Evidence map›Paper›PMID 35055841›Full record

SynthesisInternational journal of environmental research and public health2022

A Systematic Review and Meta-Analysis of Symptoms of Anxiety, Depression, and Insomnia in Spain in the COVID-19 Crisis.

Stephen X Zhang, Richard Z Chen, Wen Xu, Allen Yin, Rebecca Kechen Dong, Bryan Z Chen, Andrew Yilong Delios, Saylor Miller, Roger S McIntyre, Wenping Ye and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 6 pooled it
12.5field-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

43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  15. Effect of the COVID-19 Pandemic on Psychiatric Service Use Among Psychiatric Outpatients.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2025
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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

11 authors at 8 institutions in 4 countries.

Stephen X ZhangFaculty of Professions, University of Adelaide, Adelaide, SA 5005, Australia.ORCID 0000-0001-6123-1193
Richard Z ChenCrescent Valley High School, Corvallis, OR 97330, USA.
Wen XuNottingham University Business School China, University of Nottingham Ningbo China, Ningbo 315100, China.ORCID 0000-0002-8884-6793
Allen YinSchool of Humanities, Southeast University, Nanjing 211189, China.ORCID 0000-0002-8998-6253
Rebecca Kechen DongBusiness School, University of South Australia, Adelaide, SA 5001, Australia.ORCID 0000-0002-2486-4511
Bryan Z ChenFaculty of Professions, University of Adelaide, Adelaide, SA 5005, Australia.
Andrew Yilong DeliosDepartment of Psychology, University of Adelaide, Adelaide, SA 5001, Australia.
Saylor MillerCollege of Business, Oregon State University, Corvallis, OR 97330, USA.
Roger S McIntyreMood Symptoms Psychopharmacology Unit (MDPU), Department of Psychiatry, University of Toronto, Toronto, ON M5T 2S8, Canada.ORCID 0000-0003-4733-2523
Wenping YeDepartment of Business Administration, School of Management, Jinan University, Guangzhou 510632, China.
Xue WanSchool of Economics and Management, Tongji University, Shanghai 200092, China.ORCID 0000-0002-4171-8292
The University of Adelaide · AUJinan University · CNOregon State University · USSoutheast University · CNTongji University · CNUniversity of Nottingham Ningbo China · CNUniversity of South Australia · AUUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral population, frontline healthcare workers (HCWs), and adult students in Spain are at risk of anxiety, depression, and insomnia symptoms during the COVID-19 crisis. A meta-analysis of the individual studies on these symptoms would provide systematic evidence to aid policymakers and researchers in focusing on prevalence, risk, and best interventions.

objectiveThis paper aims to be the first meta-analysis and systematic review to calculate the prevalence of anxiety, depression, and insomnia symptoms in Spain's adult population (general population, frontline healthcare workers (HCWs), and adult students) during the Covid-19 epidemic.

methodRandom-effect meta-analysis was used to estimate the prevalence of anxiety, depression, and insomnia.

resultsThe meta-analysis includes 28 studies with 38 individual samples in Spain. The pooled prevalence of anxiety symptoms in 22 studies comprising a sample population of 82,024 was 20% (95% CI: 15-25%), that of depression symptoms in 22 articles with a total sample comprising 82,890 individuals was 22% (95% CI: 18-28%), and that of insomnia symptoms in three articles with a sample population of 745 was 57% (95% CI: 48-66%.

conclusionsThe accumulative evidence reveals that adults in Spain suffered higher prevalence rates of mental symptoms during the COVID-19 crisis, with a significantly higher rate relative to other countries such as China. Our synthesis also reveals a relative lack of studies on frontline and general HCWs in Spain.

Indexed as

COVID-19Sleep Initiation and Maintenance DisordersAdultAnxietyDepressionHealth PersonnelHumansPrevalenceSARS-CoV-2Spainanxietydepressionfrontline healthcare workersgeneral populationmeta-analysis

Identifiers

PMID35055841
PMCPMC8775436
OpenAlexW4206420346

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.