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      COVID-19 Pandemic and Overall Mental Health of Healthcare Professionals Globally: A Meta-Review of Systematic Reviews

      systematic-review

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          Abstract

          Objective

          This meta-review aimed to provide a comprehensive overview of overall mental health of healthcare professionals during the COVID-19 pandemic.

          Method

          We conducted a comprehensive literature search on Academic Search Premier, CINAHL, Cochrane Library, and MEDLINE. A predefined eligibility criterion was used to screen the articles. The methodology quality of eligible studies was assessed using Joanna Briggs Institute checklist for systematic reviews. The data were narratively synthesised in line with the meta-review aim.

          Result

          Forty systematic reviews (represented as K = 40), which reported data from 1,828 primary studies ( N) and 3,245,768 participants, met the inclusion criteria. The findings from a pooled prevalence indicate that anxiety (16–41%, K = 30, N = 701), depression (14–37%, K = 28, N = 584), and stress/post-traumatic stress disorder (18.6–56.5%, K = 24, N = 327) were the most prevailing COVID-19 pandemic-related mental health conditions affecting healthcare workers. Other reported concerns included insomnia, burnout, fear, obsessive-compulsive disorder, somatization symptoms, phobia, substance abuse, and suicidal thoughts. Considering regions/countries, the highest anxiety was reported in the United-Kingdom [22.3, 95% Confidence Interval (CI):7–38, N = 4] compared to other countries, while the highest depression was in the Middle-East, (41, 95% CI:16–60, N = 5) and stress in the Eastern Mediterranean region (61.6, 95% CI:56.4–66.8, N = 2) compared to other regions. The most significant risk factors include female gender, younger age, being a nurse, and frontline professional. The most-reported coping strategies include individual/group psychological support, family/relative support, training/orientation, and the adequacy of personal protective equipment.

          Conclusion

          It was concluded that healthcare professionals (nurses, doctors, allied health) have experienced various mental health issues during COVID-19 pandemic. The meta-review, therefore, recommends targeted interventions and health policies that address specific mental health issues to support health professionals worldwide during the duration of the COVID-19 pandemic and similar future health crises.

          Systematic Review Registration

          https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202126200, identifier: CRD42021262001.

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          Most cited references75

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          PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

          Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
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            Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

            Highlights • At least one in five healthcare professionals report symptoms of depression and anxiety. • Almost four in 10 healthcare workers experience sleeping difficulties and/or insomnia. • Rates of anxiety and depression were higher for female healthcare workers and nursing staff. • Milder mood symptoms are common and screening should aim to identify mild and sub-threshold syndromes.
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              COVID-19 pandemic and mental health consequences: systematic review of the current evidence

              Highlights • COVID-19 patients displayed high levels of PTSS and increased levels of depression. • Patients with preexisting psychiatric disorders reported worsening of psychiatric symptoms. • Higher levels of psychiatric symptoms were found among health care workers. • A decrease in psychological well-being was observed in the general public. • However, well conducted large-scale studies are highly needed.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                17 January 2022
                2021
                17 January 2022
                : 12
                : 804525
                Affiliations
                [1] 1School of Nursing, Institute of Health and Management , Sydney, NSW, Australia
                [2] 2School of Optometry, The Hong Kong Polytechnic University, Kowloon , Hong Kong SAR, China
                [3] 3Centre for Eye and Vision Research, Hong Kong , Hong Kong SAR, China
                [4] 4School of Nursing, The Hong Kong Polytechnic University, Kowloon , Hong Kong SAR, China
                [5] 5Department of Physiotherapy, Yobe State University Teaching Hospital (YSUTH) , Damaturu, Nigeria
                [6] 6Institute of Health and Management , Melbourne, VIC, Australia
                [7] 7Department of Geography, University of Maiduguri , Maiduguri, Nigeria
                [8] 8Health Careers International Pty Ltd. , Kochi, India
                [9] 9Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon , Hong Kong SAR, China
                Author notes

                Edited by: Xenia Gonda, Semmelweis University, Hungary

                Reviewed by: Gaia Sampogna, University of Campania L. Vanvitelli, Italy; Andrea Fiorillo, University of Campania Luigi Vanvitelli, Italy

                *Correspondence: Muhammad Chutiyami muhammad.c@ 123456ihm.edu.au

                This article was submitted to Public Mental Health, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2021.804525
                8801501
                35111089
                3b2ab86e-7091-4737-a9b6-a53a82efa0e0
                Copyright © 2022 Chutiyami, Cheong, Salihu, Bello, Ndwiga, Maharaj, Naidoo, Kolo, Jacob, Chhina, Ku, Devar, Pratitha and Kannan.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 29 October 2021
                : 23 December 2021
                Page count
                Figures: 1, Tables: 2, Equations: 0, References: 77, Pages: 18, Words: 12937
                Categories
                Psychiatry
                Systematic Review

                Clinical Psychology & Psychiatry
                covid-19,health professional,mental health,review–systematic,coping strategies

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