Evidence map›Paper›PMID 33334335›Full record

SynthesisHuman resources for health2020

The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression.

Nader Salari, Habibolah Khazaie, Amin Hosseinian-Far, Behnam Khaledi-Paveh, Mohsen Kazeminia, Masoud Mohammadi, Shamarina Shohaimi, Alireza Daneshkhah, Soudabeh Eskandari

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Human resources for health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 262 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
262citing papers in PubMed, 16 pooled it
38.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

262 citing papers in PubMed, 16 syntheses or guidelines pooled it, 584 citations in OpenAlex.

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  3. Validated Tools for Assessing Anxiety and Depression in Nurses: A Systematic Review.International journal of environmental research and public health · 2025
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  11. Digital training for building resilience: Systematic review, meta-analysis, and meta-regression.Stress and health : journal of the International Society for the Investigation of Stress · 2022
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  16. COVID-19 pandemic effects on health worker's mental health: Systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2022
    Pooled it
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  19. When doctors falter: Resilience in modern obstetrics and gynecology, a narrative review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
  20. Article

202 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Nader SalariDepartment of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Habibolah KhazaieSleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Amin Hosseinian-FarDepartment of Business Systems & Operations, University of Northampton, Northampton, UK.
Behnam Khaledi-PavehSleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Mohsen KazeminiaDepartment of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran. mohsenkaz221@gmail.com.
Masoud MohammadiDepartment of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran. Masoud.mohammadi1989@yahoo.com.ORCID 0000-0002-5722-8300
Shamarina ShohaimiDepartment of Biology, Faculty of Science, University Putra Malaysia, Serdang, Selangor, Malaysia.
Alireza DaneshkhahSchool of Computing, Electronics and Maths, Coventry University, London, UK.
Soudabeh EskandariSleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Kermanshah University of Medical Sciences · IRCoventry University · GBUniversiti Putra Malaysia · MYUniversity of Northampton · GB

Funding

Deputy for Research and Technology, Kermanshah University of Medical Sciences 3010299
6 · The paper itself

Abstract

backgroundStress, anxiety, and depression are some of the most important research and practice challenges for psychologists, psychiatrists, and behavioral scientists. Due to the importance of issue and the lack of general statistics on these disorders among the Hospital staff treating the COVID-19 patients, this study aims to systematically review and determine the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients.

methodsIn this research work, the systematic review, meta-analysis and meta-regression approaches are used to approximate the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients. The keywords of prevalence, anxiety, stress, depression, psychopathy, mental illness, mental disorder, doctor, physician, nurse, hospital staff, 2019-nCoV, COVID-19, SARS-CoV-2 and Coronaviruses were used for searching the SID, MagIran, IranMedex, IranDoc, ScienceDirect, Embase, Scopus, PubMed, Web of Science (ISI) and Google Scholar databases. The search process was conducted in December 2019 to June 2020. In order to amalgamate and analyze the reported results within the collected studies, the random effects model is used. The heterogeneity of the studies is assessed using the I

resultsOf the 29 studies with a total sample size of 22,380, 21 papers have reported the prevalence of depression, 23 have reported the prevalence of anxiety, and 9 studies have reported the prevalence of stress. The prevalence of depression is 24.3% (18% CI 18.2-31.6%), the prevalence of anxiety is 25.8% (95% CI 20.5-31.9%), and the prevalence of stress is 45% (95% CI 24.3-67.5%) among the hospitals' Hospital staff caring for the COVID-19 patients. According to the results of meta-regression analysis, with increasing the sample size, the prevalence of depression and anxiety decreased, and this was statistically significant (P < 0.05), however, the prevalence of stress increased with increasing the sample size, yet this was not statistically significant (P = 0.829).

conclusionThe results of this study clearly demonstrate that the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients is high. Therefore, the health policy-makers should take measures to control and prevent mental disorders in the Hospital staff.

Indexed as

AdultAnxietyCOVID-19DepressionFemaleHealth PersonnelHumansMaleMental DisordersMiddle AgedNursesOccupational StressPersonnel, HospitalPhysiciansPrevalenceSARS-CoV-2AnxietyCOVID-19DepressionHealthcare workersStress

Identifiers

PMID33334335
PMCPMC7745176
OpenAlexW3112394343

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.