Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis

Maqbali, Mohammed Al; Sinani, Mohammed Al; Al‐Lenjawi, Badriya

doi:10.1016/j.jpsychores.2020.110343

Cited by 355 publications

(385 citation statements)

References 106 publications

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“…This study reveals several signi cant results regarding the burden felt by the nurses due to mental health stress and its associated factors. In this study, the rates 8.7%, 20.7% and 5.8%, for moderate to extremely severe depression, anxiety and stress, respectively were discovered to be signi cantly lower compared to the pooled rates reported in a recent systematic review and meta-analysis (5). The fact that the participants in this study had been exposed to various information on COVID-19, including participating in awareness-raising campaign and having training courses, might be responsible for the lower rates of the mental problem discovered in this population.…”

Section: Discussioncontrasting

confidence: 70%

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Investigating the Burden of Mental Distress Among Nurses at A Provincial COVID-19 Referral Hospital In Indonesia: A Cross-Sectional Study

Marthoenis

Maskur

Fathiariani

et al. 2021

Preprint

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Background: The current outbreak of COVID-19 pandemic distorts not only the physical, but also mental and psychological condition of healthcare providers, especially the nurses who directly working with the COVID-19 patients. This study aims to investigate the prevalence and risk factors of depression, anxiety and stress among nurses working in a COVID-19 referral hospital in Indonesia. Methods: A cross-sectional study was conducted. A self-administered questionnaire, DASS21, along with the demographic questions was used to screen the presence of psychological problems and their associated factors. Results: the prevalence of moderate to extremely severe depression, anxiety and stress was 8.7%, 20.7% and 5.8%, respectively. The prevalence rate was significantly higher among those with financial hardship during the COVID-19 pandemic, with 10.5%, 23.5% and 8.1% for depression, anxiety and anxiety (P<.05), respectively. Regression analysis confirmed that these mental problems were associated with the experience of social rejection, either by family or neighbor, because they were working in the hospital during the pandemic. Conclusions: The financial hardship experienced by the nurses during disease pandemic increases their burden of mental illness therefore, providing the financial subsidiary might reduce their financial uncertainty. Furthermore, the motivation to have a positive attitude toward the pandemic, promotion of healthy behavior such as the use of face mask and the provision of sufficient information on the diseases, may help them properly manage their mental distress.

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Section: Discussioncontrasting

confidence: 70%

“…The Systematic Review by Al Maqbali et al (2021) included studies that were mainly conducted in China (5). The paucity of related evidence from Indonesia was a predisposition for this study which aims to assess the rate of depression, anxiety and stress and their related risk factors among nurses working during the COVID-19 pandemic in Indonesia.…”

mentioning

confidence: 99%

Investigating the Burden of Mental Distress Among Nurses at A Provincial COVID-19 Referral Hospital In Indonesia: A Cross-Sectional Study

Marthoenis

Maskur

Fathiariani

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…Although all the surveys from the general population available in literature employed the PHQ-9 and GAD-7 scales, these have been shown to yield similar estimates as the PHQ-2 and GAD-2 scales which we used for screening depression and anxiety respectively [ 24 , 25 ]. Compared to PLWH (our study), the frequency of depression and anxiety among the general population during the COVID-19 pandemic was similar in Belgium [ 23 ] but higher in Brazil [ 26 ], France [ 27 ], and Russia [ 28 ]. These data are encouraging as they suggest that the pandemic’s toll on psychosocial well-being is not more severe among PLWH compared to the general population.…”

Section: Discussionmentioning

confidence: 94%

Follow-Up Survey of the Impact of COVID-19 on People Living with HIV during the Second Semester of the Pandemic

Fodjo

Villela

Hees

et al. 2021

IJERPH

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COVID-19 affects persons living with HIV (PLWH) both directly (via morbidity/mortality) and indirectly (via disruption of HIV care). From July–November 2020, an online survey was conducted to investigate the psychosocial well-being of PLWH and changes in HIV care during the second semester of the COVID-19 outbreak. Data were collected on the socio-demographic characteristics of PLWH, their psychosocial well-being, impact of COVID-19 preventive measures on their daily routines and HIV follow-up. Of the 247 responses analyzed (mean age: 44.5 ± 13.2 years; 73.7% male), 67 (27.1%) and 69 (27.9%) respondents screened positive for anxiety (GAD-2 score ≥ 3) and depression (PHQ-2 score ≥ 3), respectively. HIV care had returned to pre-COVID-19 state for 48.6% PLWH, and 108 (43.7%) had no HIV follow-up during the past month. Over three quarters (76.1%) of respondents expressed willingness to receive the COVID-19 vaccine. Compared to previous findings in April 2020, substance use increased from 58.6% to 67.2% (p < 0.001). Our findings suggest that the well-being and medical follow-up of PLWH are still affected after almost a year into the COVID-19 outbreak. Remote HIV follow-up (telemedicine) with psychosocial support should be envisaged in the medium to long-term. Given that most PLWH accept COVID-19 vaccination, they may be prioritized for this intervention.

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“…The cut-off point for identifying the symptoms of anxiety was 7 ( 37 ). The scale has been widely used and adequate psychometric properties have been reported for the Chinese version of GAD-7 ( 10 , 37 ). The Cronbach's alpha for GAD-7 was 0.952 in the present study.…”

Section: Methodsmentioning

confidence: 99%

“…In the face of the continuing crisis, nurses, as the largest part of health care workers ( 8 ), are crucial to the pandemic response and care. Nurses are inevitably confronted with a broad range of stressors such as overwhelming workload caused by the high demand on the strained system, shift duties, work-family conflict and so on ( 9 ), which makes them, especially high-risk nurses, more susceptible to poor mental health ( 10 ). According to the previous literature, health care workers from high-risk working departments had a higher rate of mental problems than those from low-risk working departments during the COVID-19 outbreak ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Perceived Social Support Between Resilience and Anxiety 1 Year After the COVID-19 Pandemic: Disparity Between High-Risk and Low-Risk Nurses in China

Hou

Yin

et al. 2021

Front. Psychiatry

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Introduction: One year after the Coronavirus disease 2019 (COVID-19) outbreak, China has made substantial progress in the prevention and control of the pandemic, while the epidemic situation remains grim in China since virus may easily survive with the falling temperature in winter. The present study aimed to compare the prevalence and associated factors of anxiety between high-risk and low-risk nurses 1 year after the COVID-19 outbreak, and examine the association between resilience and anxiety and its underlying mechanisms.Method: Connor-Davidson Resilience scale, Perceived Social Support Scale and Generalized Anxiety Disorder Scale were administrated to 701 nurses from Jiangsu Province, China, 1 year after the COVID-19 outbreak. The mediating effect was examined by Mackinnon's four-step procedure, while the moderated mediation model was tested by Hayes PROCESS macro.Results: The findings presented the prevalence of anxiety among nurses was 21.4% 1 year after the COVID-19 pandemic. High-risk nurses presented a higher prevalence of anxiety (24.5 vs. 19.3%) than low-risk nurses. Age and professional title were significantly associated with anxiety only in high-risk nurses (all P < 0.05). Perceived social support mediated the association between resilience and anxiety and the indirect effect was stronger for high-risk nurses than low-risk nurses.Conclusion: Anxiety remains prevalent among nurses 1 year after the COVID-19 outbreak, and resilience plays a protective role against anxiety. Programs that enhance resilience and social support should be designed and special attention should be paid to nurses from high-risk units.

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Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis

Cited by 355 publications

References 106 publications

Investigating the Burden of Mental Distress Among Nurses at A Provincial COVID-19 Referral Hospital In Indonesia: A Cross-Sectional Study

Investigating the Burden of Mental Distress Among Nurses at A Provincial COVID-19 Referral Hospital In Indonesia: A Cross-Sectional Study

Follow-Up Survey of the Impact of COVID-19 on People Living with HIV during the Second Semester of the Pandemic

The Mediating Role of Perceived Social Support Between Resilience and Anxiety 1 Year After the COVID-19 Pandemic: Disparity Between High-Risk and Low-Risk Nurses in China

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