Prevalence of Anxiety and Depression among Nurses during the early phase of COVID-19: A meta-analysis

Background & Objective: The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline responders and are the largest segment of the global health workforce. Given the ongoing threat of Mpox and potential new COVID-19 varia...

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Veröffentlicht in:Pakistan journal of medical sciences Jg. 41; H. 2; S. 622 - 629
Hauptverfasser: Jatt, Khalil Ahmed, Erika Sivarajan Froelicher, Abel Jacobus Pienaar, Khairunnisa Aziz Dhamani
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Pakistan Knowledge Bylanes 01.02.2025
Professional Medical Publications
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ISSN:1682-024X, 1681-715X
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Abstract Background & Objective: The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline responders and are the largest segment of the global health workforce. Given the ongoing threat of Mpox and potential new COVID-19 variants, understanding these challenges is vital. This review estimates the prevalence of anxiety and depression among nurses during the early phase of the pandemic to inform future pandemic responses. Methods: A systematic review was conducted to identify studies published from January 1st to November 9, 2020. The quality of the included studies was assessed using the JBI Critical Appraisal Checklist. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A meta-analysis was performed using a random-effects model to estimate the pooled prevalence of anxiety and depression. Findings: Twenty-seven studies, involving 39,386 nurses from ten countries, were included in the meta-analysis. The pooled prevalence of anxiety across 24 studies was 38.54% (95% CI: 33.99, 43.10) (I2 = 97.89%). The pooled prevalence of depression in 22 studies was found to be 35.52% (95% CI: 26.61, 44.43) (I2 = 99.72%). Interpretation: The pooled prevalence of anxiety and depression in nurses caring for patients with COVID-19 during the early phase of the pandemic was higher than that in other healthcare workers. With the ongoing Mpox outbreak and the potential for future pandemics, these findings necessitate timely screening and robust mental health strategies to support nurses and enhance healthcare resilience. doi: https://doi.org/10.12669/pjms.41.2.10828 How to cite this: Jatt KA, Froelicher ES, Pienaar AJ, Dhamani KA. Prevalence of Anxiety and Depression among Nurses during the early phase of COVID-19: A meta-analysis. Pak J Med Sci. 2025;41(2):622-629. doi: https://doi.org/10.12669/pjms.41.2.10828 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
AbstractList The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline responders and are the largest segment of the global health workforce. Given the ongoing threat of Mpox and potential new COVID-19 variants, understanding these challenges is vital. This review estimates the prevalence of anxiety and depression among nurses during the early phase of the pandemic to inform future pandemic responses. A systematic review was conducted to identify studies published from January 1st to November 9, 2020. The quality of the included studies was assessed using the JBI Critical Appraisal Checklist. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A meta-analysis was performed using a random-effects model to estimate the pooled prevalence of anxiety and depression. Twenty-seven studies, involving 39,386 nurses from ten countries, were included in the meta-analysis. The pooled prevalence of anxiety across 24 studies was 38.54% (95% CI: 33.99, 43.10) (I = 97.89%). The pooled prevalence of depression in 22 studies was found to be 35.52% (95% CI: 26.61, 44.43) (I = 99.72%). The pooled prevalence of anxiety and depression in nurses caring for patients with COVID-19 during the early phase of the pandemic was higher than that in other healthcare workers. With the ongoing Mpox outbreak and the potential for future pandemics, these findings necessitate timely screening and robust mental health strategies to support nurses and enhance healthcare resilience.
Background & Objective: The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline responders and are the largest segment of the global health workforce. Given the ongoing threat of Mpox and potential new COVID-19 variants, understanding these challenges is vital. This review estimates the prevalence of anxiety and depression among nurses during the early phase of the pandemic to inform future pandemic responses. Methods: A systematic review was conducted to identify studies published from January 1st to November 9, 2020. The quality of the included studies was assessed using the JBI Critical Appraisal Checklist. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A meta-analysis was performed using a random-effects model to estimate the pooled prevalence of anxiety and depression. Findings: Twenty-seven studies, involving 39,386 nurses from ten countries, were included in the meta-analysis. The pooled prevalence of anxiety across 24 studies was 38.54% (95% CI: 33.99, 43.10) (I2 = 97.89%). The pooled prevalence of depression in 22 studies was found to be 35.52% (95% CI: 26.61, 44.43) (I2 = 99.72%). Interpretation: The pooled prevalence of anxiety and depression in nurses caring for patients with COVID-19 during the early phase of the pandemic was higher than that in other healthcare workers. With the ongoing Mpox outbreak and the potential for future pandemics, these findings necessitate timely screening and robust mental health strategies to support nurses and enhance healthcare resilience. doi: https://doi.org/10.12669/pjms.41.2.10828 How to cite this: Jatt KA, Froelicher ES, Pienaar AJ, Dhamani KA. Prevalence of Anxiety and Depression among Nurses during the early phase of COVID-19: A meta-analysis. Pak J Med Sci. 2025;41(2):622-629. doi: https://doi.org/10.12669/pjms.41.2.10828 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT Background and Objective: The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline responders and are the largest segment of the global health workforce. Given the ongoing threat of Mpox and potential new COVID-19 variants, understanding these challenges is vital. This review estimates the prevalence of anxiety and depression among nurses during the early phase of the pandemic to inform future pandemic responses. Methods: A systematic review was conducted to identify studies published from January 1st to November 9, 2020. The quality of the included studies was assessed using the JBI Critical Appraisal Checklist. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A meta-analysis was performed using a random-effects model to estimate the pooled prevalence of anxiety and depression. Findings: Twenty-seven studies, involving 39,386 nurses from ten countries, were included in the meta-analysis. The pooled prevalence of anxiety across 24 studies was 38.54% (95% CI: 33.99, 43.10) (I2 = 97.89%). The pooled prevalence of depression in 22 studies was found to be 35.52% (95% CI: 26.61, 44.43) (I2 = 99.72%). Interpretation: The pooled prevalence of anxiety and depression in nurses caring for patients with COVID-19 during the early phase of the pandemic was higher than that in other healthcare workers. With the ongoing Mpox outbreak and the potential for future pandemics, these findings necessitate timely screening and robust mental health strategies to support nurses and enhance healthcare resilience.
The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline responders and are the largest segment of the global health workforce. Given the ongoing threat of Mpox and potential new COVID-19 variants, understanding these challenges is vital. This review estimates the prevalence of anxiety and depression among nurses during the early phase of the pandemic to inform future pandemic responses.Background & ObjectiveThe COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline responders and are the largest segment of the global health workforce. Given the ongoing threat of Mpox and potential new COVID-19 variants, understanding these challenges is vital. This review estimates the prevalence of anxiety and depression among nurses during the early phase of the pandemic to inform future pandemic responses.A systematic review was conducted to identify studies published from January 1st to November 9, 2020. The quality of the included studies was assessed using the JBI Critical Appraisal Checklist. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A meta-analysis was performed using a random-effects model to estimate the pooled prevalence of anxiety and depression.MethodsA systematic review was conducted to identify studies published from January 1st to November 9, 2020. The quality of the included studies was assessed using the JBI Critical Appraisal Checklist. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A meta-analysis was performed using a random-effects model to estimate the pooled prevalence of anxiety and depression.Twenty-seven studies, involving 39,386 nurses from ten countries, were included in the meta-analysis. The pooled prevalence of anxiety across 24 studies was 38.54% (95% CI: 33.99, 43.10) (I2 = 97.89%). The pooled prevalence of depression in 22 studies was found to be 35.52% (95% CI: 26.61, 44.43) (I2 = 99.72%).FindingsTwenty-seven studies, involving 39,386 nurses from ten countries, were included in the meta-analysis. The pooled prevalence of anxiety across 24 studies was 38.54% (95% CI: 33.99, 43.10) (I2 = 97.89%). The pooled prevalence of depression in 22 studies was found to be 35.52% (95% CI: 26.61, 44.43) (I2 = 99.72%).The pooled prevalence of anxiety and depression in nurses caring for patients with COVID-19 during the early phase of the pandemic was higher than that in other healthcare workers. With the ongoing Mpox outbreak and the potential for future pandemics, these findings necessitate timely screening and robust mental health strategies to support nurses and enhance healthcare resilience.InterpretationThe pooled prevalence of anxiety and depression in nurses caring for patients with COVID-19 during the early phase of the pandemic was higher than that in other healthcare workers. With the ongoing Mpox outbreak and the potential for future pandemics, these findings necessitate timely screening and robust mental health strategies to support nurses and enhance healthcare resilience.
Audience General
Author Erika Sivarajan Froelicher
Abel Jacobus Pienaar
Jatt, Khalil Ahmed
Khairunnisa Aziz Dhamani
AuthorAffiliation 2 Erika Sivarajan Froelicher, PhD Professor of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, California, United States
3 Abel Jacobus Pienaar, PhD Professor, Boitekanelo College, Gaborone, Botswana. Adjunct Professor, Durban University of Technology, Faculty of Health Science, Durban, South Africa
1 Khalil Ahmed Jatt, PhD, Shifa College of Nursing, Shifa Tameer-e-Millat University, Islamabad, Pakistan
4 Khairunnisa Aziz Dhamani, PhD, Shifa College of Nursing, Shifa Tameer-e-Millat University, Islamabad, Pakistan
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Keywords COVID-19
Systematic
Nurses
Depression
Pandemic
Anxiety
Review
Meta-analysis
Language English
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Snippet Background & Objective: The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline...
The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are key frontline responders and are the...
ABSTRACT Background and Objective: The COVID-19 pandemic exposed significant mental health challenges among healthcare workers, particularly nurses, who are...
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SubjectTerms Analysis
Anxiety
China
Content analysis
Coronaviruses
COVID-19
Data collection
Digital Object Identifier
Epidemics
Females
Global health
Health care delivery
Medical personnel
Mental depression
Mental health
Meta-analysis
Nurses
Pandemics
Resilience (Psychology)
Response rates
Systematic Review
Turkey
World health
Title Prevalence of Anxiety and Depression among Nurses during the early phase of COVID-19: A meta-analysis
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