Research Department, Institute of Mental Health, Singapore.
These two authors contributed equally as first authors in this work.
Singapore Med J. 2022 May;63(5):229-235. doi: 10.11622/smedj.2020111. Epub 2020 Jul 30.
The rapid spread of COVID-19 has a potentially significant impact on not only physical health but also psychological well-being. To the best of our knowledge, no review thus far has consolidated the psychological impact of COVID-19 across different subpopulations. A systematic search of the literature until 15 June 2020 found 150 empirical papers pertinent to the mental health consequences of the pandemic. The majority (87.3%) were from China (45.3%), the rest of Asia (22.0%) and Europe (20.0%), and mostly examined the general population (37.3%), healthcare workers (31.3%) and those with pre-existing mental and physical illnesses (14.7%). The most common psychological responses across these subpopulations were anxiety (overall range 24.8%-49.5%), depression (overall range 18.6%-42.6%) and traumatic stress symptoms (overall range 12.7%-31.6%). Healthcare workers and those with pre-existing physical and mental illnesses were more severely affected. Future studies are needed on underexamined subgroups such as the elderly and patients who recovered from COVID-19.
COVID-19 的迅速传播不仅对身体健康，而且对心理健康都有潜在的重大影响。据我们所知，迄今为止，还没有任何综述综合了 COVID-19 在不同亚人群中的心理影响。系统检索截至 2020 年 6 月 15 日的文献，发现了 150 篇与大流行对心理健康影响有关的实证论文。其中，大多数（87.3%）来自中国（45.3%）、亚洲其他地区（22.0%）和欧洲（20.0%），主要研究对象是一般人群（37.3%）、医护人员（31.3%）和有先前存在的精神和身体疾病的人群（14.7%）。在这些亚人群中，最常见的心理反应是焦虑（总体范围 24.8%-49.5%）、抑郁（总体范围 18.6%-42.6%）和创伤后应激症状（总体范围 12.7%-31.6%）。医护人员和有先前存在的身体和精神疾病的人群受到的影响更为严重。需要对老年人和从 COVID-19 中康复的患者等研究不足的亚人群进行未来研究。
