COVID-19 and common mental health symptoms in the early phase of the pandemic: An umbrella review of the evidence

PLoS Medicine, Journal Year: 2023, Volume and Issue: 20(4), P. e1004206 - e1004206

Published: April 25, 2023

Background There remains uncertainty about the impact of Coronavirus Disease 2019 (COVID-19) pandemic on mental health. This umbrella review provides a comprehensive overview association between and common disorders. We qualitatively summarized evidence from reviews with meta-analyses individual study-data in general population, healthcare workers, specific at-risk populations. Methods findings A systematic search was carried out 5 databases for peer-reviewed prevalence depression, anxiety, post-traumatic stress disorder (PTSD) symptoms during published December 31, until August 12, 2022. identified 123 which 7 provided standardized mean differences (SMDs) either longitudinal pre- to or cross-sectional compared matched pre-pandemic data. Methodological quality rated Assessment Multiple Systematic Reviews checklist scores (AMSTAR 2) instrument generally low moderate. Small but significant increases and/or health were reported people preexisting physical conditions, children (3 reviews; SMDs ranged 0.11 0.28). Mental depression significantly increased periods social restrictions (1 review; 0.41 0.83, respectively) anxiety did not (SMD: 0.26). Increases larger longer-lasting 0.16 0.23) than those (2 reviews: 0.12 0.18). Females showed increase males review: SMD 0.15). In disorders, any patient group, adolescents, students, no found SMD’s ranging −0.16 0.48). 116 pooled rates PTSD 9% 48% across Although heterogeneity studies high largely unexplained, assessment tools cut-offs used, age, sex gender, COVID-19 exposure factors be moderators some reviews. The major limitations are inability quantify explain included shortage within-person data multiple studies. Conclusions small consistent deterioration particularly early has been population chronic somatic Also, associations stronger females younger age groups others. Explanatory individual-level, exposure, time-course scarce inconsistencies For policy research, repeated assessments panels including vulnerable individuals recommended respond current future crises.

Language: Английский

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Mental disorder symptoms during the COVID-19 pandemic in Latin America – a systematic review and meta-analysis

Epidemiology and Psychiatric Sciences, Journal Year: 2022, Volume and Issue: 31

Published: Jan. 1, 2022

There is a lack of evidence related to the prevalence mental health symptoms as well their heterogeneities during coronavirus disease 2019 (COVID-19) pandemic in Latin America, large area spanning equator. The current study aims provide meta-analytical on COVID-19 among frontline healthcare workers, general population and university students America.

Language: Английский

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Stress, anxiety, depression and sleep disturbance among healthcare professional during the COVID-19 pandemic: An umbrella review of 72 meta-analyses

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(5), P. e0302597 - e0302597

Published: May 9, 2024

The outbreak of SARS-CoV-2, which causes COVID-19, has significantly impacted the psychological and physical health a wide range individuals, including healthcare professionals (HCPs). This umbrella review aims provide quantitative summary meta-analyses that have investigated prevalence stress, anxiety, depression, sleep disturbance among HCPs during COVID-19 pandemic. An systematic reviews was conducted. search performed using EMBASE, PubMed, CINAHL, MEDLINE, PsycINFO, Google Scholar databases from 01st January 2020 to 15th 2024. A random-effects model then used estimate with 95% confidence interval. Subgroup analysis sensitivity analyses were conducted explore heterogeneity sample. Seventy-two involved 2,308 primary studies included after full-text review. revealed pooled pandemic 37% (95% CI 32.87-41.22), 31.8% 29.2-34.61) 29.4% 27.13-31.84) 36.9% 33.78-40.05) respectively. In subgroup anxiety depression higher nurses than physicians. Evidence this suggested significant proportion experienced information will support authorities when implementing specific interventions address mental problems future pandemics or any other crises. Such may include provision services, such as counseling peer programs, well implementation organizational strategies reduce workplace stressors.

Language: Английский

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An umbrella review and meta-analysis of 87 meta-analyses examining healthcare workers' mental health during the COVID-19 pandemic

Journal of Affective Disorders, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

During the COVID-19 pandemic, healthcare workers (HCWs) experienced several changes in their work (e.g., longer hours, new policies) that affected mental health. In this study, an umbrella review and meta-analysis of meta-analyses was conducted to examine prevalence various health problems by HCWs during pandemic. We a systematic searching PubMed, EMBASE, PsycINFO, Cochrane Library, Scopus databases (PROSPERO: CRD42022304823). performed summarize different examined whether these differed as function job category, sex/gender, sociodemographic index (SDI), across time. Eighty-seven were included meta-analysis, including 1846 non-overlapping articles 9,400,962 participants. The overall ratio for outcomes ranged from 0.20 PTSD (95 % CI: 0.16-0.25) 0.44 burnout 0.32-0.56), with ratios depressive symptoms, anxiety psychological distress, perceived stress, sleep problems, insomnia symptoms falling between ranges. Follow-up analyses revealed little variation sex. Prevalence high Administrators policymakers worldwide need address growing through institutional policies wellness programming.

Language: Английский

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Impact of the COVID-19 pandemic on the mental health of the general population and health care workers

Revista Española de Quimioterapia, Journal Year: 2023, Volume and Issue: 36(2), P. 125 - 143

Published: Feb. 21, 2023

The Health Sciences Foundation has assembled a multidisciplinary group around series of questions about the impact COVID-19 pandemic on mental health general population and specific groups within that population, particularly healthcare workers. In most prevalent disorders have been anxiety, sleep affective disorders, primarily depression. There considerable increase in suicidal behavior, especially young women men over 70 years age. an alcohol abuse nicotine, cannabis cocaine use. contrast, use synthetic stimulants during periods confinement decreased. With regard to non-substance addictions, gambling was very limited, pornography consumption increased significantly there compulsive shopping video games. Particularly vulnerable include adolescents patients with autism spectrum disorders. Healthcare workers suffered depression, anxiety post-traumatic stress, those who were exposed early stages pandemic. Female sex, being nurse, proximity COVID-19, working rural environment having previous psychiatric or organic illnesses some frequently repeated factors various studies this group. media shown good degree knowledge these problems dealt them from point view ethics, crisis situations, such as one experienced, triggered not only physical but also moral claudications.

Language: Английский

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Chronic Insomnia Disorder across Europe: Expert Opinion on Challenges and Opportunities to Improve Care

Healthcare, Journal Year: 2023, Volume and Issue: 11(5), P. 716 - 716

Published: Feb. 28, 2023

One in ten adults Europe have chronic insomnia, which is characterised by frequent and persistent difficulties initiating and/or maintaining sleep daily functioning impairments. Regional differences practices access to healthcare services lead variable clinical care across Europe. Typically, a patient with insomnia (a) will usually present primary physician; (b) not be offered cognitive behavioural therapy for insomnia—the recommended first-line treatment; (c) instead receive hygiene recommendations eventually pharmacotherapy manage their long-term condition; (d) use medications such as GABA receptor agonists longer than the approved duration. Available evidence suggests that patients multiple unmet needs, actions clearer diagnosis of effective management this condition are long overdue. In article, we provide an update on Old new treatments summarised information indications, contraindications, precautions, warnings, side effects. Challenges treating European systems, considering patients’ perspectives preferences presented discussed. Finally, suggestions provided—with providers policy makers mind—for strategies achieve optimal management.

Language: Английский

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Sleep disorders and associated factors among medical students in the Middle East and North Africa: a systematic review and meta-analysis

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Feb. 26, 2024

Abstract Sleep disturbances like poor and insufficient sleep are common among medical students in the Middle East North Africa (MENA) countries; however, extent of medically defined disorders (SDs) remains unclear. This meta-analysis determines SD prevalence identifies associated factors MENA. PubMed, Web Science, Google Scholar, reference lists included studies were searched (latest search: June 2022). Meta-analyses 22 performed using random-effect models. Included used self-reported screening tools for assessing SDs then estimated proportion participants at high risk developing a SD. Central hypersomnolence most prevalent [prevalence pooled range: 30.9% (Jordan) to 62.5% (Saudi Arabia)], followed by insomnia 30.4% 59.1% (Morocco)], circadian rhythm sleep–wake 13.5% 22.4% sleep-related breathing 12.2% 22.5% (Pakistan)], movement 5.9% (Egypt) 30.6% parasomnias 5.6% 17.4% Arabia)]. Female sex, studying latter academic years, having anxiety, excessive internet use, performance significantly with SDs. MENA students. Implementing student-centered interventions targeting groups schools should be considered improve students’ health wellbeing.

Language: Английский

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Sleep disorders among healthcare workers during the COVID-19 pandemic: An umbrella review and meta-analysis

Nursing Practice Today, Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 19, 2024

Background & Aim: Healthcare workers are at the forefront of fight against COVID-19 and exposed to numerous risks health consequences, including sleep disturbance. The present study aimed investigate prevalence disorders among HCWs during pandemic using an umbrella review meta-analyses. Methods Materials: Based on guidance PRISMA, literature was searched Web Science, PubMed, Embase, Science Direct, Scopus, Google Scholar (from beginning January 2020 end March 2022). random effects model used for meta-analysis, I2 index employed ascertain heterogeneity studies. Publication bias investigated Begg test. Data were analyzed STATA software version 14. Results: Initially, 561 studies found after primary search in data resources, which 27 eligible selected quality assessment extraction. results showed that 38.27% (95% CI: 35.20-41.01, I2= 74.2%, P= 0.008). Conclusion: this review, relatively high. Therefore, these individuals should undergo routine screening other mental disorders.

Language: Английский

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Network Analysis of Comorbid Anxiety and Insomnia Among Clinicians with Depressive Symptoms During the Late Stage of the COVID-19 Pandemic: A Cross-Sectional Study

Nature and Science of Sleep, Journal Year: 2022, Volume and Issue: Volume 14, P. 1351 - 1362

Published: Aug. 1, 2022

Background: A high proportion of clinicians experienced common anxiety, insomnia and depression during the COVID-19 pandemic. This study examined item-level association comorbid anxiety symptoms among who suffered from depressive late stage pandemic using network analysis (NA). Methods: Clinicians with (with a Patients Health Questionnaire (PHQ-9) total score 5 above) were included in this study. Anxiety measured Generalized Disorder Scale - 7-item (GAD-7) Insomnia Severity Index (ISI), respectively. Network was conducted to investigate structure, central symptoms, bridge stability these disturbances. Expected influence (EI) used measure centrality index. Results: Altogether, 1729 The mean age 37.1 [standard deviation (SD)=8.04 years], while PHQ-9 8.42 (SD=3.33), GAD-7 6.45 (SD=3.13) ISI 8.23 (SD=5.26). Of clinicians, prevalence (GAD-7≥ 5) 76.8% (95% CI 74.82– 78.80%), (ISI≥ 8) 43.8% CI: 41.50– 46.18%). NA revealed that nodes ISI7 ("Interference daytime functioning") (EI=1.18), ISI4 ("Sleep dissatisfaction") (EI=1.08) ISI5 ("Noticeability sleep problem by others") (EI=1.07) most (influential) model clinicians. Bridge PHQ3 ("Sleep") (bridge EI=0.55) PHQ4 ("Fatigue") EI=0.49). Gender did not significantly but "having experience caring for patients" influenced structure. Conclusion: Central key identified should be targeted treatment preventive measures suffering Keywords: depression, sleep, analysis, health personnel

Language: Английский

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Psychological Distress in South African Healthcare Workers Early in the COVID-19 Pandemic: An Analysis of Associations and Mitigating Factors

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(15), P. 9722 - 9722

Published: Aug. 7, 2022

While the global COVID-19 pandemic has been widely acknowledged to affect mental health of care workers (HCWs), attention measures that protect those on front lines outbreak response limited. In this cross-sectional study, we examine workplace contextual factors associated with how psychological distress was experienced in a South African setting where severe first wave being objective identifying can against HCWs experiencing negative impacts. Consistent mounting literature effects, found high degree (57.4% above General Health Questionnaire cut-off value) and strong association between perceived risks presence healthcare (adjusted OR = 2.35, p < 0.01). Our research indicates both training 0.41, 95% CI 0.21−0.81) reported supportive relationships 0.52, 0.27−0.97) were positive outcomes. This evidence resilience be reinforced better prepare for onset similar outbreaks future suggests pursuit further into specific interventions improve is well merited.

Language: Английский

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