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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
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.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Mental Health / Health Personnel / Coronavirus Infections / Pandemics Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Humans Language: English Journal: J Affect Disord Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Mental Health / Health Personnel / Coronavirus Infections / Pandemics Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Humans Language: English Journal: J Affect Disord Year: 2020 Document Type: Article