Höhn Anna Maria, Ascone Leonie, Lohse Luzie, Kugler Dimitrij, Lambert Martin, Wege Natalia, Wittmann Felix, Riedel-Heller Steffi, Luppa Melanie, Elsayed Mohamed E G, Hurlemann René
Department of Psychiatry, School of Medicine and Health Science, Carl von Ossietzky University of Oldenburg, Ammerländer Heerstraße 114-118, 26129 Oldenburg, Germany.
Department of Psychiatry and Psychotherapy, Working Group Neuronal Plasticity, University Medical Centre Hamburg-Eppendorf (UKE), 20251 Hamburg, Germany.
Int J Environ Res Public Health. 2025 Mar 23;22(4):478. doi: 10.3390/ijerph22040478.
It is unclear whether the COVID-19 pandemic has had consequences for common mental disorders (CMDs). This scoping review aims to examine direct infection-related (e.g., severe COVID-19 illness), psychosocial (e.g., social isolation), and indirect outcomes (e.g., changes in incidence) that have been particularly discussed so far. A literature search for clinically diagnosed adult CMDs was conducted using Pubmed, Web of Science, and PsycInfo ( = 5325). After completion of the screening process, 26 included studies remained for extraction. None of the included studies reported post-pandemic data. The effects appeared to be particularly pronounced for anxiety and obsessive-compulsive disorders in the first year of the pandemic. This was followed by a period of adjustment, during which rates of mental disease and its symptoms largely returned to pre-pandemic levels. Fluctuating rates of CMDs may have had COVID-related causes. Preventive temporary inpatient care could be a protective approach for those at risk or vulnerable, as well as establishing pandemic consultation and building resilience. A gap in the research is the lack of comparisons of CMD data before, during, and after the pandemic to distinguish transient disease rates from chronic disease requiring treatment.
目前尚不清楚新冠疫情是否对常见精神障碍（CMD）产生了影响。本综述旨在研究迄今为止特别讨论过的直接感染相关因素（如重症新冠疾病）、社会心理因素（如社会隔离）和间接结果（如发病率变化）。使用PubMed、科学网和PsycInfo对临床诊断的成人CMD进行文献检索（n = 5325）。筛选过程完成后，保留了26项纳入研究用于提取数据。纳入的研究均未报告疫情后的相关数据。在疫情的第一年，焦虑症和强迫症的影响似乎尤为明显。随后是一段调整期，在此期间，精神疾病及其症状的发生率基本恢复到疫情前的水平。CMD发生率的波动可能与新冠相关。预防性临时住院治疗对于高危或易受影响人群可能是一种保护措施，同时建立疫情咨询并增强恢复力。研究中的一个空白是缺乏对疫情前、疫情期间和疫情后CMD数据的比较，以区分短暂的疾病发生率和需要治疗的慢性疾病。
