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 in | Neuroscience and biobehavioral reviews Vol. 126; pp. 252 - 264 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Ltd
01.07.2021
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Subjects | |
Online Access | Get full text |
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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. |
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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 |
Author_xml | – sequence: 1 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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•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 |
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