The global prevalence of depression and anxiety among doctors during the covid-19 pandemic: Systematic review and meta-analysis.
The global prevalence of depression and anxiety among doctors during the covid-19 pandemic: Systematic review and meta-analysis.
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DOI：
10.1016/j.jad.2021.11.026
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发表时间：
2022-02-01
影响因子：
6.6
通讯作者：
Waddington L
中科院分区：
文献类型：
--
作者：
Johns G;Samuel V;Freemantle L;Lewis J;Waddington L
该综述基于对COVID-19大流行第一年证据的分析，对医生中抑郁和焦虑症状的全球患病率进行了估计。进行了系统评价，以确定合适的研究。最终检索于二零二一年三月三日进行。根据预先商定的纳入标准，首先通过标题和摘要筛选论文，然后对符合条件的研究进行全文审查。使用Joanna Briggs流行病学研究检查表评估偏倚风险。使用随机效应荟萃分析汇总了被评定为低或中等偏倚风险的研究数据。进行了敏感性和亚组分析，以探索异质性。全文审查后纳入了55项研究。其中，30项研究被评估为低或中等偏倚风险，并被纳入主要分析。其中包括26项抑郁症研究（31，447名参与者）和30项焦虑症研究（33，281名参与者）。抑郁和焦虑的合并患病率分别为20.5%（95%CI 16.0%-25.3%）和25.8%（95%CI 20.4%-31.5%）。来自大流行第一年的证据表明，很大一部分医生经历了高度的抑郁和焦虑症状，尽管并没有决定性地超过大流行前的水平。研究方法的差异和工作要求的变化可能会导致一些观察到的异质性。由于在大多数纳入的研究中明显存在高度异质性和中度偏倚风险，因此必须谨慎解释结果。
This review provides an estimate of the global prevalence of depression and anxiety symptoms among doctors, based on analysis of evidence from the first year of the COVID-19 pandemic. A systematic review was conducted to identify suitable studies. Final searches were conducted on 3rd March 2021. Papers were initially screened by title and abstract, based on pre-agreed inclusion criteria, followed by full-text review of eligible studies. Risk of bias was assessed using the Joanna Briggs Checklist for Prevalence Studies. Data from studies rated as low or medium risk of bias were pooled using a random-effects meta-analysis. Sensitivity and subgroup analyses were conducted to explore heterogeneity. Fifty-five studies were included after full-text review. Of these, thirty studies were assessed as low or medium risk of bias and were included in primary analyses. These comprised twenty-six studies of depression (31,447 participants) and thirty studies of anxiety (33,281 participants). Pooled prevalence of depression and anxiety was 20.5% (95% CI 16.0%-25.3%) and 25.8% (95% CI 20.4%-31.5%) respectively. Evidence from the first year of the pandemic suggests that a significant proportion of doctors are experiencing high levels of symptoms of depression and anxiety, although not conclusively more so than pre-pandemic levels. Differences in study methodology and variation in job demands may account for some of the observed heterogeneity. Findings must be interpreted with caution due to the high heterogeneity and moderate risk of bias evident in the majority of included studies.
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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：
9.9
作者：
Demerouti, E;Bakker, AB;Schaufeli, WB
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DOI：
10.1016/0197-2456(86)90046-2
发表时间：
1986-09-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
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作者：
DERSIMONIAN, R;LAIRD, N
通讯作者：
LAIRD, N
影响因子：
5.1
作者：
Bakker, Arnold B.;Demerouti, Evangelia
通讯作者：
Demerouti, Evangelia
DOI：
10.3390/ijerph18041435
发表时间：
2021-02-03
影响因子：
--
作者：
Chatzittofis A;Karanikola M;Michailidou K;Constantinidou A
通讯作者：
Constantinidou A