Abstract
Objective: As there is a dearth of researches targeting the Indian population on this issue, we decided to conduct a survey to assess the psychological impact of COVID-19 on mental health and quality of life of Indians.
 Methods: In this Cross-Sectional study, a total of 2245 participants above 16 y of age were included. Mental health variables were assessed via depression, anxiety and stress subscale (DASS-21), Insomnia Severity Index (ISI-7), Patient health questionnaire (PHQ-15), Quality of life (QoL-5) and social media exposure.
 Results: The multivariate logistic regression demonstrated female (OR-1.17, 95% CI: 0.99 to 1.38) had significantly higher depression scores whereas, housewife had higher depression (OR-1.68, 95% CI: 1.33 to 2.13), anxiety (OR-1.64, 95% CI: 1.15 to 2.35), insomnia (OR-1.32, 95% CI: 1.14 to 1.53), somatic symptoms (OR-1.76, 95% CI: 1.21 to 2.57). Front line workers had a higher psychological impact with increased scores of anxieties (OR-1.23, 95% CI: 0.79 to 1.53), stress (OR-1.82, 95% CI: 0.76 to 2.55), insomnia (OR-1.65, 95% CI: 1.31 to 2.09). Lower education level had significantly higher score in depression (OR-1.14, 95% CI: 0.73 to 1.32), insomnia (OR-2.42, 95% CI: 2.07 to 2.84), somatic symptoms (OR-2.59, 95% CI: 1.80 to 3.37). Poor physical health, social media exposure was significantly associated with heightened anxiety score.
 Conclusion: There is a need for psychological intervention as the dynamics and severity of COVID-19 is rapidly changing. These findings could guide the public health authorities to target and implement health measures to combat the pandemic.
Highlights
For the first time after post-war history disease pandemic is re-writing history
Impacting six continents with more than 14 million positive cases and>600,000 mortalities the novel coronavirus has seized our daily lives with psychological rest and mental distress [1, 2]
COVID-19 first originated from Wuhan (Province of Hubei), the mainland of China at the end of 2019, in the swipe of two months this virus has become an integral and alarming part of daily conversations, debates and social media updates
Summary
Impacting six continents with more than 14 million positive cases and>600,000 mortalities the novel coronavirus has seized our daily lives with psychological rest and mental distress [1, 2]. COVID-19 first originated from Wuhan (Province of Hubei), the mainland of China at the end of 2019, in the swipe of two months this virus has become an integral and alarming part of daily conversations, debates and social media updates. The clinical presentation, transmissibility and the epidemiological pattern has led a call for public health emergency of international concern [3,4,5]. Even after stringent public health measures, the COVID19 contagion has resulted to cause psychosomatic fear, anxiety, stigma, prejudice, and marginalization towards the disease with long term worldwide challenge and detrimental effect on the well-being [6, 7]
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