In light of the current coronavirus disease 2019 (COVID-19) pandemic and potential future infectious disease outbreaks, a comprehensive understanding of the negative effects of epidemics and pandemics on healthcare workers’ mental health could inform appropriate support interventions. Thus, we aimed to synthesize and quantify the psychological and psychosomatic symptoms among frontline medical staff. We searched four databases up to March 19, 2020 and additional literature, with daily search alerts set up until October 26, 2020. Studies reporting psychological and/or psychosomatic symptoms of healthcare workers caring for patients with severe acute respiratory syndrome, H1N1, Ebola, Middle East respiratory syndrome, or COVID-19 were eligible for inclusion. Two reviewers independently conducted the search, study selection, quality appraisal, data extraction, and synthesis and involved a third reviewer in case of disagreement. We used random effects modeling to estimate the overall prevalence rates of psychological/psychosomatic symptoms and the I² statistic. We included 86 studies, reporting data from 75,991 participants. Frontline staff showed a wide range of symptoms, including concern about transmitting the virus to the family (60.39%, 95% CI 42.53–76.96), perceived stress (56.77%, 95% CI 34.21–77.95), concerns about own health (45.97%, 95% CI 31.08–61.23), sleeping difficulties (39.88%, 95% CI 27.70–52.72), burnout (31.81%, 95% CI 13.32–53.89), symptoms of depression (25.72%, 95% CI 18.34–33.86), symptoms of anxiety (25.36%, 95% CI 17.90–33.64), symptoms of posttraumatic stress disorder (24.51%, 95% CI 18.16–31.46), mental health issues (23.11%, 95% CI 15.98–31.10), and symptoms of somatization (14.68%, 95% CI 10.67–19.18). We found consistent evidence for the pervasive and profound impact of large-scale outbreaks on the mental health of frontline healthcare workers. As the CO­VID-19 crisis continues to unfold, guaranteeing easy access to support structures for the entire healthcare workforce is vitally important.
Psychother Psychosom

中文翻译：

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我们从两个流行病和大流行病学到了什么：对一线医护人员的心理负担进行系统的回顾和荟萃分析

鉴于当前的2019年冠状病毒病（COVID-19）大流行和未来潜在的传染病暴发，对流行病和大流行病对医护人员心理健康的负面影响的全面了解可以为适当的支持干预措施提供信息。因此，我们旨在对一线医务人员的心理和心身症状进行综合和量化。我们搜索了截至2020年3月19日的四个数据库和其他文献，并设置了直到2020年10月26日的每日搜索警报。研究报告了护理人员护理严重急性呼吸道综合症，H1N1，埃博拉病毒的患者的心理和/或心理症状。中东呼吸综合征或COVID-19符合纳入条件。两名评论者独立进行搜索，研究选择，质量评估，数据提取和综合，并在出现分歧的情况下请第三位审阅者处理。我们使用随机效应模型来估算心理/心身症状的总体患病率以及我²统计。我们纳入了86项研究，报告了75,991名参与者的数据。前线工作人员表现出多种症状，包括担心将病毒传播给家人（60.39％，95％CI 42.53–76.96），感觉到压力（56.77％，95％CI 34.21–77.95），担心自己的健康（45.97）。 ％，95％CI 31.08-61.23），睡眠困难（39.88％，95％CI 27.70-52.72），倦怠（31.81％，95％CI 13.32-53.89），抑郁症状（25.72％，95％CI 18.34-33.86） ），焦虑症状（25.36％，95％CI 17.90–33.64），创伤后应激障碍症状（24.51％，95％CI 18.16–31.46），精神健康问题（23.11％，95％CI 15.98–31.10）和躯体化症状（14.68％，95％CI 10.67–19.18）。我们发现一致的证据表明，大规模爆发对一线医护人员的心理健康产生了深远的影响。
心理其他心理