The prevalence of common and stress-related mental health disorders in healthcare workers based in pandemic-affected hospitals: a rapid systematic review and meta-analysis.
The prevalence of common and stress-related mental health disorders in healthcare workers based in pandemic-affected hospitals: a rapid systematic review and meta-analysis.
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DOI：
10.1080/20008198.2020.1810903
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发表时间：
2020-10-16
影响因子：
5
通讯作者：
Meiser-Stedman R
中科院分区：
文献类型：
--
作者：
Allan SM;Bealey R;Birch J;Cushing T;Parke S;Sergi G;Bloomfield M;Meiser-Stedman R
背景：医疗工作者（HCW）被认为在与COVID-19患者一起工作时经历心理健康障碍的风险较高。目的：了解流行病患者所在医院医务人员常见精神卫生障碍的患病率。方法：检索数据库中2020年3月30日之前发表的研究。采用定量综合法，对事先确定的四个时间窗（急性期，即大流行期间和大流行后1.5个月内; 1.5-5.9个月; 6-11.9个月; 12个月及以后）的精神健康障碍流行率进行了估计。结果：19项研究符合审查标准。他们主要针对SARS在亚洲爆发的急性期。研究最多的结果是临床显著的创伤后应激症状（PTSS）和一般精神病病例。对于急性期具有临床意义的PTSS，患病率估计值为23.4%（95% CI 16.3，31.2; N = 4147; I2 = 96.2%）;在12个月以上的时间窗内，估计值为11.9%（8.4，15.8; N = 1136; I2 = 74.3%）。对于一般精神病病例，患病率估计为急性期，34.1%（18.7，51.4; N = 3971; I2 = 99.1%）; 6-12个月，17.9%（13.1，23.2; N = 223; I2 = 0.0%）; 12个月以上，29.3%（6.0，61.0; N = 710; I2 = 97.8%）。在急性期，医生和护士在PTSS和一般精神病病例方面没有明显差异。结论：精神健康障碍在大流行后立即与受流行病折磨的患者一起工作的医务工作者中特别常见，但对这一时期后的疾病过程知之甚少。研究之间存在相当大的异质性，可能与方法学差异有关。需要对医务工作者进行更广泛的随访。心理健康问题，特别是创伤后应激障碍，在与大流行期间感染的患者一起工作的医护人员中很常见。然而，人们对在这种环境中工作的长期影响知之甚少。
Background: Healthcare workers (HCWs) are considered at elevated risk of experiencing mental health disorders in working with patients with COVID-19. Objective: To estimate the prevalence of common mental health disorders in HCWs based in hospitals where pandemic-affected patients were treated. Method: Databases were searched for studies published before 30 March 2020. Quantitative synthesis was used to obtain estimates of the prevalence of mental health disorders in four time windows, determined a priori (the acute phase, i.e. during and up to 1.5 months post-pandemic; 1.5–5.9 months; 6–11.9 months; 12 months and later). Results: Nineteen studies met the review criteria. They predominantly addressed the acute phase of the SARS outbreak in Asia. The most studied outcomes were clinically significant post-traumatic stress symptoms (PTSS) and general psychiatric caseness. For clinically significant PTSS in the acute phase, the prevalence estimate was 23.4% (95% CI 16.3, 31.2; N = 4147; I2 = 96.2%); in the 12 months plus window, the estimate was 11.9% (8.4, 15.8; N = 1136; I2 = 74.3%). For general psychiatric caseness, prevalence estimates were acute phase, 34.1% (18.7, 51.4; N = 3971; I2 = 99.1%); 6–12 months, 17.9% (13.1, 23.2; N = 223; I2 = 0.0%); 12 months plus, 29.3% (6.0, 61.0; N = 710; I2 = 97.8%). No differences between doctors and nurses with respective to PTSS and general psychiatric caseness were apparent in the acute phase. Conclusions: Mental health disorders are particularly common in HCWs working with pandemic-afflicted patients immediately following a pandemic, but the course of disorders following this period is poorly understood. There was considerable heterogeneity between studies, likely linked to methodological differences. More extended follow up of HCWs is needed. • Mental health difficulties, in particular post-traumatic stress, are common in healthcare workers working with patients infected during a pandemic. The long-term impact of working in such environments is poorly understood, however.
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影响因子：
6.3
作者：
Barendregt, Jan J.;Doi, Suhail A.;Vos, Theo
通讯作者：
Vos, Theo
影响因子：
6.9
作者：
GOLDBERG, DP;HILLIER, VF
通讯作者：
HILLIER, VF
DOI：
10.1111/jcpp.12566
发表时间：
2016-08
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Hiller RM;Meiser-Stedman R;Fearon P;Lobo S;McKinnon A;Fraser A;Halligan SL
通讯作者：
Halligan SL
DOI：
10.1098/rstb.2004.1483
发表时间：
2004-07-29
影响因子：
6.3
作者：
Maunder, R
通讯作者：
Maunder, R
影响因子：
3.3
作者：
Gobin, Maya;Rubin, G. James;Oliver, Isabel
通讯作者：
Oliver, Isabel