Meta-Analysis of the Effect of Policy Lockdown on Anxiety in Adults


  • Isna Nur Rohmah Health Polytechnic, Ministry of Health, Semarang, Central Java
  • Fauzia Ichlasul Sekar Health Polytechnic, Ministry of Health, Surakarta, Central Java
  • Galang Aji Samudera Health Polytechnic, Ministry of Health, Surakarta, Central Java
  • Hakim Anasulfalah Jember Health Polytechnic, East Java
  • Hepti Widia Ningsih Aisyiyah’ Yogyakarta University, Yogyakarta, Indonesia
  • Izdihar Azzah Paramastri Muhammadiyah Surakarta University, Central Java
  • Masromi Hendria Wijayanto Jenderal Soedirman University, Banyumas, Central Java
  • Meike Arianty Academy of Midwifery Anugerah Bintan Tanjungpinang, Kepulauan Riau, Indonesia
  • Muhammad Dudayev Caesar Putra Jember Health Polytechnic, East Java
  • Muhammad Fajar Husein Muhammadiyah Surakarta University, Central Java


Background: On March 11, 2020, the World Health Organization (WHO) has declared an outbreak of a new coronavirus (COVID-19) as a global pandemic. In responding to the threat of the COVID-19 virus pandemic, policymakers have implemented a policy lockdown that can cause psychological distress, one of which is anxiety. This study aims to examine the effect of the policy lockdown on anxiety in adults using a meta-analysis.

Subjects and Method: Meta-analysis was performed by searching for articles from the database, namely PubMed, Google Scholar, Sci­ence Direct, Scopus, and Crossref. The key­words used are "Anxiety" AND "Adult" AND "COVID-19" OR "SARS-CoV-2" AND "Lock­down" OR "Movement Restriction" OR "qua­ran­tine" OR "shutdown". The inclusion criteria in this study were full-text articles with a cross-sectional design, in English, published in the period 2019-2021. Analysis of the article using RevMan 5.3.

Results: Four articles were analyzed. The results of the meta-analysis showed that anxiety in adults with the implementation of the policy lockdown was 1.94 times more at risk than those who did not implement the policy lockdown, but it was not significant in incre­asing anxiety in adults (aOR= 1.94; 95% CI= 0.79 to 4.74; p= 0.150).

Conclusion: Anxiety in adults with the imple­mentation of the policy is lockdown more at risk than those who have not implemented the policy lockdown, but it is not significant in increasing anxiety in adults. 

Keywords: Anxiety, lockdown, covid-19 

Correspondence: Isna Nur Rohmah. Health Polytechnic, Minis­try of Health, Semarang. Jl. Tirto Agung, Peda­langan, Banyumanik, Semarang City, Central Java 50268. Email: Mobile: +6281327215685

Journal of Health Policy and Management (2021), 06(02): 139-147



Alim SA, Kibria SM, Islam MJ, Uddin MZ, Nessa M, Wahab MA, Islam MM (2017). Translation of DASS 21 into Bangla and validation among medical students. Bang J Psychiatry. 28: 67–70. doi: 10.3329/bjpsy.v28i2.32740.

Anjum A, Hossain S, Sikder T, Uddin ME, Rahim, DA (2019). Investigating the prevalence of and factors associated with depressive symptoms among urban and semi-urban school adoles-cents in Bangladesh: a pilot study. Int. Health. 00: 1-9. doi: 10.1093/intheal-th/ihz092.

Field T, Mines S, Poling S, Diego M (2020). Anxiety, Depression, and Stresors Related to a COVID-19 Lockdown. Int J Depress Anxiety. 3: 1–13. doi: 10.46-527/2582-3264.124.

Fitria L, Ifdil I (2020). Kecemasan remaja pada masa pandemi covid-19. Jurnal Educatio. 6(1): 1-4. doi: 10.29210/12-0202592.

Handayani RT, Suminanto S, Darmayanti AT, Widiyanto A, Atmojo JT (2020). Conditions and Strategy for Anxiety in Health Workers at Pandemic Covid-19. JIKJ. 3(3): 365-374. doi: 10.3258-4/jikj.v3i3,643.

Lovibond SH, Lovibond PF (1995). Manual for the Depression Anxiety & Stress Scales, 2nd Ed. Psychology Founda-tion. Sydney.

Loyola WS, Sanchez IR, Rodriguez PP, Ganz F, Torralba R, Oliveira DV, Manas LR (2020). Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations. J Nutr Health Aging. 24(9): 938-947. doi:


Murti B (2018). Epidemiological Research Principles and Methods. 5th Edition (Principles and Methods of Epidemio-logical Research. 5th Edition). Sura-karta: Public Health Studies Program.

Perhimpunan Dokter Spesialis Kedokteran Jiwa Indonesia (PDSKJI) (2020). Infografik swaperiksa cemas depresi PDSKJI. Viewed 26 Mei 2021.

Prati G (2020). Mental health and its psy-chosocial predictors during national quarantine in Italy against the coro-navirus disease 2019 (COVID-19). Anxiety Stress Coping. 34: 145-156. doi: 10.1080/10615806.2020.1861253.

Purwanto A, Pramono R, Asbari M, Santoso PB, Wijayanti LM, Hyun CC, Putri RS (2020). Studi eksploratif dampak pandemi COVID-19 terhadap proses pembelajaran online di sekolah dasar. Edu Psy Couns J. 2(1): 1-12.

Rehman U, Shahnawaz MG, Khan NH, Kharsiing KD, Khursheed M, Gupta K, Kashyap D, et al. (2020). Depression, anxiety and stress among Indians in times of Covid-19 lockdown. Commu-nity Mental Health J. 57: 42-48. doi: 10.1007/s10597-020-00664-x.

Roy D, Tripathy S (2020). Study of know-ledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pande-mic. Asian J Psychiatr. 51: 102083.

Sigdel A, Bista A, Bhattarai N, Pun BC, Giri G, Marqusee H, Thapa S (2020). Depression, anxiety and depression-anxiety comorbidity amid COVID-19 pandemic: An online survey conduc-ted during lockdown in Nepal. Med-Rxiv. doi: 10.1101/2020.04.30.2008-6926.

Sutejo (2018). Mental Nursing, Concepts and Practices of Mental Health Nurs-ing: Mental and Psychosocial Disor-ders. Yogyakarta: New Library Press.

Thakur V, Jain A (2020). COVID 2019-sui-cides: A global psychological pande-mic. Brain, Behavior, and Immunity. Brain Behav Immun. 88: 952-953. doi: 10.1016/j.bbi.2020.04.062.

Wang C, Pan R, Wan X (2020). Immediate psychological responses and associa-ted factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 17(5): 1729.

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC (2020). Immediate psy-chological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general popula-tion in China. Int J Environ Res

Public Health. 17: 1-25. doi: 10.3390/ij-erph17051729.

Yunus NR, Rezki A (2020). Lockdown enforcement policy in anticipation of the spread of the corona virus COVID-19. Syar'i Social and Cultural Journal. 7: 227-238.




How to Cite

Rohmah, I. N., Sekar, F. I., Samudera, G. A., Anasulfalah, H., Ningsih, H. W., Paramastri, I. A., Wijayanto, M. H., Arianty, M., Putra, M. D. C., & Husein, M. F. (2021). Meta-Analysis of the Effect of Policy Lockdown on Anxiety in Adults. Journal of Health Policy and Management, 6(2), 139–147. Retrieved from