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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Prevalence and economic burden of depression and anxiety symptoms among Singaporean adults: results from a 2022 web panel

BMC Psychiatry, Год журнала: 2023, Номер 23(1)

Опубликована: Фев. 14, 2023

Abstract Background Major depressive disorder (MDD) and generalized anxiety (GAD) are leading causes of disability premature mortality. At a global level, over 300 million people estimated to suffer from major disorders, equivalent 4·4% the world’s population. Pandemic era stressors have increased rates for depression by upwards 25%. The goal this study is estimate prevalence economic burden symptoms in Singapore after peak COVID-19 pandemic. Methods An existing web panel was queried between April 2022 June 2022. Adult participants aged > 21 years old who screened positive based on Patient Health Questionnaire-4 (PHQ-4) Screener were eligible participation. Prevalence estimates quantified dividing number respondents these total respondents. Participants asked about healthcare utilization, days missed work, reduced productivity due symptoms. These values then monetized scaled population counts generate per capita annual costs. Results Two thousand three hundred forty-eight filled out PHQ-4 depression/anxiety screener behalf 5,725 adults living their households (including themselves). calculated responses recorded adults. 14.1% had consistent with 15.2% anxiety. In total, 20.0% may experience at least one two conditions, yet approximately half reported never being formally diagnosed. 350 or thus fill presenteeism, absenteeism survey. Direct costs averaged dollar (SGD) $1,050 employed subset ( n = 304) an extra 17.7 work average year, which translates SGD $4,980 worker. workers also ~ 40% less productive equates $28,720 losses annually. caused $15.7 billion Presenteeism accounts 81.6% (SGD $12.8 billion), 14.2% $2.3 billion) 4.2% $0.7 billion). Conclusions health associated large Singapore, representing 2.9% Singapore’s gross domestic product (GDP). Employers governments should look identify effective remediation strategies, including strategies address high undiagnosed cases. Increasing psychiatric resources, general practitioner mental competency, access peer support, efforts reduce stigma be considered growing public crisis.

Язык: Английский

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Post-COVID-19 psychiatric and cognitive morbidity: Preliminary findings from a Brazilian cohort study

General Hospital Psychiatry, Год журнала: 2022, Номер 75, С. 38 - 45

Опубликована: Янв. 6, 2022

Язык: Английский

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Social isolation and the brain in the pandemic era

Nature Human Behaviour, Год журнала: 2022, Номер 6(10), С. 1333 - 1343

Опубликована: Окт. 18, 2022

Язык: Английский

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A global meta-analysis of depression, anxiety, and stress before and during COVID-19.

Health Psychology, Год журнала: 2023, Номер 42(2), С. 124 - 138

Опубликована: Фев. 1, 2023

This meta-analysis compared negative emotions (NEs) as depression, anxiety, and stress, from before the pandemic to during pandemic.A total of 59 studies (19 before, 37 during-pandemic, 3 that included both) using Depression, Anxiety Stress Scale (DASS) were included. A random effects model estimated means NEs pandemic.Studies 47 countries involving 193,337 participants Globally, increased pandemic, depression had largest elevation. In Asia, stress elevated, whereas in Europe, only increased, America, no differences between observed. The later time phase was associated with lower globally, anxiety Europe. Being younger more being older higher Asia. Students all three aspects Europe general population. COVID-19 infection rate During females reported levels males, most pronounced Europe.NEs student populations, Asians having highest elevations. (PsycInfo Database Record (c) 2023 APA, rights reserved).

Язык: Английский

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