Evidence map›Paper›PMID 35150151›Full record

SynthesisJournal of advanced nursing2022

The prevalence of mental health conditions in healthcare workers during and after a pandemic: Systematic review and meta-analysis.

James Edward Hill, Catherine Harris, Christian Danielle L, Paul Boland, Alison J Doherty, Valerio Benedetto, Bhutani E Gita, Andrew J Clegg

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 10 pooled it
23.0field-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

76 citing papers in PubMed, 10 syntheses or guidelines pooled it, 132 citations in OpenAlex.

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  12. Impact of the COVID-19 Pandemic on Inpatient Cancer Treatment and Outcomes in the United States.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026
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  17. Vulnerability and protective factors for PTSD in the academic community during the pandemic.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

James Edward HillSynthesis, Economic Evaluation and Decision Science (SEEDS) Group, University of Central Lancashire, Preston, Lancashire, UK.ORCID https://orcid.org/0000-0003-1430-6927
Catherine HarrisSynthesis, Economic Evaluation and Decision Science (SEEDS) Group, University of Central Lancashire, Preston, Lancashire, UK.
Christian Danielle LSynthesis, Economic Evaluation and Decision Science (SEEDS) Group, University of Central Lancashire, Preston, Lancashire, UK.
Paul BolandSynthesis, Economic Evaluation and Decision Science (SEEDS) Group, University of Central Lancashire, Preston, Lancashire, UK.
Alison J DohertySynthesis, Economic Evaluation and Decision Science (SEEDS) Group, University of Central Lancashire, Preston, Lancashire, UK.ORCID https://orcid.org/0000-0003-3593-8069
Valerio BenedettoSynthesis, Economic Evaluation and Decision Science (SEEDS) Group, University of Central Lancashire, Preston, Lancashire, UK.
Bhutani E GitaLancashire Care & South Cumbria NHS Foundation Trust & University of Liverpool, Preston, UK.
Andrew J CleggSynthesis, Economic Evaluation and Decision Science (SEEDS) Group, University of Central Lancashire, Preston, Lancashire, UK.
University of Lancashire · GBLancashire Care NHS Foundation Trust · GB

Funding

National Institute for Health Research
6 · The paper itself

Abstract

aimsThis review aims to explore the prevalence and incidence rates of mental health conditions in healthcare workers during and after a pandemic outbreak and which factors influence rates.

backgroundPandemics place considerable burden on care services, impacting on workers' health and their ability to deliver services. We systematically reviewed the prevalence and incidence of mental health conditions in care workers during pandemics.

designSystematic review and meta-analysis. DATA SOURCES: Searches of MEDLINE, Embase, Cochrane Library and PsychINFO for cohort, cross-sectional and case-control studies were undertaken on the 31 March 2020 (from inception to 31 March 2020). REVIEW

methodsOnly prevalence or incidence rates for mental health conditions from validated tools were included. Study selection, data extraction and quality assessment were carried out by two reviewers. Meta-analyses and subgroup analyses were produced for pandemic period (pre- and post), age, country income, country, clinical setting for major depression disorder (MDD), anxiety disorder and post-traumatic stress disorder (PTSD).

resultsNo studies of incidence were found. Prevalence estimates showed that the most common mental health condition was PTSD (21.7%) followed by anxiety disorder (16.1%), MDD (13.4%) and acute stress disorder (7.4%) (low risk of bias). For symptoms of these conditions there was substantial variation in the prevalence estimates for depression (95% confidence interval [CI]:31.8%; 60.5%), anxiety (95% CI:34.2%; 57.7%) and PTSD symptoms (95% CI,21.4%; 65.4%) (moderate risk of bias). Age, level of exposure and type of care professional were identified as important moderating factors.

conclusionMental disorders affect healthcare workers during and after infectious disease pandemics, with higher proportions experiencing symptoms. IMPACT: This review provides prevalence estimates of mental health conditions during and after a pandemic which could be used to inform service staffing impact and formulation of preventative strategies, by identifying clinical populations who may be at high risk of developing mental health symptoms and conditions.

Indexed as

COVID-19Stress Disorders, Post-TraumaticAnxietyCross-Sectional StudiesDepressionHealth PersonnelHumansMental HealthPandemicsPrevalenceSARS-CoV-2Covid-19health and social care workersincidencemental healthnursingpandemicprevalenceSARSsystematic review

Identifiers

PMID35150151
PMCPMC9111784
OpenAlexW4211100140

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.