Mental health in health workers and other population groups in relation to the COVID-19 pandemic
Salud mental en los trabajadores de la salud y otros grupos poblacionales en relación con la pandemia del COVID-19 Mental health in the COVID-19 pandemic
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Abstract
Introduction. Throughout the history of humanity, many pandemics have occurred that have caused great damage to the physical and mental health of the population. The purpose of this review is to present an analysis of mental health compromise in various population groups.
Method. With the descriptors: anxiety, stress, depression, mental illness, mental disorder, health personnel, COVID-19, SARS-CoV-2, a search was made in the Embase, Scopus, PubMed, Web of Science (ISI) databases. , Google Scholar, and Google to carry out a narrative review of the mental disorders that occurred in children and adolescents, university students, high-risk patients, patients with the infection, the elderly, and health personnel.
Discussion: Although currently and according to the WHO the COVID-19 pandemic persists, and long-term consequences or sequelae will have to be expected, multiple studies have been carried out that evaluate mental effects in various population groups. The figures for anxiety, stress, depression, and post-traumatic stress have increased in all population groups.
Conclusions. Strategies should be designed and applied to make an early diagnosis of mental health disorders in the general population and especially in front-line health personnel. It is to be expected that in the medium and long term sequelae related to isolation will begin to be seen, especially in children and adolescents.
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World Health Organization (WHO). Salud mental [Internet]. (Consultado febrero 18 de 2022). Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/mental-health-strengthening-our-response
American Psychological Association (APA). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®) [Internet]. 2013 (Consultado febrero 18 de 2022). Disponible en: https://www.psychiatry.org/psychiatrists/practice/dsm
World Health Organization (WHO). Post-traumatic stress disorder [Internet]. (Consultado febrero 18 de 2022). Disponible en: https://icd.who.int/browse11/l-m/en#/http%253a%252f%252fid.who.int%252ficd%252fentity%252f2070699808
Raudenská J, Steinerová V, Javůrková A, Urits I, Kaye A, Viswanath O., et al. Occupational burnout syndrome and post-traumatic stress among healthcare professionals during the novel coronavirus disease 2019 (COVID-19) pandemic. Best Pract Res Clin Anaesthesiol. 2020;34(3):553–60. https://doi.org/10.1016/j.bpa.2020.07.008 DOI: https://doi.org/10.1016/j.bpa.2020.07.008
Han RH, Schmidt MN, Waits WM, Bell A, Miller T. Planning for Mental Health Needs During COVID-19. Curr Psychiatry Rep. 2020;22(12):66. doi: 10.1007/s11920-020-01189-6. DOI: https://doi.org/10.1007/s11920-020-01189-6
Yip PS, Cheung YT, Chau PH, Law YW. The impact of epidemic outbreak: the case of severe acute respiratory syndrome (SARS) and suicide among older adults in Hong Kong. Crisis. 2010;31(2):86-92. https://doi.org/10.1027/0227-5910/a000015 DOI: https://doi.org/10.1027/0227-5910/a000015
Goulia P, Mantas C, Dimitroula D, Mantis D, Hyphantis T. General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A/H1N1 influenza pandemic. BMC Infect Dis. 2010;10:322. doi: 10.1186/1471-2334-10-322 DOI: https://doi.org/10.1186/1471-2334-10-322
Jeong H, Yim HW, Song YJ, Ki M, Min j, Cho J, et al. Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiol Health. 2016;38:e2016048. https://doi.org/10.4178/epih.e2016048 DOI: https://doi.org/10.4178/epih.e2016048
Jalloh MF, Li W, Bunnell RE, Either K, O´leary A, Hageman K. et al. Impact of Ebola experiences and risk perceptions on mental health in Sierra Leone, July 2015. BMJ Glob Health. 20183(2):e000471. https://doi.org/10.1136/bmjgh-2017-000471 DOI: https://doi.org/10.1136/bmjgh-2017-000471
Vyas KJ, Delaney EM, Webb-Murphy JA, Johnston S. Psychological impact of deploying in support of the U.S. response to Ebola: a systematic review and meta-analysis of past outbreaks. Mil Med. 2016;181(11):e1515–1531. https://doi.org/10.7205/MILMED-D-15-00473 DOI: https://doi.org/10.7205/MILMED-D-15-00473
Cenat JM, Felix N, Blais-Rochette C, Rousseau C, Bukaka J, Derivois D. et al. Prevalence of mental health problems in populations affected by the Ebola virus disease: a systematic review and meta-analysis. Psychiatry Res. 2020;289:1-20 https://doi.org/10.1016/j.psychres.2020.113033. DOI: https://doi.org/10.1016/j.psychres.2020.113033
Del Rey A, Besedovsky HO. Immune-neuro-endocrine reflexes, circuits, and networks: physiologic and evolutionary implications. Front Horm Res. 2017;48:1–18. https://doi.org/10.1159/000452902 DOI: https://doi.org/10.1159/000452902
Dahmen B, Puetz VB, Scharke W, Von-Polier GG, Herpertz-Dahlmann B, Konrad K. Effects of early-life adversity on hippocampal structures and associated HPA Axis functions. Dev. Neurosci. 2019;40(1):13–22. https://doi.org/10.1159/000484238 DOI: https://doi.org/10.1159/000484238
Juruena MF, Eror F, Cleare AJ, Young AH. The role of early life stress in HPA Axis and anxiety. Adv. Exp. Med. Biol. 2020;1191:141–153. https://doi.org/10.1007/978-981-32-9705-0_9 DOI: https://doi.org/10.1007/978-981-32-9705-0_9
Brenhouse HC, Schwarz JM. Immunoadolescence: Neuroimmune development and adolescent behavior. Neurosci Biobehav Rev 2016;70:288–99. https://doi.org/10.1016/j.neubiorev.2016.05.035 DOI: https://doi.org/10.1016/j.neubiorev.2016.05.035
Jiang NM, Cowan M, Moonah SN, Petri Jr WA. The impact of systemic inflammation on neurodevelopment. Trends Mol Med. 2018;24(9):794-804. https://doi.org/10.1016/j.molmed.2018.06.008 DOI: https://doi.org/10.1016/j.molmed.2018.06.008
Calcia MA, Bonsall DR, Bloomfield PS, Selvaraj S, Barichello T, Howes OD. Stress and neuroinflammation: a systematic review of the effects of stress on microglia and the implications for mental illness. Psychopharmacology. 2016;233(9):1637–50. https://doi.org/10.1007/s00213-016-4218-9 DOI: https://doi.org/10.1007/s00213-016-4218-9
Szcześniak D, Gładka A, Misiak B, Cyran A, Rymaszewska J. The SARS-CoV-2 and mental health: From biological mechanisms to social consequences. Prog Neuropsychopharmacol Biol Psychiatry. 2021;104:110046. https://doi.org/10.1016/j.pnpbp.2020.110046 DOI: https://doi.org/10.1016/j.pnpbp.2020.110046
Conti P, Ronconi G, Caraffa A, Gallenga CE, Ross R, Frydas I. et al. Induction of pro-inflammatory cytokines (IL-1 and IL-6) and lung inflammation by COVID-19: anti-inflammatory strategies. J. Biol Regul Homeost. 2020;34(2):327–331. https://doi.org/10.23812/CONTI-E
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y. et al., Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. 2020;395(10223):497–506. https://doi.org/10.1016/S0140-6736(20)30183-5 DOI: https://doi.org/10.1016/S0140-6736(20)30183-5
Blakemore SJ, Mills KL. Is adolescence a sensitive period for sociocultural processing?. Annu Rev Psychol. 2014;65:187–207. https://doi.org/10.1146/annurev-psych-010213-115202 DOI: https://doi.org/10.1146/annurev-psych-010213-115202
Gorrese A, Ruggieri R. Peer attachment and self-esteem: a meta-analytic review. Per. Individ Dif. 2013;55(5):559–568. https://doi.org/10.1016/j.paid.2013.04.025 DOI: https://doi.org/10.1016/j.paid.2013.04.025
Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC, et al. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry. 2020;29(6):749–58. https://doi.org/10.1007/s00787-020-01541-4 DOI: https://doi.org/10.1007/s00787-020-01541-4
Tian F, Li H, Tian S, Yang J, Shao J, Tian C. Psychological symptoms of ordinary Chinese citizens based on SCL-90 during the level I emergency response to COVID-19. Psychiatry Res. 2020:288:112992. https://doi.org/10.1016/j.psychres.2020.112992 DOI: https://doi.org/10.1016/j.psychres.2020.112992
Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet 2020;395(10228):945–947. https://doi.org/10.1016/S0140-6736(20)30547-X DOI: https://doi.org/10.1016/S0140-6736(20)30547-X
Maciejewski D, Hillegers M, Penninx B. Offspring of parents with mood disorders: time for more transgenerational research, screening and preventive intervention for this high-risk population. Curr. Opin Psychiatry 2018;31:349–357. https://doi.org/10.1097/yco.0000000000000423 DOI: https://doi.org/10.1097/YCO.0000000000000423
de Figueiredo CS, Sandre PC, Lima Portugal LC, Mázala-de-Oliveira T, da Silva Chagas L, Raony Í. et al. COVID-19 pandemic impact on children and adolescents' mental health: Biological, environmental, and social factors. Prog Neuropsychopharmacol Biol Psychiatry. 2021;106:110171.
https://doi.org/10.1016/j.pnpbp.2020.110171 DOI: https://doi.org/10.1016/j.pnpbp.2020.110171
Wathelet M, Duhem S, Vaiva G, Baubet T, Habran E, Veerapa E. et al. Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic. JAMA. network open, 2020;3:e2025591. https://doi.org/10.1001/jamanetworkopen.2020.25591 DOI: https://doi.org/10.1001/jamanetworkopen.2020.25591
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J. et. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. https://doi.org/10.1016/j.psychres.2020.112934 DOI: https://doi.org/10.1016/j.psychres.2020.112934
Wu T, Jia X, Shi H, Niu J, Yin X, Xie J., et al. Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2021;281:91-8. https://doi.org/10.1016/j.jad.2020.11.117 DOI: https://doi.org/10.1016/j.jad.2020.11.117
Sonderskov K.M, Dinesen P.T, Santini Z.I, Ostergaard S.D. The depressive state of Denmark during the COVID-19 pandemic. Acta Neuropsychiatr. 2020;32(4):226-228. https://doi.org/10.1017/neu.2020.15 DOI: https://doi.org/10.1017/neu.2020.15
Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020;89:531-42. https://doi.org/10.1016/j.bbi.2020.05.048 DOI: https://doi.org/10.1016/j.bbi.2020.05.048
Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res. 2020:291:113190. https://doi.org/10.1016/j.psychres.2020.113190 DOI: https://doi.org/10.1016/j.psychres.2020.113190
Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM. 2020;113(10):707–712. https://doi.org/10.1093/qjmed/hcaa202 DOI: https://doi.org/10.1093/qjmed/hcaa202
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395(10227):912–920. https://doi.org/10.1016/S0140-6736(20)30460-8 DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
Yan R, Xia J, Yang R, Lv B, Wu P, Chen W., et al. Association between anxiety, depression, and comorbid chronic diseases among cancer survivors. Psychooncology. 2019;28(6):1269–1277. https://doi.org/10.1002/pon.5078 DOI: https://doi.org/10.1002/pon.5078
Wang F, Wang S, Zong Q.Q, Zhang Q, Ng C.H, Ungvari G.S., et al. Prevalence of comorbid major depressive disorder in Type 2 diabetes: a meta-analysis of comparative and epidemiological studies. Diabet Med. 2019;36(8):961–69. https://doi.org/10.1111/dme.14042 DOI: https://doi.org/10.1111/dme.14042
Nalleballe K, Reddy-Onteddu S, Sharma R, Dandu V, Brown A, Jasti M., et al., Spectrum of neuropsychiatric manifestations in COVID-19. Brain Behav Immun. 2020;88:71-4 https://doi.org/10.1016/j.bbi.2020.06.020 DOI: https://doi.org/10.1016/j.bbi.2020.06.020
Kong X, Zheng K, Tang M, Kong F, Zhou J, Diao L., et al., Prevalence and factors associated with depression and anxiety of hospitalized patients with COVID-19. medRxiv: the preprint server for health sciences. 2020. https://doi.org/10.1101/2020.03.24.20043075 DOI: https://doi.org/10.1101/2020.03.24.20043075
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y., et al., Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507–513. https://doi.org/10.1016/S0140-6736(20)30211-7 DOI: https://doi.org/10.1016/S0140-6736(20)30211-7
Bo H, Li W, Yang Y, Wang Y, Zhang Q, Cheung T., et al., Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China. Psychol Med. 2020;51(6):1052-1053. https://doi.org/10.1017/S0033291720000999 DOI: https://doi.org/10.1017/S0033291720000999
Rohde C, Jefsen OH, Noerremark B, Danielsen AA, Østergaard SD. Psychiatric symptoms related to the COVID-19 Pandemic. Acta Neuropsychiatr. 2020;32:274-6. doi:10.1017/neu.2020.24 DOI: https://doi.org/10.1017/neu.2020.24
Qi R, Chen W, Liu S, Thompson P.M, Zhang L.J, Xia F., et al., Psychological morbidities and fatigue in patients with confirmed COVID-19 during disease outbreak: prevalence and associated biopsychosocial risk factors. medRxiv : the preprint server for health sciences. 2020. 05.08.20031666. https://doi.org/10.1101/2020.05.08.20031666 DOI: https://doi.org/10.1101/2020.05.08.20031666
Li L, Wu M S, Tao J, Wang W, He J, Liu R, et al. A Follow-Up Investigation of Mental Health Among Discharged COVID-19 Patients in Wuhan, China. Front Public Health. 2021;9:640352. https://doi.org/10.3389/fpubh.2021.640352 DOI: https://doi.org/10.3389/fpubh.2021.640352
García-Fernández L, Romero-Ferreiro V, López-Roldán P.D, Padilla S, Rodriguez-Jimenez R. Mental health in elderly spanish people in times of COVID-19 outbreak. Am J Geriatr Psychiatry. 2020;28(10):1040–1045. https://doi.org/10.1016/j.jagp.2020.06.027 DOI: https://doi.org/10.1016/j.jagp.2020.06.027
Louie L, Chan WC, Cheng C. Suicidal risk in older patients with depression during COVID-19 pandemic: a case-control study. East Asian Arch Psychiatry. 2021;31(1):3–8. https://doi.org/10.12809/eaap2055 DOI: https://doi.org/10.12809/eaap2055
Novais F, Cordeiro C, Câmara Pestana P, Côrte-Real B, Reynolds-Sousa T, Delerue-Matos A., et al. O Impacto da COVID-19 na População Idosa em Portugal: Resultados do Survey of Health, Ageing and Retirement (SHARE). Acta Med Port. 2021;34(11):761–766. https://doi.org/10.20344/amp.16209 DOI: https://doi.org/10.20344/amp.16209
García-Iglesias JJ, Gómez-Salgado J, Martín-Pereira J, et al. Impact of SARS-CoV-2 (Covid-19) on the mental health of healthcare professionals: a systematic review. Rev Esp Salud Publica. 2020;94:e202007088.
Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901–907. https://doi.org/10.1016/j.bbi.2020.05.026 DOI: https://doi.org/10.1016/j.bbi.2020.05.026
Danet Danet A. Psychological impact of COVID-19 pandemic in Western frontline healthcare professionals. A systematic review. Med Clin. 2021;156(9):449-458. https://doi.org/10.1016/j.medcli.2020.11.009 DOI: https://doi.org/10.1016/j.medcle.2020.11.003
Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. 2020;38(3):192–195. https://doi.org/10.3760/cma.j.cn121094-20200219-00063
Salari N, Khazaie H, Hosseinian-Far A, Khaledi-Paveh B, Kazeminia M, Mohammadi M., et al. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Hum Resour Health. 2020;18(1):100. https://doi.org/10.1186/s12960-020-00544-1 DOI: https://doi.org/10.1186/s12960-020-00544-1