Boucher Vincent Gosselin, Dahl Maria, Lee Jayden, Faulkner Guy, Beauchamp Mark R, Puterman Eli
School of Kinesiology, University of British Columbia, Vancouver, BC, Canada.
School of Kinesiology, University of British Columbia, Vancouver, BC, Canada.
J Affect Disord. 2025 Apr 15;375:423-436. doi: 10.1016/j.jad.2025.01.109. Epub 2025 Jan 23.
During the COVID-19 pandemic, healthcare workers (HCWs) experienced several changes in their work (e.g., longer hours, new policies) that affected their mental health. In this study, an umbrella review and meta-analysis of meta-analyses was conducted to examine the prevalence of various mental health problems experienced by HCWs during the COVID-19 pandemic. We conducted a systematic review searching PubMed, EMBASE, PsycINFO, Cochrane Library, and Scopus databases (PROSPERO: CRD42022304823). We performed a meta-analysis to summarize prevalence of different mental health problems and examined whether these differed as a function of job category, sex/gender, sociodemographic index (SDI), and across time. Eighty-seven meta-analyses were included in the umbrella review and meta-analysis, including 1846 non-overlapping articles and 9,400,962 participants. The overall prevalence ratio for the different mental health outcomes ranged from 0.20 for PTSD (95 % CI: 0.16-0.25) to 0.44 for burnout (95 % CI: 0.32-0.56), with ratios for depressive symptoms, anxiety symptoms, psychological distress, perceived stress, sleep problems, and insomnia symptoms falling between these ranges. Follow-up analyses revealed little variation in outcomes across job category, and sex. Prevalence of mental health problems in HCWs was high during the pandemic. Administrators and policymakers worldwide need to address these growing problems through institutional policies and wellness programming.
在新冠疫情期间，医护人员的工作经历了多项变化（如工作时长增加、出台新政策等），这些变化影响了他们的心理健康。在本研究中，我们进行了一项伞状综述及荟萃分析，以考察新冠疫情期间医护人员所经历的各种心理健康问题的患病率。我们进行了一项系统综述，检索了PubMed、EMBASE、PsycINFO、Cochrane图书馆和Scopus数据库（国际前瞻性系统评价注册库：CRD42022304823）。我们进行了荟萃分析，以总结不同心理健康问题的患病率，并考察这些患病率是否因工作类别、性别、社会人口学指数（SDI）以及时间的不同而有所差异。伞状综述及荟萃分析纳入了87项荟萃分析，包括1846篇不重复的文章和9400962名参与者。不同心理健康结果的总体患病率比值范围为创伤后应激障碍的0.20（95%置信区间：0.16 - 0.25）至职业倦怠的0.44（95%置信区间：0.32 - 0.56），抑郁症状、焦虑症状、心理困扰、感知压力、睡眠问题和失眠症状的比值介于这两个范围之间。随访分析显示，不同工作类别和性别的结果差异不大。疫情期间医护人员心理健康问题的患病率较高。全球范围内的管理人员和政策制定者需要通过机构政策和健康计划来解决这些日益严重的问题。
