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

•The COVID-19 pandemic increases the prevalence of depression, anxiety, distress, and insomnia.•Health care workers and COVID-19 patients are high-risk groups of mental health.•Urgent interventions are needed for preventing mental health problems. The global COVID-19 pandemic has generated major men...

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Veröffentlicht in:Journal of affective disorders 2021-02, Vol.281, p.91-98
Hauptverfasser: Wu, Tianchen, Jia, Xiaoqian, Shi, Huifeng, Niu, Jieqiong, Yin, Xiaohan, Xie, Jialei, Wang, Xiaoli
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container_title Journal of affective disorders
container_volume 281
creator Wu, Tianchen
Jia, Xiaoqian
Shi, Huifeng
Niu, Jieqiong
Yin, Xiaohan
Xie, Jialei
Wang, Xiaoli
description •The COVID-19 pandemic increases the prevalence of depression, anxiety, distress, and insomnia.•Health care workers and COVID-19 patients are high-risk groups of mental health.•Urgent interventions are needed for preventing mental health problems. 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
doi_str_mv 10.1016/j.jad.2020.11.117
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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&lt;0.01) and anxiety (Q=21.86, p&lt;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&lt; 0.01). Physicians, nurses, and non-medical staff showed a higher prevalence of insomnia (Q=196.64, p&lt;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.</description><identifier>ISSN: 0165-0327</identifier><identifier>ISSN: 1573-2517</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2020.11.117</identifier><identifier>PMID: 33310451</identifier><language>eng</language><publisher>AMSTERDAM: Elsevier B.V</publisher><subject>Anxiety ; Anxiety - epidemiology ; Chronic Disease ; Clinical Neurology ; COVID-19 ; COVID-19 - psychology ; Depression ; Depression - epidemiology ; Distress ; Health Personnel - psychology ; Humans ; Insomnia ; Life Sciences &amp; Biomedicine ; Mental Health ; Neurosciences &amp; Neurology ; Noncommunicable Diseases ; Pandemics ; Prevalence ; Psychiatry ; Psychological Distress ; Quarantine - psychology ; Review ; Science &amp; Technology ; Sleep Initiation and Maintenance Disorders - epidemiology ; Systemic review</subject><ispartof>Journal of affective disorders, 2021-02, Vol.281, p.91-98</ispartof><rights>2020</rights><rights>Copyright © 2020. 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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&lt;0.01) and anxiety (Q=21.86, p&lt;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&lt; 0.01). Physicians, nurses, and non-medical staff showed a higher prevalence of insomnia (Q=196.64, p&lt;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. 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Technology</topic><topic>Sleep Initiation and Maintenance Disorders - epidemiology</topic><topic>Systemic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Tianchen</creatorcontrib><creatorcontrib>Jia, Xiaoqian</creatorcontrib><creatorcontrib>Shi, Huifeng</creatorcontrib><creatorcontrib>Niu, Jieqiong</creatorcontrib><creatorcontrib>Yin, Xiaohan</creatorcontrib><creatorcontrib>Xie, Jialei</creatorcontrib><creatorcontrib>Wang, Xiaoli</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI &amp; AHCI)</collection><collection>Web of Science - Social Sciences Citation Index – 2021</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Tianchen</au><au>Jia, Xiaoqian</au><au>Shi, Huifeng</au><au>Niu, Jieqiong</au><au>Yin, Xiaohan</au><au>Xie, Jialei</au><au>Wang, Xiaoli</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis</atitle><jtitle>Journal of affective disorders</jtitle><stitle>J AFFECT DISORDERS</stitle><addtitle>J Affect Disord</addtitle><date>2021-02-15</date><risdate>2021</risdate><volume>281</volume><spage>91</spage><epage>98</epage><pages>91-98</pages><issn>0165-0327</issn><issn>1573-2517</issn><eissn>1573-2517</eissn><abstract>•The COVID-19 pandemic increases the prevalence of depression, anxiety, distress, and insomnia.•Health care workers and COVID-19 patients are high-risk groups of mental health.•Urgent interventions are needed for preventing mental health problems. 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&lt;0.01) and anxiety (Q=21.86, p&lt;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&lt; 0.01). Physicians, nurses, and non-medical staff showed a higher prevalence of insomnia (Q=196.64, p&lt;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.</abstract><cop>AMSTERDAM</cop><pub>Elsevier B.V</pub><pmid>33310451</pmid><doi>10.1016/j.jad.2020.11.117</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7874-6564</orcidid><orcidid>https://orcid.org/0000-0003-2974-7928</orcidid><orcidid>https://orcid.org/0000-0001-6150-8762</orcidid><oa>free_for_read</oa></addata></record>
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subjects Anxiety
Anxiety - epidemiology
Chronic Disease
Clinical Neurology
COVID-19
COVID-19 - psychology
Depression
Depression - epidemiology
Distress
Health Personnel - psychology
Humans
Insomnia
Life Sciences & Biomedicine
Mental Health
Neurosciences & Neurology
Noncommunicable Diseases
Pandemics
Prevalence
Psychiatry
Psychological Distress
Quarantine - psychology
Review
Science & Technology
Sleep Initiation and Maintenance Disorders - epidemiology
Systemic review
title Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis
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