Evidence map›Paper›PMID 37655370›Full record

SynthesisJournal of global health2023

Impact of COVID-19 mitigations on anxiety and depression amongst university students: A systematic review and meta-analysis.

Bohee Lee, Prerna Krishan, Lara Goodwin, Damilola Iduye, Emma Farfan de Los Godos, Jodie Fryer, Kate Gallagher, Kaitlyn Hair, Eimear O'Connell, Kristen Ogarrio and 11 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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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

21 authors.

Bohee Lee *Usher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Prerna Krishan *Usher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Lara GoodwinUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Damilola IduyeUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Emma Farfan de Los GodosUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Jodie FryerUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Kate GallagherSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.
Kaitlyn HairUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Eimear O'ConnellUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Kristen OgarrioSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.
Theresa KingPublic Health Scotland, Edinburgh, UK.
Shifa SaricaPublic Health Scotland, Edinburgh, UK.
Eileen ScottPublic Health Scotland, Edinburgh, UK.
Xue LiSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Peige SongSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Marshall DozierUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Emilie McSwigganUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Kristefer StojanovskiSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.
Evropi TheodoratouUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
Ruth McQuillanUsher Network for COVID-19 Evidence Reviews (UNCOVER) group, Usher Institute, University of Edinburgh, Edinburgh, UK.
UNCOVER group

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: While much research has addressed mental health concerns related to the coronavirus disease 2019 (COVID-19) pandemic, there remains a scarcity of studies specifically exploring the changes in anxiety and depression among university students before and after the implementation of COVID-19 mitigation measures. Methods: In this systematic review and meta-analysis, we searched databases including MEDLINE (Ovid), EMBASE (Ovid), PsycINFO (Ovid), CINAHL (EBSCO), ERIC (EBSCO), the WHO COVID-19 database, Scopus, and Science Citation Index (Web of Science) as of 15 February 2023. We included studies that used a validated tool to measure changes in anxiety or depression at two distinct time points - before (T1) and during (T2); during (T2) and after (T3); or before (T1) and after (T3) COVID-19 mitigation. The quality of studies was assessed using an adapted Joanna Briggs Institute Checklist for longitudinal studies. Utilising random-effects models, we synthesised changes in continuous outcomes as standardised mean difference (SMD) with 95% confidence interval (CI) and binary outcomes as risk difference (RD) with 95% CI. Results: In total, 15 studies were included in this review, with eight of moderate and seven of high quality. In most of the included studies (n = 13), the majority of participants were women. Eleven studies analysed mental health outcomes between T1 and T2 of COVID-19 mitigations. Continuous symptom changes were a minimal or small improvement for anxiety (SMD = -0.03, 95% CI = -0.24 to 0.19, I Conclusions: Mental health outcomes, especially depressive symptoms, were observed to worsen in university students during COVID-19 mitigations. Despite considerable heterogeneity requiring careful interpretation of results, the impact of COVID-19 mitigations on mental health in university students is evident. Registration: PROSPERO (CRD42021266889).

Indexed as

COVID-19DepressionAnxietyDatabases, FactualFemaleHumansMaleUniversities

Identifiers

PMID37655370
PMCPMC10472203

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.