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Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis.
Serrano-Ripoll, Maria J; Meneses-Echavez, Jose F; Ricci-Cabello, Ignacio; Fraile-Navarro, David; Fiol-deRoque, Maria A; Pastor-Moreno, Guadalupe; Castro, Adoración; Ruiz-Pérez, Isabel; Zamanillo Campos, Rocío; Gonçalves-Bradley, Daniela C.
  • Serrano-Ripoll MJ; Health Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma, Illes Balears, Spain; University of Balearic Is
  • Meneses-Echavez JF; Division for Health Services, Norwegian Institute of Public Health. Oslo, Norway; Facultad de Cultura Física, Deporte y Recreación. Universidad Santo Tomás. Bogotá, Colombia.
  • Ricci-Cabello I; Health Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma, Illes Balears, Spain; Centro de Investigación B
  • Fraile-Navarro D; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
  • Fiol-deRoque MA; Health Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma, Illes Balears, Spain.
  • Pastor-Moreno G; Centro de Investigación Biomédica en Red (CIBERESP). Avda. Monforte de Lemos, 3-5. Pabellón 11. 28029 Madrid, Spain; Escuela Andaluza de Salud Pública. Campus Universitario de Cartuja. Cuesta del Observatorio, 4. 18080. Granada, Spain; Instituto de Investigación Biosanitaria (Ibs. Granada). Avda. de
  • Castro A; Health Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Research Institute of Health Sciences (IUNICS), University of Balearic Islands. Carretera de Valldemossa, km 7.5. Edificio Cient
  • Ruiz-Pérez I; University of Balearic Islands (UIB), Department of Psychology, Carretera de Valldemossa, km 7.5. 07122, Palma, Illes Balears, Spain; Centro de Investigación Biomédica en Red (CIBERESP). Avda. Monforte de Lemos, 3-5. Pabellón 11. 28029 Madrid, Spain; Escuela Andaluza de Salud Pública. Campus Univers
  • Zamanillo Campos R; Health Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma, Illes Balears, Spain; Valencian International U
  • Gonçalves-Bradley DC; Nuffield Department of Population Health, University of Oxford, UK.
J Affect Disord ; 277: 347-357, 2020 12 01.
Article in English | MEDLINE | ID: covidwho-726593
Semantic information from SemMedBD (by NLM)
1. Stress Disorder PRECEDES 1
Subject
Stress Disorder
Predicate
PRECEDES
Object
1
2. Educational Intervention TREATS interpersonal relationship problems
Subject
Educational Intervention
Predicate
TREATS
Object
interpersonal relationship problems
3. Interventional procedure TREATS Anxiety
Subject
Interventional procedure
Predicate
TREATS
Object
Anxiety
4. Mental health problem PROCESS_OF Health Personnel
Subject
Mental health problem
Predicate
PROCESS_OF
Object
Health Personnel
5. Stress Disorders, Traumatic, Acute PRECEDES Anxiety
Subject
Stress Disorders, Traumatic, Acute
Predicate
PRECEDES
Object
Anxiety
6. Educational Intervention TREATS interpersonal relationship problems
Subject
Educational Intervention
Predicate
TREATS
Object
interpersonal relationship problems
7. Interventional procedure TREATS Anxiety
Subject
Interventional procedure
Predicate
TREATS
Object
Anxiety
8. Mental health problem PROCESS_OF Health Personnel
Subject
Mental health problem
Predicate
PROCESS_OF
Object
Health Personnel
ABSTRACT

BACKGROUND:

This study aimed at examining the impact of providing healthcare during health emergencies caused by viral epidemic outbreaks on healthcare workers' (HCWs) mental health; to identify factors associated with worse impact, and; to assess the available evidence base regarding interventions to reduce such impact.

METHOD:

Rapid systematic review. We searched MEDLINE, Embase, and PsycINFO (inception to August 2020). We pooled data using random-effects meta-analyses to estimate the prevalence of specific mental health problems, and used GRADE to ascertain the certainty of evidence.

RESULTS:

We included 117 studies. The pooled prevalence was higher for acute stress disorder (40% (95%CI 39 to 41%)), followed by anxiety (30%, (30 to 31%)), burnout (28% (26 to 31%)), depression (24% (24 to 25%)), and post-traumatic stress disorder (13% (13 to 14%)). We identified factors associated with the likelihood of developing those problems, including sociodemographic (younger age and female gender), social (lack of social support, stigmatization), and occupational (working in a high-risk environment, specific occupational roles, and lower levels of specialised training and job experience) factors. Four studies reported interventions for frontline HCW two educational interventions increased confidence in pandemic self-efficacy and in interpersonal problems solving (very low certainty), whereas one multifaceted intervention improved anxiety, depression, and sleep quality (very low certainty).

LIMITATIONS:

We only searched three databases, and the initial screening was undertaken by a single reviewer.

CONCLUSION:

Given the very limited evidence regarding the impact of interventions to tackle mental health problems in HCWs, the risk factors identified represent important targets for future interventions.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Mental Health / Health Personnel / Coronavirus Infections / Pandemics Type of study: Prevalence study / Prognostic study / Randomized controlled trials / Reviews / Risk factors / Systematic review Limits: Humans Language: English Journal: J Affect Disord Year: 2020 Document Type: Article

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Mental Health / Health Personnel / Coronavirus Infections / Pandemics Type of study: Prevalence study / Prognostic study / Randomized controlled trials / Reviews / Risk factors / Systematic review Limits: Humans Language: English Journal: J Affect Disord Year: 2020 Document Type: Article