Department of Public Health, College of Medical and Health Science, Samara University, Semera, North-East, Ethiopia.
Department of Management, College of Business and Economics, Samara University, Semera, North-East, Ethiopia.
BMC Psychiatry. 2024 Nov 19;24(1):830. doi: 10.1186/s12888-024-06290-1.
Global mental health has been threatened by the COVID-19 pandemic, both directly through long-lasting neuropsychiatric disorders that occur during primary infection in affected individuals and indirectly through stressful and disruptive societal changes. Thus, this study determined the pooled prevalence of common mental disorders and associated factors among adults after COVID-19 pandemic in Ethiopia.
This systematic review and meta-analysis were conducted using primary published and unpublished studies that were retrieved from various databases. Studies conducted on adults, published in English, and conducted in Ethiopia were included in this review. A standardized data extraction format developed from Excel was used to collect the data. A random effect meta-analysis model was used to estimate the pooled effect size of all included studies at a 95% confidence interval. The heterogeneity was evaluated by Cochran Q test and the I-squared. Funnel plot and egger tests were used to determine publication bias.
A total of 20 studies were eligible for this systematic review. The pooled prevalence of common mental disorders among adults was 40.44% (95%CI: 31.86-49.02%). Female gender (AOR = 1.88, 95% CI: 1.33-2.44), unemployed (AOR = 2.05, 95% CI: 1.12-2.98), poor social support (AOR = 3.12, 95% CI: 2.08-4.17), substance use (AOR = 2.5, 95% CI: 1.58-3.41), history of mental illness (AOR = 1.73, 95% CI: 1.01-2.44), family history of mental illness (AOR = 2.47, 95% CI: 1.54-3.41), and chronic medical illness (AOR = 1.6, 95%CI:1.02-2.17) were risk factors for common mental disorders.
In this study, more than one-third of adults were affected by common mental disorders after the onset of the COVID-19 pandemic. This indicated that, in order to reduce the prevalence of common mental disorders, enhancing the provision of mental health services should be improved after the COVID-19 pandemic. Screening for common mental disorders should be given, especially to females, unemployed people, substance users, chronic medically ill people, those with a history of mental illnesses, and those with a family history of mental illness. Strengthening social support during the COVID-19 pandemic is also important.
The registration ID for this systematic review is CRD42024496826.
新冠疫情对全球精神健康造成了威胁，这种威胁既直接源于受感染者在初次感染期间出现的长期神经精神障碍，也间接源于压力和破坏性的社会变革。因此，本研究旨在确定新冠疫情后埃塞俄比亚成年人常见精神障碍的患病率及其相关因素。
本系统评价和荟萃分析采用了从各种数据库中检索到的已发表和未发表的原始研究。研究对象为成年人，研究语言为英语，研究地点为埃塞俄比亚。使用从 Excel 中开发的标准化数据提取格式收集数据。使用随机效应荟萃分析模型在 95%置信区间内估计所有纳入研究的汇总效应大小。通过 Cochran Q 检验和 I-squared 评估异质性。使用漏斗图和 egger 检验确定发表偏倚。
共有 20 项研究符合本系统评价的纳入标准。成年人常见精神障碍的总患病率为 40.44%（95%CI：31.86-49.02%）。女性（AOR=1.88，95%CI：1.33-2.44）、失业（AOR=2.05，95%CI：1.12-2.98）、社会支持差（AOR=3.12，95%CI：2.08-4.17）、物质使用（AOR=2.5，95%CI：1.58-3.41）、精神病史（AOR=1.73，95%CI：1.01-2.44）、精神病史家族史（AOR=2.47，95%CI：1.54-3.41）和慢性疾病（AOR=1.6，95%CI：1.02-2.17）是常见精神障碍的危险因素。
本研究表明，新冠疫情爆发后，超过三分之一的成年人患有常见精神障碍。这表明，为了降低常见精神障碍的患病率，应在新冠疫情后改善精神卫生服务的提供。应进行常见精神障碍的筛查，特别是针对女性、失业者、物质使用者、慢性疾病患者、有精神病史者和有精神病史家族史者。在新冠疫情期间加强社会支持也很重要。
PROSPERO 注册：本系统评价的注册号为 CRD42024496826。
