Prevalence of Psychological Disorders among Health Workers During the COVID‑19 Pandemic: A Systematic Review and Meta‑Analysis

Reza Ghanei Gheshlagh, Ali Hassanpour‑ Dehkordi, Yousef Moradi, Hosein Zahednezhad, Elaheh Mazaheri, Amanj Kurdi

Abstract


Background: Repeated contact with patients with COVID‑19 and working in quarantine conditions has made health workers vulnerable to psychological distress during the COVID‑19 pandemic. The goal of the present systematic review and meta‑analysis was to examine the prevalence of the various psychological distresses among health workers during the COVID‑19 pandemic. Methods: PubMed, Scopus, Web of Science, EMBASE, and Cochrane databases were searched for access to papers examining psychological distress among healthcare workers during the COVID‑19 pandemic. Risk of bias was assessed using the Newcastle–Ottawa Scale (NOS). Heterogeneity among the studies was examined using the Cochran’s Q test; because heterogeneity was significant, the random effects model was used to examine the prevalence of psychological distress. Results: Overall, 12 studies with a total sample size of 5265 were eligible and included in the analysis. Prevalence rates of depression, anxiety, and PTSD were 20% (95% CI: 14–27), 23% (95% CI: 18–27), and 8% (95% CI: 6–9), respectively. The highest prevalence rates of depression and anxiety were related to the SDS and the GAD‑7, respectively, and the lowest prevalence rates of the two aforementioned variables were related to the DASS‑21. Conclusions: The high prevalence of psychological distress among healthcare workers during the COVID‑19 epidemic can have negative effects on their health and the quality of services provided. Therefore, training coping strategies for psychological distress in this pandemic seems necessary.

Keywords


COVID‑19; health workers; pandemic; psychological distress

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References


Chew NWS, Lee GKH, Tan BYQ, Jing M, Goh Y, Ngiam NJH,

et al. A multinational, multicentre study on the psychological

outcomes and associated physical symptoms amongst healthcare

workers during COVID‑19 outbreak. Brain Behav Immun

;88:559–65.

Organization WH. Coronavirus disease 2019 (COVID‑19):

Situation report, 80. 2020.

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors

associated with mental health outcomes among health care

workers exposed to coronavirus disease 2019. JAMA Netw Open

;3:e203976.

Walton M, Murray E, Christian MD. Mental health care for

medical staff and affiliated healthcare workers during the

COVID‑19 pandemic. Eur Heart J Acute Cardiovasc Care

;9:241–7.

Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N,

Leszcz M, et al. The immediate psychological and occupational

impact of the 2003 SARS outbreak in a teaching hospital. CMAJ

;168:1245–51.

Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey

of stress reactions among health care workers involved with the

SARS outbreak. Psychiatr Serv 2004;55:1055–7.

Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C,

Sham PC, et al. Stress and psychological distress among SARS

survivors 1 year after the outbreak. The Can J Psychiatry

;52:233–40.

Montemurro N. The emotional impact of COVID‑19:

From medical staff to common people. Brain behav immun

;87:23–4.

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S,

Greenberg N, et al. The psychological impact of quarantine

and how to reduce it: Rapid review of the evidence. Lancet

;395:P912–20.

Du J, Dong L, Wang T, Yuan C, Fu R, Zhang L, et al.

Psychological symptoms among frontline healthcare workers

during COVID‑19 outbreak in Wuhan. Gen Hosp Psychiatry

;67:144–5.

Tan BYQ, Chew NWS, Lee GKH, Jing M, Goh Y, Yeo LLL,

et al. Psychological impact of the COVID‑19 pandemic on health

care workers in Singapore. Ann Intern Med 2020;173:317–20.

Huang Y, Zhao N. Generalized anxiety disorder, depressive

symptoms and sleep quality during COVID‑19 epidemic

in China: A web‑based cross‑sectional survey. medRxiv

;288:112954. doi: 10.1101/2020.02.19.20025395.

Huang Y, Zhao N. Chinese mental health burden during

COVID‑19 outbreak: A web‑based cross‑sectional survey. Asian

J Psychiatr 2020;51:102052.

Moher D, Altman DG, Liberati A, Tetzlaff J. PRISMA statement.

Epidemiology 2011;22:128.

Ades AE, Lu G, Higgins JP. The interpretation of random‑effects

meta‑analysis in decision models. Med Decis Making

;25:646–54.

Higgins J. Cochrane handbook for systematic reviews of

interventions. Version 5.1. 0 [updated March 2011]. The

Cochrane Collaboration. www cochrane‑handbook org. 2011.

Egger M, Smith GD, Schneider M, Minder C. Bias in

meta‑analysis detected by a simple, graphical test. BMJ

;315:629–34.

Guo J, Liao L, Wang B, Li X, Guo L, Tong Z, et al.

Psychological effects of COVID‑19 on hospital staff: A National

cross‑sectional survey of China Mainland. Available at SSRN

2020.

Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, et al.

The prevalence and influencing factors in anxiety in medical

workers fighting COVID‑19 in China: A cross‑sectional survey.

Epidemiol Infect 2020;148:e98.

Liu Z, Han B, Jiang R, Huang Y, Ma C, Wen J, et al. Mental

health status of doctors and nurses during COVID‑19 epidemic

in China. Available at SSRN 3551329. 2020.

Lu W, Wang H, Lin Y, Li L. Psychological status of medical

workforce during the COVID‑19 pandemic: A cross‑sectional

study. Psychiatry Res 2020;288:112936.

Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al.

Mental health and psychosocial problems of medical health

workers during the COVID‑19 epidemic in China. Psychother

Psychosom 2020;89:242–50.

Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID‑19

in Wuhan: Immediate Psychological Impact on 5062 Health

Workers. medRxiv. 2022.

Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E,

Katsaounou P. Prevalence of depression, anxiety, and insomnia

among healthcare workers during the COVID‑19 pandemic:

A systematic review and meta‑analysis. Brain Behav Immun

;88:901–7.

Huang J, Han M, Luo T, Ren A, Zhou X. Mental health survey

of 230 medical staff in a tertiary infectious disease hospital for

COVID‑19. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za

Zhi. 2020 Mar 20;38 (3):192–195. Chinese.

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al.

Clinical characteristics of coronavirus disease 2019 in China N Engl J Med 2020;382:1708–20.

Furer P, Walker JR, Chartier MJ, Stein MB. Hypochondriacal

concerns and somatization in panic disorder. Depress Anxiety

;6:78–85.

Su TP, Lien TC, Yang CY, Su YL, Wang JH, Tsai SL, et al.

Prevalence of psychiatric morbidity and psychological adaptation

of the nurses in a structured SARS caring unit during outbreak:

A prospective and periodic assessment study in Taiwan.

J Psychiatr Res 2007;41:119–30.

Hawryluck L, Gold WL, Robinson S, Pogorski S, Galea S,

Styra R. SARS control and psychological effects of quarantine,

Toronto, Canada. Emerg Infect Dis 2004;10:1206–12.

Wong TW, Yau JK, Chan CL, Kwong RS, Ho SM, Lau CC, et al.

The psychological impact of severe acute respiratory syndrome

outbreak on healthcare workers in emergency departments and

how they cope. Eur J Emerg Med 2005;12:13–8.

Li L, Cheng S, Gu J. SARS infection among health care workers

in Beijing, China. JAMA 2003;290:2662–3.

Shih FJ, Gau ML, Kao CC, Yang CY, Lin YS, Liao YC, et al.

Dying and caring on the edge: Taiwan’s surviving nurses’

reflections on taking care of patients with severe acute respiratory

syndrome. Appl Nurs Res 2007;20:171–80.