The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China; Guangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, Guangzhou, China.
The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China; Guangdong Engineering Technology Research Center for Translational Medicine of Mental Disorders, Guangzhou, China.
Asian J Psychiatr. 2021 Feb;56:102547. doi: 10.1016/j.ajp.2021.102547. Epub 2021 Jan 7.
We aim to evaluate the prevalence of depression and anxiety among general public and healthcare workers during COVID-19 in China and the changes of prevalence before and after the peak of the epidemic occurred.
Studies were searched from following database: PubMed, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), WANGFANG DATA, from inception to 1 st May 2020. Random-effects model was applied to pool the prevalence. Comparative analysis was also applied to evaluate the changes of prevalence before and after the peak of the epidemic occurred.
34 articles were finally included. Prevalence of depression and anxiety was higher among healthcare worker than general public. Among general public, 26 % (95 %CI: 17 %-36 %) were suffering from depression and 22 % (95 %CI: 15 %-30 %) were having anxiety during COVID-19, while the prevalence of depression and anxiety among healthcare workers was 31 % (95 %CI: 25 %-37 %) and 40 % (95 %CI: 33 %-46 %) respectively. Comparative analysis showed healthcare workers (depression: 40 %, anxiety: 38 %) had higher percentage of having depression and anxiety than the general public (depression: 33 %, anxiety: 24 %) before the peak. Then a descended prevalence among healthcare workers (depression: 22 %, anxiety: 22 %) was detected compared with that before, while the prevalence among the general public raised (depression: 62 %, anxiety: 44 %) after the peak occurred.
The COVID-19 epidemic had a potential psychiatric impact on general public and healthcare workers in China, which is more severer among healthcare workers. However, the psychiatric status of the general public trend to deteriorated, while healthcare workers trend to improve after the peak of epidemic.
评估 COVID-19 期间中国普通公众和医护人员的抑郁和焦虑患病率，以及疫情高峰前后患病率的变化。
从以下数据库中检索研究：PubMed、Web of Science、Cochrane 图书馆、中国知网（CNKI）、万方数据，从建库到 2020 年 5 月 1 日。应用随机效应模型汇总患病率。也应用对比分析来评估疫情高峰前后患病率的变化。
最终纳入 34 篇文章。医护人员的抑郁和焦虑患病率均高于普通公众。在普通公众中，26%（95%CI：17%-36%）在 COVID-19 期间患有抑郁，22%（95%CI：15%-30%）患有焦虑，而医护人员的抑郁和焦虑患病率分别为 31%（95%CI：25%-37%）和 40%（95%CI：33%-46%）。对比分析显示，疫情高峰前医护人员（抑郁：40%，焦虑：38%）的抑郁和焦虑患病率高于普通公众（抑郁：33%，焦虑：24%），而疫情高峰后医护人员的患病率（抑郁：22%，焦虑：22%）下降，普通公众的患病率（抑郁：62%，焦虑：44%）上升。
COVID-19 疫情对中国普通公众和医护人员产生了潜在的精神卫生影响，医护人员的情况更为严重。然而，公众的精神卫生状况趋于恶化，而医护人员的状况在疫情高峰后趋于改善。
