Effects of mental health interventions among people hospitalized with COVID-19 infection: A systematic review of randomized controlled trials.
Gen Hosp Psychiatry
; 77: 40-68, 2022.
Article
in English
| MEDLINE | ID: covidwho-1778132
ABSTRACT
OBJECTIVE:
We evaluated the effects of mental health interventions among people hospitalized with COVID-19.METHODS:
We conducted a systematic review and searched 9 databases (2 Chinese-language) from December 31, 2019 to June 28, 2021. Eligible randomized controlled trials assessed interventions among hospitalized COVID-19 patients that targeted mental health symptoms. Due to the poor quality of trials, we sought to verify accuracy of trial reports including results.RESULTS:
We identified 47 randomized controlled trials from China (N = 42), Iran (N = 4) and Turkey (N = 1) of which 21 tested the efficacy of psychological interventions, 5 physical and breathing exercises, and 21 a combination of interventions. Trial information could only be verified for 3 trials of psychological interventions (cognitive behavioral, guided imagery, multicomponent online), and these were the only trials with low risk of bias on at least 4 of 7 domains. Results could not be pooled or interpreted with confidence due to the degree of poor reporting and trial quality, the frequency of what were deemed implausibly large effects, and heterogeneity.CONCLUSION:
Trials of interventions to address mental health in hospitalized COVID-19 patients, collectively, are not of sufficient quality to inform practice. Health care providers should refer to existing expert recommendations and standard hospital-based practices. REGISTRATION PROSPERO (CRD42020179703); registered on April 17, 2020.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Mental Health
/
COVID-19
Type of study:
Experimental Studies
/
Prognostic study
/
Randomized controlled trials
/
Reviews
/
Systematic review/Meta Analysis
Limits:
Humans
Language:
English
Journal:
Gen Hosp Psychiatry
Year:
2022
Document Type:
Article
Affiliation country:
J.genhosppsych.2022.04.002
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