Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.
Psychiatry Res. 2020 Nov;293:113382. doi: 10.1016/j.psychres.2020.113382. Epub 2020 Aug 11.
This review was done to synthesize the existing evidence on the prevalence of various psychological morbidities among general public, healthcare workers and COVID-19 patients amidst this pandemic situation. Systematic searches were conducted in various databases and search engines such as Medline, Chinese national knowledge infrastructure, Cochrane library, ScienceDirect, and Google Scholar from inception until 22 April 2020. Newcastle Ottawa scale was used to assess the quality of included studies. We carried out a meta-analysis with random-effects model and reported pooled prevalence with 95% confidence intervals (CIs).A total of 50 studies were included in the review. Only seven studies (14%) had low risk of bias. Pooled prevalence rate of psychological morbidities includes poor sleep quality (40%), stress (34%), psychological distress (34%), insomnia (30%), post-traumatic stress symptoms (27%), anxiety (26%), depression (26%). Pooled prevalence rate of psychological morbidities with respect to impact of event due to COVID-19 pandemic was 44% (95%CI-42% to 47%). The burden of these psychological morbidities was highest among the COVID-19 patients followed by healthcare workers and general population.
本综述旨在综合现有证据,探讨在当前大流行情况下,普通人群、医护人员和 COVID-19 患者中各种心理障碍的患病率。系统检索了 Medline、中国国家知识基础设施、Cochrane 图书馆、ScienceDirect 和 Google Scholar 等多个数据库和搜索引擎,检索时间从建库至 2020 年 4 月 22 日。使用纽卡斯尔-渥太华量表评估纳入研究的质量。我们采用随机效应模型进行荟萃分析,并报告了合并的患病率及其 95%置信区间(CIs)。本综述共纳入 50 项研究,仅有 7 项(14%)研究的偏倚风险较低。心理障碍的合并患病率包括睡眠质量差(40%)、压力(34%)、心理困扰(34%)、失眠(30%)、创伤后应激症状(27%)、焦虑(26%)、抑郁(26%)。与 COVID-19 大流行相关事件的心理障碍合并患病率为 44%(95%CI-42%至 47%)。这些心理障碍的负担在 COVID-19 患者中最高,其次是医护人员和普通人群。