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Health care workers' mental health in the face of COVID-19: a systematic review and meta-analysis.

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Title: Health care workers' mental health in the face of COVID-19: a systematic review and meta-analysis.
Authors: Ghahramani, Sulmaz, Kasraei, Hengameh, Hayati, Ramin, Tabrizi, Reza, Marzaleh, Milad Ahmadi
Source: International Journal of Psychiatry in Clinical Practice. Jun2023, Vol. 27 Issue 2, p208-217. 10p.
Subjects: Insomnia risk factors, Mental illness risk factors, Mental depression risk factors, Psychiatric epidemiology, Online information services, Medical databases, COVID-19, Meta-analysis, Medical information storage & retrieval systems, Confidence intervals, Systematic reviews, Medical personnel, Mental health, Health outcome assessment, Post-traumatic stress disorder, Psychosocial factors, Research funding, MEDLINE, Anxiety, Policy sciences, Psychological stress
Abstract: Healthcare workers are leading the way in treating patients with coronavirus disease 2019 (COVID-19). Due to the high levels of psychological stress, this group is more likely to experience psychological issues. These psychological problems in healthcare providers include depression, anxiety, insomnia, stress and post-traumatic stress disorder (PTSD). The goal of this systematic review and meta-analysis was to find out how common these problems were in the face of COVID-19. On 20 February 2022, systematic searches were conducted in the PubMed, Cochrane Library, Scopus, EMBASE, Science Direct, Web of Science and ProQuest databases. Two authors selected articles based on search keywords. As a last step, articles about the prevalence of psychological problems among healthcare workers in the face of COVID-19 were looked at and analysed for five different outcomes. The initial search yielded 18,609 articles. After reviewing the titles, abstracts and full texts of the articles, 44 were chosen for the final analysis and 29 were subjected to a meta-analysis. Insomnia, anxiety, depression, PTSD and stress are among the psychological issues faced by healthcare workers. Furthermore, the highest pooled prevalence of depression, anxiety, insomnia, PTSD and stress was 36% (95% confidence interval (CI) 24–50%), 47% (95% CI 22–74%), 49% (95% CI 28–70%), 37% (95% CI 19–59%) and 27% (95% CI 6–69%). In this meta-analysis, insomnia was found to be the most common mental health problem, followed by anxiety, PTSD, depression and stress in healthcare workers in the face of the COVID-19 pandemic. Generally, the pooled prevalence of these mental health problems was higher among physicians, nurses and older staff in the subgroup analysis. As a result, health policymakers and managers of the health care system should think about effective interventions to promote mental health, paying particular attention to these two groups. Studies conducted in China reported more mental problems than in other countries. Health policymakers and health system managers should hold training programs to promote healthcare workers' mental health with a particular focus on more vulnerable groups. The prevalence of PTSD, stress, anxiety, depression and insomnia were higher among physicians, nurses and older staff. Health systems at both national and local levels have to take older physicians, nurses and healthcare providers into consideration while designing interventions. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Health care workers' mental health in the face of COVID-19: a systematic review and meta-analysis.
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Psychiatry+in+Clinical+Practice%22">International Journal of Psychiatry in Clinical Practice</searchLink>. Jun2023, Vol. 27 Issue 2, p208-217. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Insomnia+risk+factors%22">Insomnia risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness+risk+factors%22">Mental illness risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression+risk+factors%22">Mental depression risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+epidemiology%22">Psychiatric epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Policy+sciences%22">Policy sciences</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Healthcare workers are leading the way in treating patients with coronavirus disease 2019 (COVID-19). Due to the high levels of psychological stress, this group is more likely to experience psychological issues. These psychological problems in healthcare providers include depression, anxiety, insomnia, stress and post-traumatic stress disorder (PTSD). The goal of this systematic review and meta-analysis was to find out how common these problems were in the face of COVID-19. On 20 February 2022, systematic searches were conducted in the PubMed, Cochrane Library, Scopus, EMBASE, Science Direct, Web of Science and ProQuest databases. Two authors selected articles based on search keywords. As a last step, articles about the prevalence of psychological problems among healthcare workers in the face of COVID-19 were looked at and analysed for five different outcomes. The initial search yielded 18,609 articles. After reviewing the titles, abstracts and full texts of the articles, 44 were chosen for the final analysis and 29 were subjected to a meta-analysis. Insomnia, anxiety, depression, PTSD and stress are among the psychological issues faced by healthcare workers. Furthermore, the highest pooled prevalence of depression, anxiety, insomnia, PTSD and stress was 36% (95% confidence interval (CI) 24–50%), 47% (95% CI 22–74%), 49% (95% CI 28–70%), 37% (95% CI 19–59%) and 27% (95% CI 6–69%). In this meta-analysis, insomnia was found to be the most common mental health problem, followed by anxiety, PTSD, depression and stress in healthcare workers in the face of the COVID-19 pandemic. Generally, the pooled prevalence of these mental health problems was higher among physicians, nurses and older staff in the subgroup analysis. As a result, health policymakers and managers of the health care system should think about effective interventions to promote mental health, paying particular attention to these two groups. Studies conducted in China reported more mental problems than in other countries. Health policymakers and health system managers should hold training programs to promote healthcare workers' mental health with a particular focus on more vulnerable groups. The prevalence of PTSD, stress, anxiety, depression and insomnia were higher among physicians, nurses and older staff. Health systems at both national and local levels have to take older physicians, nurses and healthcare providers into consideration while designing interventions. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Psychiatry in Clinical Practice is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=164224818
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13651501.2022.2101927
    Languages:
      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 208
    Subjects:
      – SubjectFull: Insomnia risk factors
        Type: general
      – SubjectFull: Mental illness risk factors
        Type: general
      – SubjectFull: Mental depression risk factors
        Type: general
      – SubjectFull: Psychiatric epidemiology
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Medical databases
        Type: general
      – SubjectFull: COVID-19
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      – SubjectFull: Meta-analysis
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      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Systematic reviews
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      – SubjectFull: Medical personnel
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      – SubjectFull: Mental health
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Post-traumatic stress disorder
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      – SubjectFull: Research funding
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      – SubjectFull: MEDLINE
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      – SubjectFull: Anxiety
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      – SubjectFull: Policy sciences
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      – SubjectFull: Psychological stress
        Type: general
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      – TitleFull: Health care workers' mental health in the face of COVID-19: a systematic review and meta-analysis.
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            – D: 01
              M: 06
              Text: Jun2023
              Type: published
              Y: 2023
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