The prevalence of common and stress-related mental health disorders in healthcare workers based in pandemic-affected hospitals: a rapid systematic review and meta-analysis
The prevalence of common and stress-related mental health disorders in healthcare workers based in pandemic-affected hospitals: a rapid systematic review and meta-analysis
Abstract BackgroundHealthcare workers (HCWs) are considered at elevated risk of experiencing mental health disorders in working with patients with COVID-19. AimsTo estimate the prevalence of common mental health disorders in HCWs based in hospitals where pandemic-affected patients were treated. MethodDatabases were searched for studies published before 30th March 2020. Quantitative synthesis was used to obtain estimates of the prevalence of mental health disorders in four time windows, determined a priori (the acute phase, i.e. during and up to 1.5 months post-pandemic; 1.5-5.9 months; 6-11.9 months; 12 months and later). ResultsNineteen studies met the review criteria. They predominantly addressed the acute phase of the SARS outbreak in Asia. The most studied outcomes were clinically-significant post-traumatic stress symptoms (PTSS) and general psychiatric caseness. For clinically significant PTSS in the acute phase, the prevalence estimate was 23.4% (95% CI 16.3, 31.2; N=4147; I2=96.2%); in the 12 months plus window, the estimate was 11.9% (8.4, 15.8; N=1136; I2=74.3%). For general psychiatric caseness, prevalence estimates were: acute phase, 34.1% (18.7, 51.4; N=3971; I2=99.1%); 6-12 months, 17.9% (13.1, 23.2; N=223; I2=0.0%); 12 months plus, 29.3% (6.0, 61.0; N=710; I2=97.8%). ConclusionsMental health disorders are particularly common in HCWs working with pandemic-afflicted patients immediately following a pandemic, but the course of disorders following this period is poorly understood. PTSS remained elevated compared to the general population at 12 months, despite there being some evidence for natural recovery. There was considerable heterogeneity, likely linked to methodological differences. More extended follow up of HCWs is needed.
Cushing Toby、Bealey Rebecca、Bloomfield Michael、Allan Sophie M.、Parke Sheryl、Sergi Georgina、Meiser-Stedman Richard、Birch Jennifer
Department of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia||Cambridgeshire & Peterborough NHS Foundation TrustDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia||Cambridgeshire & Peterborough NHS Foundation TrustTranslational Psychiatry Research Group, Research Department of Mental Health Neuroscience, Division of Psychiatry, Faculty of Brain Sciences, University College London||University College Hospital National Institute of Health Research (NIHR) Biomedical Research Centre||Traumatic Stress Clinic, St Pancras Hospital, Camden and Islington NHS Foundation Trust||National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation TrustDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia||Cambridgeshire & Peterborough NHS Foundation TrustDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia||Cambridgeshire & Peterborough NHS Foundation TrustDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia||Cambridgeshire & Peterborough NHS Foundation TrustDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East AngliaDepartment of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia||Cambridgeshire & Peterborough NHS Foundation Trust
神经病学、精神病学医学研究方法医药卫生理论
Cushing Toby,Bealey Rebecca,Bloomfield Michael,Allan Sophie M.,Parke Sheryl,Sergi Georgina,Meiser-Stedman Richard,Birch Jennifer.The prevalence of common and stress-related mental health disorders in healthcare workers based in pandemic-affected hospitals: a rapid systematic review and meta-analysis[EB/OL].(2025-03-28)[2025-05-22].https://www.medrxiv.org/content/10.1101/2020.05.04.20089862.点此复制
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