Dimka Jessica L, Schneider Benjamin M, Mamelund Svenn-Erik
Centre for Research on Pandemics & Society (PANSOC), Oslo Metropolitan University, Norway.
Scand J Public Health. 2024 May;52(3):391-396. doi: 10.1177/14034948231217362. Epub 2023 Dec 28.
This protocol describes a forthcoming systematic review of the question: 'What are the long-term effects of historical influenza pandemics on mental health, resulting either from illness itself or the social or economic effects of pandemics and public health responses?'
We will review studies that investigate associations between influenza pandemics and long-term mental-health impacts. Following the PICO framework, populations (P) may include those with and without pre-existing mental-health symptoms or conditions. Intervention (I) is exposure to an influenza pandemic during the study period encompassing five pandemics (1889-2009). Comparators or controls (C) are not applicable. The review will address outcomes (O) of mental-health morbidity from direct infection and/or related circumstances, including, for example, receiving a disability pension, institutionalisation and/or death.
Due to societal disruptions, illness and bereavement during pandemics, many people are likely to be affected in myriad ways. Therefore, investigation into mental-health consequences should not be restricted by risk group or diagnosis. To our knowledge, this protocol and forthcoming systematic review are the first to include studies for broad populations and multiple measures of mental-health morbidity. The historical perspective and comparison of pandemics with varying severity but assumed similar causative pathogens also enable insights into the consistency of long-term consequences across pandemics.
Pandemics likely produce long-term mental-health impacts with relevance for social, health and economic planning. The systematic review based on this protocol will complement other evidence on pandemic impacts and help policymakers incorporate relevant interventions.
本方案描述了一项即将进行的关于以下问题的系统评价：“既往流感大流行对心理健康产生的长期影响是什么，这些影响是由疾病本身、大流行的社会或经济影响以及公共卫生应对措施导致的？”
我们将对调查流感大流行与长期心理健康影响之间关联的研究进行综述。遵循PICO框架，人群（P）可能包括有和没有既往心理健康症状或疾病的人。干预措施（I）是在涵盖五次大流行（1889 - 2009年）的研究期间接触流感大流行。对照或控制组（C）不适用。该综述将探讨直接感染和/或相关情况导致的心理健康发病结果（O），例如领取残疾抚恤金、被收容机构照护和/或死亡。
由于大流行期间的社会混乱、疾病和丧亲之痛，许多人可能会受到多种方式的影响。因此，对心理健康后果的调查不应受风险群体或诊断的限制。据我们所知，本方案及即将进行的系统评价首次纳入了针对广泛人群和多种心理健康发病衡量指标的研究。历史视角以及对严重程度不同但假定致病病原体相似的大流行进行比较，也有助于深入了解不同大流行长期后果的一致性。
大流行可能会对心理健康产生长期影响，这与社会、健康和经济规划相关。基于本方案的系统评价将补充有关大流行影响的其他证据，并帮助政策制定者纳入相关干预措施。
