Long term mental health trajectories after disasters and pandemics: A multilingual systematic review of prevalence, risk and protective factors,Clinical Psychology Review

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Long term mental health trajectories after disasters and pandemics: A multilingual systematic review of prevalence, risk and protective factors
Clinical Psychology Review ( IF 12.8 ) Pub Date : 2022-09-14 , DOI: 10.1016/j.cpr.2022.102203
Elizabeth A Newnham ₁ , Enrique L P Mergelsberg ₂ , Yanyu Chen ₃ , Yoshiharu Kim ₄ , Lisa Gibbs ₅ , Peta L Dzidic ₂ , Makiko Ishida DaSilva ₄ , Emily Y Y Chan ₆ , Kanji Shimomura ₇ , Zui Narita ₄ , Zhe Huang ₈ , Jennifer Leaning ₉

Affiliation

School of Population Health, Curtin University, Kent Street, Bentley, WA, Australia; Curtin enAble Institute, Kent Street, Bentley, WA, Australia; FXB Center for Health and Human Rights, Harvard T. H. Chan School of Public Health, Boston, USA.
School of Population Health, Curtin University, Kent Street, Bentley, WA, Australia; Curtin enAble Institute, Kent Street, Bentley, WA, Australia.
School of Population Health, Curtin University, Kent Street, Bentley, WA, Australia.
National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia; Centre for Disaster Management and Public Safety, University of Melbourne, Melbourne, Australia.
FXB Center for Health and Human Rights, Harvard T. H. Chan School of Public Health, Boston, USA; Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response, Chinese University of Hong Kong, Hong Kong, China; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan; Physical and Health Education, Graduate School of Education, The University of Tokyo, Tokyo, Japan.
Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response, Chinese University of Hong Kong, Hong Kong, China.
FXB Center for Health and Human Rights, Harvard T. H. Chan School of Public Health, Boston, USA.

The patterns of long-term psychological response after disasters and pandemics remain unclear. We aimed to determine the trajectories for post-traumatic stress symptoms (PTSS), depression and anxiety prevalence following disasters and pandemic exposure; and identify associated risk and protective factors. A systematic review of the English, Chinese, and Japanese longitudinal mental health literature was conducted. We searched Cochrane, MEDLINE, ProQuest, PsycINFO, PubMed, Web of Science, and CINAHL (English), CNKI and SINOMED (Chinese) and CiNii (Japanese) for studies published between January 2000 and May 2022. Following a pre-specified protocol (PROSPERO: CRD42020206424), conditional linear growth curve models and ANOVA analyses were conducted. The search identified 77,891 papers, with a final sample of 234: 206 English, 24 Chinese, and 4 Japanese-language papers. PTSS rates improved for all ages (p = .018, eta² = 0.035). In contrast, depression and anxiety prevalence remained elevated for years following exposure (p = .424, eta² = 0.019 and p = .051, eta² = 0.064, respectively), with significantly higher rates for children and adolescents (p < .005, eta² > 0.056). Earthquakes and pandemics were associated with higher prevalence of PTSS (p < .019, eta² > 0.019). Multi-level risk and protective factors were identified. The chronicity of mental health outcomes highlights a critical need for tailored, sustainable mental health services, particularly for children and adolescents, in disaster- and pandemic-affected settings.

中文翻译：

灾难和流行病后的长期心理健康轨迹：对流行、风险和保护因素的多语言系统评价

灾难和流行病后的长期心理反应模式仍不清楚。我们旨在确定灾难和大流行暴露后创伤后应激症状 (PTSS)、抑郁和焦虑患病率的轨迹；并确定相关的风险和保护因素。一个对英文、中文和日文纵向心理健康文献进行了系统评价。我们检索了 Cochrane、MEDLINE、ProQuest、PsycINFO、PubMed、Web of Science 和 CINAHL（英文）、CNKI 和 SINOMED（中文）和 CiNii（日文），以查找 2000 年 1 月至 2022 年 5 月期间发表的研究。遵循预先指定的协议（ PROSPERO：CRD42020206424），进行了条件线性生长曲线模型和 ANOVA 分析。搜索确定了 77,891 篇论文，最终样本为 234 篇：206 篇英文论文、24 篇中文论文和 4 篇日语论文。所有年龄段的 PTSS 率都有所提高（p = .018，eta ² = 0.035）。相比之下，抑郁症和焦虑症的患病率在暴露后数年仍保持较高水平 ( p = .424, eta ² = 0.019 和p = .051，eta ² = 0.064），儿童和青少年的发病率明显更高（p < .005，eta ² > 0.056）。地震和流行病与更高的 PTSS 患病率有关 ( p < .019, eta ² > 0.019)。确定了多层次的风险和保护因素。心理健康结果的长期性凸显了在受灾害和流行病影响的环境中对量身定制、可持续的心理健康服务的迫切需求，特别是针对儿童和青少年。

更新日期：2022-09-14

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