Occupational Risk for Post-Traumatic Stress Disorder and Trauma-Related Depression: A Systematic Review with Meta-Analysis

Petereit-Haack, Gabriela; Bolm‐Audorff, Ulrich; Starke, Karla Romero; Seidler, Andreas

doi:10.3390/ijerph17249369

Cited by 22 publications

(21 citation statements)

References 62 publications

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“…The risk of bias was assessed by two reviewers, applying a risk of bias tool established in previous reviews [ 16 , 17 , 18 , 19 , 20 ], but adapted for our research question ( Supplementary Table S2 ). The risk of bias tool has eight domains: (1) recruitment procedure, (2) exposure assessment, (3) outcome source and validation, (4) confounding, (5) analysis methods, (6) chronology, (7) funding, and (8) conflict of interest, which are described below.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Ambient Environmental Conditions on COVID-19 Mortality: A Systematic Review

Starke

Mauer

Karskens

et al. 2021

IJERPH

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Weather conditions may have an impact on SARS-CoV-2 virus transmission, as has been shown for seasonal influenza. Virus transmission most likely favors low temperature and low humidity conditions. This systematic review aimed to collect evidence on the impact of temperature and humidity on COVID-19 mortality. This review was registered with PROSPERO (registration no. CRD42020196055). We searched the Pubmed, Embase, and Cochrane COVID-19 databases for observational epidemiological studies. Two independent reviewers screened the title/abstracts and full texts of the studies. Two reviewers also performed data extraction and quality assessment. From 5051 identified studies, 11 were included in the review. Although the results were inconsistent, most studies imply that a decrease in temperature and humidity contributes to an increase in mortality. To establish the association with greater certainty, future studies should consider accurate exposure measurements and important covariates, such as government lockdowns and population density, sufficient lag times, and non-linear associations.

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Section: Methodsmentioning

confidence: 99%

The Effect of Ambient Environmental Conditions on COVID-19 Mortality: A Systematic Review

Starke

Mauer

Karskens

et al. 2021

IJERPH

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“…We used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach for grading the quality of the total body of evidence (23), following the example of Hulshof et al 2019 (24), with modifications (25). The quality of evidence was either high, moderate, or low.…”

Section: Methodsmentioning

confidence: 99%

The isolated effect of age on the risk of COVID-19 severe outcomes: a systematic review with meta-analysis

Starke

Reissig

Petereit-Haack³

et al. 2021

Preprint

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Introduction Increased age has been reported to be a factor for COVID-19 severe outcomes. However, many studies do not consider the age-dependency of comorbidities, which influence the course of disease. Protection strategies often target individuals after a certain age, which may not necessarily be evidence-based. The aim of this review was to quantify the isolated effect of age on hospitalization, admission to ICU, mechanical ventilation, and death. Methods This review was based on an umbrella review, in which Pubmed, Embase, and pre-print databases were searched on December 10, 2020 for relevant reviews on COVID-19 disease severity. Two independent reviewers evaluated the primary studies using predefined inclusion and exclusion criteria. The results were extracted, and each study was assessed for risk of bias. The isolated effect of age was estimated by meta-analysis, and the quality of evidence was assessed using GRADE. Results Seventy studies met our inclusion criteria (case mortality n=14, in-hospital mortality n=44, hospitalization n=16, admission to ICU n=12, mechanical ventilation n=7). The risk of in-hospital and case mortality increased per age year by 5.7% and 7.4%, respectively (Effect Size (ES) in-hospital mortality=1.057, 95% CI:1.038-1.054; ES case mortality= 1.074, 95% CI:1.061-1.087), while the risk of hospitalization increased by 3.4% per age year (ES=1.034, 95% CI:1.021-1.048). No increased risk was observed for ICU admission and intubation by age year. There was no evidence of a specific age threshold at which the risk accelerates considerably. The confidence of evidence was high for mortality and hospitalization. Conclusions Our results show a best-possible quantification of the increase in COVID-19 disease severity due to age. Rather than implementing age thresholds, prevention programs should consider the continuous increase in risk. There is a need for continuous, high-quality research and living reviews to evaluate the evidence throughout the pandemic, as results may change due to varying circumstances.

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“…Workers who suffer sudden extreme trauma in the workplace report varying degrees of psychological consequences that range up to post-traumatic stress disorder (PTSD) [8]. A meta-analysis indicates that employees exposed to major trauma have an increased risk of PTSD and depression [9].…”

Section: Introductionmentioning

confidence: 99%

Common Occupational Trauma: Is There a Relationship with Workers’ Mental Health?

et al. 2021

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Exposure to major trauma can have significant consequences for workers’ mental health, but common trauma may also result in poor mental health outcomes. This cross-sectional study retrospectively investigated the occurrence of common physical or psychological workplace trauma in 901 health, social service, and trading company workers and studied these experiences in relation to occupational stress, anxiety, and depression. Stress was measured with the effort/reward imbalance (ERI) model while anxiety and depression were evaluated with the Goldberg Anxiety and Depression Scale (GADS). Healthcare workers reported a high frequency of trauma and significantly higher levels of stress, anxiety, and depression than other workers. Even in the entire population of workers of the various professional categories, verbal violence (harassment and threats), traffic accidents, home injuries, and family bereavement were significantly associated with high levels of stress, anxiety, and depression. Major trauma survivors are known to be at increased risk of mental disorders and require support in the workplace, however, even minor repeated emotional trauma and injuries can affect mental health. During mandatory health surveillance, the occupational physician should systematically collect information on minor trauma and mental health outcomes when assessing the occupational fitness of the workers assigned to him.

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Occupational Risk for Post-Traumatic Stress Disorder and Trauma-Related Depression: A Systematic Review with Meta-Analysis

Cited by 22 publications

References 62 publications

The Effect of Ambient Environmental Conditions on COVID-19 Mortality: A Systematic Review

The Effect of Ambient Environmental Conditions on COVID-19 Mortality: A Systematic Review

The isolated effect of age on the risk of COVID-19 severe outcomes: a systematic review with meta-analysis

Common Occupational Trauma: Is There a Relationship with Workers’ Mental Health?

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