The Global Prevalence of Depression, Anxiety, Stress, and Insomnia Among General Population During COVID-19 Pandemic: A Systematic Review and Meta-analysis
Abstract:This study aimed to examine research findings related to depression, anxiety, stress, and insomnia during the COVID-19 pandemic. This study also explored periodic changes in the prevalence of depression, anxiety, stress, and insomnia among the general people during this pandemic. We performed a meta-analysis by searching articles from several sources (PubMed, MEDLINE, and Google Scholar). We used the random-effects models, subgroup analysis, and heterogeneity test approaches. Results show that the prevalence o… Show more
“…For example, a global review from the early stages of the pandemic found that the prevalence of depression, anxiety, and distress symptoms worldwide were 28.18%, 29.57%, and 25.18%, respectively. In contrast, another review of data from the first year of the pandemic suggested that the prevalence of depression, anxiety, and distress was 31.4%, 31.9%, and 41.1%, respectively, indicating sharp increases [ 8 , 9 ]. Several reviews also focused on special populations.…”
Little is known about the mental health impact of having a family member or friend infected with COVID-19. Thus, the purpose of this study was to conduct a comprehensive national assessment of the psychological impact of COVID-19 infection, hospitalization, or death among family members and friends. A multi-item valid and reliable questionnaire was deployed online to recruit adults in the U.S. A total of 2797 adult Americans without a history of COVID-19 infection participated in the study and reported that they had a family member or friend infected with (54%), hospitalized due to (48%), or die (36%) of COVID-19 infection. Symptoms of depression, anxiety, or both (i.e., psychological distress) were statistically significantly higher among those who had family members/friends infected, hospitalized, or die due to COVID-19. Also, this study found that the greater the number of family members/friends affected by COVID-19, or the more severe the COVID-19 infection outcome (i.e., hospitalization vs. death), the higher the odds of symptoms of depression, anxiety, or both. There is an urgent need to develop educational interventions and implement policy measures that address the growing mental health needs of this subgroup of the population that was not infected but indirectly affected by COVID-19 infections among social networks.
“…For example, a global review from the early stages of the pandemic found that the prevalence of depression, anxiety, and distress symptoms worldwide were 28.18%, 29.57%, and 25.18%, respectively. In contrast, another review of data from the first year of the pandemic suggested that the prevalence of depression, anxiety, and distress was 31.4%, 31.9%, and 41.1%, respectively, indicating sharp increases [ 8 , 9 ]. Several reviews also focused on special populations.…”
Little is known about the mental health impact of having a family member or friend infected with COVID-19. Thus, the purpose of this study was to conduct a comprehensive national assessment of the psychological impact of COVID-19 infection, hospitalization, or death among family members and friends. A multi-item valid and reliable questionnaire was deployed online to recruit adults in the U.S. A total of 2797 adult Americans without a history of COVID-19 infection participated in the study and reported that they had a family member or friend infected with (54%), hospitalized due to (48%), or die (36%) of COVID-19 infection. Symptoms of depression, anxiety, or both (i.e., psychological distress) were statistically significantly higher among those who had family members/friends infected, hospitalized, or die due to COVID-19. Also, this study found that the greater the number of family members/friends affected by COVID-19, or the more severe the COVID-19 infection outcome (i.e., hospitalization vs. death), the higher the odds of symptoms of depression, anxiety, or both. There is an urgent need to develop educational interventions and implement policy measures that address the growing mental health needs of this subgroup of the population that was not infected but indirectly affected by COVID-19 infections among social networks.
“…This also translates into an estimated productivity loss of €6,013 per person, with an estimated total productivity loss of 200 million euros per year as a result of work days lost due to temporary disability caused by depression (Salvador-Carulla et al, 2011). These outcomes highlight the urgent need to find new ways of applying cost-effective psychological evidence-based treatments in the SPMH to cover the great demands of society in relation to mental health care and will also lead to an improvement in factors related to work performance (Ihara et al, 2021;Mahmud et al, 2022).…”
The limited material and human resources available in the Spanish public mental health system, combined with the high prevalence of emotional disorders nowadays, makes it necessary to search for and implement other more cost-effective formats. The versatility of the Unified Protocol (UP) for the transdiagnostic treatment of emotional disorders allows its application in group format, which could be a cost-effective solution for the system. The aim of the present study is to investigate the cost-effectiveness of the UP applied in group format in specialized care units compared to the Treatment as usual (TAU) in the Spanish public mental health system over a 15-month time period. The sample of this study consisted of 188 patients, diagnosed with an emotional disorder, randomized to the UP condition in group format or to the TAU condition in individual format. The findings of this study have shown the same beneficial results for the participants with symptoms of anxiety and depression in both conditions and greater improvements in quality of life in the UP condition. Regarding cost-effectiveness results, at the 15-month follow-up, participants in the UP condition received a greater number of sessions, with a lower total economic cost compared to the TAU condition. Finally, reductions in the number of participants using antidepressants and a reduction in medication burden were found in the UP condition over time. The results of this study show that UP applied in a group format can be a cost-effectiveness solution for the Spanish public mental health system. Trial registration number: NCT03064477 (March 10, 2017).
“…These six items gave rise to a new, shorter version of the CIS (CIS-6). The presence of these six items in this new version is to be expected since symptoms of depression and stress are among the most characteristic during the pandemic worldwide, with a prevalence of 28.18% and 25.18% respectively [55]. In Peru, between 18.1% and 39% of people have presented symptoms of depression; while 15% stress symptoms [56,57].…”
The aim of the study was to translate and evaluate the psychometric evidence of the Spanish version of the COVID-19 impact scale in the general population of Peru, to measure psychological stress responses produced by the COVID-19 pandemic, including emotional responses and difficulty in performing activities of daily living. Participants were 601 Peruvians, who responded to an online survey consisting of questions designed to collect sociodemographic data, the CIS and the fear of COVID-19 scale. The forward and backward translation method was used to translate the English version into Spanish. A confirmatory factor analysis (CFA), graded response model was used to estimate the discrimination (a) and difficulty (b) parameters of the items. Multi-group CFA was used to assess measurement invariance. Regarding validity based on the validity in relation to other variables, an explanatory model was proposed using the SEM path method. The unidimensional structure of the 10-item CIS was not confirmed. Therefore, it was suggested that a six-item model of the CIS (CIS-6) provides a better fit and reliable score. The multigroup CFA showed that the CIS-6 does not exhibit measurement invariance between males and females. In addition, the CIS-6 items present adequate discrimination and difficulty indices. A higher presence of the latent trait (in this case, perception of the impact of COVID-19) is required to answer the higher response categories. The findings would help to assess those individuals more prone to the impact of the COVID-19 pandemic and to have evidence for the development of interventions aimed at decreasing the impact.
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