Mental Health During the Covid-19 Outbreak in China: a Meta-Analysis

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Mental Health During the Covid-19 Outbreak in China: a Meta-Analysis Xin Ren 1 & Wanli Huang 1 & Huiping Pan 1 & Tingting Huang 1 & Xinwei Wang 1 & Yongchun Ma 1

# Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract

Background: Covid-19 has started to spread within China since the end of December 2019. Despite government’s immediate actions and strict control, more and more people were infected every day. As such a contagious virus can spread easily and rapidly between people, the whole country was put into lockdown and people were forced into isolation. In order to understand the impact of Covid-19 on mental health well-being, Chinese researchers have conducted several studies. However, no consistent results were obtained. Therefore, a meta-analysis was conducted. Methods: We searched Embase, PubMed, and Web of Science databases to find literature from December 2019 to April 2020 related to Covid-19 and mental health, among which results such as comments, letters, reviews and case reports were excluded. The incidence of anxiety and depression in the population was synthesized and discussed. Results: A total of 27,475 subjects were included in 12 studies. Random effect model is used to account for the data. The results showed that the incidence of anxiety was 25% (95% CI: 0.19–0.32), and the incidence of depression was 28% (95% CI: 0.17–0.38). Significant heterogeneity was detected across studies regarding these incidence estimates. Subgroup analysis included the study population and assessment tools, and sensitivity analysis was done to explore the sources of heterogeneity. Conclusions: Owing to the significant heterogeneity detected in studies regarding this pooled prevalence of anxiety and depression, we must interpret the results with caution. As the epidemic is ongoing, it is vital to set up a comprehensive crisis prevention system, which integrating epidemiological monitoring, screening and psychological crisis prevention and interventions. Keywords Mental health . Covid-19 . Anxiety . Depression . Meta-analysis

* Yongchun Ma [email protected] Extended author information available on the last page of the article

Psychiatric Quarterly

Background At the end of December, the first case of Covid-19 that a novel coronavirus, which could potentially cause acute infectious pneumonia, emerged from Wuhan, China. As early as 30th January 2020, WHO had declared it as a public health emergency of international concerns, and appealing for efforts to prevent this epidemic [1]. According to the National Health Commission of China, until 4th February 2020, there had been 24,324 people confirmed to be infected by Covid-19 across 31 provinces in Mainland China [2]. Due to its high infectiveness, widely and rapidly spread was inevitable. By 23rd April, there have been 84,302 confirmed cases in China. Globally, this figure has surged up to 2,510,122, including 172,241 deaths reported to WHO [3]. China, as the first nation struck by Covid-19, has taken unprecedented measure to control the virus. T