Prevalence of mental disorders among people who are homeless: An umbrella review

Hossain, Mahbub; Sultana, Abida; Tasnim, Samia; Fan, Qiping; Ma, Ping; McKyer, E. Lisako J.; Purohit, Neetu

doi:10.1177/0020764020924689

Cited by 75 publications

(55 citation statements)

References 50 publications

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“…An altered psychosocial state may impact intrapersonal, interpersonal, and community-based psychological processes and outcomes in the population level 54,72 . Moreover, systematic oppression and repression in socioeconomically South Asian countries have a comparative lack of empirical research on mental health problems despite having a large proportion of the global population 37,38,97 . This was revalidated by the low number of empirical studies in the current review.…”

Section: Sensitivity Analysis and Publication Biasmentioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain¹,

Rahman²,

Trisha³

et al. 2020

Preprint

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Introduction: The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method: We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results: A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7-48.1, I2 = 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9-39.4, I2 = 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity and varying prevalence across sub-groups. Conclusion: South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

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Section: Sensitivity Analysis and Publication Biasmentioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain¹,

Rahman²,

Trisha³

et al. 2020

Preprint

Self Cite

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“…Systematic reviews of reviews, also known as umbrella reviews, are considered as one of the highest quality of evidence for healthcare policymaking and practice. [2][3][4] Second, most reviews synthesized studies from high-income countries except China.…”

Section: Covid-19 and Primary Care: A Critical Need For Strengtheningmentioning

confidence: 99%

COVID-19 and primary care: A critical need for strengthening emergency preparedness across health systems

Sultana¹,

Bhattacharya²,

Hossain³

2020

Preprint

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The coronavirus disease (COVID-19) pandemic has disrupted every frontier of human lives. When it comes to emergency care for any health emergency for individuals, or primary care where people make their first contact with the health system in a country, this pandemic has shown the lack of preparedness on delivering medical care in both settings. An integrative yet holistic perspective is needed to strengthen emergency medicine and primary care across health systems, which may enable us to save more lives during this pandemic and be better prepared for the next one.

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“…Since 2015, many umbrella reviews have been conducted to evaluate the evidence base on the psychosocial epidemiology of mental health in diverse populations [22][23][24][25][26][27]. Although several reviews have reported psychological impacts of quarantine or isolation [28,29], no umbrella review or overview of the reviews was found, although such a review could provide valuable information on the mental health implications of quarantine and isolation within the global landscape.…”

Section: Introductionmentioning

confidence: 99%

Mental health outcomes of quarantine and isolation for infection prevention: A systematic umbrella review of the global evidence

Sultana²,

2020

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METHODS: We searched nine major databases and additional sources and included articles if they were systematically conducted reviews, published as peer-reviewed journal articles, and reported mental health outcomes of quarantine or isolation in any population. RESULTS: Among 1,364 citations, only eight reviews met our criteria. Most of the primary studies in those reviews were conducted in high-income nations and in hospital settings. These articles reported a high burden of mental health problems among patients, informal caregivers, and healthcare providers who experienced quarantine or isolation. Prevalent mental health problems among the affected individuals include depression, anxiety, mood disorders, psychological distress, posttraumatic stress disorder, insomnia, fear, stigmatization, low self-esteem, lack of self-control, and other adverse mental health outcomes. CONCLUSIONS: This umbrella review found severe mental health problems among individuals and populations who have undergone quarantine and isolation in different contexts. This evidence necessitates multipronged interventions including policy measures for strengthening mental health services globally and promoting psychosocial wellbeing among high-risk populations.

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Prevalence of mental disorders among people who are homeless: An umbrella review

Cited by 75 publications

References 50 publications

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

COVID-19 and primary care: A critical need for strengthening emergency preparedness across health systems

Mental health outcomes of quarantine and isolation for infection prevention: A systematic umbrella review of the global evidence

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