Mental Health of Medical Staff During the Coronavirus Disease 2019 Pandemic: A Systematic Review and Meta-Analysis. Issue 4 (May 2021)

• Record Type: Journal Article
• Authors: Yan, Haohao; Ding, Yudan; Guo, Wenbin
• Is Part Of: Psychosomatic medicine. Volume 83:Issue 4(2021)
• Publication Date: 2021-05
• Subjects: coronavirus disease 2019 -- medical staff -- anxiety -- depression -- meta-analysis -- CI = confidence interval -- COVID-19 = coronavirus disease 2019 -- MERS = Middle East respiratory syndrome -- PTSD = post-traumatic stress disorder -- SARS = severe acute respiratory syndrome -- SARS-CoV-2 = severe acute respiratory syndrome coronavirus 2 -- STROBE = Strengthening the Reporting of Observational Studies in Epidemiology -- WHO = World Health Organization; Medicine, Psychosomatic -- Periodicals; 616.0805
• DOI: 10.1097/PSY.0000000000000922
• Languages: English
• ISSNs: 0033-3174

Abstract

ABSTRACT: Objective: This study aimed to quantify the prevalence of the adverse mental health outcomes in medical staff working in the hospital settings during the coronavirus disease 2019 (COVID-19) pandemic and explore the relative distribution of anxiety and depressive symptoms. Methods: PubMed, EMBASE, China National Knowledge Infrastructure, WANFANG DATA, and VIP Database for Chinese Technical Periodicals were searched for articles published from January 1, 2019, to April 19, 2020. The prevalence estimates of adverse mental health symptoms in medical staff were pooled using the random-effects model. Results: A total of 35 articles and data of 25, 343 medical staff were used in the final analysis. The pooled prevalence estimates in medical staff during the COVID-19 pandemic were as follows (ordered from high to low): fear-related symptoms, 67% (95% confidence interval [CI] = 61%–73%); high levels of perceived stress, 56% (95% CI = 32%–79%), anxiety symptoms, 41% (95% CI = 35%–47%); insomnia, 41% (95% CI = 33%–50%); posttraumatic stress disorder symptoms, 38% (95% CI = 34%–43%); depressive symptoms, 27% (95% CI = 20%–34%); and somatic symptoms, 16% (95% CI = 3%–36%). The subgroup analysis revealed that the prevalence estimates of fear-related symptoms were consistently high. Conclusions: Medical staff during the COVID-19 epidemic have a high prevalence of adverse mental health symptoms. Data-based strategies are needed to optimize mental health of medical staff and other health care professionals during times of high demand such as the COVID-19 and other epidemics. PROSPERO Registration: CRD42020182433. Abstract : Supplemental digital content is available in the text.