Kabir Russell, Bai Ancy Chandrababu Mercy, Syed Haniya Zehra, Hasan Md Rakibul, Vinnakota Divya, Kar Sujita Kumar, Singh Rakesh, Sathian Brijesh, Arafat S M Yasir
School of Allied Health, Faculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University, Chelmsford, United Kingdom.
Department of Public Health and Nursing, University of Sunderland London, UK.
Nepal J Epidemiol. 2023 Aug 31;13(2):1268-1284. doi: 10.3126/nje.v13i2.52766. eCollection 2023 Aug.
Indian subcontinent has high mental heath burden and low resources to cope the mental health challenges. Assessment of impact of COVID-19 pandemic on the mental health would help to prioritize the resource allocations. We aimed to assess the impact of COVID-19 on the mental health of people in the Indian subcontinent. Following the PRISMA 2020 guideline, a scoping review was performed by systematically searching the PubMed, Scopus, and Embase databases to identify original studies that assessed mental health conditions during the COVID-19 pandemic in the Indian subcontinent. In this review, a total of 34 studies conducted between 2020 and 2022 were analyzed. The prevalence of anxiety disorders was found to range widely, from 2.5% in North Indian urban slum to 53% in Bangladesh and 21.7% in Pakistan. Similarly, the prevalence of depression varied widely, with rates ranging from 3.5% in North India to 29.8% in Pakistan. The prevalence of stress-related problems ranged from 18.3% in Pakistan to 59.7% in Bangladesh. Factors such as female gender, married status, healthcare workers, and mental illness were identified as important predictors of anxiety and depressive disorders. The impact of COVID-19 pandemic on mental health in Indian subcontinent varies widely based on study population and methods. Therefore, a cautious interpretation is needed while generalizing the study results.
印度次大陆面临着沉重的心理健康负担，应对心理健康挑战的资源却很匮乏。评估新冠疫情对心理健康的影响将有助于确定资源分配的优先级。我们旨在评估新冠疫情对印度次大陆民众心理健康的影响。遵循PRISMA 2020指南，通过系统检索PubMed、Scopus和Embase数据库进行了一项范围综述，以识别评估印度次大陆新冠疫情期间心理健康状况的原始研究。在本综述中，共分析了2020年至2022年期间开展的34项研究。发现焦虑症的患病率差异很大，从北印度城市贫民窟的2.5%到孟加拉国的53%和巴基斯坦的21.7%不等。同样，抑郁症的患病率差异也很大，从印度北部的3.5%到巴基斯坦的29.8%不等。与压力相关问题的患病率从巴基斯坦的18.3%到孟加拉国的59.7%不等。女性性别、婚姻状况、医护人员和精神疾病等因素被确定为焦虑症和抑郁症的重要预测因素。基于研究人群和方法的不同，新冠疫情对印度次大陆心理健康的影响差异很大。因此，在归纳研究结果时需要谨慎解读。
