Comparison of mental health symptoms before and during the covid-19 pandemic: evidence from a systematic review and meta-analysis of 134 cohorts

BMJ, Год журнала: 2023, Номер unknown, С. e074224 - e074224

Опубликована: Март 8, 2023

To synthesise results of mental health outcomes in cohorts before and during the covid-19 pandemic.Systematic review.Medline, PsycINFO, CINAHL, Embase, Web Science, China National Knowledge Infrastructure, Wanfang, medRxiv, Open Science Framework Preprints.Studies comparing general health, anxiety symptoms, or depression symptoms assessed from 1 January 2020 later with collected 2018 to 31 December 2019 any population, comprising ≥90% same participants pandemic using statistical methods account for missing data. Restricted maximum likelihood random effects meta-analyses (worse representing positive change) were performed. Risk bias was an adapted Joanna Briggs Institute Checklist Prevalence Studies.As 11 April 2022, 94 411 unique titles abstracts including 137 studies 134 reviewed. Most high income (n=105, 77%) upper middle (n=28, 20%) countries. Among population studies, no changes found (standardised mean difference (SMD)change 0.11, 95% confidence interval -0.00 0.22) (0.05, -0.04 0.13), but worsened minimally (0.12, 0.01 0.24). women female participants, (0.22, 0.08 0.35), (0.20, 0.12 0.29), 0.05 0.40) by minimal small amounts. In 27 other analyses across outcome domains among subgroups than five suggested that amounts, two improvements. No subgroup experienced all domains. three data March late 2020, unchanged pre-covid-19 levels at both assessments increased initially then returned levels. Substantial heterogeneity risk present analyses.High many substantial suggest caution interpreting results. Nonetheless, most symptom change estimates close zero not statistically significant, significant magnitudes. Small negative occurred The authors will update this systematic review as more evidence accrues, study posted online (https://www.depressd.ca/covid-19-mental-health).PROSPERO CRD42020179703.

Язык: Английский

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Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(4), С. 3346 - 3346

Опубликована: Фев. 14, 2023

Synthesizing evidence to examine changes in suicide-related outcomes before and during the pandemic can inform suicide management COVID-19 crisis. We searched 13 databases as of December 2022 for studies reporting both pre- peri-pandemic prevalence suicidal ideation, attempts, or rate death by suicide. A random-effects model was used pool ratio peri- pre-pandemic ideation attempt (Prevalence Ratio—PR) (Rate Ratio; RR). identified 51, 55, 25 samples attempt, The increased significantly among non-clinical (PR = 1.142; 95% CI: 1.018–1.282; p 0.024; k 28) clinical 1.134; 1.048–1.227; 0.002; 23) samples, pooled estimates differed population study design. Suicide attempts were more prevalent 1.14; 1.053–1.233; 0.001; 30) 1.32; 1.17–1.489; 0.000; 25) participants. RR 0.923 (95% 0.84–1.01; 0.092; 25), indicating a nonsignificant downward trend. An upward trend observed pandemic, despite remaining stable. Our findings suggest that timely prevention intervention programs are highly needed adult patients. Monitoring real-time long-run risk evolves is warranted.

Язык: Английский

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Annual Research Review: Sex, gender, and internalizing conditions among adolescents in the 21st century – trends, causes, consequences

Journal of Child Psychology and Psychiatry, Год журнала: 2023, Номер 65(4), С. 384 - 407

Опубликована: Июль 17, 2023

Internalizing conditions of psychopathology include depressive and anxiety disorders; they most often onset in adolescence, are relatively common, contribute to significant population morbidity mortality. In this research review, we present the evidence that internalizing conditions, including depression anxiety, as well psychological distress, suicidal thoughts self-harm, fatal suicide, considerably increasing adolescent populations across many countries. Evidence indicates increases currently greatest female adolescents. We an epidemiological framework for evaluating causes these increases, synthesize on whether several established risk factors (e.g., age pubertal transition stressful life events) novel digital technology social media) meet necessary be plausible conditions. conclude there a multitude potential outline gaps lack nonbinary gender nonconforming populations, recommend prevention intervention foci from clinical public health perspective.

Язык: Английский

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A hidden pandemic? An umbrella review of global evidence on mental health in the time of COVID-19

Frontiers in Psychiatry, Год журнала: 2023, Номер 14

Опубликована: Март 8, 2023

Background The mental health impacts of the COVID-19 pandemic remain a public concern. High quality synthesis extensive global literature is needed to quantify this impact and identify factors associated with adverse outcomes. Methods We conducted rigorous umbrella review meta-review present (a) pooled prevalence probable depression, anxiety, stress, psychological distress, post-traumatic (b) standardised mean difference in depression anxiety pre-versus-during period, (c) comprehensive narrative poorer Databases searched included Scopus, Embase, PsycINFO, MEDLINE dated March 2022. Eligibility criteria systematic reviews and/or meta-analyses, published post-November 2019, reporting data English on outcomes during pandemic. Findings Three hundred thirty-eight were included, 158 which incorporated meta-analyses. Meta-review symptoms ranged from 24.4% (95%CI: 18–31%, I 2 : 99.98%) for general populations 41.1% 23–61%, 99.65%) vulnerable populations. Prevalence depressive 22.9% 17–30%, 99.99%) 32.5% 17–52%, 99.35) distress PTSD/PTSS 39.1% 34–44%; 99.91%), 44.2% 32–58%; 99.95%), 18.8% 15–23%; 99.87%), respectively. comparing pre-COVID-19 revealed standard differences 0.20 (95%CI = 0.07–0.33) 0.29 0.12–0.45), Conclusion This first synthesise longitudinal show that significantly higher than pre-COVID-19, provide some evidence adolescents, pregnant postpartum people, those hospitalised experienced heightened health. Policymakers can modify future responses accordingly mitigate such measures

Язык: Английский

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Gone Too Soon: priorities for action to prevent premature mortality associated with mental illness and mental distress

The Lancet Psychiatry, Год журнала: 2023, Номер 10(6), С. 452 - 464

Опубликована: Май 11, 2023

Язык: Английский

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National trends in depression and suicide attempts and COVID-19 pandemic-related factors, 1998–2021: A nationwide study in South Korea

Asian Journal of Psychiatry, Год журнала: 2023, Номер 88, С. 103727 - 103727

Опубликована: Авг. 6, 2023

Язык: Английский

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Preventing suicide: a public health approach to a global problem

The Lancet Public Health, Год журнала: 2024, Номер unknown

Опубликована: Сен. 1, 2024

Язык: Английский

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The Lancet Commission on self-harm

The Lancet, Год журнала: 2024, Номер 404(10461), С. 1445 - 1492

Опубликована: Окт. 1, 2024

Язык: Английский

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Suicide rates before and during the COVID-19 pandemic: a systematic review and meta-analysis

Social Psychiatry and Psychiatric Epidemiology, Год журнала: 2024, Номер 59(11), С. 1897 - 1905

Опубликована: Фев. 14, 2024

The effects of the COVID-19 pandemic on mental health issues such as depression and anxiety are well-documented in literature, but its influence suicidal patterns shows divergent results. We aim to comprehensively synthesize evidence potential changes or stability suicide rates during worldwide.

Язык: Английский

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The Impact of the COVID-19 Pandemic and Lockdowns on Self-Poisoning and Suicide in Sri Lanka: An Interrupted Time Series Analysis

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(3), С. 1833 - 1833

Опубликована: Янв. 19, 2023

Evidence from high-income countries suggests that the impact of COVID-19 on suicide and self-harm has been limited, but evidence low- middle-income is lacking. Using data a hospital-based self-poisoning register (January 2019–December 2021) national records (2016–2021) in Sri Lanka, we aimed to assess pandemic both suicide. We examined changes admissions for using interrupted time series (ITS) analysis. For hospital admission ITS models, defined lockdown periods as follows: (i) pre-lockdown: 01/01/2019–19/03/2020; (ii) first lockdown: 20/03/2020–27/06/2020; (iii) post-first 28/06/2020–11/05/2021; (iv) second 12/05/2021–21/06/2021; (v) post-second 22/06/2021–31/12/2021. suicide, intervention according period. found during periods, there was reduction self-poisoning, with following remained lower than would be expected based pre-pandemic trends. In contrast, no rate period differed which expected. As long-term socioeconomic impacts are realised, it will important track rates LMICs inform prevention.

Язык: Английский

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