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Abstract Background This analysis posits that COVID-19-related worker mental distress may be different for those continuously employed and for those who faced temporary job loss. Methods Mental distress during COVID-19 is characterized using two nationally representative surveys, the American Trend Panel (ATP) and the Household Pulse Survey (HPS). Using a probit model, we examine workplace perceptions for the mentally distressed in the ATP sample. We use graphical analysis to identify barriers to seeking mental healthcare using the 2021–22 HPS sample. Results In October 2020, the probability of mental distress increased between 7.1 and 9.1 percentage points in response to worsening work–life balance, lowered job security, lowered work productivity and lowered work satisfaction. Workers’ perception of advancement denial and poor connectivity with coworkers increased the probability of mental distress by 3.0–5.8 percentage points. In October 2021, over 40% of workers who had experienced job loss reported mental distress as compared to 20% of those with jobs. Only 25% of those with mental distress sought counseling. These high levels of mental distress continued into October 2022. Conclusions Mitigation strategies for worker mental health should include prosocial nudges, attention to employment history, managerial sensitivity and worker resilience training.
Sundaram-Stukel et al. (Thu,) studied this question.