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

PLoS Medicine, Год журнала: 2023, Номер 20(4), С. e1004206 - e1004206

Опубликована: Апрель 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.

Язык: Английский

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Screening for anxiety in patients with cancer: Diagnostic accuracy of GAD-7 items considering lowered GAD-7 cut-offs

PLoS ONE, Год журнала: 2025, Номер 20(1), С. e0316853 - e0316853

Опубликована: Янв. 14, 2025

Background A standard questionnaire for generalized anxiety disorders is the GAD-7. Attempts to improve its screening capacity in oncological settings resulted a discussion about lowering cut-off. This study examines diagnostic accuracy of GAD-7 items depending on applied cut-offs and whether, similar depressive symptoms, distinction between somatic-emotional cognitive might be relevant. Patients methods Screening data from 4705 patients with cancer who were treated at outpatient clinic National Centre Tumour Diseases Heidelberg analysed. For individual sensitivity, specificity, positive negative predictive values, Clinical Utility Index determined cut-off ≥ 7, 8, 10 15 questionnaire. Results The best overall was found 8. had identifying severe GAD (cut-off 15), mild moderate 8 10). Conclusions Our support recommendation oncology suggest that disorders, symptom overlap physical illness possible mental disorder should considered.

Язык: Английский

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Factors impacting resilience as a result of exposure to COVID-19: The ecological resilience model

PLoS ONE, Год журнала: 2021, Номер 16(8), С. e0256041 - e0256041

Опубликована: Авг. 18, 2021

Despite the severe psychological impact of COVID-19 pandemic, some individuals do not develop high levels distress and can be termed resilient. Using ecological resilience model, we examined factors promoting or hindering in pandemic. Of 1034 participants (49.9±16.2 years; females 51.2%) from Italian general population, 70% displayed resilient outcomes 30% reported moderate-severe anxiety and/or depression. A binary regression model revealed that were mostly (e.g., trait resilience, conscientiousness) together with social distancing. Conversely, included COVID-19-anxiety, COVID-19-related PTSD symptoms, intolerance uncertainty, loneliness, living children, higher education, regions where virus was starting to spread. In conclusion, pandemic explained 64% variance identified outcomes. Critically, these findings inform interventions supporting by strengthening associated resilience.

Язык: Английский

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Anxiety and depression in patients with advanced cancer during the COVID-19 pandemic

Supportive Care in Cancer, Год журнала: 2022, Номер 30(4), С. 3363 - 3370

Опубликована: Янв. 6, 2022

Язык: Английский

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An umbrella review of systematic reviews on the impact of the COVID-19 pandemic on cancer prevention and management, and patient needs

eLife, Год журнала: 2023, Номер 12

Опубликована: Апрель 4, 2023

The relocation and reconstruction of health care resources systems during the coronavirus disease 2019 (COVID-19) pandemic may have affected cancer care. An umbrella review was undertaken to summarize findings from systematic reviews on impact COVID-19 treatment modification, delays, cancellations; delays or cancellations in screening diagnosis; psychosocial well-being, financial distress, use telemedicine as well other aspects Bibliographic databases were searched for relevant with without meta-analysis published before November 29th, 2022. Abstract, full- text screening, data extraction performed by two independent reviewers. AMSTAR-2 used critical appraisal included reviews. Fifty-one our analysis. Most based observational studies judged be at medium high risk bias. Only had moderate scores AMSTAR-2. Findings suggest modifications versus pre-pandemic period low level evidence. Different degrees treatment, diagnosis observed, low- and- middle- income countries that implemented lockdowns being disproportionally affected. A shift in-person appointments but utility telemedicine, challenges implementation cost-effectiveness little explored. Evidence consistent suggesting well-being patients deteriorated, experienced albeit results general not compared levels. Impact disruption prognosis In conclusion, substantial heterogenous has been observed.

Язык: Английский

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Increases in Anxiety and Depression During COVID-19: A Large Longitudinal Study From China

Frontiers in Psychology, Год журнала: 2021, Номер 12

Опубликована: Июль 6, 2021

Although accumulating evidence suggests the COVID-19 pandemic is associated with costs in mental health, development of students' including change from their previous levels depression and anxiety factors this change, has not been well-studied. The present study investigates changes before to during lockdown identifies that are these changes. 14,769 university students participated a longitudinal two time points 6-month interval. Students completed Anxiety Depression subscales Symptom Checklist 90 (SCL-90) outbreak (October 2020, Time 1), Self-rating Scale (SAS) (SDS) (April 2). prevalence symptoms were 1.44 1.46% at 1, 4.06 22.09% 2, respectively, showing 181.94% increase 1413.01% depression. Furthermore, increases pre-pandemic gender severity province where they resided. This contributes gap knowledge regarding health response role local Implications for Typhoon Eye effect discussed.

Язык: Английский

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The prevalence of psychological disorders among cancer patients during the COVID‐19 pandemic: A meta‐analysis

Psycho-Oncology, Год журнала: 2022, Номер 31(11), С. 1972 - 1987

Опубликована: Авг. 11, 2022

We aimed to assess the prevalence rate (PR) of depression, anxiety, posttraumatic stress disorder (PTSD), insomnia, distress, and fear cancer progression/recurrence among patients with during COVID-19 pandemic.Studies that reported PR six psychological disorders pandemic were searched in PubMed, Embase, PsycINFO, Web Science databases, from January 2020 up 31 2022. Meta-analysis results merged using 95% confidence intervals, heterogeneity studies was evaluated I2 Cochran's Q test. Publication bias examined funnel plots Egger's tests. All data analyses performed Stata14.0 software.Forty 27,590 participants included. Pooled showed clinically significant PTSD, 32.5%, 31.3%, 28.2%, 53.9%, 23.2%, 67.4%, respectively. Subgroup analysis revealed head neck had highest depression (74.6%) anxiety (92.3%) symptoms. Stratified higher education levels (37.2%). A level PTSD observed employed (47.4%) or female (27.9%).This meta-analysis outbreak. Therefore, it is necessary develop interventions improve mental health pandemic.

Язык: Английский

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Prospective study of predictors for anxiety, depression, and somatization in a sample of 1807 cancer patients

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Фев. 7, 2024

Abstract In cancer patients, psychological distress, which encompasses anxiety, depression, and somatization, arises from the complex interplay of emotional behavioral reactions to diagnosis treatment, significantly influencing their functionality quality life. The aim was investigate factors associated with distress in patients. This prospective multicenter study, conducted by Spanish Society Medical Oncology (SEOM), included two cohorts patients (localized resected or advanced unresectable). They completed surveys assessing (BSI-18) before after treatment coping (MINI-MAC) spirituality (FACIT-sp) prior therapy. A multivariable logistic regression analysis a Structural Equation Modeling (SEM) were conducted. Between 2019 2022, 1807 evaluated, mostly women (54%), average age 64 years. most frequent cancers colorectal (30%), breast (25%) lung (18%). Men had lower levels anxiety depression (OR 0.66, 95% CI 0.52–0.84; OR 0.72, 0.56–0.93). Colorectal experienced less 0.63, 0.43–0.92), 0.55, 0.37–0.81), somatization 0.59, 0.42–0.83). Patients localized spiritual beliefs reduced whereas those anxious preoccupation higher level. SEM revealed relationship between strategies, emphasizing how baseline exacerbates post-treatment distress. study suggests that age, sex, extension location cancer, influence

Язык: Английский

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The COVID-19 Pandemic and Cancer Patients in Germany: Impact on Treatment, Follow-Up Care and Psychological Burden

Frontiers in Public Health, Год журнала: 2022, Номер 9

Опубликована: Фев. 9, 2022

In response to the ongoing coronavirus disease 2019 (COVID-19) pandemic, governments imposed various measures decrease rate of spread, and health care policy makers prioritized resource allocation accommodate COVID-19 patients. We conducted a cross-sectional online survey in Germany (July 2020-June 2021) assess frequency changes cancer among patients explore psychological impact pandemic writ large. Cancer who contacted Information Service (Krebsinformationsdienst, KID) German Research Center (Deutsches Krebsforschungszentrum, DKFZ) via email were invited complete an questionnaire, capturing demographics, specifics (e.g., type, phase, primary place treatment, etc.), any their medical, follow-up, psycho-oncological or nursing care. General level distress was measured using Hospital Anxiety Depression Scale (HADS) along with face-validated items regarding worries social isolation specific pandemic. total, 13% 621 reported change treatment plan. Of those changes, majority made follow-up after (56%), monitoring during (29%) counseling (20%). overall sample, more than half (55%) symptoms anxiety 39% depression. Patients likely report depression no (AOR: 2.18; 95% CI: 1.26-3.76). Concern about affecting quality predictor both 2.76; 1.75-4.35) 2.15; 1.43-3.23). Results showed that our study did not experience However, psycho-social burden high throughout period. Our findings underscore need for services attend patients' medical needs, added emphasis on well-being. This applies particularly situations where healthcare system is strained prioritization necessary.

Язык: Английский

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Mental Health and Quality of Life among Patients with Cancer during the SARS-CoV-2 Pandemic: Results from the Longitudinal ONCOVID Survey Study

Cancers, Год журнала: 2022, Номер 14(4), С. 1093 - 1093

Опубликована: Фев. 21, 2022

Purpose: This longitudinal survey study aimed to investigate the self-reported outcome measures of COVID-19 peritraumatic distress, depression, anxiety, stress, quality life (QOL), and their associated factors in a cohort cancer patients treated at tertiary care hospital during SARS-CoV-2 pandemic. Methods: Surveys were administered four time points between 1 April 2020 18 September 2020. The surveys included CPDI, DASS-21, WHOQOL-BREF questionnaires. Results: Survey response rates high (61.0% 79.1%). Among 355 participants, 71.3% female, median age was 62.2 years (IQR, 53.9 69.1). majority (78.6%) with palliative intention. An important proportion participants reported symptoms distress (34.2% 39.6%), depression (27.6% 33.5%), anxiety (24.9% 32.7%), stress (11.4% 15.7%) any point period. We did not find clinically meaningful mental health QOL differences period, remarkably little change pandemic’s first second wave. found no consistent correlates or scores, including type, therapy intention, sociodemographic information. Conclusion: showed considerable resilience against deterioration

Язык: Английский

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