Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis.
Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis.
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DOI：
10.3390/ijerph18042182
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发表时间：
2021-02-23
影响因子：
--
通讯作者：
Baltatu OC
中科院分区：
文献类型：
--
作者：
Al Falasi B;Al Mazrouei M;Al Ali M;Al Dhamani M;Al Ali A;Al Kindi M;Dalkilinc M;Al Qubaisi M;Campos LA;Al Tunaiji H;Baltatu OC
背景：COVID-19疫情持续上升。为控制COVID-19疫情，医护专业人员承受的工作压力增加。在这项系统性综述中，我们旨在调查COVID-19（SARS CoV-2）和SARS-2003（SARS CoV-1）大流行病对医疗保健专业人员的即时和长期创伤后应激障碍（PTSD）影响的患病率和决定因素。研究方法：本系统性综述根据系统性综述和荟萃分析方案（PRISMA）声明的建议进行。仅纳入了报告SARS CoV-2和SARS CoV-1大流行期间医疗保健专业人员（HCP）PTSD患病率（频率，百分比）和相关风险因素（调整后的比值比（OR））的研究。筛选了以下数据库：Medline、Embase、PsychINFO和Health Psychosocial Instrument（HaPI）。结果如下：8项研究中有6项报告了中国（3项）、新加坡（1项）、印度（1项）和美利坚合众国（2项）在COVID-19大流行期间医疗保健专业人员的PTSD症状，而2项研究报告了中国（1项）和新加坡（1项）在2003年SARS大流行期间的症状。样本量从263到5062不等，总共有10,074名参与者。所有的研究都自我报告了冠状病毒（CoV-1和CoV-2）的暴露水平和PTSD的严重程度。7项研究报告了即刻PTSD的患病率和决定因素，而1项研究报告了延迟发作的PTSD（CoV-1大流行后3年）。在CoV-2大流行中报告了即刻PTSD的决定因素，而在CoV-1大流行中报告了长期PTSD的决定因素。结论：全面了解医护人员即时或长期流行性PTSD的患病率和决定因素可以改善预防，诊断和管理。预计将进行严格的研究，以衡量PTSD的患病率及其与CoV-2大流行相关的风险因素（调整后的OR）。虽然解决创伤后应激障碍的策略是关键，但长期的创伤后应激障碍也不容忽视。
Background: The COVID-19 pandemic continues to rise. In order to control the COVID-19 pandemic, healthcare professionals have been subjected to increased exposure to work stress. In this systematic review, we aimed at investigating the prevalence and determinants of immediate and long-term post-traumatic stress disorder (PTSD) effects on healthcare professionals by the COVID-19 (SARS CoV-2) and SARS-2003 (SARS CoV-1) pandemics. Methods: This systematic review was conducted according to the recommendations of the Protocols for Systemic Review and Meta-Analysis (PRISMA) statement. Only studies reporting the prevalence of PTSD (frequency, percentage) and related risk factors (adjusted odds ratio (OR)) in healthcare professionals (HCPs) during the SARS CoV-2 and SARS CoV-1 pandemics were included. The following databases were screened: Medline, Embase, PsychINFO, and Health Psychosocial Instrument (HaPI). Results: Six of eight studies reported PTSD symptoms among healthcare professionals during the COVID-19 pandemic in China (three), Singapore (one), India (one), and the United States of America (USA) (two), while two studies reported symptoms during the SARS-2003 pandemic in China (one) and Singapore (one). Sample sizes ranged from 263 to 5062 with a combined total of 10,074 participants. All of the studies self-reported the level of exposure to coronaviruses (CoV-1 and CoV-2) and severity of PTSD. Seven studies reported the prevalence of immediate PTSD and determinants, while one study reported delayed-onset PTSD (3 years after CoV-1 pandemic). Determinants of immediate PTSD were reported for the CoV-2 pandemic, while those for long-term PTSD were reported for the CoV-1 pandemic. Conclusions: A comprehensive understanding of the prevalence and determinants of immediate or long-term pandemic PTSD for healthcare workers can improve prevention, diagnosis, and management. Rigorous research measuring the prevalence of PTSD and its associated risk factors (adjusted OR) for the CoV-2 pandemic are envisaged. Although strategies to resolve immediate PTSD are key, long-term PTSD must not be overlooked.
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影响因子：
3.7
作者：
Moher D;Shamseer L;Clarke M;Ghersi D;Liberati A;Petticrew M;Shekelle P;Stewart LA;PRISMA-P Group
通讯作者：
PRISMA-P Group
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
6.9
作者：
Maguen, Shira;Griffin, Brandon J.;Copeland, Laurel A.;Perkins, Daniel F.;Richardson, Cameron B.;Finley, Erin P.;Vogt, Dawne
通讯作者：
Vogt, Dawne
影响因子：
5
作者：
Allan SM;Bealey R;Birch J;Cushing T;Parke S;Sergi G;Bloomfield M;Meiser-Stedman R
通讯作者：
Meiser-Stedman R
影响因子：
3.3
作者：
Jones, Hannah;Dorahy, Martin J.;Hanna, Donncha
通讯作者：
Hanna, Donncha