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A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19

BACKGROUND: Several meta-analysis studies have been reported in the literature on the incidence of psychopathological conditions resulting from the COVID-19 pandemic. This investigation aims to compile and analyze the findings of previously published meta-analysis research, as shown by the present m...

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Autores principales: Sokouti, Massoud, Shafiee-Kandjani, Ali Reza, Sokouti, Mohsen, Sokouti, Babak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506209/
https://www.ncbi.nlm.nih.gov/pubmed/37723515
http://dx.doi.org/10.1186/s40359-023-01313-0
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author Sokouti, Massoud
Shafiee-Kandjani, Ali Reza
Sokouti, Mohsen
Sokouti, Babak
author_facet Sokouti, Massoud
Shafiee-Kandjani, Ali Reza
Sokouti, Mohsen
Sokouti, Babak
author_sort Sokouti, Massoud
collection PubMed
description BACKGROUND: Several meta-analysis studies have been reported in the literature on the incidence of psychopathological conditions resulting from the COVID-19 pandemic. This investigation aims to compile and analyze the findings of previously published meta-analysis research, as shown by the present meta-analysis of previous meta-analysis studies. METHODS: The PubMed and Scopus databases were searched from 1 January 2019 to 30 May 2022. The procedure was carried out according to the PRISMA flow chart and the qualities of the identified studies were analyzed using AMSTAR 2. Heterogeneities and risk of bias were assessed using the Meta-MUMS tool. The corresponding results, forest and funnel plots of the psychological consequences of COVID-19 were synthesized. RESULTS: Eleven meta-analysis studies were included. Random-effects meta-analysis of anxiety and depression showed (ER = 0.318 p-value < 0.001, ER = 0.295 p-value < 0.001) high heterogeneities (I(2) = 99.70%, I(2) = 99.75) between studies. Random-effects meta-analyses of sleep difficulties and insomnia were shown (ER = 0.347 p-value < 0.001, ER = 0.265, p-value < 0.001) along with heterogeneities (I(2) = 99.89, I(2) = 99.64). According to the random meta-analysis of post-traumatic stress syndrome (PTSS) and post-traumatic stress disorder (PTSD) (ER = 0.246, p-value = 0.001, ER = 0.223 p-value < 0.001) with heterogeneities (I(2) = 99.75, I(2) = 99.17). Random-effects meta-analyses of somatic and fear symptoms have been shown (ER = 0.16 p-value < 0.001, ER = 0.41, p-value = 0.089) with high heterogeneities (I(2) = 99.62, I(2) = 98.63). Random-effects meta-analysis of obsessive–compulsive symptoms and distress (ER = 0.297 p-value = 0.103; ER = 0.428, p-value = 0.013) with high heterogeneity, as I(2) = 99.38%. Subgroup analysis of all symptoms and Egger's tests for detecting publication bias were also assessed. CONCLUSION: The data from the current meta-analysis showed different psychological disorders of COVID-19 during the pandemic. Clinicians should be aware of the prevalence with which COVID-19-infected patients experience emotional distress, anxiety, fatigue, and PTSD. About half of the included systematic reviews (SRs)/meta-analyses (MAs) suffered from poorer methodological quality and increased risk of bias, reducing confidence in the findings. There must be more SRs/MAs and high-quality clinical trials conducted to confirm these findings. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40359-023-01313-0.
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spelling pubmed-105062092023-09-19 A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19 Sokouti, Massoud Shafiee-Kandjani, Ali Reza Sokouti, Mohsen Sokouti, Babak BMC Psychol Research BACKGROUND: Several meta-analysis studies have been reported in the literature on the incidence of psychopathological conditions resulting from the COVID-19 pandemic. This investigation aims to compile and analyze the findings of previously published meta-analysis research, as shown by the present meta-analysis of previous meta-analysis studies. METHODS: The PubMed and Scopus databases were searched from 1 January 2019 to 30 May 2022. The procedure was carried out according to the PRISMA flow chart and the qualities of the identified studies were analyzed using AMSTAR 2. Heterogeneities and risk of bias were assessed using the Meta-MUMS tool. The corresponding results, forest and funnel plots of the psychological consequences of COVID-19 were synthesized. RESULTS: Eleven meta-analysis studies were included. Random-effects meta-analysis of anxiety and depression showed (ER = 0.318 p-value < 0.001, ER = 0.295 p-value < 0.001) high heterogeneities (I(2) = 99.70%, I(2) = 99.75) between studies. Random-effects meta-analyses of sleep difficulties and insomnia were shown (ER = 0.347 p-value < 0.001, ER = 0.265, p-value < 0.001) along with heterogeneities (I(2) = 99.89, I(2) = 99.64). According to the random meta-analysis of post-traumatic stress syndrome (PTSS) and post-traumatic stress disorder (PTSD) (ER = 0.246, p-value = 0.001, ER = 0.223 p-value < 0.001) with heterogeneities (I(2) = 99.75, I(2) = 99.17). Random-effects meta-analyses of somatic and fear symptoms have been shown (ER = 0.16 p-value < 0.001, ER = 0.41, p-value = 0.089) with high heterogeneities (I(2) = 99.62, I(2) = 98.63). Random-effects meta-analysis of obsessive–compulsive symptoms and distress (ER = 0.297 p-value = 0.103; ER = 0.428, p-value = 0.013) with high heterogeneity, as I(2) = 99.38%. Subgroup analysis of all symptoms and Egger's tests for detecting publication bias were also assessed. CONCLUSION: The data from the current meta-analysis showed different psychological disorders of COVID-19 during the pandemic. Clinicians should be aware of the prevalence with which COVID-19-infected patients experience emotional distress, anxiety, fatigue, and PTSD. About half of the included systematic reviews (SRs)/meta-analyses (MAs) suffered from poorer methodological quality and increased risk of bias, reducing confidence in the findings. There must be more SRs/MAs and high-quality clinical trials conducted to confirm these findings. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40359-023-01313-0. BioMed Central 2023-09-18 /pmc/articles/PMC10506209/ /pubmed/37723515 http://dx.doi.org/10.1186/s40359-023-01313-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Sokouti, Massoud
Shafiee-Kandjani, Ali Reza
Sokouti, Mohsen
Sokouti, Babak
A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19
title A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19
title_full A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19
title_fullStr A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19
title_full_unstemmed A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19
title_short A meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of COVID-19
title_sort meta-analysis of systematic reviews and meta-analyses to evaluate the psychological consequences of covid-19
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506209/
https://www.ncbi.nlm.nih.gov/pubmed/37723515
http://dx.doi.org/10.1186/s40359-023-01313-0
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