Institute for Population Health, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, P.O. Box 24144, Doha, Qatar.
Office of the Dean, Weill Cornell Medicine-Qatar, Doha, Qatar.
Hum Resour Health. 2021 Jul 10;19(1):81. doi: 10.1186/s12960-021-00628-6.
Depression is a major population health challenge globally. This systematic review and meta-analysis aims to (i) determine depression prevalence and (ii) identify the risk and protective factors of depression among healthcare workers (HCWs) in the Eastern Mediterranean Region (EMR).
The protocol was registered on Open Science Framework (registration ID: https://osf.io/rdv27 ). We searched five databases (PubMed, Embase, PsycINFO, Al Manhal, Google Scholar) till July 22, 2020 without language restrictions. We included studies from the EMR using a depression screening or diagnostic instrument to measure the depression prevalence among HCWs. Studies were assessed and data were pooled using random-effects meta-analysis based on the Cochrane handbook.
The systematic review identified 108 studies from 12 EMR countries with varying quality. Working long hours, poor sleep quality and being female were risk factors for depression in EMR HCWs. The meta-analysis comprised 77 studies providing 122 prevalence measures across 7 EMR countries. The pooled prevalence of depression among EMR HCWs was 33.03% (95% CI = 27.40-39.19%). Emergency HCWs had markedly higher rates of depression [53.14% (95% CI = 26.63-77.99%)] compared to HCWs of other specialties. Most studies had an appropriate sample size.
Depression among EMR HCWs is a major concern. Steps must be taken to prevent, identify, and manage depression among HCWs. Fostering a compassionate and empathetic environment is critically important to building a resilient healthcare system. Generating high-quality regional data from longitudinal studies on mental health will further contribute to a better understanding and management of depression among EMR HCWs.
抑郁症是全球范围内的一个主要人口健康挑战。本系统评价和荟萃分析旨在：(i)确定抑郁症在东地中海地区（EMR）医护人员（HCWs）中的流行率，(ii)确定抑郁症的风险和保护因素。
该方案已在开放科学框架（注册 ID：https://osf.io/rdv27）上注册。我们在没有语言限制的情况下，从五个数据库（PubMed、Embase、PsycINFO、Al Manhal、Google Scholar）中检索截至 2020 年 7 月 22 日的文献。我们纳入了使用抑郁筛查或诊断工具来测量 HCWs 中抑郁流行率的 EMR 研究。根据 Cochrane 手册，使用随机效应荟萃分析对研究进行评估并汇总数据。
系统评价从 12 个 EMR 国家中确定了 108 项研究，这些研究的质量各不相同。工作时间长、睡眠质量差和女性是 EMR HCWs 抑郁的危险因素。荟萃分析包括 77 项研究，提供了 7 个 EMR 国家的 122 项流行率测量值。EMR HCWs 中抑郁的总流行率为 33.03%（95%CI=27.40-39.19%）。与其他专业的 HCWs 相比，急诊 HCWs 的抑郁率明显更高[53.14%（95%CI=26.63-77.99%）]。大多数研究的样本量适当。
EMR HCWs 中的抑郁是一个主要关注点。必须采取措施预防、识别和管理 HCWs 中的抑郁。营造一个富有同情心和同理心的环境对于建立一个有弹性的医疗体系至关重要。从关于心理健康的纵向研究中生成高质量的区域数据，将进一步有助于更好地理解和管理 EMR HCWs 中的抑郁。
