The prevalence and risk factors of mental problems in medical students during COVID-19 pandemic: A systematic review and meta-analysis

Journal of Affective Disorders, Год журнала: 2022, Номер 321, С. 167 - 181

Опубликована: Окт. 28, 2022

This meta-analysis and systematic review aimed to evaluate the global prevalence risk factors of mental problems (i.e., depression, anxiety, stress, sleep disorder, posttraumatic stress disorder (PTSD), burnout, psychological distress, suicidal ideation) among medical students during COVID-19 pandemic. We searched PubMed, Embase, Web Science, psycARTICLES, PsycINFO, CNKI, Wan Fang for studies on from January 1, 2020, April 2022. The pooled was calculated by random-effect models. performed a narrative identify factors. included 201 (N = 198,000). depression (41 %, 95 % CI, 37–45 %,), anxiety (38 %,95 34 %–42 %), (34 27 (52 44 %–60 distress (58 51 %–65 PTSD 22 %–46 ideation (15 11 %–18 %) burnout 25 %–50 high. major were being female, junior or preclinical students, exposure COVID-19, academic psychiatric physical disorders history, economic trouble, fear education impairment, online learning infection, loneliness, low activity, social support, problematic internet smartphone use, young age. Most cross-sectional. Few provided reasonable response rate, suggesting potential selection bias. study demonstrated high calling health services. Our findings are valuable college authorities high-risk provide targeted intervention.

Язык: Английский

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Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review

Current Neuropharmacology, Год журнала: 2023, Номер 22(4), С. 557 - 635

Опубликована: Май 3, 2023

Abstract: This narrative state-of-the-art review paper describes the progress in understanding and treatment of Posttraumatic Stress Disorder (PTSD). Over last four decades, scientific landscape has matured, with many interdisciplinary contributions to its diagnosis, etiology, epidemiology. Advances genetics, neurobiology, stress pathophysiology, brain imaging have made it apparent that chronic PTSD is a systemic disorder high allostatic load. The current state includes wide variety pharmacological psychotherapeutic approaches, which are evidence-based. However, myriad challenges inherent disorder, such as individual barriers good outcome, comorbidity, emotional dysregulation, suicidality, dissociation, substance use, trauma-related guilt shame, often render response suboptimal. These discussed drivers for emerging novel including early interventions Golden Hours, interventions, medication augmentation use psychedelics, well targeting nervous system. All this aims improve symptom relief clinical outcomes. Finally, phase orientation recognized tool strategize position step progression pathophysiology. Revisions guidelines systems care will be needed incorporate innovative treatments evidence emerges they become mainstream. generation well-positioned address devastating disabling impact traumatic events through holistic, cutting-edge efforts research.

Язык: Английский

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S1-Leitlinie Long-/Post-COVID

Pneumologie, Год журнала: 2022, Номер 76(12), С. 855 - 907

Опубликована: Дек. 1, 2022

The German Society of Pneumology initiated 2021 the AWMF S1 guideline Long COVID/Post-COVID. In a broad interdisciplinary approach, this was designed based on current state knowledge.The clinical recommendations describe COVID/Post-COVID symptoms, diagnostic approaches, and therapies.In addition to general consensus introduction, subject-specific approach taken summarize has an explicit practical claim will be developed adapted by author team increase in knowledge.Die Deutsche Gesellschaft für Pneumologie hat die S1-Leitlinie Long-/Post-COVID initiiert. einem breiten interdisziplinären Ansatz wurde diese basierend auf dem aktuellen Wissensstand gestaltet.Die klinische Empfehlung beschreibt Long- bzw. Post-COVID-Symptome, diagnostische Ansätze und Therapien.Neben der allgemeinen konsentierten Einführung ein fachspezifischer Zugang gewählt, den zusammenfasst.Die Leitlinie einen explizit praktischen Anspruch wird Wissenszugewinn vom Autorenteam weiterentwickelt adaptiert.

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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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Post‐traumatic stress disorder: evolving conceptualization and evidence, and future research directions

World Psychiatry, Год журнала: 2025, Номер 24(1), С. 52 - 80

Опубликована: Янв. 15, 2025

The understanding of responses to traumatic events has been greatly influenced by the introduction diagnosis post‐traumatic stress disorder (PTSD). In this paper we review initial versions diagnostic criteria for condition and associated epidemiological findings, including sociocultural differences. We consider evidence reactions occurring in multiple contexts not previously defined as traumatic, implications that these observations have diagnosis. More recent developments such DSM‐5 dissociative subtype ICD‐11 complex PTSD are reviewed, adding there several distinct phenotypes. describe psychological foundations PTSD, involving disturbances memory well identity. A broader focus on identity may be able accommodate group communal influences experience trauma impact resource loss. then summarize current concerning biological with a particular genetic neuroimaging studies. Whereas progress prevention disappointing, is now an extensive supporting efficacy variety treatments established trauma‐focused interventions – cognitive behavior therapy (TF‐CBT) eye movement desensitization reprocessing (EMDR) non‐trauma‐focused therapies, which also include some emerging identity‐based approaches present‐centered compassion‐focused therapies. Additionally, promising neither nor pharmacological, or combine pharmacological approach, 3,4‐methylenedioxymethamphetamine (MDMA)‐assisted psychotherapy. advances priority areas adapting resource‐limited settings across cultural contexts, community‐based approaches. conclude identifying future directions work mental health.

Язык: Английский

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Epidemiology of DSM-5 PTSD and ICD-11 PTSD and complex PTSD in the Netherlands

Journal of Anxiety Disorders, Год журнала: 2025, Номер 110, С. 102963 - 102963

Опубликована: Янв. 5, 2025

Язык: Английский

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COVID-19 pandemic-related mortality, infection, symptoms, complications, comorbidities, and other aspects of physical health among healthcare workers globally: An umbrella review

International Journal of Nursing Studies, Год журнала: 2022, Номер 129, С. 104211 - 104211

Опубликована: Фев. 18, 2022

Язык: Английский

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Burnout and post-traumatic stress disorder symptoms among medical staff two years after the COVID-19 pandemic in Wuhan, China: Social support and resilience as mediators

Journal of Affective Disorders, Год журнала: 2022, Номер 321, С. 126 - 133

Опубликована: Окт. 21, 2022

Язык: Английский

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The Association of Social Support and Loneliness with Symptoms of Depression, Anxiety, and Posttraumatic Stress during the COVID-19 Pandemic: A Meta-Analysis

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(4), С. 2765 - 2765

Опубликована: Фев. 4, 2023

Background: Research suggests that changes in social support and loneliness have affected mental disorder symptoms during the COVID-19 pandemic. However, there are a lack of studies comparing robustness these associations. Aims: The aims were to estimate strength associations with depression, anxiety, posttraumatic stress pandemic (2020–2022) general population. Method: method entailed systematic review random-effects meta-analysis quantitative studies. Results: Seventy-three included meta-analysis. pooled correlations effect size association 0.49, 0.40, 0.38, respectively. corresponding figures for 0.29, 0.19, 0.18, Subgroup analyses revealed some could be influenced by sociodemographic characteristics study samples, such as age, gender, region, stringency index, methodological moderators, sample size, collection date, quality, measurement scales. Conclusions: Social had weak while was moderate. Strategies address highly effective reducing impact on relationships health.

Язык: Английский

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Association between sleep disorders during pregnancy and risk of postpartum depression: a systematic review and meta-analysis

Archives of Women s Mental Health, Год журнала: 2023, Номер 26(2), С. 259 - 267

Опубликована: Фев. 4, 2023

Язык: Английский

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