Evidence map›Paper›PMID 32861835›Full record

SynthesisJournal of affective disorders2020

Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis.

Maria J Serrano-Ripoll, Jose F Meneses-Echavez, Ignacio Ricci-Cabello, David Fraile-Navarro, Maria A Fiol-deRoque, Guadalupe Pastor-Moreno, Adoración Castro, Isabel Ruiz-Pérez, Rocío Zamanillo Campos, Daniela C Gonçalves-Bradley

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06433544 (Evaluating the Effects of Online Mindfulness Therapy on Pandemic Fatigue and Resilience Among Nurses in COVID-19 Quarantine Wards), which is not on this map. Cited by 289 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
289citing papers in PubMed, 17 pooled it
–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.

NCT06433544 nacompletednot on this mapstarted 2022, after this paper: background citation

Evaluating the Effects of Online Mindfulness Therapy on Pandemic Fatigue and Resilience Among Nurses in COVID-19 Quarantine Wards

TypeinterventionalSponsorChimei Medical CenterRan2022 to 2023Enrolled60ConditionsMindfulness, Nurses in COVID-19, Pandemic Fatigue, ResilienceArms6-week online mindfulness course
3 · Its place in the literature

Who cites it

289 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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  3. Implementing PTSD interventions for hospital nurses and physicians during COVID-19: A scoping review.Archives of public health = Archives belges de sante publique · 2025
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  11. Impact of COVID-19 on School Populations and Associated Factors: A Systematic Review.International journal of environmental research and public health · 2022
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  15. What Are the Common Themes of Physician Resilience? A Meta-Synthesis of Qualitative Studies.International journal of environmental research and public health · 2022
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229 more citing papers are in PubMed but not listed here.

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

10 authors.

Maria J Serrano-RipollHealth Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma, Illes Balears, Spain; University of Balearic Islands (UIB), Department of Psychology, Carretera de Valldemossa, km 7.5. 07122, Palma, Illes Balears, Spain.
Jose F Meneses-EchavezDivision for Health Services, Norwegian Institute of Public Health. Oslo, Norway; Facultad de Cultura Física, Deporte y Recreación. Universidad Santo Tomás. Bogotá, Colombia.
Ignacio Ricci-CabelloHealth Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma, Illes Balears, Spain; Centro de Investigación Biomédica en Red (CIBERESP). Avda. Monforte de Lemos, 3-5. Pabellón 11. 28029 Madrid, Spain. Electronic address: nacho.ricci.cabello@gmail.com.
David Fraile-NavarroAustralian Institute of Health Innovation, Macquarie University, Sydney, Australia.
Maria A Fiol-deRoqueHealth Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma, Illes Balears, Spain.
Guadalupe Pastor-MorenoCentro de Investigación Biomédica en Red (CIBERESP). Avda. Monforte de Lemos, 3-5. Pabellón 11. 28029 Madrid, Spain; Escuela Andaluza de Salud Pública. Campus Universitario de Cartuja. Cuesta del Observatorio, 4. 18080. Granada, Spain; Instituto de Investigación Biosanitaria (Ibs. Granada). Avda. de Madrid, 15. 18012. Granada, Spain.
Adoración CastroHealth Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Research Institute of Health Sciences (IUNICS), University of Balearic Islands. Carretera de Valldemossa, km 7.5. Edificio Científico-Técnico. 07122 Palma, Illes Balears, Spain.
Isabel Ruiz-PérezUniversity of Balearic Islands (UIB), Department of Psychology, Carretera de Valldemossa, km 7.5. 07122, Palma, Illes Balears, Spain; Centro de Investigación Biomédica en Red (CIBERESP). Avda. Monforte de Lemos, 3-5. Pabellón 11. 28029 Madrid, Spain; Escuela Andaluza de Salud Pública. Campus Universitario de Cartuja. Cuesta del Observatorio, 4. 18080. Granada, Spain; Instituto de Investigación Biosanitaria (Ibs. Granada). Avda. de Madrid, 15. 18012. Granada, Spain.
Rocío Zamanillo CamposHealth Research Institute of the Balearic Islands (IdISBa). Carretera de Valldemossa, 79 Hospital Universitario Son Espases. Edificio S. 07120 Palma, Illes Balears, Spain; Balearic Islands Health Services, Primary Care Research Unit of Mallorca, Palma, Illes Balears, Spain; Valencian International University (VIU), Department of Health, 46002, Valencia, Comunitat Valenciana, Spain.
Daniela C Gonçalves-BradleyNuffield Department of Population Health, University of Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed at examining the impact of providing healthcare during health emergencies caused by viral epidemic outbreaks on healthcare workers' (HCWs) mental health; to identify factors associated with worse impact, and; to assess the available evidence base regarding interventions to reduce such impact.

methodRapid systematic review. We searched MEDLINE, Embase, and PsycINFO (inception to August 2020). We pooled data using random-effects meta-analyses to estimate the prevalence of specific mental health problems, and used GRADE to ascertain the certainty of evidence.

resultsWe included 117 studies. The pooled prevalence was higher for acute stress disorder (40% (95%CI 39 to 41%)), followed by anxiety (30%, (30 to 31%)), burnout (28% (26 to 31%)), depression (24% (24 to 25%)), and post-traumatic stress disorder (13% (13 to 14%)). We identified factors associated with the likelihood of developing those problems, including sociodemographic (younger age and female gender), social (lack of social support, stigmatization), and occupational (working in a high-risk environment, specific occupational roles, and lower levels of specialised training and job experience) factors. Four studies reported interventions for frontline HCW: two educational interventions increased confidence in pandemic self-efficacy and in interpersonal problems solving (very low certainty), whereas one multifaceted intervention improved anxiety, depression, and sleep quality (very low certainty). LIMITATIONS: We only searched three databases, and the initial screening was undertaken by a single reviewer.

conclusionGiven the very limited evidence regarding the impact of interventions to tackle mental health problems in HCWs, the risk factors identified represent important targets for future interventions.

Indexed as

Coronavirus InfectionsMental HealthPandemicsPneumonia, ViralCOVID-19Health PersonnelHumansPrevalenceStress Disorders, Post-TraumaticCOVID-19Healthcare workersMental healthMeta-analysisSystematic reviewViral pandemic

Identifiers

PMID32861835
PMCPMC7443314

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.