Msetfi Rachel M, Kornbrot Diana E, Halbrook Yemaya J
Maynooth University, Maynooth, Ireland.
Department of Psychology, Sport and Geography, University of Hertfordshire, Hatfield, United Kingdom.
Front Psychiatry. 2024 Feb 13;15:1323306. doi: 10.3389/fpsyt.2024.1323306. eCollection 2024.
High levels of depression and low sense of control have been reported during the COVID-19 pandemic. The removal of typical freedoms through public health restrictions may have played an important role. The aim of this review was to examine data collected during the pandemic and (1) estimate the strength of the association between sense of control and depression, (2) examine whether the different types of control measures affected the strength of the association, and (3) whether this changed as a function of pandemic indicators.
We conducted a systematic review and meta-analysis of studies published in English between December 2019 and November 2022. A total of 993 articles were identified, of which 20 were included in the review and 16 in the meta-analysis after conducting a quality assessment using the standard NIH tool.
The control-depression association gave a bias-independent pooled effect size of = .41, and grew stronger over the 130 weeks covered by this review but did not change as a function of local COVID incidence rates. Subgroup analyses showed that external and overall control were more strongly related to depression than internal control.
These findings emphasize that external factors are important to the sense of control and the importance of preserving the sense of control in situations where the removal of personal freedoms is necessary, such as public health emergencies.
据报道，在新冠疫情期间，抑郁水平较高且控制感较低。通过公共卫生限制措施取消典型的自由可能起到了重要作用。本综述的目的是检查疫情期间收集的数据，并（1）估计控制感与抑郁之间关联的强度，（2）检查不同类型的控制措施是否影响关联的强度，以及（3）这种关联是否随疫情指标而变化。
我们对2019年12月至2022年11月期间以英文发表的研究进行了系统综述和荟萃分析。共识别出993篇文章，在使用美国国立卫生研究院（NIH）标准工具进行质量评估后，其中20篇纳入综述，16篇纳入荟萃分析。
控制感与抑郁之间的关联得出了一个与偏差无关的合并效应量 = 0.41，并且在本综述涵盖的130周内变得更强，但并未随当地新冠发病率而变化。亚组分析表明，外部控制和总体控制与抑郁的关联比内部控制更强。
这些发现强调了外部因素对控制感的重要性，以及在诸如公共卫生紧急情况等必要取消个人自由的情况下保持控制感的重要性。
