A Systematic Review and Meta-Analysis on Mental Illness Symptoms in Spain in the COVID-19 Crisis,medRxiv - Psychiatry and Clinical Psychology

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A Systematic Review and Meta-Analysis on Mental Illness Symptoms in Spain in the COVID-19 Crisis
medRxiv - Psychiatry and Clinical Psychology Pub Date : 2021-04-14 , DOI: 10.1101/2021.04.11.21255274
Richard Z. Chen , Stephen X. Zhang , Wen Xu , Allen Yin , Rebecca Kechen Dong , Bryan Z. Chen , Andrew Delios , Roger S. McIntyre , Saylor Miller , Xue Wan

Objective: This paper systematically reviews and assesses the prevalence of anxiety, depression, and insomnia symptoms in the general population, frontline healthcare workers (HCWs), and adult students in Spain during the COVID-19 crisis. Data sources: Articles in PubMed, Embase, Web of Science, PsycINFO, and medRxiv from March 2020 to February 6, 2021. Results: The pooled prevalence of anxiety symptoms in 23 studies comprising a total sample of 85,560 was 20% (95% CI: 15% - 25%, I2 = 99.9%), that of depression symptoms in 23 articles with a total sample comprising of 86,469 individuals was 23% (95% CI: 18% - 28%, I2 = 99.8%), and that of insomnia symptoms in 4 articles with a total sample of 915 were 52% (95% CI: 42-64%, I2 = 88.9%). The overall prevalence of mental illness symptoms in frontline HCWs, general population, and students in Spain are 42%, 19%, and 50%, respectively. Discussion: The accumulative evidence from the meta-analysis reveals that adults in Spain suffered higher prevalence rates of mental illness symptoms during the COVID-19 crisis with a significantly higher rate relative to other countries such as China. Our synthesis reveals high heterogeneity, varying prevalence rates and a relative lack of studies in frontline and general HCWs in Spain, calling future research and interventions to pay attention to those gaps to help inform evidence-based mental health policymaking and practice in Spain during the continuing COVID-19 crisis. The high prevalence rates call for preventative and prioritization measures of the mental illness symptoms during the Covid-19 pandemic.

更新日期：2021-04-15

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