Hosen Ismail, Al-Mamun Firoj, Mamun Mohammed A
CHINTA Research Bangladesh, Savar, Dhaka 1342, Bangladesh.
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh.
Glob Ment Health (Camb). 2021 Dec 29;8:e47. doi: 10.1017/gmh.2021.49. eCollection 2021.
The COVID-19 pandemic affects people's psychological well-being as well as their risk of physical complications. Under the circumstance, it is essential to synthesize the existing evidence on psychological consequences with a view to fostering policymaking. Thus, a systematic attempt was compiled to review the Bangladeshi literature related to common mental health problems (i.e. depression, anxiety, and stress) during the COVID-19 pandemic. Adhering to the PRISMA guidelines, a systematic literature search was performed using Medline or PubMed, Scopus, PsycINFO, Web of Science, CINAHL, Google Scholar, PsyArxiv, MedRxiv, and ResearchGate, between 20 December 2020 and 5 March 2021, followed by predetermined eligibility criteria. The inclusion criteria for this review were observational studies involving at least one mental health problem (i.e. stress, depression, and anxiety) published in peer-reviewed journals or preprint servers in the English language after the inception of the pandemic in Bangladesh. The pooled prevalence of depression, anxiety, and stress was 47% (95% CI 39-55%, = 99.14%), 47% (95% CI 39-54%, = 99.78%), and 44% (95% CI 30-58%, = 99.36%), respectively. Subgroup analysis revealed that students were experiencing a higher rate of depression, anxiety, and stress than general people and healthcare professionals. The associated risk factors of mental health problems were gender, age, residence area, family size, monthly family income, educational status, marital status, physical exercise, smoking, alcohol use, fear of COVID-19, presence of chronic illness, unemployment status, and exposure to COVID-19-related news and social media. This systematic review provides baseline data on the symptoms of depression, anxiety, and stress across various Bangladeshi cohorts, which are anticipated to be helpful to the respective authorities for implementing cohort-specific mental health strategies.
新冠疫情不仅影响人们的心理健康，还影响他们出现身体并发症的风险。在这种情况下，综合现有关于心理影响的证据对于促进政策制定至关重要。因此，我们进行了一次系统性尝试，以回顾孟加拉国与新冠疫情期间常见心理健康问题（即抑郁、焦虑和压力）相关的文献。遵循PRISMA指南，于2020年12月20日至2021年3月5日期间，使用Medline或PubMed、Scopus、PsycINFO、科学网、CINAHL、谷歌学术、PsyArxiv、MedRxiv和ResearchGate进行了系统性文献检索，随后采用预定的纳入标准。本综述的纳入标准为：孟加拉国疫情开始后，在同行评审期刊或预印服务器上发表的、涉及至少一种心理健康问题（即压力、抑郁和焦虑）的观察性研究，且语言为英语。抑郁、焦虑和压力的合并患病率分别为47%（95%置信区间39 - 55%，I² = 99.14%）、47%（95%置信区间39 - 54%，I² = 99.78%）和44%（95%置信区间30 - 58%，I² = 99.36%）。亚组分析显示，学生经历抑郁、焦虑和压力的比率高于普通人群和医护人员。心理健康问题的相关风险因素包括性别、年龄、居住地区、家庭规模、家庭月收入、教育程度、婚姻状况、体育锻炼、吸烟、饮酒、对新冠的恐惧、慢性病的存在、失业状况以及接触与新冠相关的新闻和社交媒体。这项系统性综述提供了孟加拉国不同人群抑郁、焦虑和压力症状的基线数据，预计将有助于相关当局实施针对特定人群的心理健康策略。
