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Factors associated with depression among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis

Published online by Cambridge University Press:  15 September 2023

Haoyu Tian
Affiliation:
Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China
Tianci Qiao
Affiliation:
Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China
Jing Teng
Affiliation:
First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, China
Chen Kang
Affiliation:
Second Department of Neurology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China
Jia Ke
Affiliation:
Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China
Lili Shan
Affiliation:
Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China
Mengting Li
Affiliation:
Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China
Chun Shen*
Affiliation:
Institute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence (Fudan University), Ministry of Education, Shanghai, China
Yan Han*
Affiliation:
Department of Neurology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China
*
Corresponding authors: Yan Han; Email: hanyan@shutcm.edu.cn Chun Shen; Email: shenchun@fudan.edu.cn
Corresponding authors: Yan Han; Email: hanyan@shutcm.edu.cn Chun Shen; Email: shenchun@fudan.edu.cn

Abstract

The COVID-19 pandemic has had a profound impact on the mental health of healthcare workers (HCWs). We aimed to identify the factors associated with depression among HCWs during the pandemic. We conducted literature search using eight electronic databases up to July 27 2022. Observational studies with more than 200 participants investigating correlates of depression in HCWs after COVID-19 outbreak were included. We used fixed- and random-effects models to pool odds ratios (ORs) across studies, and Cochran's chi-squared test and I2 statistics to assess study heterogeneity. Publication bias was evaluated by funnel plots. Thirty-five studies involving 44,362 HCWs met the inclusion criteria. Female (OR=1.50, 95% CI [1.23,1.84]), single (OR=1.36, 95% CI [1.21,1.54]), nurse (OR=1.69, 95% CI [1.28,2.25]), history of mental diseases (OR=2.53, 95% CI [1.78,3.58]), frontline (OR=1.79, 95% CI [1.38,2.32]), health anxiety due to COVID-19 (OR=1.88, 95% CI [1.29,2.76]), working in isolation wards (OR=1.98, 95% CI [1.38,2.84]), and insufficient personal protective equipment (OR=1.49, 95% CI [1.33,1.67]) were associated with increased risk of depression. Instead, HCWs with a positive professional prospect (OR=0.34, 95% CI [0.24,0.49]) were less likely to be depressed. This meta-analysis provides up-to-date evidence on the factors linked to depression among HCWs during the COVID-19 pandemic. Given the persistent threats posed by COVID-19, early screening is crucial for the intervention and prevention of depression in HCWs.

Type
Review Article
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press

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Footnotes

*

Co-first authors

References

Adams, J. G., & Walls, R. M. (2020). Supporting the health care workforce during the COVID-19 global epidemic. JAMA, 323(15), 14391440. doi:10.1001/jama.2020.3972CrossRefGoogle ScholarPubMed
Ahn, M. H., Shin, Y. W., Suh, S., Kim, J. H., Kim, H. J., Lee, K. U., & Chung, S. (2021). High work-related stress and anxiety as a response to COVID-19 among health care workers in South Korea: Cross-sectional online survey study. JMIR Public Health and Surveillance, 7(10), e25489. doi:10.2196/25489CrossRefGoogle ScholarPubMed
Akova, İ, Kiliç, E., & Özdemir, M. E. (2022). Prevalence of burnout, depression, anxiety, stress, and hopelessness among healthcare workers in COVID-19 pandemic in Turkey. Inquiry: A Journal of Medical Care Organization, Provision and Financing, 59, 469580221079684. doi:10.1177/00469580221079684Google ScholarPubMed
Al-Humadi, S., Bronson, B., Muhlrad, S., Paulus, M., Hong, H., & Cáceda, R. (2021). Depression, suicidal thoughts, and burnout among physicians during the COVID-19 pandemic: A survey-based cross-sectional study. Academic Psychiatry, 45(5), 557565. doi:10.1007/s40596-021-01490-3CrossRefGoogle ScholarPubMed
Al Maqbali, M., & Al Khadhuri, J. (2021). Psychological impact of the coronavirus 2019 (COVID-19) pandemic on nurses. Japan Journal of Nursing Science, 18(3), e12417. doi:10.1111/jjns.12417CrossRefGoogle ScholarPubMed
Awan, S., Diwan, M. N., Aamir, A., Allahuddin, Z., Irfan, M., Carano, A., … De Berardis, D. (2021). Suicide in healthcare workers: Determinants, challenges, and the impact of COVID-19. Frontiers in Psychiatry, 12, 792925. doi:10.3389/fpsyt.2021.792925CrossRefGoogle ScholarPubMed
Awano, N., Oyama, N., Akiyama, K., Inomata, M., Kuse, N., Tone, M., … Izumo, T. (2020). Anxiety, depression, and resilience of healthcare workers in Japan during the coronavirus disease 2019 outbreak. Internal Medicine, 59(21), 26932699. doi:10.2169/internalmedicine.5694-20CrossRefGoogle ScholarPubMed
Azoulay, E., Cariou, A., Bruneel, F., Demoule, A., Kouatchet, A., Reuter, D., … Kentish-Barnes, N. (2020). Symptoms of anxiety, depression, and peritraumatic dissociation in critical care clinicians managing patients with COVID-19. A cross-sectional study. American Journal of Respiratory and Critical Care Medicine, 202(10), 13881398. doi:10.1164/rccm.202006-2568OCCrossRefGoogle ScholarPubMed
Bangasser, D. A., & Cuarenta, A. (2021). Sex differences in anxiety and depression: Circuits and mechanisms. Nature Reviews. Neuroscience, 22(11), 674684. doi:10.1038/s41583-021-00513-0CrossRefGoogle ScholarPubMed
Brandford, A. A., & Reed, D. B. (2016). Depression in registered nurses: A state of the science. Workplace Health & Safety, 64(10), 488511. doi:10.1177/2165079916653415CrossRefGoogle ScholarPubMed
Burcusa, S. L., & Iacono, W. G. (2007). Risk for recurrence in depression. Clinical Psychology Review, 27(8), 959985. doi:10.1016/j.cpr.2007.02.005CrossRefGoogle ScholarPubMed
Chan, A. O., & Huak, C. Y. (2004). Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occupational Medicine, 54(3), 190196. doi:10.1093/occmed/kqh027CrossRefGoogle Scholar
Chatzittofis, A., Karanikola, M., Michailidou, K., & Constantinidou, A. (2021). Impact of the COVID-19 pandemic on the mental health of healthcare workers. International Journal of Environmental Research and Public Health, 18(4). doi:10.3390/ijerph18041435CrossRefGoogle ScholarPubMed
Chutiyami, M., Cheong, A. M. Y., Salihu, D., Bello, U. M., Ndwiga, D., Maharaj, R., … Kannan, P. (2021). COVID-19 pandemic and overall mental health of healthcare professionals globally: A meta-review of systematic reviews. Frontiers in Psychiatry, 12, 804525. doi:10.3389/fpsyt.2021.804525CrossRefGoogle ScholarPubMed
Crocamo, C., Bachi, B., Calabrese, A., Callovini, T., Cavaleri, D., Cioni, R. M., … Carrà, G. (2021). Some of us are most at risk: Systematic review and meta-analysis of correlates of depressive symptoms among healthcare workers during the SARS-CoV-2 outbreak. Neuroscience and Biobehavioral Reviews, 131, 912922. doi:10.1016/j.neubiorev.2021.10.010CrossRefGoogle ScholarPubMed
Ee, C., Lake, J., Firth, J., Hargraves, F., de Manincor, M., Meade, T., … Sarris, J. (2020). An integrative collaborative care model for people with mental illness and physical comorbidities. International Journal of Mental Health Systems, 14(1), 83. doi:10.1186/s13033-020-00410-6CrossRefGoogle ScholarPubMed
Fava, G. A., Cosci, F., & Sonino, N. (2017). Current psychosomatic practice. Psychotherapy and Psychosomatics, 86(1), 1330. doi:10.1159/000448856CrossRefGoogle ScholarPubMed
Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses’ burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Advanced Nursing, 77(8), 32863302. doi:10.1111/jan.14839CrossRefGoogle ScholarPubMed
Grandinetti, P., Gooney, M., Scheibein, F., Testa, R., Ruggieri, G., Tondo, P., … De Berardis, D. (2021). Stress and maladaptive coping of Italians health care professionals during the first wave of the pandemic. Brain Sciences, 11(12). doi:10.3390/brainsci11121586CrossRefGoogle ScholarPubMed
Gu, Y., Zhu, Y., & Xu, G. (2022). Factors associated with mental health outcomes among health care workers in the Fangcang shelter hospital in China. The International Journal of Social Psychiatry, 68(1), 6472. doi:10.1177/0020764020975805CrossRefGoogle ScholarPubMed
Hennein, R., Mew, E. J., & Lowe, S. R. (2021). Socio-ecological predictors of mental health outcomes among healthcare workers during the COVID-19 pandemic in the United States. PLoS ONE, 16(2), e0246602. doi:10.1371/journal.pone.0246602CrossRefGoogle ScholarPubMed
Holmes, E. A., O'Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., … Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet. Psychiatry, 7(6), 547560. doi:10.1016/s2215-0366(20)30168-1CrossRefGoogle Scholar
Hong, S., Ai, M., Xu, X., Wang, W., Chen, J., Zhang, Q., … Kuang, L. (2021). Immediate psychological impact on nurses working at 42 government-designated hospitals during COVID-19 outbreak in China: A cross-sectional study. Nursing Outlook, 69(1), 612. doi:10.1016/j.outlook.2020.07.007CrossRefGoogle Scholar
Huang, E. Y., Xingwei, Z., Daofan, L., Ling, L., Suen, L. K. P., & Lam, S. C. (2021). Study on influencing factors of depression tendency of medical staff during COVID-19 epidemic. Journal of Nursing Administration, 21, 485490. Retrieved from https://kns.cnki.net/kcms2/article/abstract?v=3uoqIhG8C44YLTlOAiTRKibYlV5Vjs7iJTKGjg9uTdeTsOI_ra5_XQTuWB5hO8R2C7Mlmt10Hz-vZPSPX5r0GwCoB_hbbKQR&uniplatform=NZKPTGoogle Scholar
Işik, M., Kirli, U., & Özdemir, P. G. (2021). The mental health of healthcare professionals during the COVID-19 pandemic. Turkish Journal of Psychiatry, 32(4), 225234. doi:10.5080/u25827Google ScholarPubMed
Khanal, P., Devkota, N., Dahal, M., Paudel, K., & Joshi, D. (2020). Mental health impacts among health workers during COVID-19 in a low resource setting: A cross-sectional survey from Nepal. Globalization and Health, 16(1), 89. doi:10.1186/s12992-020-00621-zCrossRefGoogle Scholar
Lancet (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet, 398(10312), 17001712. doi:10.1016/s0140-6736(21)02143-7CrossRefGoogle Scholar
Lasalvia, A., Bodini, L., Amaddeo, F., Porru, S., Carta, A., Poli, R., & Bonetto, C. (2021). The sustained psychological impact of the COVID-19 pandemic on health care workers one year after the outbreak-a repeated cross-sectional survey in a tertiary hospital of north-east Italy. International Journal of Environmental Research and Public Health, 18(24). doi:10.3390/ijerph182413374CrossRefGoogle Scholar
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., … Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ, 339, b2700. doi:10.1136/bmj.b2700CrossRefGoogle ScholarPubMed
Li, M., Xia, L., Yang, Y., Zhang, L., Zhang, S., Liu, T., … Liu, H. (2022). Depression, anxiety, stress, and their associations with quality of life in a nationwide sample of psychiatrists in China during the COVID-19 pandemic. Frontiers in Psychology, 13, 881408. doi:10.3389/fpsyg.2022.881408CrossRefGoogle Scholar
Li, Q., Chen, J., Xu, G., Zhao, J., Yu, X., Wang, S., … Liu, F. (2020a). The psychological health status of healthcare workers during the COVID-19 outbreak: A cross-sectional survey study in Guangdong, China. Frontiers in Public Health, 8, 562885. doi:10.3389/fpubh.2020.562885CrossRefGoogle ScholarPubMed
Li, Y., Hu, Y., Lei, X.-Y., Zhao, Y., Zhou, W., Ma, L., & Han, Q. (2020b). Investigation on the mental health status of 1099 female nurses fighting the epidemic in Wuhan third grade women's and children's hospital. Modern Medicine & Health, 36, 128132. Retrieved from http://www.cqvip.com/QK/91143A/2020S01/7103626112.htmlGoogle Scholar
Luo, M., Guo, L., Yu, M., Jiang, W., & Wang, H. (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public – a systematic review and meta-analysis. Psychiatry Research, 291, 113190. doi:10.1016/j.psychres.2020.113190CrossRefGoogle ScholarPubMed
Marvaldi, M., Mallet, J., Dubertret, C., Moro, M. R., & Guessoum, S. B. (2021). Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews, 126, 252264. doi:10.1016/j.neubiorev.2021.03.024CrossRefGoogle ScholarPubMed
Mekonen, E., Shetie, B., & Muluneh, N. (2020). The psychological impact of COVID-19 outbreak on nurses working in the northwest of Amhara regional state referral hospitals, northwest Ethiopia. Psychology Research and Behavior Management, 13, 13531364. doi:10.2147/prbm.S291446CrossRefGoogle ScholarPubMed
Mosheva, M., Gross, R., Hertz-Palmor, N., Hasson-Ohayon, I., Kaplan, R., Cleper, R., … Pessach, I. M. (2021). The association between witnessing patient death and mental health outcomes in frontline COVID-19 healthcare workers. Depression and Anxiety, 38(4), 468479. doi:10.1002/da.23140CrossRefGoogle ScholarPubMed
Napoli, G. (2022). Stress and depressive symptoms among Italian mental health nurses during the COVID-19 pandemic, a cross-sectional study. Archives of Psychiatric Nursing, 36, 4147. doi:10.1016/j.apnu.2021.11.002CrossRefGoogle ScholarPubMed
Naushad, V. A., Bierens, J. J., Nishan, K. P., Firjeeth, C. P., Mohammad, O. H., Maliyakkal, A. M., … Schreiber, M. D. (2019). A systematic review of the impact of disaster on the mental health of medical responders. Prehospital and Disaster Medicine, 34(6), 632643. doi:10.1017/s1049023x19004874CrossRefGoogle ScholarPubMed
Ning, X., Yu, F., Huang, Q., Li, X., Luo, Y., Huang, Q., & Chen, C. (2020). The mental health of neurological doctors and nurses in Hunan Province, China during the initial stages of the COVID-19 outbreak. BMC Psychiatry, 20(1), 436. doi:10.1186/s12888-020-02838-zCrossRefGoogle ScholarPubMed
Norhayati, M. N., Che Yusof, R., & Azman, M. Y. (2021). Prevalence of psychological impacts on healthcare providers during COVID-19 pandemic in Asia. International Journal of Environmental Research and Public Health, 18(17). doi:10.3390/ijerph18179157CrossRefGoogle ScholarPubMed
Osório, F. L., Silveira, I. L. M., Pereira-Lima, K., Crippa, J. A. S., Hallak, J. E. C., Zuardi, A. W., & Loureiro, S. R. (2021). Risk and protective factors for the mental health of Brazilian healthcare workers in the frontline of COVID-19 pandemic. Frontiers in Psychiatry, 12, 662742. doi:10.3389/fpsyt.2021.662742CrossRefGoogle ScholarPubMed
Pandey, A., Sharma, C., Chapagain, R. H., Devkota, N., Ranabhat, K., Pant, S., & Adhikari, K. (2021). Stress, anxiety, depression and their associated factors among health care workers during COVID-19 pandemic in Nepal. Journal of Nepal Health Research Council, 18(4), 655660. doi:10.33314/jnhrc.v18i4.3190CrossRefGoogle ScholarPubMed
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901907. doi:10.1016/j.bbi.2020.05.026CrossRefGoogle ScholarPubMed
Pazmiño Erazo, E. E., Alvear Velásquez, M. J., Saltos Chávez, I. G., & Pazmiño Pullas, D. E. (2021). Factors associated with psychiatric adverse effects in healthcare personnel during the COVID-19 pandemic in Ecuador. Revista Colombiana de Psiquiatria (English Ed.), 50(3), 166175. doi:10.1016/j.rcpeng.2020.12.001Google ScholarPubMed
Pereira-Lima, K., Mata, D. A., Loureiro, S. R., Crippa, J. A., Bolsoni, L. M., & Sen, S. (2019). Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis. JAMA Network Open, 2(11), e1916097. doi:10.1001/jamanetworkopen.2019.16097CrossRefGoogle ScholarPubMed
Pollock, A., Campbell, P., Cheyne, J., Cowie, J., Davis, B., McCallum, J., … Maxwell, M. (2020). Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: A mixed methods systematic review. The Cochrane Database of Systematic Reviews, 11(11), Cd013779. doi:10.1002/14651858.Cd013779Google ScholarPubMed
Pouralizadeh, M., Bostani, Z., Maroufizadeh, S., Ghanbari, A., Khoshbakht, M., Alavi, S. A., & Ashrafi, S. (2020). Anxiety and depression and the related factors in nurses of Guilan University of Medical Sciences hospitals during COVID-19: A web-based cross-sectional study. International Journal of Africa Nursing Sciences, 13, 100233. doi:10.1016/j.ijans.2020.100233CrossRefGoogle ScholarPubMed
Quintana-Domeque, C., Lee, I., Zhang, A., Proto, E., Battisti, M., & Ho, A. (2021). Anxiety and depression among medical doctors in Catalonia, Italy, and the UK during the COVID-19 pandemic. PLoS ONE, 16(11), e0259213. doi:10.1371/journal.pone.0259213CrossRefGoogle ScholarPubMed
Ryan, R. (2016, December 1). Heterogeneity and subgroup analyses in Cochrane Consumers and Communication Group reviews: planning the analysis at protocol stage. Retrieved from http://cccrg.cochrane.org/sites/cccrg.cochrane.org/files/public/uploads/heterogeneity_subgroup_analyses_revising_december_1st_2016.pdfGoogle Scholar
Şahin, M. K., Aker, S., Şahin, G., & Karabekiroğlu, A. (2020). Prevalence of depression, anxiety, distress and insomnia and related factors in healthcare workers during COVID-19 pandemic in Turkey. Journal of Community Health, 45(6), 11681177. doi:10.1007/s10900-020-00921-wCrossRefGoogle ScholarPubMed
Schünemann, H. (2013). GRADE handbook. London, UK: Cochrane Collaboration.Google Scholar
Shah, J., Monroe-Wise, A., Talib, Z., Nabiswa, A., Said, M., Abeid, A., … Ali, S. K. (2021). Mental health disorders among healthcare workers during the COVID-19 pandemic: A cross-sectional survey from three major hospitals in Kenya. BMJ Open, 11(6), e050316. doi:10.1136/bmjopen-2021-050316CrossRefGoogle ScholarPubMed
Vlah Tomičević, S., & Lang, V. B. (2021). Psychological outcomes amongst family medicine healthcare professionals during COVID-19 outbreak: A cross-sectional study in Croatia. The European Journal of General Practice, 27(1), 184190. doi:10.1080/13814788.2021.1954154CrossRefGoogle ScholarPubMed
Wang, X., Tao, J., Zhu, Q., Wu, X., Li, T., Zhao, C., … Guan, N. (2021). Depression and anxiety symptoms to COVID-19 outbreak among the public, medical staff and patients during the initial phase of the pandemic: An online questionnaire survey by a WeChat Mini Program. BMJ Open, 11(6), e046350. doi:10.1136/bmjopen-2020-046350CrossRefGoogle ScholarPubMed
Wang, Y., Ma, S., Yang, C., Cai, Z., Hu, S., Zhang, B., … Liu, Z. (2020). Acute psychological effects of coronavirus disease 2019 outbreak among healthcare workers in China: A cross-sectional study. Translational Psychiatry, 10(1), 348. doi:10.1038/s41398-020-01031-wCrossRefGoogle Scholar
WHO. (2023, June 29). Weekly epidemiological update on COVID-19 – 29 June 2023. Retrieved from https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---29-june-2023Google Scholar
Wilczynski, N. L., & Haynes, R. B. (2003). Developing optimal search strategies for detecting clinically sound causation studies in MEDLINE. AMIA Annual Symposium Proceedings, 2003, pp. 719–723. Retrieved from https://europepmc.org/article/MED/14728267Google Scholar
Wise, J. (2023). Covid-19: WHO declares end of global health emergency. BMJ, 381, 1041. doi:10.1136/bmj.p1041CrossRefGoogle ScholarPubMed
Xiao, X., Zhu, X., Fu, S., Hu, Y., Li, X., & Xiao, J. (2020). Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. Journal of Affective Disorders, 274, 405410. doi:10.1016/j.jad.2020.05.081CrossRefGoogle Scholar
Xing, L. Q., Xu, M. L., Sun, J., Wang, Q. X., Ge, D. D., Jiang, M. M., … Li, Q. (2021). Anxiety and depression in frontline health care workers during the outbreak of Covid-19. The International Journal of Social Psychiatry, 67(6), 656663. doi:10.1177/0020764020968119CrossRefGoogle ScholarPubMed
Zeng, X., Zhang, Y., Kwong, J. S. W., Zhang, C., Li, S., Sun, F., … Du, L. (2015). The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta-analysis, and clinical practice guideline: A systematic review. Journal of Evidence-Based Medicine, 8(1), 210. doi:10.1111/jebm.12141CrossRefGoogle ScholarPubMed
Zhang, H., Li, W., Li, H., Zhang, C., Luo, J., Zhu, Y., … Li, C. (2021). Prevalence and dynamic features of psychological issues among Chinese healthcare workers during the COVID-19 pandemic: A systematic review and cumulative meta-analysis. General Psychiatry, 34(3). doi:10.1136/gpsych-2020-100344CrossRefGoogle ScholarPubMed
Zheng, R., Zhou, Y., Qiu, M., Yan, Y., Yue, J., Yu, L., … Hu, Y. (2021). Prevalence and associated factors of depression, anxiety, and stress among Hubei pediatric nurses during COVID-19 pandemic. Comprehensive Psychiatry, 104, 152217. doi:10.1016/j.comppsych.2020.152217CrossRefGoogle ScholarPubMed
Zhu, Z., Xu, S., Wang, H., Liu, Z., Wu, J., Li, G., … Wang, W. (2020). COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine, 24, 100443. doi:10.1016/j.eclinm.2020.100443CrossRefGoogle ScholarPubMed
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