The global evolution of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis of longitudinal studies
The COVID-19 pandemic impacted mental health, but the global evolution of mental health problems during the pandemic is unknown. We conducted a systematic review and meta-analysis of longitudinal studies to evaluate the global evolution of mental health problems during the pandemic. To conduct this...
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creator | Cénat, Jude Mary Farahi, Seyed Mohammad Mahdi Moshirian Dalexis, Rose Darly Darius, Wina Paul Bekarkhanechi, Farid Mansoub Poisson, Hannah Broussard, Cathy Ukwu, Gloria Auguste, Emmanuelle Nguyen, Duy Dat Sehabi, Ghizlène Furyk, Sarah Elizabeth Gedeon, Andi Phaelle Onesi, Olivia El Aouame, Aya Mesbahi Khodabocus, Samiyah Noor Shah, Muhammad S. Labelle, Patrick R. |
description | The COVID-19 pandemic impacted mental health, but the global evolution of mental health problems during the pandemic is unknown. We conducted a systematic review and meta-analysis of longitudinal studies to evaluate the global evolution of mental health problems during the pandemic.
To conduct this systematic review, we searched for published articles from APA PsycInfo (Ovid), CINAHL (EBSCOhost), Embase (Ovid), MEDLINE (Ovid), and Web of Science. Longitudinal (at least 2 waves during the COVID-19 pandemic) and peer-reviewed articles on mental health problems conducted as from 2020 and after were included in the current study. Of 394 eligible full texts, 64 articles were included in the analysis. We computed random effects, standardized mean differences, and log odds ratio (LOR) with 95 % CIs. The meta-analysis protocol was registered with PROSPERO (CRD42021273624).
Results showed that anxiety (LOR = −0.33; 95 % CI, −0.54, −0.12) and depression symptoms (LOR = −0.12; 95 % CI, −0.21, −0.04) decreased from baseline to follow up. However, other mental health problems showed no change. Higher prevalence rates (40.9 %; 95 % CI, 16.1 %–65.8 %) of psychological distress were found in months after July 2020, respectively, while there were no significant month differences for the prevalence of other mental health problems. Higher means of anxiety (d = 3.63, 95 % CI, 1.66, 5.61), depression (d = 3.93; 95 % CI, 1.68, 6.17), and loneliness (d = 5.96; 95 % CI, 3.22, 8.70) were observed in May 2020. Higher prevalence of anxiety, depression, and PTSD and higher means of anxiety, depression and loneliness were observed in North America. The prevalence of psychological distress and insomnia was higher in Latin America and Europe, respectively.
There is a lack of longitudinal studies in some parts of the world, such as Africa, the Caribbean, India, the Middle East, in Latin America, and Asia.
Results indicated that anxiety and depression symptoms decreased during the COVID-19 pandemic while other mental health problems showed no statistical change. The findings reveal that mental health problems peaked in April and May 2020. Prevalence of mental health problems remains high during the pandemic and mental health prevention, promotion and intervention programs should be implemented to mitigate the consequences of the COVID-19 pandemic on the global population.
•This meta-analysis found a decrease in anxiety and depression from baseline to last follow-up during the COVID-19 pan |
doi_str_mv | 10.1016/j.jad.2022.07.011 |
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To conduct this systematic review, we searched for published articles from APA PsycInfo (Ovid), CINAHL (EBSCOhost), Embase (Ovid), MEDLINE (Ovid), and Web of Science. Longitudinal (at least 2 waves during the COVID-19 pandemic) and peer-reviewed articles on mental health problems conducted as from 2020 and after were included in the current study. Of 394 eligible full texts, 64 articles were included in the analysis. We computed random effects, standardized mean differences, and log odds ratio (LOR) with 95 % CIs. The meta-analysis protocol was registered with PROSPERO (CRD42021273624).
Results showed that anxiety (LOR = −0.33; 95 % CI, −0.54, −0.12) and depression symptoms (LOR = −0.12; 95 % CI, −0.21, −0.04) decreased from baseline to follow up. However, other mental health problems showed no change. Higher prevalence rates (40.9 %; 95 % CI, 16.1 %–65.8 %) of psychological distress were found in months after July 2020, respectively, while there were no significant month differences for the prevalence of other mental health problems. Higher means of anxiety (d = 3.63, 95 % CI, 1.66, 5.61), depression (d = 3.93; 95 % CI, 1.68, 6.17), and loneliness (d = 5.96; 95 % CI, 3.22, 8.70) were observed in May 2020. Higher prevalence of anxiety, depression, and PTSD and higher means of anxiety, depression and loneliness were observed in North America. The prevalence of psychological distress and insomnia was higher in Latin America and Europe, respectively.
There is a lack of longitudinal studies in some parts of the world, such as Africa, the Caribbean, India, the Middle East, in Latin America, and Asia.
Results indicated that anxiety and depression symptoms decreased during the COVID-19 pandemic while other mental health problems showed no statistical change. The findings reveal that mental health problems peaked in April and May 2020. Prevalence of mental health problems remains high during the pandemic and mental health prevention, promotion and intervention programs should be implemented to mitigate the consequences of the COVID-19 pandemic on the global population.
•This meta-analysis found a decrease in anxiety and depression from baseline to last follow-up during the COVID-19 pandemic.•PTSD, psychological distress, suicidal ideations, loneliness, and substance use did not change from baseline to last follow-up.•Participants developed significantly more anxiety, depression symptoms and loneliness in May 2020 compared to other months.•Prevalence of clinically significant symptoms remains high since the beginning of the pandemic in March 2020.•Higher prevalence of anxiety, depression, and PTSD and higher means of anxiety, depression and loneliness were observed in North America compared to Europe, Asia, Latin America, and others.•The prevalence of psychological distress and insomnia was higher in Latin America and Europe, respectively.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2022.07.011</identifier><identifier>PMID: 35842064</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Anxiety - epidemiology ; Anxiety Disorders - epidemiology ; COVID-19 - epidemiology ; COVID-19 pandemic ; Depression - diagnosis ; Depression - epidemiology ; Humans ; Longitudinal studies ; Mental Health ; Mental health problems ; meta-analysis ; Pandemics ; Prevalence</subject><ispartof>Journal of affective disorders, 2022-10, Vol.315, p.70-95</ispartof><rights>2022 Elsevier B.V.</rights><rights>Copyright © 2022 Elsevier B.V. All rights reserved.</rights><rights>2022 Elsevier B.V. All rights reserved. 2022 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-d3bbfbfe1b373776809d08585773e1e51fd616ce094abcbabc74918f40397df93</citedby><cites>FETCH-LOGICAL-c517t-d3bbfbfe1b373776809d08585773e1e51fd616ce094abcbabc74918f40397df93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S016503272200773X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35842064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cénat, Jude Mary</creatorcontrib><creatorcontrib>Farahi, Seyed Mohammad Mahdi Moshirian</creatorcontrib><creatorcontrib>Dalexis, Rose Darly</creatorcontrib><creatorcontrib>Darius, Wina Paul</creatorcontrib><creatorcontrib>Bekarkhanechi, Farid Mansoub</creatorcontrib><creatorcontrib>Poisson, Hannah</creatorcontrib><creatorcontrib>Broussard, Cathy</creatorcontrib><creatorcontrib>Ukwu, Gloria</creatorcontrib><creatorcontrib>Auguste, Emmanuelle</creatorcontrib><creatorcontrib>Nguyen, Duy Dat</creatorcontrib><creatorcontrib>Sehabi, Ghizlène</creatorcontrib><creatorcontrib>Furyk, Sarah Elizabeth</creatorcontrib><creatorcontrib>Gedeon, Andi Phaelle</creatorcontrib><creatorcontrib>Onesi, Olivia</creatorcontrib><creatorcontrib>El Aouame, Aya Mesbahi</creatorcontrib><creatorcontrib>Khodabocus, Samiyah Noor</creatorcontrib><creatorcontrib>Shah, Muhammad S.</creatorcontrib><creatorcontrib>Labelle, Patrick R.</creatorcontrib><title>The global evolution of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis of longitudinal studies</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>The COVID-19 pandemic impacted mental health, but the global evolution of mental health problems during the pandemic is unknown. We conducted a systematic review and meta-analysis of longitudinal studies to evaluate the global evolution of mental health problems during the pandemic.
To conduct this systematic review, we searched for published articles from APA PsycInfo (Ovid), CINAHL (EBSCOhost), Embase (Ovid), MEDLINE (Ovid), and Web of Science. Longitudinal (at least 2 waves during the COVID-19 pandemic) and peer-reviewed articles on mental health problems conducted as from 2020 and after were included in the current study. Of 394 eligible full texts, 64 articles were included in the analysis. We computed random effects, standardized mean differences, and log odds ratio (LOR) with 95 % CIs. The meta-analysis protocol was registered with PROSPERO (CRD42021273624).
Results showed that anxiety (LOR = −0.33; 95 % CI, −0.54, −0.12) and depression symptoms (LOR = −0.12; 95 % CI, −0.21, −0.04) decreased from baseline to follow up. However, other mental health problems showed no change. Higher prevalence rates (40.9 %; 95 % CI, 16.1 %–65.8 %) of psychological distress were found in months after July 2020, respectively, while there were no significant month differences for the prevalence of other mental health problems. Higher means of anxiety (d = 3.63, 95 % CI, 1.66, 5.61), depression (d = 3.93; 95 % CI, 1.68, 6.17), and loneliness (d = 5.96; 95 % CI, 3.22, 8.70) were observed in May 2020. Higher prevalence of anxiety, depression, and PTSD and higher means of anxiety, depression and loneliness were observed in North America. The prevalence of psychological distress and insomnia was higher in Latin America and Europe, respectively.
There is a lack of longitudinal studies in some parts of the world, such as Africa, the Caribbean, India, the Middle East, in Latin America, and Asia.
Results indicated that anxiety and depression symptoms decreased during the COVID-19 pandemic while other mental health problems showed no statistical change. The findings reveal that mental health problems peaked in April and May 2020. Prevalence of mental health problems remains high during the pandemic and mental health prevention, promotion and intervention programs should be implemented to mitigate the consequences of the COVID-19 pandemic on the global population.
•This meta-analysis found a decrease in anxiety and depression from baseline to last follow-up during the COVID-19 pandemic.•PTSD, psychological distress, suicidal ideations, loneliness, and substance use did not change from baseline to last follow-up.•Participants developed significantly more anxiety, depression symptoms and loneliness in May 2020 compared to other months.•Prevalence of clinically significant symptoms remains high since the beginning of the pandemic in March 2020.•Higher prevalence of anxiety, depression, and PTSD and higher means of anxiety, depression and loneliness were observed in North America compared to Europe, Asia, Latin America, and others.•The prevalence of psychological distress and insomnia was higher in Latin America and Europe, respectively.</description><subject>Anxiety - epidemiology</subject><subject>Anxiety Disorders - epidemiology</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 pandemic</subject><subject>Depression - diagnosis</subject><subject>Depression - epidemiology</subject><subject>Humans</subject><subject>Longitudinal studies</subject><subject>Mental Health</subject><subject>Mental health problems</subject><subject>meta-analysis</subject><subject>Pandemics</subject><subject>Prevalence</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v3CAQhlHVqtkm_QG9VBx7sQv4A9NKlaLtRyJFyiXpFWEY77LCZgt4o_0L_dXF2jRqLj0g0Mw7zzDzIvSOkpIS2n7clTtlSkYYKwkvCaUv0Io2vCpYQ_lLtMqapiAV42foTYw7QkgrOHmNzqqmqxlp6xX6fbcFvHG-Vw7Dwbs5WT9hP-ARppRjW1AubfE--N7BGLGZg502OOWq9e3P668FFXivJgOj1Z_wJY7HmGBUyWoc4GDhAedkhiVVqEm5Y7RxoTs_bWyajc0xHJcHxAv0alAuwtvH-xzdf_92t74qbm5_XK8vbwqdp0qFqfp-6AegfcUrztuOCEO6pms4r4BCQwfT0lYDEbXqdZ8PrwXthppUgptBVOfoy4m7n_sRjM6DBuXkPthRhaP0ysrnmclu5cYfpGC8E6LJgA-PgOB_zRCTHG3U4JyawM9RslZQ0lDBll70JNXBxxhgeGpDiVw8lDuZPZSLh5JwmT3MNe___d9TxV_TsuDzSQB5S3nHQUZtYdJgbACdpPH2P_g_2t6vqQ</recordid><startdate>20221015</startdate><enddate>20221015</enddate><creator>Cénat, Jude Mary</creator><creator>Farahi, Seyed Mohammad Mahdi Moshirian</creator><creator>Dalexis, Rose Darly</creator><creator>Darius, Wina Paul</creator><creator>Bekarkhanechi, Farid Mansoub</creator><creator>Poisson, Hannah</creator><creator>Broussard, Cathy</creator><creator>Ukwu, Gloria</creator><creator>Auguste, Emmanuelle</creator><creator>Nguyen, Duy Dat</creator><creator>Sehabi, Ghizlène</creator><creator>Furyk, Sarah Elizabeth</creator><creator>Gedeon, Andi Phaelle</creator><creator>Onesi, Olivia</creator><creator>El Aouame, Aya Mesbahi</creator><creator>Khodabocus, Samiyah Noor</creator><creator>Shah, Muhammad S.</creator><creator>Labelle, Patrick R.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20221015</creationdate><title>The global evolution of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis of longitudinal studies</title><author>Cénat, Jude Mary ; 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We conducted a systematic review and meta-analysis of longitudinal studies to evaluate the global evolution of mental health problems during the pandemic.
To conduct this systematic review, we searched for published articles from APA PsycInfo (Ovid), CINAHL (EBSCOhost), Embase (Ovid), MEDLINE (Ovid), and Web of Science. Longitudinal (at least 2 waves during the COVID-19 pandemic) and peer-reviewed articles on mental health problems conducted as from 2020 and after were included in the current study. Of 394 eligible full texts, 64 articles were included in the analysis. We computed random effects, standardized mean differences, and log odds ratio (LOR) with 95 % CIs. The meta-analysis protocol was registered with PROSPERO (CRD42021273624).
Results showed that anxiety (LOR = −0.33; 95 % CI, −0.54, −0.12) and depression symptoms (LOR = −0.12; 95 % CI, −0.21, −0.04) decreased from baseline to follow up. However, other mental health problems showed no change. Higher prevalence rates (40.9 %; 95 % CI, 16.1 %–65.8 %) of psychological distress were found in months after July 2020, respectively, while there were no significant month differences for the prevalence of other mental health problems. Higher means of anxiety (d = 3.63, 95 % CI, 1.66, 5.61), depression (d = 3.93; 95 % CI, 1.68, 6.17), and loneliness (d = 5.96; 95 % CI, 3.22, 8.70) were observed in May 2020. Higher prevalence of anxiety, depression, and PTSD and higher means of anxiety, depression and loneliness were observed in North America. The prevalence of psychological distress and insomnia was higher in Latin America and Europe, respectively.
There is a lack of longitudinal studies in some parts of the world, such as Africa, the Caribbean, India, the Middle East, in Latin America, and Asia.
Results indicated that anxiety and depression symptoms decreased during the COVID-19 pandemic while other mental health problems showed no statistical change. The findings reveal that mental health problems peaked in April and May 2020. Prevalence of mental health problems remains high during the pandemic and mental health prevention, promotion and intervention programs should be implemented to mitigate the consequences of the COVID-19 pandemic on the global population.
•This meta-analysis found a decrease in anxiety and depression from baseline to last follow-up during the COVID-19 pandemic.•PTSD, psychological distress, suicidal ideations, loneliness, and substance use did not change from baseline to last follow-up.•Participants developed significantly more anxiety, depression symptoms and loneliness in May 2020 compared to other months.•Prevalence of clinically significant symptoms remains high since the beginning of the pandemic in March 2020.•Higher prevalence of anxiety, depression, and PTSD and higher means of anxiety, depression and loneliness were observed in North America compared to Europe, Asia, Latin America, and others.•The prevalence of psychological distress and insomnia was higher in Latin America and Europe, respectively.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>35842064</pmid><doi>10.1016/j.jad.2022.07.011</doi><tpages>26</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anxiety - epidemiology Anxiety Disorders - epidemiology COVID-19 - epidemiology COVID-19 pandemic Depression - diagnosis Depression - epidemiology Humans Longitudinal studies Mental Health Mental health problems meta-analysis Pandemics Prevalence |
title | The global evolution of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis of longitudinal studies |
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