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Mental Health in COVID-19 Pandemic: A Meta-Review of Prevalence Meta-Analyses.

作者信息

de Sousa Geovan Menezes, Tavares Vagner Deuel de Oliveira, de Meiroz Grilo Maria Lara Porpino, Coelho Monique Leite Galvão, de Lima-Araújo Geissy Lainny, Schuch Felipe Barreto, Galvão-Coelho Nicole Leite

机构信息

Laboratory of Hormone Measurement, Department of Physiology and Behaviour, Federal University of Rio Grande Do Norte, Natal, Brazil.

Graduate Program in Psychobiology and Department of Physiology and Behaviour, Federal University of Rio Grande Do Norte, Natal, Brazil.

出版信息

Front Psychol. 2021 Sep 21;12:703838. doi: 10.3389/fpsyg.2021.703838. eCollection 2021.


DOI:10.3389/fpsyg.2021.703838
PMID:34621212
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8490780/
Abstract

Mental health burden has been massively reported during the COVID-19 pandemic period. Aiming to summarise these data, we present a meta-review of meta-analyses that evaluated the impact of COVID-19 pandemic on anxiety, depressive and stress symptoms, psychological distress, post-traumatic stress disorder/symptoms (PTSD), and sleep disturbance, reporting its prevalence on general public (GP) and health care workers (HCW). A search was performed in the PubMed, EMBASE, and the Web of Science. Sleep disturbances, psychological distress, stress, and burnout were grouped as "Psychophysiological stress," and anxiety, depression, and PTSD were grouped as "Psychopathology." A random-effects model, calculating the pooled prevalence together with 95% confidence interval was performed for each domain. Subgroup analyses were performed for each population type (GP and HCW) and for each mental health outcome. For anxiety and depression, subgroup analysis for population type was performed. Heterogeneity is reported as . Publication bias was assessed through visual inspection of the funnel plot, and further tested by Egger's test and trim and fill analyses. A total of 18 meta-analyses were included. The prevalence of psychophysiological stress was 31.99% (CI: 26.88-37.58, = 99.9%). HCW showed a higher prevalence (37.74%, CI: 33.26-42.45, = 99.7%) than the GP (20.67%, 15.07-27.66, = 99.9%). The overall prevalence of insomnia, psychological distress, and stress were, respectively, 32.34% (CI: 25.65-39.84), 28.25% (CI: 18.12-41.20), and 36% (CI: 29.31-43.54). Psychopathology was present at 26.45% (CI: 24.22-28.79, = 99.9%) of the sample, with similar estimates for population (HCW 26.14%, CI: 23.37-29.12, = 99.9%; GP: 26.99%, CI: 23.41-30.9, = 99.9%). The prevalence of anxiety, depression, and PTSD was 27.77% (CI: 24.47-31.32), 26.93% (CI: 23.92-30.17), and 20% (CI: 15.54-24.37), respectively. Similar proportions between populations were found for anxiety (HCW = 27.5%, CI: 23.78-31.55; GP = 28.33%, CI: 22.1-35.5) and depression (HCW = 27.05%, CI: 23.14-31.36; GP = 26.7%, CI: 22.32-31.59). Asymmetry in the funnel plot was found, and a slight increase in the estimate of overall psychopathology (29.08%, CI: 26.42-31.89) was found after the trim and fill analysis. The prevalence of mental health problems ranged from 20 to 36%. HCW presented a higher prevalence of psychophysiological stress than the general population. https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=252221, identifier: CRD42021252221.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad8/8490780/2b71859e622a/fpsyg-12-703838-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad8/8490780/70e174ba822a/fpsyg-12-703838-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad8/8490780/d280a458c639/fpsyg-12-703838-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad8/8490780/2b71859e622a/fpsyg-12-703838-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad8/8490780/70e174ba822a/fpsyg-12-703838-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad8/8490780/d280a458c639/fpsyg-12-703838-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad8/8490780/2b71859e622a/fpsyg-12-703838-g0003.jpg

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本文引用的文献

[1]
Is Physical Activity Associated with Less Depression and Anxiety During the COVID-19 Pandemic? A Rapid Systematic Review.

Sports Med. 2021-8

[2]
Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis.

PLoS One. 2021-3-10

[3]
Plant-based Medicines (Phytoceuticals) in the Treatment of Psychiatric Disorders: A Meta-review of Meta-analyses of Randomized Controlled Trials: Les médicaments à base de plantes (phytoceutiques) dans le traitement des troubles psychiatriques: une méta-revue des méta-analyses d'essais randomisés contrôlés.

Can J Psychiatry. 2021-10

[4]
Effects of non-drug interventions on depression, anxiety and sleep in COVID-19 patients: a systematic review and meta-analysis.

Eur Rev Med Pharmacol Sci. 2021-1

[5]
Brief mindfulness-based training and mindfulness trait attenuate psychological stress in university students: a randomized controlled trial.

BMC Psychol. 2021-2-1

[6]
The prevalence of anxiety and depression among healthcare workers during the COVID-19 pandemic: An umbrella review of meta-analyses.

Prog Neuropsychopharmacol Biol Psychiatry. 2021-4-20

[7]
Different prevalence trend of depression and anxiety among healthcare workers and general public before and after the peak of COVID-19 occurred in China: A meta-analysis.

Asian J Psychiatr. 2021-2

[8]
Prevalence of anxiety in health care professionals during the COVID-19 pandemic: A rapid systematic review (on published articles in Medline) with meta-analysis.

Prog Neuropsychopharmacol Biol Psychiatry. 2021-4-20

[9]
The psychological impact of COVID-19 pandemic lockdowns: a review and meta-analysis of longitudinal studies and natural experiments.

Psychol Med. 2021-1

[10]
Psychological and Behavioral Impact of Lockdown and Quarantine Measures for COVID-19 Pandemic on Children, Adolescents and Caregivers: A Systematic Review and Meta-Analysis.

J Trop Pediatr. 2021-1-29

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