Evidence map›Paper›PMID 37881862›Full record

SynthesisEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Changes in anxiety and depression during the COVID-19 pandemic in the European population: A meta-analysis of changes and associations with restriction policies.

Veeleah Lok, Hugo Sjöqvist, Anna Sidorchuk, Pär Flodin, Walter Osika, Michael Daly, Philip Hyland, Lars H Andersen, Peter Fallesen, Marcelo C Cabrera and 8 more

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

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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

18 authors.

Veeleah LokDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-6870-7553
Hugo SjöqvistDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-4953-7725
Anna SidorchukDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-8126-8177
Pär FlodinDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-0045-2037
Walter OsikaDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-1583-7319
Michael DalyDepartment of Psychology, Maynooth University, Kildare, Ireland.ORCID 0000-0003-1557-8326
Philip HylandDepartment of Psychology, Maynooth University, Kildare, Ireland.ORCID 0000-0002-9574-7128
Lars H AndersenROCKWOOL Foundation Research Unit, Hedehusene, Denmark.ORCID 0000-0003-2357-1896
Peter FallesenROCKWOOL Foundation Research Unit, Hedehusene, Denmark.ORCID 0000-0003-0544-9977
Marcelo C CabreraROCKWOOL Foundation Research Unit, Hedehusene, Denmark.ORCID 0000-0002-7637-9075
Ann K S KnudsenDepartment of Disease Burden, Norwegian Institute of Public Health, Bergen, Norway.ORCID 0000-0002-1218-798X
Karen WetherallSuicidal Behaviour Research Laboratory, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-4000-8969
Emily WidnallPopulation Health Sciences, University of Bristol, Bristol, UK.ORCID 0000-0002-7107-562X
Jenny M GroarkeSchool of Psychology, University of Galway, Galway, Ireland.
Cherie ArmourSchool of Psychology, Queen's University Belfast, Belfast, UK.
Christina DalmanDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-3579-2357
Anna-Clara HollanderDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-1246-5804
Maria NiemiDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-5407-6981

Funding

Department of Health PD-SPH-2015
6 · The paper itself

Abstract

backgroundEarly studies of common mental disorders (CMDs) during the COVID-19 pandemic mainly report increases; however, more recent findings have been mixed. Also, studies assessing the effects of restriction measures on CMDs show varied results. The aim of this meta-analysis was to assess changes in levels of CMDs from pre-/early to during the pandemic and the effects of restriction policies in the European population.

methodsWe searched for studies assessing both pre-pandemic and peri-pandemic self-reported emotional distress and symptoms of depression or anxiety among nationally/regionally representative samples in Europe and collected microdata from those studies. Estimates of corona containment index were related to changes in CMDs using random-effects meta-regression.

resultsOur search strategy resulted in findings from 15 datasets drawn from 8 European countries being included in the meta-analysis. There was no evidence of change in the prevalence of emotional distress, anxiety, or depression from before to during the pandemic; but from early pandemic periods to later periods, there were significant decreases in emotional distress and anxiety. Increased school restrictions and social distancing were associated with small increases in self-reported emotional distress.

conclusionsDespite initial concerns of increased emotional distress and mental illness due to the COVID-19 pandemic, the results from this meta-analysis indicate that there was a decrease in emotional distress and no change in anxiety or depression in the general population in Europe. Overall, our findings support the importance of strong governance when implementing periodic and robust restriction measures to combat the spread of COVID-19.

Indexed as

COVID-19PandemicsAnxietyDepressionHumansPolicyanxietyCOVID-19 restrictionsdepressionmeta-analysissocial distancing

Identifiers

PMID37881862
PMCPMC10755582

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.