Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis.

Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis.
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19009年大流行期间心理健康问题的患病率:系统评价和荟萃分析。

DOI:
10.1016/j.jad.2020.11.117
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发表时间:
2021-02-15
影响因子:
6.6
通讯作者:
Wang X
Wang X
中科院分区:
医学2区
文献类型:
--
作者:
Wu T;Jia X;Shi H;Niu J;Yin X;Xie J;Wang X

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全球COVID-19大流行在全球范围内产生了重大的精神和心理健康问题。我们进行了一项荟萃分析,以评估2019冠状病毒病大流行期间抑郁、焦虑、痛苦和失眠的患病率。我们检索了在线生物医学数据库(PubMed、Embase、Web of Science、奥维德、CNKI和万方数据)和预印本数据库(SSRN、bioRxiv和MedRxiv),以查找2020年1月1日至2020年3月16日期间调查COVID-19大流行期间心理健康问题患病率的观察性研究。我们从生物医学数据库中检索到821篇引文,从预印本数据库中检索到53篇引文:我们的荟萃分析包括66项研究,221,970名参与者。抑郁、焦虑、苦恼和失眠的总体合并患病率分别为31.4%、31.9%、41.1%和37.9%。非传染性慢性病患者、隔离人员和COVID-19患者的抑郁(Q=26.73,p<0.01)和焦虑(Q=21.86,p<0.01)风险高于其他人群。一般人群和非医务人员的抑郁风险低于其他人群(Q=461.21,p< 0.01)。内科医生、护士和非医务人员的失眠患病率高于其他人群(Q=196.64,p<0.01)。所有纳入的研究均来自全球大流行的早期阶段。需要进行更多的元分析,以获得更多的大流行病各个阶段的数据。COVID-19大流行增加了全球人口的心理健康问题,特别是医护人员、非传染性慢性病患者、COVID-19患者和被隔离人员。迫切需要对心理健康进行干预,以预防心理健康问题。
The global COVID-19 pandemic has generated major mental and psychological health problems worldwide. We conducted a meta-analysis to assess the prevalence of depression, anxiety, distress, and insomnia during the COVID-19 pandemic. We searched online biomedical databases (PubMed, Embase, Web of Science, Ovid, CNKI, and Wanfang Data) and preprint databases (SSRN, bioRxiv, and MedRxiv) for observational studies from January 1, 2020 to March 16, 2020 investigating the prevalence of mental health problems during the COVID-19 pandemic. We retrieved 821 citations from the biomedical databases and 53 citations from the preprint databases: 66 studies with 221,970 participants were included in our meta-analysis. The overall pooled prevalence of depression, anxiety, distress, and insomnia was 31.4%, 31.9%, 41.1% and 37.9%, respectively. Noninfectious chronic disease patients, quarantined persons, and COVID-19 patients had a higher risk of depression (Q=26.73, p<0.01) and anxiety (Q=21.86, p<0.01) than other populations. The general population and non-medical staff had a lower risk of distress than other populations (Q=461.21, p< 0.01). Physicians, nurses, and non-medical staff showed a higher prevalence of insomnia (Q=196.64, p<0.01) than other populations. All included studies were from the early phase of the global pandemic. Additional meta-analyses are needed to obtain more data in all phases of the pandemic. The COVID-19 pandemic increases the mental health problems of the global population, particularly health care workers, noninfectious chronic disease patients, COVID-19 patients, and quarantined persons. Interventions for mental health are urgently needed for preventing mental health problems.
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