 2021; 21(1): 439.
[http://dx.doi.org/10.1186/s12877-021-02367-8] [PMID: 34311710]
[65]
Mumtaz A, Manzoor F, Jiang S, Anisur RM. COVID-19 and mental health: A study of stress, resilience, and depression among the older population in Pakistan Healthcare. Multidisciplinary Digital Publishing Institute 2021; p. 424.
[66]
García-Esquinas E, Ortolá R, Gine-Vázquez I, et al. Changes in health behaviors, mental and physical health among older adults under severe lockdown restrictions during the COVID-19 pandemic in Spain. Int J Environ Res Public Health 2021; 18(13): 7067.
[http://dx.doi.org/10.3390/ijerph18137067] [PMID: 34281004]
[67]
Steptoe A, Di Gessa G. Mental health and social interactions of older people with physical disabilities in England during the COVID-19 pandemic: A longitudinal cohort study. Lancet Public Health 2021; 6(6): e365-73.
[http://dx.doi.org/10.1016/S2468-2667(21)00069-4] [PMID: 33894138]
[68]
Håkansson A, Moesch K, Jönsson C, Kenttä G. Potentially prolonged psychological distress from postponed olympic and paralympic games during COVID-19-career uncertainty in elite athletes. Int J Environ Res Public Health 2020; 18(1): 2.
[http://dx.doi.org/10.3390/ijerph18010002] [PMID: 33374935]
[69]
Gualano MR, Lo Moro G, Voglino G, Bert F, Siliquini R. Effects of COVID-19 lockdown on mental health and sleep disturbances in Italy. Int J Environ Res Public Health 2020; 17(13): 4779.
[http://dx.doi.org/10.3390/ijerph17134779] [PMID: 32630821]
[70]
di Fronso S, Costa S, Montesano C, et al. The effects of COVID-19 pandemic on perceived stress and psychobiosocial states in Italian athletes. Int J Sport Exerc Psychol 2020; 20(1): 79-91.
[71]
Hao F, Tan W, Jiang L, et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun 2020; 87: 100-6.
[http://dx.doi.org/10.1016/j.bbi.2020.04.069] [PMID: 32353518]
[72]
Parm Ü, Aluoja A, Tomingas T, Tamm AL. Impact of the COVID-19 pandemic on Estonian elite athletes: Survey on mental health characteristics, training conditions, competition possibilities, and perception of supportiveness. Int J Environ Res Public Health 2021; 18(8): 4317.
[http://dx.doi.org/10.3390/ijerph18084317] [PMID: 33921723]
[73]
Souter G, Tonge A, Culvin A. The impact of COVID-19 on the mental health of professional footballers. Manag Sport Leis 2021; 27(1-2): 168-71.
[74]
Şenışık S, Denerel N, Köyağasıoğlu O, Tunç S. The effect of isolation on athletes’ mental health during the COVID-19 pandemic. Phys Sportsmed 2021; 49(2): 187-93.
[http://dx.doi.org/10.1080/00913847.2020.1807297] [PMID: 32762510]
[75]
Fiorilli G, Grazioli E, Buonsenso A, et al. A national COVID-19 quarantine survey and its impact on the Italian sports community: Implications and recommendations. PLoS One 2021; 16(3): e0248345.
[http://dx.doi.org/10.1371/journal.pone.0248345] [PMID: 33720968]
[76]
Lima Y, Denerel N, Öz ND, Senisik S. S. The psychological impact of COVID-19 infection on athletes: Example of professional male football players. Science and Medicine in Football 2021; 5(sup1): 53-61.
[http://dx.doi.org/10.1080/24733938.2021.1933156] [PMID: 35077314]
[77]
Furtado M, Katzman MA. Examining the role of neuroinflammation in major depression. Psychiatry Res 2015; 229(1-2): 27-36.
[http://dx.doi.org/10.1016/j.psychres.2015.06.009] [PMID: 26187338]
[78]
Rhie SJ, Jung EY, Shim I. The role of neuroinflammation on pathogenesis of affective disorders. J Exerc Rehabil 2020; 16(1): 2-9.
[http://dx.doi.org/10.12965/jer.2040016.008] [PMID: 32161729]
[79]
Rossi S, Studer V, Motta C, et al. Neuroinflammation drives anxiety and depression in relapsing-remitting multiple sclerosis. Neurology 2017; 89(13): 1338-47.
[http://dx.doi.org/10.1212/WNL.0000000000004411] [PMID: 28842450]
[80]
Patki G, Solanki N, Atrooz F, Allam F, Salim S. Depression, anxiety-like behavior and memory impairment are associated with increased oxidative stress and inflammation in a rat model of social stress. Brain Res 2013; 1539: 73-86.
[http://dx.doi.org/10.1016/j.brainres.2013.09.033] [PMID: 24096214]
[81]
Lee JY, Li S, Shin NE, et al. Melatonin for prevention of placental malperfusion and fetal compromise associated with intrauterine inflammation-induced oxidative stress in a mouse model. J Pineal Res 2019; 67(3): e12591.
[http://dx.doi.org/10.1111/jpi.12591] [PMID: 31231832]
[82]
Qi C, Wang X, Han F, et al. Dietary arginine alleviates the oxidative stress, inflammation and immunosuppression of juvenile Chinese mitten crab Eriocheir sinensis under high pH stress. Aquacult Rep 2021; 19: 100619.
[http://dx.doi.org/10.1016/j.aqrep.2021.100619]
[83]
Seiler A, Fagundes CP, Christian LM. The impact of everyday stressors on the immune system and healthStress Challenges and Immunity in Space. Springer 2020; pp. 71-92.
[http://dx.doi.org/10.1007/978-3-030-16996-1_6]
[84]
Silverman MN, Pearce BD, Biron CA, Miller AH. Immune modulation of the Hypothalamic-Pituitary-Adrenal (HPA) axis during viral infection. Viral Immunol 2005; 18(1): 41-78.
[http://dx.doi.org/10.1089/vim.2005.18.41] [PMID: 15802953]
[85]
Ramezani M, Simani L, Karimialavijeh E, Rezaei O, Hajiesmaeili M, Pakdaman H. The role of anxiety and cortisol in outcomes of patients with COVID-19. Basic Clin Neurosci 2020; 11(2): 179-84.
[http://dx.doi.org/10.32598/bcn.11.covid19.1168.2] [PMID: 32855777]
[86]
Ahmed S, Khaium MO, Tazmeem F. COVID-19 lockdown in India triggers a rapid rise in suicides due to the alcohol withdrawal symptoms: Evidence from media reports. Int J Soc Psychiatry 2020; 66(8): 827-9.
[http://dx.doi.org/10.1177/0020764020938809] [PMID: 32586209]
[87]
Karimi M, Yazdani Noori A. Serotonin and mood state changes in response to a period of yoga training in well-trained wrestlers. Int J Wrestl Sci 2015; 5: 89-92.
[http://dx.doi.org/10.1080/21615667.2015.1116647]
[88]
Yim J. Therapeutic benefits of laughter in mental health: A theoretical review. Tohoku J Exp Med 2016; 239(3): 243-9.
[http://dx.doi.org/10.1620/tjem.239.243] [PMID: 27439375]
[89]
Akhtar A, Pilkhwal Sah S. Advances in the pharmacotherapeutic management of post-traumatic stress disorder. Expert Opin Pharmacother 2021; 22(14): 1919-30.
[http://dx.doi.org/10.1080/14656566.2021.1935871] [PMID: 34124975]
[90]
Markowitz JC, Petkova E, Neria Y, et al. Is exposure necessary? A randomized clinical trial of interpersonal psychotherapy for PTSD. Am J Psychiatry 2015; 172(5): 430-40.
[http://dx.doi.org/10.1176/appi.ajp.2014.14070908] [PMID: 25677355]
[91]
Berger BG. Psychological benefits of an active lifestyle: What we know and what we need to know. Quest 1996; 48: 330-53.
[http://dx.doi.org/10.1080/00336297.1996.10484201]
[92]
Forsyth AK, Deane FP, Williams PG. Physical activity and fitness outcomes of a lifestyle intervention for primary care patients with depression and anxiety: A randomised controlled Trial. Int J Ment Health Addict 2017; 15: 545-54.
[http://dx.doi.org/10.1007/s11469-016-9695-x]
[93]
Bhusal S, Niroula A, Kafle R. Quarantine: A period of self-discovery and motivation as medical student. JNMA J Nepal Med Assoc 2020; 58(227): 536-9.
[http://dx.doi.org/10.31729/jnma.5005] [PMID: 32827022]
[94]
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020; 395(10227): 912-20.
[http://dx.doi.org/10.1016/S0140-6736(20)30460-8] [PMID: 32112714]
[95]
Romero-Blanco C, Rodríguez-Almagro J, Onieva-Zafra MD, Parra-Fernández ML, Prado-Laguna MDC, Hernández-Martínez A. Physical activity and sedentary lifestyle in university students: Changes during confinement due to the COVID-19 pandemic. Int J Environ Res Public Health 2020; 17(18): 6567.
[http://dx.doi.org/10.3390/ijerph17186567] [PMID: 32916972]
[96]
Bikson M, Hanlon CA, Woods AJ, et al. Guidelines for TMS/tES clinical services and research through the COVID-19 pandemic. Brain Stimul 2020; 13(4): 1124-49.
[http://dx.doi.org/10.1016/j.brs.2020.05.010] [PMID: 32413554]

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