LI Wei,ZHANG Cai-di,LUO Jin-jing,et al.Psychological status among different populations during COVID-19 epidemic：a systematic review and Meta-analysis[J].同济大学学报（医学版）,2020,41(2):147-154. [点击复制]
(Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China;School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, China;Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;Institute of Psychology and Behavioral Science, Shanghai Jiao Tong University, Shanghai 200030，China;Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai 200030, China;Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Science, Shanghai 200030, China)
Abstract:
ObjectiveTo evaluate the psychological status in different populations during the coronavirus disease 2019(COVID-19) epidemic. MethodsThe English databases PubMed, Embase, the Cochrane Library, EBSCO, Web of Science, ALOIS, PsycINFO, CINAHL, ClinicalTrials.gov; and Chinese databases CNKI, WANFANG DATA, VJIP, SinoMed, information release platform, were searched and literature traceability method was supplemented. The national and international psychological state reports from January 1, 2020 to March 6, 2020 were collected. The literatures were screened according to the inclusion and exclusion criteria, the literature quality was evaluated, and heterogeneity test, sensitivity analysis and publication bias evaluation were conducted. ResultsA total 18 published articles, 2 information publishing platform data and 1 grey literature were included in the analysis. The SRTROBE score was 13.38±4.19. Funnel plot analysis showed no obvious publication bias. The prevalence of mental and psychological problems(including symptoms, symptom groups) were as follows：sleeping problems was 49.8%（95%CI：18.6%-81.1%）, fear symptoms was 46.5%（95%CI：19.7%-75.5%）, anxiety symptoms was 44.5%（95%CI：29.8%-60.1%）, stress-related symptoms was 21.6%（95%CI：3.4%-68.1%）, somatic symptoms was 20.1%（95%CI：5.6%-51.8%）, and depression symptoms was 18.9%（95%CI：13.0%-26.6%）. The prevalence of general psychological symptoms was 72.9%（95%CI：26.4%-95.2%）. Further subgroup analysis revealed that the highest prevalence of anxiety symptoms was in the quarantine group, followed by patients with COVID-19, first-line medical staff and the general public. The highest detection rate of depressive symptoms was in the quarantine group, followed by patients with COVID-19, the general public, and the medical staff. The prevalence of symptoms in depression, fear and sleeping problems of Hubei province was lower than that of other provinces and cities, while the prevalence of symptoms in anxiety and sleeping problems of Hubei province was higher than that of other provinces and cities. ConclusionThe prevalence of sleeping problems, fear symptom, and anxiety symptoms during the COVID-19 epidemic is high, especially in the medical isolation or self-isolation populations. The psychological status of medical isolation or self isolation personnel needs to be focused on.
