Evidence map›Paper›PMID 38876492›Full record

SynthesisBMJ mental health2024

Changes in the prevalence of mental health problems during the first year of the pandemic: a systematic review and dose-response meta-analysis.

Georgia Salanti, Natalie Luise Peter, Thomy Tonia, Alexander Holloway, Leila Darwish, Ronald C Kessler, Ian White, Simone N Vigod, Matthias Egger, Andreas D Haas and 10 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Health-related quality of life of unemployed individuals diagnosed with a mental illness: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
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

20 authors.

Georgia SalantiInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland georgia.salanti@unibe.ch.ORCID http://orcid.org/0000-0002-3830-8508
Natalie Luise PeterDepartment of Psychiatry and Psychotherapy, School of Medicine and Health, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-5058-3270
Thomy ToniaInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0001-7896-6188
Alexander HollowayInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-0917-7235
Leila DarwishDepartment of Psychiatry and Psychotherapy, School of Medicine and Health, Technical University of Munich, Munich, Germany.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.
Ian WhiteMRC Clinical Trials Unit at UCL, University College London, London, UK.
Simone N VigodWomen's College Hospital and Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Matthias EggerInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Andreas D HaasInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Seena FazelDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-5383-5365
Helen HerrmanOrygen and Centre for Youth Mental Health, The University of Melbourne, Melbourne, Victoria, Australia.
Christian KielingDepartment of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-7691-4149
Vikram PatelDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Tianjing LiDepartment of Ophthalmology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Pim CuijpersDepartment of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-5497-2743
Andrea CiprianiDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-5179-8321
Toshi A FurukawaOffice of Institutional Advancement and Communications, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0003-2159-3776
Stefan LeuchtDepartment of Psychiatry and Psychotherapy, School of Medicine and Health, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-4934-4352
MHCOVID Crowd Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe the pattern of the prevalence of mental health problems during the first year of the COVID-19 pandemic and examine the impact of containment measures on these trends.

methodsWe identified articles published until 30 August 2021 that reported the prevalence of mental health problems in the general population at two or more time points. A crowd of 114 reviewers extracted data on prevalence, study and participant characteristics. We collected information on the number of days since the first SARS-CoV-2 infection in the study country, the stringency of containment measures and the number of cases and deaths. We synthesised changes in prevalence during the pandemic using a random-effects model. We used dose-response meta-analysis to evaluate the trajectory of the changes in mental health problems.

resultsWe included 41 studies for 7 mental health conditions. The average odds of symptoms increased during the pandemic (mean OR ranging from 1.23 to 2.08). Heterogeneity was very large and could not be explained by differences in participants or study characteristics. Average odds of psychological distress, depression and anxiety increased during the first 2 months of the pandemic, with increased stringency of the measures, reported infections and deaths. The confidence in the evidence was low to very low.

conclusionsWe observed an initial increase in the average risk of psychological distress, depression-related and anxiety-related problems during the first 2 months of the pandemic. However, large heterogeneity suggests that different populations had different responses to the challenges imposed by the pandemic.

Indexed as

COVID-19Mental DisordersAnxietyDepressionHumansMental HealthPandemicsPrevalenceSARS-CoV-2COVID-19Data Interpretation, StatisticalDepression

Identifiers

PMID38876492
PMCPMC11177678

What OpenQuestion holds

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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.