Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.
Identifieur interne : 000491 ( Main/Exploration ); précédent : 000490; suivant : 000492Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.
Auteurs : Sofia Pappa [Royaume-Uni] ; Vasiliki Ntella [Grèce] ; Timoleon Giannakas [Grèce] ; Vassilis G. Giannakoulis [Grèce] ; Eleni Papoutsi [Grèce] ; Paraskevi Katsaounou [Grèce]Source :
- Brain, behavior, and immunity [ 1090-2139 ] ; 2020.
Abstract
BACKGROUND
COVID-19 pandemic has the potential to significantly affect the mental health of healthcare workers (HCWs), who stand in the frontline of this crisis. It is, therefore, an immediate priority to monitor rates of mood, sleep and other mental health issues in order to understand mediating factors and inform tailored interventions. The aim of this review is to synthesize and analyze existing evidence on the prevalence of depression, anxiety and insomnia among HCWs during the Covid-19 outbreak.
METHODS
A systematic search of literature databases was conducted up to April 17th, 2020. Two reviewers independently assessed full-text articles according to predefined criteria. Risk of bias for each individual study was assessed and data pooled using random-effects meta-analyses to estimate the prevalence of specific mental health problems. The review protocol is registered in PROSPERO and is available online.
FINDINGS
Thirteen studies were included in the analysis with a combined total of 33,062 participants. Anxiety was assessed in 12 studies, with a pooled prevalence of 23·2% and depression in 10 studies, with a prevalence rate of 22·8%. A subgroup analysis revealed gender and occupational differences with female HCPs and nurses exhibiting higher rates of affective symptoms compared to male and medical staff respectively. Finally, insomnia prevalence was estimated at 38·9% across 5 studies.
INTERPRETATION
Early evidence suggests that a considerable proportion of HCWs experience mood and sleep disturbances during this outbreak, stressing the need to establish ways to mitigate mental health risks and adjust interventions under pandemic conditions.
DOI: 10.1016/j.bbi.2020.05.026
PubMed: 32437915
PubMed Central: PMC7206431
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.</title><author><name sortKey="Pappa, Sofia" sort="Pappa, Sofia" uniqKey="Pappa S" first="Sofia" last="Pappa">Sofia Pappa</name><affiliation wicri:level="3"><nlm:affiliation>Dept of Psychiatry, Imperial College London, London, United Kingdom; West London NHS Trust, London, United Kingdom. Electronic address: sofia.pappa@westlondon.nhs.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Dept of Psychiatry, Imperial College London, London, United Kingdom; West London NHS Trust, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ntella, Vasiliki" sort="Ntella, Vasiliki" uniqKey="Ntella V" first="Vasiliki" last="Ntella">Vasiliki Ntella</name><affiliation wicri:level="3"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Giannakas, Timoleon" sort="Giannakas, Timoleon" uniqKey="Giannakas T" first="Timoleon" last="Giannakas">Timoleon Giannakas</name><affiliation wicri:level="3"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Giannakoulis, Vassilis G" sort="Giannakoulis, Vassilis G" uniqKey="Giannakoulis V" first="Vassilis G" last="Giannakoulis">Vassilis G. Giannakoulis</name><affiliation wicri:level="3"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Papoutsi, Eleni" sort="Papoutsi, Eleni" uniqKey="Papoutsi E" first="Eleni" last="Papoutsi">Eleni Papoutsi</name><affiliation wicri:level="3"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Katsaounou, Paraskevi" sort="Katsaounou, Paraskevi" uniqKey="Katsaounou P" first="Paraskevi" last="Katsaounou">Paraskevi Katsaounou</name><affiliation wicri:level="1"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece; Pulmonary and Respiratory Failure Department, First ICU, Evaggelismos Hospital. Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens, Greece; Pulmonary and Respiratory Failure Department, First ICU, Evaggelismos Hospital. Athens</wicri:regionArea><wicri:noRegion>Evaggelismos Hospital. Athens</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32437915</idno><idno type="pmid">32437915</idno><idno type="doi">10.1016/j.bbi.2020.05.026</idno><idno type="pmc">PMC7206431</idno><idno type="wicri:Area/Main/Corpus">000826</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000826</idno><idno type="wicri:Area/Main/Curation">000826</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000826</idno><idno type="wicri:Area/Main/Exploration">000826</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.</title><author><name sortKey="Pappa, Sofia" sort="Pappa, Sofia" uniqKey="Pappa S" first="Sofia" last="Pappa">Sofia Pappa</name><affiliation wicri:level="3"><nlm:affiliation>Dept of Psychiatry, Imperial College London, London, United Kingdom; West London NHS Trust, London, United Kingdom. Electronic address: sofia.pappa@westlondon.nhs.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Dept of Psychiatry, Imperial College London, London, United Kingdom; West London NHS Trust, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Ntella, Vasiliki" sort="Ntella, Vasiliki" uniqKey="Ntella V" first="Vasiliki" last="Ntella">Vasiliki Ntella</name><affiliation wicri:level="3"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Giannakas, Timoleon" sort="Giannakas, Timoleon" uniqKey="Giannakas T" first="Timoleon" last="Giannakas">Timoleon Giannakas</name><affiliation wicri:level="3"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Giannakoulis, Vassilis G" sort="Giannakoulis, Vassilis G" uniqKey="Giannakoulis V" first="Vassilis G" last="Giannakoulis">Vassilis G. Giannakoulis</name><affiliation wicri:level="3"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Papoutsi, Eleni" sort="Papoutsi, Eleni" uniqKey="Papoutsi E" first="Eleni" last="Papoutsi">Eleni Papoutsi</name><affiliation wicri:level="3"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Katsaounou, Paraskevi" sort="Katsaounou, Paraskevi" uniqKey="Katsaounou P" first="Paraskevi" last="Katsaounou">Paraskevi Katsaounou</name><affiliation wicri:level="1"><nlm:affiliation>National and Kapodistrian University of Athens, Athens, Greece; Pulmonary and Respiratory Failure Department, First ICU, Evaggelismos Hospital. Athens, Greece.</nlm:affiliation><country xml:lang="fr">Grèce</country><wicri:regionArea>National and Kapodistrian University of Athens, Athens, Greece; Pulmonary and Respiratory Failure Department, First ICU, Evaggelismos Hospital. Athens</wicri:regionArea><wicri:noRegion>Evaggelismos Hospital. Athens</wicri:noRegion></affiliation></author></analytic><series><title level="j">Brain, behavior, and immunity</title><idno type="eISSN">1090-2139</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>COVID-19 pandemic has the potential to significantly affect the mental health of healthcare workers (HCWs), who stand in the frontline of this crisis. It is, therefore, an immediate priority to monitor rates of mood, sleep and other mental health issues in order to understand mediating factors and inform tailored interventions. The aim of this review is to synthesize and analyze existing evidence on the prevalence of depression, anxiety and insomnia among HCWs during the Covid-19 outbreak.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A systematic search of literature databases was conducted up to April 17th, 2020. Two reviewers independently assessed full-text articles according to predefined criteria. Risk of bias for each individual study was assessed and data pooled using random-effects meta-analyses to estimate the prevalence of specific mental health problems. The review protocol is registered in PROSPERO and is available online.</p></div><div type="abstract" xml:lang="en"><p><b>FINDINGS</b></p><p>Thirteen studies were included in the analysis with a combined total of 33,062 participants. Anxiety was assessed in 12 studies, with a pooled prevalence of 23·2% and depression in 10 studies, with a prevalence rate of 22·8%. A subgroup analysis revealed gender and occupational differences with female HCPs and nurses exhibiting higher rates of affective symptoms compared to male and medical staff respectively. Finally, insomnia prevalence was estimated at 38·9% across 5 studies.</p></div><div type="abstract" xml:lang="en"><p><b>INTERPRETATION</b></p><p>Early evidence suggests that a considerable proportion of HCWs experience mood and sleep disturbances during this outbreak, stressing the need to establish ways to mitigate mental health risks and adjust interventions under pandemic conditions.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32437915</PMID><DateRevised><Year>2020</Year><Month>06</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1090-2139</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>May</Month><Day>08</Day></PubDate></JournalIssue><Title>Brain, behavior, and immunity</Title><ISOAbbreviation>Brain Behav. Immun.</ISOAbbreviation></Journal><ArticleTitle>Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0889-1591(20)30845-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bbi.2020.05.026</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">COVID-19 pandemic has the potential to significantly affect the mental health of healthcare workers (HCWs), who stand in the frontline of this crisis. It is, therefore, an immediate priority to monitor rates of mood, sleep and other mental health issues in order to understand mediating factors and inform tailored interventions. The aim of this review is to synthesize and analyze existing evidence on the prevalence of depression, anxiety and insomnia among HCWs during the Covid-19 outbreak.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A systematic search of literature databases was conducted up to April 17th, 2020. Two reviewers independently assessed full-text articles according to predefined criteria. Risk of bias for each individual study was assessed and data pooled using random-effects meta-analyses to estimate the prevalence of specific mental health problems. The review protocol is registered in PROSPERO and is available online.</AbstractText><AbstractText Label="FINDINGS" NlmCategory="RESULTS">Thirteen studies were included in the analysis with a combined total of 33,062 participants. Anxiety was assessed in 12 studies, with a pooled prevalence of 23·2% and depression in 10 studies, with a prevalence rate of 22·8%. A subgroup analysis revealed gender and occupational differences with female HCPs and nurses exhibiting higher rates of affective symptoms compared to male and medical staff respectively. Finally, insomnia prevalence was estimated at 38·9% across 5 studies.</AbstractText><AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Early evidence suggests that a considerable proportion of HCWs experience mood and sleep disturbances during this outbreak, stressing the need to establish ways to mitigate mental health risks and adjust interventions under pandemic conditions.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pappa</LastName><ForeName>Sofia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Dept of Psychiatry, Imperial College London, London, United Kingdom; West London NHS Trust, London, United Kingdom. Electronic address: sofia.pappa@westlondon.nhs.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ntella</LastName><ForeName>Vasiliki</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>National and Kapodistrian University of Athens, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giannakas</LastName><ForeName>Timoleon</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>National and Kapodistrian University of Athens, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giannakoulis</LastName><ForeName>Vassilis G</ForeName><Initials>VG</Initials><AffiliationInfo><Affiliation>National and Kapodistrian University of Athens, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Papoutsi</LastName><ForeName>Eleni</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>National and Kapodistrian University of Athens, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Katsaounou</LastName><ForeName>Paraskevi</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>National and Kapodistrian University of Athens, Athens, Greece; Pulmonary and Respiratory Failure Department, First ICU, Evaggelismos Hospital. Athens, Greece.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Brain Behav Immun</MedlineTA><NlmUniqueID>8800478</NlmUniqueID><ISSNLinking>0889-1591</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anxiety</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">Depression</Keyword><Keyword MajorTopicYN="N">Health care workers</Keyword><Keyword MajorTopicYN="N">Insomnia</Keyword><Keyword MajorTopicYN="N">Mental health</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32437915</ArticleId><ArticleId IdType="pii">S0889-1591(20)30845-X</ArticleId><ArticleId IdType="doi">10.1016/j.bbi.2020.05.026</ArticleId><ArticleId IdType="pmc">PMC7206431</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Grèce</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Attique (région)</li><li>Grand Londres</li></region><settlement><li>Athènes</li><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Pappa, Sofia" sort="Pappa, Sofia" uniqKey="Pappa S" first="Sofia" last="Pappa">Sofia Pappa</name></region></country><country name="Grèce"><region name="Attique (région)"><name sortKey="Ntella, Vasiliki" sort="Ntella, Vasiliki" uniqKey="Ntella V" first="Vasiliki" last="Ntella">Vasiliki Ntella</name></region><name sortKey="Giannakas, Timoleon" sort="Giannakas, Timoleon" uniqKey="Giannakas T" first="Timoleon" last="Giannakas">Timoleon Giannakas</name><name sortKey="Giannakoulis, Vassilis G" sort="Giannakoulis, Vassilis G" uniqKey="Giannakoulis V" first="Vassilis G" last="Giannakoulis">Vassilis G. Giannakoulis</name><name sortKey="Katsaounou, Paraskevi" sort="Katsaounou, Paraskevi" uniqKey="Katsaounou P" first="Paraskevi" last="Katsaounou">Paraskevi Katsaounou</name><name sortKey="Papoutsi, Eleni" sort="Papoutsi, Eleni" uniqKey="Papoutsi E" first="Eleni" last="Papoutsi">Eleni Papoutsi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidPsychoV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000491 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000491 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidPsychoV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32437915
|texte= Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32437915" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidPsychoV1
| This area was generated with Dilib version V0.6.35. |  |