Systematic review of mental health symptom changes by sex or gender in early-COVID-19 compared to pre-pandemic

被引：27

作者：

Dal Santo, Tiffany ^{[1
]}

Sun, Ying ^{[1
]}

Wu, Yin ^{[1
,2
]}

He, Chen ^{[1
]}

Wang, Yutong ^{[1
]}

Jiang, Xiaowen ^{[1
]}

Li, Kexin ^{[1
]}

Bonardi, Olivia ^{[1
]}

Krishnan, Ankur ^{[1
]}

Boruff, Jill T. ^{[3
]}

Rice, Danielle B. ^{[1
,4
]}

Markham, Sarah ^{[5
]}

Levis, Brooke ^{[1
,6
]}

Azar, Marleine ^{[1
]}

Neupane, Dipika ^{[1
]}

Tasleem, Amina ^{[1
]}

Yao, Anneke ^{[1
]}

Thombs-Vite, Ian ^{[1
]}

Agic, Branka ^{[7
,8
]}

Fahim, Christine ^{[9
]}

Martin, Michael S. ^{[10
,11
]}

Sockalingam, Sanjeev ^{[7
,12
]}

Turecki, Gustavo ^{[2
,13
]}

Benedetti, Andrea ^{[14
,15
,16
]}

Thombs, Brett D. ^{[1
,2
,4
,14
,15
,17
,18
]}

机构：

[1] Jewish Gen Hosp, Lady Davis Inst Med Res, 3755 Cote Ste Catherine,Pavil H4 83, Montreal, PQ H3T 1E2, Canada

[2] McGill Univ, Dept Psychiat, Montreal, PQ, Canada

[3] McGill Univ, Schulich Lib Phys Sci Life Sci & Engn, Montreal, PQ, Canada

[4] McGill Univ, Dept Psychol, Montreal, PQ, Canada

[5] Kings Coll London, Dept Biostat & Hlth Informat, London, England

[6] Keele Univ, Ctr Prognosis Res, Sch Med, Keele, Staffs, England

[7] Ctr Addict & Mental Hlth, Toronto, ON, Canada

[8] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[9] Li Ka Shing Knowledge Inst, Unity Hlth Toronto, Toronto, ON, Canada

[10] Univ Ottawa, Sch Epidmiol & Publ Hlth, Ottawa, ON, Canada

[11] Correct Serv Canada, Ottawa, ON, Canada

[12] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[13] McGill Univ, Douglas Mental Hlth Univ Inst, McGill Grp Suicide Studies, Montreal, PQ, Canada

[14] McGill Univ, Dept Epidmiol Biostat & Occupat Hlth, Montreal, PQ, Canada

[15] McGill Univ, Dept Med, Montreal, PQ, Canada

[16] McGill Univ, Resp Epidmiol & Clin Res Unit, Hlth Ctr, Montreal, PQ, Canada

[17] McGill Univ, Dept Educ & Counselling Psychol, Montreal, PQ, Canada

[18] McGill Univ, Biomed Eth Unit, Montreal, PQ, Canada

来源：

SCIENTIFIC REPORTS | 2022年 / 12卷 / 01期

基金：

加拿大健康研究院;

关键词：

UNITED-STATES; DEPRESSION; DISORDERS; PREVALENCE; COMORBIDITY; POPULATION; DIFFERENCE; ANXIETY; BURDEN; SIZE;

D O I：

10.1038/s41598-022-14746-1

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Women and gender-diverse individuals have faced disproportionate socioeconomic burden during COVID-19. There have been reports of greater negative mental health changes compared to men based on cross-sectional research that has not accounted for pre-COVID-19 differences. We compared mental health changes from pre-COVID-19 to during COVID-19 by sex or gender. MEDLINE (Ovid), PsycINFO (Ovid), CINAHL (EBSCO), EMBASE (Ovid), Web of Science Core Collection: Citation Indexes, China National Knowledge Infrastructure, Wanfang, medRxiv (preprints), and Open Science Framework Preprints (preprint server aggregator) were searched to August 30, 2021. Eligible studies included mental health symptom change data by sex or gender. 12 studies (10 unique cohorts) were included, all of which reported dichotomized sex or gender data. 9 cohorts reported results from March to June 2020, and 2 of these also reported on September or November to December 2020. One cohort included data pre-November 2020 data but did not provide dates. Continuous symptom change differences were not statistically significant for depression (standardized mean difference [SMD] = 0.12, 95% CI -0.09-0.33; 4 studies, 4,475 participants; I-2 = 69.0%) and stress (SMD = - 0.10, 95% CI -0.21-0.01; 4 studies, 1,533 participants; I-2 = 0.0%), but anxiety (SMD = 0.15, 95% CI 0.07-0.22; 4 studies, 4,344 participants; I-2 = 3.0%) and general mental health (SMD = 0.15, 95% CI 0.12-0.18; 3 studies, 15,692 participants; I-2 = 0.0%) worsened more among females/women than males/men. There were no significant differences in changes in proportions above cut-offs: anxiety (difference = - 0.05, 95% CI - 0.20-0.11; 1 study, 217 participants), depression (difference = 0.12, 95% CI -0.03-0.28; 1 study, 217 participants), general mental health (difference = - 0.03, 95% CI - 0.09-0.04; 3 studies, 18,985 participants; I-2 = 94.0%), stress (difference = 0.04, 95% CI - 0.10-0.17; 1 study, 217 participants). Mental health outcomes did not differ or were worse by small amounts among women than men during early COVID-19.

引用

页数：14

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