Psychological distress among healthcare providers during COVID-19 in Asia: Systematic review and meta-analysis

Ching, Siew Mooi and Ng, Kar Yean and Lee, Kai Wei and Yee, Anne and Lim, Poh Ying and Hisham, Ranita and Devaraj, Navin Kumar and Ooi, Pei Boon and Cheong, Ai Theng (2021) Psychological distress among healthcare providers during COVID-19 in Asia: Systematic review and meta-analysis. PLoS ONE, 16 (10). ISSN 1932-6203, DOI https://doi.org/10.1371/journal.pone.0257983.

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Abstract

Introduction COVID-19 pandemic is having a devastating effect on the mental health and wellbeing of healthcare providers (HCPs) globally. This review is aimed at determining the prevalence of depression, anxiety, stress, fear, burnout and resilience and its associated factors among HCPs in Asia during the COVID-19 pandemic. Material and methods We performed literature search using 4 databases from Medline, Cinahl, PubMed and Scopus from inception up to March 15, 2021 and selected relevant cross-sectional studies. Publication bias was assessed using funnel plot. Random effects model was used to estimate the pooled prevalence while risk factors were reported in odds ratio (OR) with 95% CI. Results We included 148 studies with 159,194 HCPs and the pooled prevalence for depression was 37.5% (95%CI: 33.8-41.3), anxiety 39.7(95%CI: 34.3-45.1), stress 36.4% (95%CI: 23.2-49.7), fear 71.3% (95%CI: 54.6-88.0), burnout 68.3% (95%CI: 54.0-82.5), and low resilience was 16.1% (95%CI: 12.8-19.4), respectively. The heterogeneity was high (I2>99.4%). Meta-analysis reported that both females (OR = 1.48; 95% CI = 1.30-1.68) and nurses (OR = 1.21; 95%CI = 1.02-1.45) were at increased risk of having depression and anxiety (Female: OR = 1.66; 95% CI = 1.49-1.85), (Nurse: OR = 1.36; 95%CI = 1.16-1.58)]. Females were at increased risk of getting stress (OR = 1.59; 95%CI = 1.28-1.97). Conclusion In conclusion, one third of HCPs suffered from depression, anxiety and stress and more than two third of HCPs suffered from fear and burnout during the COVID-19 pandemic in Asia.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Psychological distress; Healthcare providers; COVID-19; Asia
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine
Library
Depositing User: Ms Zaharah Ramly
Date Deposited: 02 Sep 2022 02:58
Last Modified: 02 Sep 2022 02:58
URI: http://eprints.um.edu.my/id/eprint/34170

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