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COVID-19 pandemic effects on health worker's mental health: Systematic review and meta-analysis
Healthcare workers (HCWs) exposed to coronavirus 19 (COVID-19) are at high risk of developing mental health concerns across several domains. The aim of this study is to determine the updated, global frequency of these outcomes. A multistep literature search was performed from database inception unti...
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| Published in: | European psychiatry 2022-01, Vol.65 (1), p.e10, Article e10 |
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| creator | Aymerich, Claudia Pedruzo, Borja Pérez, Jose Luís Laborda, Maria Herrero, Jon Blanco, Jorge Mancebo, Gonzalo Andrés, Lucía Estévez, Olatz Fernandez, Maitane Salazar de Pablo, Gonzalo Catalan, Ana González-Torres, Miguel Ángel |
| description | Healthcare workers (HCWs) exposed to coronavirus 19 (COVID-19) are at high risk of developing mental health concerns across several domains. The aim of this study is to determine the updated, global frequency of these outcomes.
A multistep literature search was performed from database inception until March 1, 2021. PRISMA/MOOSE-compliant systematic review and PROSPERO protocol were used to identify studies reporting on depression, anxiety, acute stress, post-traumatic symptoms, insomnia, and burnout in HCWs exposed to COVID-19. A quantitative meta-analysis with random effects was conducted to analyze the proportion rate of the mental health disorders. Sensitivity analyses were performed to investigate the effect of the different continents and scales. Meta-regression analyses were conducted to examine the effect of gender, age, and work position.
239 articles were included (n = 271,319 HCWs, mean age = 36.08 ± 8.33 (66.99% female). 33% HCWs exposed to COVID-19 reported depressive symptoms (95% confidence intervals [CI] = 28-38%), 42% anxiety features (95% CI = 35-48), 40% acute stress (95% CI = 32-47), 32% post-traumatic symptoms (95% CI = 26-37%), 42% insomnia (95% CI = 36-48), 37% burnout (95% CI = 31-42). Sensitivity analyses did not show statistically significant differences. Meta-regressions found a statistically significant lower prevalence of post-traumatic symptoms in Asia.
HCWs exposed to COVID-19 were found to have a significant prevalence of mental health concerns in all domains analyzed. The effects of COVID-19 on HCWs' mental health could be underestimated and the future consequences dismissed. |
| doi_str_mv | 10.1192/j.eurpsy.2022.1 |
| format | article |
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A multistep literature search was performed from database inception until March 1, 2021. PRISMA/MOOSE-compliant systematic review and PROSPERO protocol were used to identify studies reporting on depression, anxiety, acute stress, post-traumatic symptoms, insomnia, and burnout in HCWs exposed to COVID-19. A quantitative meta-analysis with random effects was conducted to analyze the proportion rate of the mental health disorders. Sensitivity analyses were performed to investigate the effect of the different continents and scales. Meta-regression analyses were conducted to examine the effect of gender, age, and work position.
239 articles were included (n = 271,319 HCWs, mean age = 36.08 ± 8.33 (66.99% female). 33% HCWs exposed to COVID-19 reported depressive symptoms (95% confidence intervals [CI] = 28-38%), 42% anxiety features (95% CI = 35-48), 40% acute stress (95% CI = 32-47), 32% post-traumatic symptoms (95% CI = 26-37%), 42% insomnia (95% CI = 36-48), 37% burnout (95% CI = 31-42). Sensitivity analyses did not show statistically significant differences. Meta-regressions found a statistically significant lower prevalence of post-traumatic symptoms in Asia.
HCWs exposed to COVID-19 were found to have a significant prevalence of mental health concerns in all domains analyzed. The effects of COVID-19 on HCWs' mental health could be underestimated and the future consequences dismissed.</description><identifier>ISSN: 0924-9338</identifier><identifier>ISSN: 1778-3585</identifier><identifier>EISSN: 1778-3585</identifier><identifier>DOI: 10.1192/j.eurpsy.2022.1</identifier><identifier>PMID: 35060458</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Anxiety ; Bias ; Burnout ; Citation indexes ; Coronavirus ; Coronaviruses ; COVID-19 ; Depression - epidemiology ; Female ; healthcare workers ; Humans ; Male ; Medical research ; Mental depression ; Mental Health ; Mental health care ; Meta-analysis ; Pandemics ; Professionals ; Review/Meta-analysis ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Sleep ; Stress ; Systematic review</subject><ispartof>European psychiatry, 2022-01, Vol.65 (1), p.e10, Article e10</ispartof><rights>The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022 2022 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c599t-8ac0d89ace02f049d7232e2c0d69778a8c436ac0dcde1b8244c730cbc61540553</citedby><cites>FETCH-LOGICAL-c599t-8ac0d89ace02f049d7232e2c0d69778a8c436ac0dcde1b8244c730cbc61540553</cites><orcidid>0000-0003-0040-1608 ; 0000-0002-4017-2785 ; 0000-0003-3727-5932 ; 0000-0003-4115-7293 ; 0000-0003-1460-1571 ; 0000-0002-0418-7904 ; 0000-0002-4647-1292 ; 0000-0001-8078-5271</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2626836655?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2626836655?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35060458$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aymerich, Claudia</creatorcontrib><creatorcontrib>Pedruzo, Borja</creatorcontrib><creatorcontrib>Pérez, Jose Luís</creatorcontrib><creatorcontrib>Laborda, Maria</creatorcontrib><creatorcontrib>Herrero, Jon</creatorcontrib><creatorcontrib>Blanco, Jorge</creatorcontrib><creatorcontrib>Mancebo, Gonzalo</creatorcontrib><creatorcontrib>Andrés, Lucía</creatorcontrib><creatorcontrib>Estévez, Olatz</creatorcontrib><creatorcontrib>Fernandez, Maitane</creatorcontrib><creatorcontrib>Salazar de Pablo, Gonzalo</creatorcontrib><creatorcontrib>Catalan, Ana</creatorcontrib><creatorcontrib>González-Torres, Miguel Ángel</creatorcontrib><title>COVID-19 pandemic effects on health worker's mental health: Systematic review and meta-analysis</title><title>European psychiatry</title><addtitle>Eur Psychiatry</addtitle><description>Healthcare workers (HCWs) exposed to coronavirus 19 (COVID-19) are at high risk of developing mental health concerns across several domains. The aim of this study is to determine the updated, global frequency of these outcomes.
A multistep literature search was performed from database inception until March 1, 2021. PRISMA/MOOSE-compliant systematic review and PROSPERO protocol were used to identify studies reporting on depression, anxiety, acute stress, post-traumatic symptoms, insomnia, and burnout in HCWs exposed to COVID-19. A quantitative meta-analysis with random effects was conducted to analyze the proportion rate of the mental health disorders. Sensitivity analyses were performed to investigate the effect of the different continents and scales. Meta-regression analyses were conducted to examine the effect of gender, age, and work position.
239 articles were included (n = 271,319 HCWs, mean age = 36.08 ± 8.33 (66.99% female). 33% HCWs exposed to COVID-19 reported depressive symptoms (95% confidence intervals [CI] = 28-38%), 42% anxiety features (95% CI = 35-48), 40% acute stress (95% CI = 32-47), 32% post-traumatic symptoms (95% CI = 26-37%), 42% insomnia (95% CI = 36-48), 37% burnout (95% CI = 31-42). Sensitivity analyses did not show statistically significant differences. Meta-regressions found a statistically significant lower prevalence of post-traumatic symptoms in Asia.
HCWs exposed to COVID-19 were found to have a significant prevalence of mental health concerns in all domains analyzed. 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The aim of this study is to determine the updated, global frequency of these outcomes.
A multistep literature search was performed from database inception until March 1, 2021. PRISMA/MOOSE-compliant systematic review and PROSPERO protocol were used to identify studies reporting on depression, anxiety, acute stress, post-traumatic symptoms, insomnia, and burnout in HCWs exposed to COVID-19. A quantitative meta-analysis with random effects was conducted to analyze the proportion rate of the mental health disorders. Sensitivity analyses were performed to investigate the effect of the different continents and scales. Meta-regression analyses were conducted to examine the effect of gender, age, and work position.
239 articles were included (n = 271,319 HCWs, mean age = 36.08 ± 8.33 (66.99% female). 33% HCWs exposed to COVID-19 reported depressive symptoms (95% confidence intervals [CI] = 28-38%), 42% anxiety features (95% CI = 35-48), 40% acute stress (95% CI = 32-47), 32% post-traumatic symptoms (95% CI = 26-37%), 42% insomnia (95% CI = 36-48), 37% burnout (95% CI = 31-42). Sensitivity analyses did not show statistically significant differences. Meta-regressions found a statistically significant lower prevalence of post-traumatic symptoms in Asia.
HCWs exposed to COVID-19 were found to have a significant prevalence of mental health concerns in all domains analyzed. The effects of COVID-19 on HCWs' mental health could be underestimated and the future consequences dismissed.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>35060458</pmid><doi>10.1192/j.eurpsy.2022.1</doi><orcidid>https://orcid.org/0000-0003-0040-1608</orcidid><orcidid>https://orcid.org/0000-0002-4017-2785</orcidid><orcidid>https://orcid.org/0000-0003-3727-5932</orcidid><orcidid>https://orcid.org/0000-0003-4115-7293</orcidid><orcidid>https://orcid.org/0000-0003-1460-1571</orcidid><orcidid>https://orcid.org/0000-0002-0418-7904</orcidid><orcidid>https://orcid.org/0000-0002-4647-1292</orcidid><orcidid>https://orcid.org/0000-0001-8078-5271</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0924-9338 |
| ispartof | European psychiatry, 2022-01, Vol.65 (1), p.e10, Article e10 |
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| language | eng |
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| source | Publicly Available Content Database; PubMed Central(OpenAccess); Cambridge University Press; Coronavirus Research Database |
| subjects | Anxiety Bias Burnout Citation indexes Coronavirus Coronaviruses COVID-19 Depression - epidemiology Female healthcare workers Humans Male Medical research Mental depression Mental Health Mental health care Meta-analysis Pandemics Professionals Review/Meta-analysis SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Sleep Stress Systematic review |
| title | COVID-19 pandemic effects on health worker's mental health: Systematic review and meta-analysis |
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