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Sadness

Psychiatry and Psychology · NLM MeSH · updated 2026-11-04 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

Feeling or showing sorrow; the sense of being unhappy.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (902 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Feeling or showing sorrow; the sense of being unhappy. It is related to depression but is not synonymous.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Unhappiness.

Where it fits in the MeSH classification

Broader topics
Emotions

Related concepts

  • Depression

Research landscape

PubMed indexes 489 records tagged with the MeSH heading “Sadness” (counts retrieved 2026-10-31). 363 of them (74.2%) were published from 2020 onward, and the busiest period so far is 2020 onward with 363 records.

Reviews account for 14 records (2.9%) and meta-analyses for 4. Randomized controlled trials number 20 (4.1%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 0 records; 2010-2019: 144 records; 2020 onward: 363 records0through 199902000-20091442010-20193632020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-20090
2010-2019144
2020 onward363
Share of records by publication typeReviews: 2.9 percent; Meta-analyses: 0.8 percent; Randomized controlled trials: 4.1 percentReviews2.9% (14)Meta-analyses0.8% (4)Randomized controlled trials4.1% (20)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 489 PubMed records
TypeRecordsShare
Reviews142.9%
Meta-analyses40.8%
Randomized controlled trials204.1%

Method: PubMed query "Sadness"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in psychiatry and psychology

Research on mental health and behaviour relies on questionnaires, interviews and rating scales rather than physical measurements, so how a condition was defined and measured shapes every result. Many studies are observational or small, placebo responses can be large, and findings in one group or culture may not carry over to another. Nothing on this page is advice about diagnosis or treatment; anyone worried about their mental health should talk to a qualified clinician. Check how outcomes were measured, who took part and how long they were followed.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Time and Covid-19 stress in the lockdown situation: Time free, «Dying» of boredom and sadness
Droit-Volet S, Gil S, Martinelli N, Andant N, Clinchamps M, Parreira L, et al.
2020Research article
Design not recorded in structured metadata
116cc by
PMID 32776990 · DOI · PMC7416923
Effects of Sad and Happy Music on Mind-Wandering and the Default Mode Network
Taruffi L, Pehrs C, Skouras S, Koelsch S
2017Research article
Design not recorded in structured metadata
91cc by
PMID 29089542 · DOI · PMC5663956
Comparison of Stress and Suicide-Related Behaviors Among Korean Youths Before and During the COVID-19 Pandemic
Kim SY, Kim HR, Park B, Choi HG
2021Research article
Design not recorded in structured metadata
35cc by
PMID 34902040 · DOI · PMC8669543
Facial emotion recognition of sadness relates to superior parietal gray matter volume in mild cognitive impairment
Mahadevan R, Giesers NK, Liman T, Witt K, Hildebrandt A, Roheger M, et al.
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42891713 · DOI · PMC13676527

Time and Covid-19 stress in the lockdown situation: Time free, «Dying» of boredom and sadness [1]

Research article Droit-Volet S, Gil S, Martinelli N, Andant N, Clinchamps M, Parreira L, et al. · · 2020 · cited 116 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
A lockdown of people has been used as an efficient public health measure to fight against the exponential spread of the coronavirus disease (Covid-19) and allows the health system to manage the number of patients.
Closing excerpt
The conscious experience of time therefore reflected the psychological difficulties experienced during lockdown and was not related to their perceived level of stress or anxiety.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (205 words)

A lockdown of people has been used as an efficient public health measure to fight against the exponential spread of the coronavirus disease (Covid-19) and allows the health system to manage the number of patients. The aim of this study (clinicaltrials.gov NCT00430818) was to evaluate the impact of both perceived stress aroused by Covid-19 and of emotions triggered by the lockdown situation on the individual experience of time. A large sample of the French population responded to a survey on their experience of the passage of time during the lockdown compared to before the lockdown. The perceived stress resulting from Covid-19 and stress at work and home were also assessed, as were the emotions felt. The results showed that people have experienced a slowing down of time during the lockdown. This time experience was not explained by the levels of perceived stress or anxiety, although these were considerable, but rather by the increase in boredom and sadness felt in the lockdown situation. The increased anger and fear of death only explained a small part of variance in the time judgment. The conscious experience of time therefore reflected the psychological difficulties experienced during lockdown and was not related to their perceived level of stress or anxiety.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32776990 · DOI · PMC7416923

Effects of Sad and Happy Music on Mind-Wandering and the Default Mode Network [2]

Research article Taruffi L, Pehrs C, Skouras S, Koelsch S · · 2017 · cited 91 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Music is a ubiquitous phenomenon in human cultures, mostly due to its power to evoke and regulate emotions.
Closing excerpt
These findings call for a systematic investigation of the relation between music and thought, having broad implications for the use of music in education and clinical settings.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (174 words)

Music is a ubiquitous phenomenon in human cultures, mostly due to its power to evoke and regulate emotions. However, effects of music evoking different emotional experiences such as sadness and happiness on cognition, and in particular on self-generated thought, are unknown. Here we use probe-caught thought sampling and functional magnetic resonance imaging (fMRI) to investigate the influence of sad and happy music on mind-wandering and its underlying neuronal mechanisms. In three experiments we found that sad music, compared with happy music, is associated with stronger mind-wandering (Experiments 1A and 1B) and greater centrality of the nodes of the Default Mode Network (DMN) (Experiment 2). Thus, our results demonstrate that, when listening to sad vs. happy music, people withdraw their attention inwards and engage in spontaneous, self-referential cognitive processes. Importantly, our results also underscore that DMN activity can be modulated as a function of sad and happy music. These findings call for a systematic investigation of the relation between music and thought, having broad implications for the use of music in education and clinical settings.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 29089542 · DOI · PMC5663956

Comparison of Stress and Suicide-Related Behaviors Among Korean Youths Before and During the COVID-19 Pandemic [3]

Research article Kim SY, Kim HR, Park B, Choi HG · · 2021 · cited 35 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
ImportanceThe COVID-19 pandemic has had a substantial psychological effect on young people.
Closing excerpt
These findings suggest that levels of high stress decreased among Korean youths in the early period of the pandemic compared with prepandemic levels.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (312 words)

ImportanceThe COVID-19 pandemic has had a substantial psychological effect on young people. A quantitative assessment of the association between the pandemic and stress and suicidality in youths is needed.ObjectiveTo investigate the association of the COVID-19 pandemic with self-reported stress and suicide-related behaviors in youths.Design, setting, and participantsThis cross-sectional study used data from the the Korea Youth Risk Behavior Web-based Survey (KYRBWS) conducted in 2019 and 2020 with youths aged 12 to 18 years. Statistical analysis was performed from January to February 2021.Main outcomes and measuresThe odds ratios (ORs) with 95% CIs for subjective stress level, sadness or despair, suicidal thoughts, suicide planning, and suicide attempts among 2020 participants were compared with those of the 2019 participants using multiple logistic regression analysis with complex sampling using weighted values.ResultsThe 48 443 youths in the 2019 KYRBWS (24 917 male youths [51.3%]; mean [SD] age, 15.0 [1.7] years) and the 44 216 youths in the 2020 KYRBWS (23 103 male youths [52.5%]; mean [SD] age, 15.1 [1.7] years) were compared. The degree of subjective stress was lower in the 2020 participants than in the 2019 participants (severe stress: adjusted OR [aOR], 0.90 [95% CI, 0.83-0.97]; very severe stress: aOR, 0.65 [95% CI, 0.60-0.72]). Sadness or despair was also lower in the 2020 participants than in the 2019 participants (aOR, 0.81 [95% CI, 0.78-0.84]). There were fewer suicide-related behaviors, including suicidal thoughts, suicide planning, and suicide attempts, among the 2020 participants than among the 2019 participants (suicidal thoughts: aOR, 0.77 [95% CI, 0.73-0.80]; suicide planning: aOR = 0.88 [95% CI, 0.81-0.96]; suicide attempts: aOR, 0.64 [95% CI, 0.58-0.70]).Conclusions and relevanceThis cross-sectional study found that severe stress, sadness or despair and suicide-related behaviors had inverse associations with the early COVID-19 pandemic in Korean youths. These findings suggest that levels of high stress decreased among Korean youths in the early period of the pandemic compared with prepandemic levels.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34902040 · DOI · PMC8669543

Facial emotion recognition of sadness relates to superior parietal gray matter volume in mild cognitive impairment [4]

Research article Mahadevan R, Giesers NK, Liman T, Witt K, Hildebrandt A, Roheger M, et al. · · 2026

Abstract reading summary — source excerpts
Opening excerpt
Mild cognitive impairment (MCI) is associated with early, regionally selective neurodegenerative changes that may affect socioemotional functioning before atrophy becomes widespread.
Closing excerpt
The sadness-specific interaction indicates that patients with MCI may rely on preserved superior parietal structure during sadness recognition, a pattern that is consistent with structural reserve accounts, although this interpretation remains speculative given the cross-sectional design.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (211 words)

Mild cognitive impairment (MCI) is associated with early, regionally selective neurodegenerative changes that may affect socioemotional functioning before atrophy becomes widespread. This study examined whether structural brain alterations in MCI relate to facial emotion recognition performance. Sixty adults (30 MCI, 30 healthy controls), aged 50-86 years, completed neuropsychological testing, the Facial emotion composite Task, and structural MRI. Whole-brain voxel-based morphometry revealed no significant gray matter volume differences between groups. However, targeted region-of-interest ROI analyses demonstrated lower right amygdala and bilateral hippocampal volumes in patients with MCI. Cortical thickness analyses identified two regions with lower thickness in MCI: the right superior parietal lobule and the left posterior insula. A significant Group × Sadness interaction indicated that the association between left superior parietal gray matter volume and sadness recognition differed between groups. Follow-up analyses of the extracted values showed a positive association in MCI, although this within-group association did not reach statistical significance, and a significant inverse association in HCs. These findings suggest that early MCI involves selective thinning in association cortices supporting attention and salience processing. The sadness-specific interaction indicates that patients with MCI may rely on preserved superior parietal structure during sadness recognition, a pattern that is consistent with structural reserve accounts, although this interpretation remains speculative given the cross-sectional design.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42891713 · DOI · PMC13676527

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Symptoms in Children Receiving Treatment for Cancer-Part II: Pain, Sadness, and Symptom Clusters [5]
    Linder LA, Hooke MC · J Pediatr Oncol Nurs · 2019 · cited 92 times (Europe PMC)
  • Research article The neuroscience of sadness: A multidisciplinary synthesis and collaborative review [6]
    Arias JA, Williams C, Raghvani R, Aghajani M, Baez S, Belzung C, et al. · Neurosci Biobehav Rev · 2020 · cited 66 times (Europe PMC)
  • Research article Sadness and Worry in Older Adults: Differentiating Psychiatric Illness from Normative Distress [7]
    Lutz J, Van Orden KA · Med Clin North Am · 2020 · cited 20 times (Europe PMC)
  • Research article Sadness regulation strategies and measurement: A scoping review [8]
    Zaid SM, Hutagalung FD, Bin Abd Hamid HS, Taresh SM · PLoS One · 2021 · cited 19 times (Europe PMC)
  • Research article Anger, Fear, and Sadness: Relations to Socioeconomic Status and the Amygdala [9]
    Hao Y, Bertolero M, Farah MJ · J Cogn Neurosci · 2022 · cited 7 times (Europe PMC)
  • Research article Not all negative emotions are equal - Sadness and anger develop differently and their adaptivity is age-graded [10]
    Kunzmann U, Wrosch C · Curr Opin Psychol · 2024 · cited 3 times (Europe PMC)

References

  1. Droit-Volet S, Gil S, Martinelli N, Andant N, Clinchamps M, Parreira L, et al.. Time and Covid-19 stress in the lockdown situation: Time free, «Dying» of boredom and sadness. . 2020. PMID 32776990 · DOI · PMC7416923
  2. Taruffi L, Pehrs C, Skouras S, Koelsch S. Effects of Sad and Happy Music on Mind-Wandering and the Default Mode Network. . 2017. PMID 29089542 · DOI · PMC5663956
  3. Kim SY, Kim HR, Park B, Choi HG. Comparison of Stress and Suicide-Related Behaviors Among Korean Youths Before and During the COVID-19 Pandemic. . 2021. PMID 34902040 · DOI · PMC8669543
  4. Mahadevan R, Giesers NK, Liman T, Witt K, Hildebrandt A, Roheger M, et al.. Facial emotion recognition of sadness relates to superior parietal gray matter volume in mild cognitive impairment. . 2026. PMID 42891713 · DOI · PMC13676527
  5. Linder LA, Hooke MC. Symptoms in Children Receiving Treatment for Cancer-Part II: Pain, Sadness, and Symptom Clusters. J Pediatr Oncol Nurs. 2019. PMID 31307323 · DOI · PMC7197222
  6. Arias JA, Williams C, Raghvani R, Aghajani M, Baez S, Belzung C, et al.. The neuroscience of sadness: A multidisciplinary synthesis and collaborative review. Neurosci Biobehav Rev. 2020. PMID 32001274 · DOI
  7. Lutz J, Van Orden KA. Sadness and Worry in Older Adults: Differentiating Psychiatric Illness from Normative Distress. Med Clin North Am. 2020. PMID 32773049 · DOI · PMC7417641
  8. Zaid SM, Hutagalung FD, Bin Abd Hamid HS, Taresh SM. Sadness regulation strategies and measurement: A scoping review. PLoS One. 2021. PMID 34388181 · DOI · PMC8362967
  9. Hao Y, Bertolero M, Farah MJ. Anger, Fear, and Sadness: Relations to Socioeconomic Status and the Amygdala. J Cogn Neurosci. 2022. PMID 35900864 · DOI
  10. Kunzmann U, Wrosch C. Not all negative emotions are equal - Sadness and anger develop differently and their adaptivity is age-graded. Curr Opin Psychol. 2024. PMID 38086196 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-11-04; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-11-04.

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At a glance

489
PubMed records on this heading
74%
published since 2020
14
review articles
20
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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