Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

[Display omitted] •The mental health burden during the COVID-19 crisis is heavy among healthcare workers.•This meta-analysis estimated high pooled prevalences of psychiatric conditions.•Anxiety, depression and sleep problems were respectively 300 %, 311 %, and 440 %.•Estimates of acute and post-trau...

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Published inNeuroscience and biobehavioral reviews Vol. 126; pp. 252 - 264
Main Authors Marvaldi, Maxime, Mallet, Jasmina, Dubertret, Caroline, Moro, Marie Rose, Guessoum, Sélim Benjamin
Format Journal Article
LanguageEnglish
Published United States Elsevier Ltd 01.07.2021
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Abstract [Display omitted] •The mental health burden during the COVID-19 crisis is heavy among healthcare workers.•This meta-analysis estimated high pooled prevalences of psychiatric conditions.•Anxiety, depression and sleep problems were respectively 300 %, 311 %, and 440 %.•Estimates of acute and post-traumatic stress were high (56.5 %, 20.2 %).•Support interventions are urgent for workers’ wellbeing and quality of care. Healthcare workers have been facing the COVID-19 pandemic, with numerous critical patients and deaths, and high workloads. Quality of care is related to the mental status of healthcare workers. This PRISMA systematic review and meta-analysis, on Pubmed/Psycinfo up to October 8, 2020, estimates the prevalence of mental health problems among healthcare workers during this pandemic. The systematic review included 70 studies (101 017 participants) and only high-quality studies were included in the meta-analysis. The following pooled prevalences were estimated: 300 % of anxiety (95 %CI, 24.2–37.05); 311 % of depression (95 %CI, 25.7–36.8); 565 % of acute stress (95 %CI - 30.6–80.5); 20,2% of post-traumatic stress (95 %CI, 9.9–33.0); 44.0 % of sleep disorders (95 %CI, 24.6–64.5). The following factors were found to be sources of heterogeneity in subgroups and metaregressions analysis: proportion of female, nurses, and location. Targeted prevention and support strategies are needed now, and early in case of future health crises.
AbstractList [Display omitted] •The mental health burden during the COVID-19 crisis is heavy among healthcare workers.•This meta-analysis estimated high pooled prevalences of psychiatric conditions.•Anxiety, depression and sleep problems were respectively 300 %, 311 %, and 440 %.•Estimates of acute and post-traumatic stress were high (56.5 %, 20.2 %).•Support interventions are urgent for workers’ wellbeing and quality of care. Healthcare workers have been facing the COVID-19 pandemic, with numerous critical patients and deaths, and high workloads. Quality of care is related to the mental status of healthcare workers. This PRISMA systematic review and meta-analysis, on Pubmed/Psycinfo up to October 8, 2020, estimates the prevalence of mental health problems among healthcare workers during this pandemic. The systematic review included 70 studies (101 017 participants) and only high-quality studies were included in the meta-analysis. The following pooled prevalences were estimated: 300 % of anxiety (95 %CI, 24.2–37.05); 311 % of depression (95 %CI, 25.7–36.8); 565 % of acute stress (95 %CI - 30.6–80.5); 20,2% of post-traumatic stress (95 %CI, 9.9–33.0); 44.0 % of sleep disorders (95 %CI, 24.6–64.5). The following factors were found to be sources of heterogeneity in subgroups and metaregressions analysis: proportion of female, nurses, and location. Targeted prevention and support strategies are needed now, and early in case of future health crises.
Healthcare workers have been facing the COVID-19 pandemic, with numerous critical patients and deaths, and high workloads. Quality of care is related to the mental status of healthcare workers. This PRISMA systematic review and meta-analysis, on Pubmed/Psycinfo up to October 8, 2020, estimates the prevalence of mental health problems among healthcare workers during this pandemic. The systematic review included 70 studies (101 017 participants) and only high-quality studies were included in the meta-analysis. The following pooled prevalences were estimated: 300 % of anxiety (95 %CI, 24.2-37.05); 311 % of depression (95 %CI, 25.7-36.8); 565 % of acute stress (95 %CI - 30.6-80.5); 20,2% of post-traumatic stress (95 %CI, 9.9-33.0); 44.0 % of sleep disorders (95 %CI, 24.6-64.5). The following factors were found to be sources of heterogeneity in subgroups and metaregressions analysis: proportion of female, nurses, and location. Targeted prevention and support strategies are needed now, and early in case of future health crises.Healthcare workers have been facing the COVID-19 pandemic, with numerous critical patients and deaths, and high workloads. Quality of care is related to the mental status of healthcare workers. This PRISMA systematic review and meta-analysis, on Pubmed/Psycinfo up to October 8, 2020, estimates the prevalence of mental health problems among healthcare workers during this pandemic. The systematic review included 70 studies (101 017 participants) and only high-quality studies were included in the meta-analysis. The following pooled prevalences were estimated: 300 % of anxiety (95 %CI, 24.2-37.05); 311 % of depression (95 %CI, 25.7-36.8); 565 % of acute stress (95 %CI - 30.6-80.5); 20,2% of post-traumatic stress (95 %CI, 9.9-33.0); 44.0 % of sleep disorders (95 %CI, 24.6-64.5). The following factors were found to be sources of heterogeneity in subgroups and metaregressions analysis: proportion of female, nurses, and location. Targeted prevention and support strategies are needed now, and early in case of future health crises.
Healthcare workers have been facing the COVID-19 pandemic, with numerous critical patients and deaths, and high workloads. Quality of care is related to the mental status of healthcare workers. This PRISMA systematic review and meta-analysis, on Pubmed/Psycinfo up to October 8, 2020, estimates the prevalence of mental health problems among healthcare workers during this pandemic. The systematic review included 70 studies (101 017 participants) and only high-quality studies were included in the meta-analysis. The following pooled prevalences were estimated: 300 % of anxiety (95 %CI, 24.2-37.05); 311 % of depression (95 %CI, 25.7-36.8); 565 % of acute stress (95 %CI - 30.6-80.5); 20,2% of post-traumatic stress (95 %CI, 9.9-33.0); 44.0 % of sleep disorders (95 %CI, 24.6-64.5). The following factors were found to be sources of heterogeneity in subgroups and metaregressions analysis: proportion of female, nurses, and location. Targeted prevention and support strategies are needed now, and early in case of future health crises.
Author Dubertret, Caroline
Moro, Marie Rose
Mallet, Jasmina
Guessoum, Sélim Benjamin
Marvaldi, Maxime
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  givenname: Maxime
  surname: Marvaldi
  fullname: Marvaldi, Maxime
  organization: University of Paris, France
– sequence: 2
  givenname: Jasmina
  surname: Mallet
  fullname: Mallet, Jasmina
  email: jasmina.mallet@aphp.fr
  organization: University of Paris, France
– sequence: 3
  givenname: Caroline
  surname: Dubertret
  fullname: Dubertret, Caroline
  email: caroline.dubertret@aphp.fr
  organization: University of Paris, France
– sequence: 4
  givenname: Marie Rose
  orcidid: 0000-0002-9402-8850
  surname: Moro
  fullname: Moro, Marie Rose
  email: marie-rose.moro@aphp.fr
  organization: University of Paris, France
– sequence: 5
  givenname: Sélim Benjamin
  orcidid: 0000-0002-2476-8968
  surname: Guessoum
  fullname: Guessoum, Sélim Benjamin
  email: selim.guessoum@gmail.com
  organization: University of Paris, France
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33774085$$D View this record in MEDLINE/PubMed
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Psychological trauma
Sleep wake disorders
Depression
Systematic review
Anxiety
Healthcare workers
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Stress disorders, traumatic, acute
Meta-analysis
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Snippet [Display omitted] •The mental health burden during the COVID-19 crisis is heavy among healthcare workers.•This meta-analysis estimated high pooled prevalences...
Healthcare workers have been facing the COVID-19 pandemic, with numerous critical patients and deaths, and high workloads. Quality of care is related to the...
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SubjectTerms Anxiety
Anxiety - epidemiology
COVID-19
Depression
Depression - epidemiology
Female
Health Personnel
Healthcare workers
Humans
Meta-analysis
Pandemics
Prevalence
Psychological trauma
SARS-CoV-2
Sleep wake disorders
Sleep Wake Disorders - epidemiology
Stress disorders, traumatic, acute
Systematic review
Title Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis
URI https://dx.doi.org/10.1016/j.neubiorev.2021.03.024
https://www.ncbi.nlm.nih.gov/pubmed/33774085
https://www.proquest.com/docview/2506507584
Volume 126
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