Volume 11, Issue 1 (Winter 2022)                   J Occup Health Epidemiol 2022, 11(1): 48-66 | Back to browse issues page

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Rezaei-Hachesu V, Naderyan Fe’li S, Maajani K, Golbabaei F. The Global Prevalence of Anxiety, Depression, and Insomnia among Healthcare Workers during the Covid-19 Pandemic: A Systematic Review and Meta-Analysis. J Occup Health Epidemiol 2022; 11 (1) :48-66
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1- PhD Candidate in Occupational Health Engineering, Dept, of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
2- PhD Candidate in Epidemiology, Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3- Instructor of Occupational Health Engineering, Dept. of Occupational Health Engineering, School of Public Health, North Khorasan University of Medical Sciences, Bojnurd, Iran.
4- Professor of Occupational Health Engineering, Dept, of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. , fgolbabaei@tums.ac.ir
Article history
Received: 2021/10/22
Accepted: 2022/01/4
ePublished: 2022/06/12
Abstract:   (2005 Views)
Background: Covid-19 disease has posed a serious challenge to countries' healthcare systems at the present outbreak. Meanwhile, the healthcare providers' mental health has been affected. This systematic review and meta-analysis aimed to investigate the pooled prevalence of depression, anxiety, and insomnia among healthcare workers in a short period during the COVID-19 pandemic.
Materials and Methods: A systematic search was conducted through Web of Science, Scopus, Medline, and Embase databases, as well as preprint servers of medRxiv and SSRN, up to August 24, 2020.
Results: This review comprised 69 articles with a total sample size of 108,931 individuals selected from medical staff. The pooled prevalence of anxiety, depression, and insomnia were 37% (95% CI: 31 to 43%), 34% (95% CI: 29 to 38%), and 39% (95% CI: 25 to 53%), respectively. A subgroup analysis showed that the prevalence of anxiety, depression, and insomnia was higher in females and nurses than in others.
Conclusions: Findings indicated a high impact of the COVID-19 pandemic on the prevalence of anxiety, depression, and insomnia among medical professionals involved in the crisis with a variety of territories and occupations of both genders.

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1. Akhlaghi Pirposhteh E, Sheibani N, Beheshti A, Bakhshi N, Salehi Sahl Abadi A. Prevalence of Musculoskeletal Disorders and Occupational Stress among Workers of an Engineering Company in Iran during the Covid-19 Pandemic, 2021: A Cross-Sectional Study. J Occup Health Epidemiol 2021; 10(3):183-92. [DOI]
2. Dost B, Koksal E, Terzi O, Bilgin S, Ustun YB, Arslan HN. Attitudes of Anesthesiology Specialists and Residents toward Patients Infected with the Novel Coronavirus (COVID-19): A National Survey Study. Surg Infect (Larchmt) 2020; 21(4):350-6. [DOI] [PMID]
3. Mirzabeigi AR, Agha Mohammad Hasani P, Sayadi AR, Safarian M, Parand Afshar S. Assessing Health Anxiety among Healthcare Providers of COVID-19 Patients from March to May 2020, Rafsanjan County, Iran. J Occup Health Epidemiol 2021; 10(1):24-30. [DOI]
4. Bjelajac Ž, Filipović A. Lack of Security Culture in Facing the COVID-19 Pandemic. Cult Polis 2020; 17(42):383-99. [Article]
5. Elbay RY, Kurtulmus A, Arpacioglu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res 2020; 290:113130. [DOI] [PMID] [PMCID]
6. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open 2020; 3(3):e203976. [DOI] [PMID] [PMCID]
7. Lung FW, Lu YC, Chang YY, Shu BC. Mental Symptoms in Different Health Professionals During the SARS Attack: A Follow-up Study. Psychiatr Q 2009; 80(2):107-16. [DOI] [PMID]
8. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020; 7(3):228-9. [DOI] [PMID] [PMCID]
9. Yang X, Chen D, Chen Y, Wang N, Lyv C, Li Y, et al. Geographical distribution and prevalence of mental disorders among healthcare workers in China: A cross-sectional country-wide survey: A cross-sectional study to assess mental disorders of healthcare workers in China. Int J Health Plann Manage 2021; 36(5):1561-74. [DOI] [PMID]
10. Gilleen J, Santaolalla A, Valdearenas L, Salice C, Fusté M. Impact of the COVID-19 pandemic on the mental health and well-being of UK healthcare workers. BJPsych Open 2021; 7(3):e88. [DOI] [PMID] [PMCID]
11. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009; 339:b2700. [DOI] [PMID] [PMCID]
12. Luchini C, Stubbs B, Solmi M, Veronese N. Assessing the quality of studies in meta-analyses: Advantages and limitations of the Newcastle Ottawa Scale. World J Metaanal 2017; 5(4):80-4. [DOI]
13. Nyaga VN, Arbyn M, Aerts M. Metaprop: a Stata command to perform meta-analysis of binomial data. Arch Public Health 2014; 72(1):39. [DOI] [PMID] [PMCID]
14. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med 2002; 21(11):1539-58. [DOI] [PMID]
15. Hunter JP, Saratzis A, Sutton AJ, Boucher RH, Sayers RD, Bown MJ. In meta-analyses of proportion studies, funnel plots were found to be an inaccurate method of assessing publication bias. J Clin Epidemiol 2014; 67(8):897-903. [DOI] [PMID]
16. Ahmed MA, Jouhar R, Ahmed N, Adnan S, Aftab M, Zafar MS, et al. Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. Int J Environ Res Public Health 2020; 17(8):2821. [DOI] [PMID] [PMCID]
17. Alshekaili M, Hassan W, Al Said N, Al sulimani F, Jayapal SK, Al-Mawali A, et al. Factors Associated with mental health outcomes across healthcare settings in oman during COVID-19: frontline versus non-frontline healthcare workers. BMJ Open 2020; 10(10):e042030. [DOI] [PubMed] [PMCID]
18. Amerio A, Bianchi D, Santi F, Costantini L, Odone A, Signorelli C, et al. Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners. Acta Biomed 2020; 91(2):83-8. [DOI] [PMID] [PMCID]
19. An Y, Yang Y, Wang A, Li Y, Zhang Q, Cheung T, et al. Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak. J Affect Disord 2020; 276:312-5. [DOI] [PMID] [PMCID]
20. Apisarnthanarak A, Apisarnthanarak P, Siripraparat C, Saengaram P, Leeprechanon N, Weber DJ. Impact of anxiety and fear for Covid-19 toward infection control practices among Thai healthcare workers. Infect Control and Hosp Epidemiol 2020; 41(9):1093-4. [DOI] [PMID] [PMCID]
21. Bachilo EV, Barylnik JB, Shuldyakov AA, Efremov AA, Novikov DE. Mental Health of Medical Workers During the COVID-19 Pandemic in Russia: Results of a Cross-Sectional Study. medRxiv 2020. doi: 10.1101/2020.07.27.20162610. [DOI]
22. Badahdah A, Khamis F, Al Mahyijari N, Al Balushi M, Al Hatmi H, Al Salmi I, et al. The mental health of health care workers in Oman during the COVID-19 pandemic. Int J Soc Psychiatry 2021; 67(1):90-5. [DOI] [PMID] [PMCID]
23. Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res 2020; 290:113129. [DOI] [PMID] [PMCID]
24. Buselli R, Baldanzi S, Corsi M, Chiumiento M, Del Lupo E, Carmassi C, et al. Psychological Care of Health Workers during the COVID-19 Outbreak in Italy: Preliminary Report of an Occupational Health Department (AOUP) Responsible for Monitoring Hospital Staff Condition. Sustainability 2020; 12(12):5039. [DOI]
25. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan between January and March 2020 during the Outbreak of Coronavirus Disease 2019 (COVID) in Hubei, China. Med Sci Monit 2020; 26:e924171. [DOI] [PMID] [PMCID]
26. Çalişkan F, Dost B. The Evaluation of Knowledge, Attitudes, Depression and Anxiety Levels among Emergency Physicians during the COVID-19 Pandemic. Signa Vitae 2020; 16(1):163-71. [DOI]
27. Cao J, Duan Y, Wei J, Zhu H, Geng W, Fritzsche K, et al. The Sooner, the Better: Experience of Early-On Psychological Service to Medical Workers in Fever Clinic of a Tertiary General Hospital in Beijing During COVID-19 Outbreak. 2020. doi: 10.2139/ssrn.3588536. [DOI]
28. Chatterjee SS, Bhattacharyya R, Bhattacharyya S, Gupta S, Das S, Banerjee BB. Attitude, practice, behavior, and mental health impact of COVID-19 on doctors. Indian J Psychiatry 2020; 62(3):257-65. [DOI] [PMID] [PMCID]
29. Chen J, Liu X, Wang D, Jin Y, He M, Ma Y, et al. Multiple Risk Factors of Depression and Anxiety in Medical Staffs: A Cross-Sectional Study at the Outbreak of SARS-CoV-2 in China. 2020. doi: 10.2139/ssrn.3551414 [DOI]
30. Chen X, Zhang SX, Jahanshahi AA, Alvarez-Risco A, Dai H, Li J, et al. Belief in a COVID-19 Conspiracy Theory as a Predictor of Mental Health and Well-Being of Health Care Workers in Ecuador: Cross-Sectional Survey Study. JMIR Public Health Surveill 2020; 6(3):e20737. [DOI] [PMID] [PMCID]
31. Cheng FF, Zhan SH, Xie AW, Cai SZ, Hui L, Kong XX, et al. Anxiety in Chinese pediatric medical staff during the outbreak of Coronavirus Disease 2019: a cross-sectional study. Transl Pediatr 2020; 9(3):231-6. [DOI] [PMID] [PMCID]
32. 35. Chew NWS, Lee GKH, Tan BYQ, Jing M, Goh Y, Ngiam NJH, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behav Immun 2020; 88:559-65. [DOI] [PMID] [PMCID]
33. Civantos AM, Byrnes Y, Chang C, Prasad A, Chorath K, Poonia SK, et al. Mental health among otolaryngology resident and attending physicians during the COVID-19 pandemic: National study. Head Neck 2020; 42(7):1597-609. [DOI] [PMID] [PMCID]
34. Consolo U, Bellini P, Bencivenni D, Iani C, Checchi V. Epidemiological Aspects and Psychological Reactions to COVID-19 of Dental Practitioners in the Northern Italy Districts of Modena and Reggio Emilia. Int J Environ Res Public Health 2020; 17(10):3459. [DOI] [PMID] [PMCID]
35. Croll L, Kurzweil A, Hasanaj L, Serrano L, Balcer LJ, Galetta SL. The psychosocial implications of COVID-19 for a neurology program in a pandemic epicenter. J Neurol Sci 2020; 416:117034. [DOI] [PMID] [PMCID]
36. Dal'Bosco EB, Floriano LSM, Skupien SV, Arcaro G, Martins AR, Anselmo ACC. Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev Bras Enferm 2020; 73 Suppl 2:e20200434. [DOI] [PMID]
37. Dong ZQ, Ma J, Hao YN, Shen XL, Liu F, Gao Y, et al. The social psychological impact of the COVID-19 pandemic on medical staff in China: A cross-sectional study. Eur Psychiatry 2020; 63(1):e65. [DOI] [PMID] [PMCID]
38. Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res 2020; 290:113130. [DOI] [PMID] [PMCID]
39. Giusti EM, Pedroli E, D'Aniello GE, Stramba Badiale C, Pietrabissa G, Manna C, et al. The Psychological Impact of the COVID-19 Outbreak on Health Professionals: A Cross-Sectional Study. Front Psychol 2020; 11:1684. [DOI] [PMID] [PMCID]
40. Guo J, Liao L, Wang B, Li X, Guo L, Tong Z, et al. Psychological Effects of COVID-19 on Hospital Staff: A National Cross-Sectional Survey of China Mainland. 2020. doi: 10.2139/ssrn.3550050 [DOI]
41. Hassannia L, Taghizadeh F, Moosazadeh M, Zarghami M, Taghizadeh H, Dooki AF, et al. Anxiety and Depression in Health Workers and General Population During COVID-19 in IRAN: A Cross-Sectional Study. Neuropsychopharmacol Rep 2021; 41(1):40-9. [DOI] [PMID] [PMCID]
42. He JP, Liao R, Yang Y, Li Jj, Weng Nn, Luo Yt, et al. The Research of Mental Health Status among Medical Personnel in China: A Cross-Sectional Study. 2020. doi: 10.2139/ssrn.3555260 [DOI]
43. Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in wuhan, china: a big-scale cross-sectional study. EClinicalMedicine 2020; 24:100424. [DOI] [PMID] [PMCID]
44. Huang L, Wang Y, Liu J, Ye P, Chen X, Xu H, et al. Factors Influencing Anxiety of Health Care Workers in the Radiology Department with High Exposure Risk to COVID-19. Med Sci Monit 2020; 26:e926008. [DOI] [PMID] [PMCID]
45. Kaveh M, Davari-tanha F, Varaei S, Shirali E, Shokouhi N, Nazemi P, et al. Anxiety levels among Iranian health care workers during the COVID-19 surge: A cross-sectional study. MedRxiv 2020. doi: 10.1101/2020.05.02.20089045 [DOI]
46. Labrague LJ, De Los Santos JAA. COVID-19 anxiety among front-line nurses: predictive role of organisational support, personal resilience and social support. J Nurs Manag 2020; 28(7):1653-61. [DOI] [PMID] [PMCID]
47. Lin Z, Zhang K, He X, Huang Z, Ye W, Ju W, et al. Psychological Burden in Health Care Professionals in Chinese Cities During the Coronavirus Disease 2019 (COVID-19) Outbreak. 2020. doi: 10.2139/ssrn.3576782 [DOI]
48. Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect 2020; 148:e98. [DOI] [PMID] [PMCID]
49. Liu S, Han W, Shen C, Zhu C, Wang Q, Liang X, et al. The Prevalence and Influencing Factors for Depression Symptom Among Frontline Heathcare Workers from Emergency Department Fighting Against COVID-19: A National Cross-Sectional Survey in China. 2020. doi: 10.2139/ssrn.3588525 [DOI]
50. Liu Z, Han B, Jiang R, Huang Y, Ma C, Wen J, et al. Mental Health Status of Doctors and Nurses during COVID-19 Epidemic in China. 2020. doi: 10.2139/ssrn.3551329 . [DOI]
51. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res 2020; 288:112936. [DOI] [PMID] [PMCID]
52. Ma Y, Rosenheck R, He H. Psychological stress among health care professionals during the 2019 novel coronavirus disease Outbreak: Cases from online consulting customers. Intensive Crit Care Nurs 2020; 61:102905. [DOI] [PMID] [PMCID]
53. Magnavita N, Tripepi G, Di Prinzio RR. Symptoms in Health Care Workers during the Covid-19 Epidemic. A Cross-Sectional Survey. Int J Environ Res Public Health 2020; 17(14):5218. [DOI] [PMID] [PMCID]
54. Mahendran K, Patel S, Sproat C. Psychosocial effects of the COVID-19 pandemic on staff in a dental teaching hospital. Br Dent J 2020; 229(2):127-32. [DOI] [PMID] [PMCID]
55. Naser AY, Dahmash EZ, Al-Rousan R, Alwafi H, Alrawashdeh HM, Ghoul I, et al. Mental health status of the general population, healthcare professionals, and university students during 2019 coronavirus disease outbreak in Jordan: A cross-sectional study. Brain Behav 2020; 10(8):e01730. [DOI] [PMID] [PMCID]
56. Qi J, Xu J, Li BZ, Huang JS, Yang Y, Zhang ZT, et al. The evaluation of sleep disturbances for Chinese frontline medical workers under the outbreak of COVID-19. Sleep Med 2020; 72:1-4. [DOI] [PMID] [PMCID]
57. Que J, Shi L, Deng J, Liu J, Zhang L, Wu S, et al. Psychological impact of the Covid-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr 2020; 33(3):e100259. [DOI] [PMID] [PMCID]
58. Rossi R, Socci V, Pacitti F, Di Lorenzo G, Di Marco A, Siracusano A, et al. Mental Health Outcomes Among Frontline and Second-Line Health Care Workers During the Coronavirus Disease 2019 (COVID-19) Pandemic in Italy. JAMA Netw Open 2020; 3(5):e2010185. [DOI] [PMID] [PMCID]
59. Saddik B, Hussein A, Sharif-Askari FS, Kheder W, Temsah MH, Koutaich RA, et al. Increased Levels of Anxiety among Medical And Non-Medical University Students during the Covid-19 Pandemic in the United Arab Emirates. Risk Manag Healthc Policy 2020; 13:2395-406. [DOI] [PMID] [PMCID]
60. Salman M, Raza MH, Mustafa ZU, Khan TM, Asif N, Tahir H, et al. The psychological effects of COVID-19 on frontline healthcare workers and how they are coping: a web-based, cross-sectional study from Pakistan. MedRxiv. 2020. doi: 10.1101/2020.06.03.20119867 [DOI]
61. Sandesh R, Shahid W, Dev K, Mandhan N, Shankar P, Shaikh A, et al. Impact of COVID-19 on the Mental Health of Healthcare Professionals in Pakistan. Cureus 2020; 12(7):e8974. [DOI] [PMID] [PMCID]
62. Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Educ Pract 2020; 46:102809. [DOI] [PMID] [PMCID]
63. Sögüt S, Dolu İ, Cangöl E. The relationship between COVID-19 knowledge levels and anxiety states of midwifery students during the outbreak: A cross-sectional web-based survey. Perspect Psychiatr Care 2021; 57(1):246-52. [DOI] [PMID] [PMCID]
64. Song X, Fu W, Liu X, Luo Z, Wang R, Zhou N, et al. Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China. Brain, Behav Immun 2020; 88:60-5. [DOI] [PMID] [PMCID]
65. Stojanov J, Malobabic M, Stanojevic G, Stevic M, Milosevic V, Stojanov A. Quality of sleep and health-related quality of life among health care professionals treating patients with coronavirus disease-19. Int J Soc Psychiatry 2021; 67(2):175-81. [DOI] [PMID] [PMCID]
66. Sung CW, Chen CH, Fan CY, Su FY, Chang JH, Hung CC, et al. Burnout in Medical Staffs During a Coronavirus Disease (COVID-19) Pandemic. 2020. doi: 10.2139/ssrn.3594567 [DOI]
67. Szepietowski JC, Krajewski P, Biłynicki-Birula R, Poznański P, Krajewska M, Rymaszewska J, et al. Mental health status of health care workers during the COVID-19 outbreak in Poland: One region, two different settings. Dermatol Ther 2020; 33(6):e13855. [DOI] [PubMed] [PMCID]
68. Tan BYQ, Chew NWS, Lee GKH, Jing M, Goh Y, Yeo LLL, et al. Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore. Ann Intern Med 2020; 173(4):317-20. [DOI] [PMID] [PMCID]
69. Temsah MH, Al-Sohime F, Alamro N, Al-Eyadhy A, Al-Hasan K, Jamal A, et al. The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country. J Infect Public Health 2020; 13(6):877-82. [DOI] [PMID] [PMCID]
70. Teng Z, Wei Z, Qiu Y, Tan Y, Chen J, Tang H, et al. Psychological status and fatigue of frontline staff two months after the COVID-19 pandemic outbreak in China: A cross-sectional study. J Affect Disord 2020; 275:247-52. [DOI] [PMID] [PMCID]
71. Thapa L, Ghimire A, Ghimire S, Sharma N, Shrestha S, Devkota M, et al. Predictors of Anxiety Regarding The COVID-19 Pandemic Among Health-care Workers in a Hospital Not Assigned to Manage COVID-19 Patients in Nepal. MedRxiv 2020. doi: 10.1101/2020.07.08.20148866. [DOI]
72. Vafaei H, Roozmeh S, Hessami K, Kasraeian M, Asadi N, Faraji A, et al. Obstetrics Healthcare Providers’ Mental Health and Quality of Life during Covid-19 Pandemic: Multicenter Study from Eight Cities in Iran. Psychol Res Behav Manag 2020; 13:563-71. [DOI] [PMID] [PMCID]
73. Wang H, Huang D, Huang H, Zhang J, Guo L, Liu Y, et al. The psychological impact of COVID-19 pandemic on medical staff in Guangdong, China: a cross-sectional study. Psychol Med 2022; 52(5):884-92. [DOI] [PMID] [PMCID]
74. Weilenmann S, Ernst J, Petry H, Pfaltz MC, Sazpinar O, Gehrke S, et al. Health Care Worker s' Mental Health during the First Weeks of the SARS-CoV-2 Pandemic in Switzerland: A Cross-Sectional Study. Front Psychiatry 2021; 12:594340. [DOI] [PMID] [PMCID]
75. Xiao H, Shu W, Li M, Li Z, Tao F, Wu X, et al. Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China: Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities. Int J Environ Res Public Health 2020; 17(14):5047. [DOI] [PMID] [PMCID]
76. Xiao X, Zhu X, Fu S, Hu Y, Li X, Xiao J. Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. J Affect Disord 2020; 274:405-10. [DOI] [PMID] [PMCID]
77. Xiaoming X, Ming A, Su H, Wo W, Jianmei C, Qi Z, et al. The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing. J Affect Disord 2020; 276:555-61. [DOI] [PMID] [PMCID]
78. Xing J, Sun N, Xu J, Geng S, Li Y. Study of the mental health status of medical personnel dealing with new coronavirus pneumonia. PLoS One 2020; 15(5):e0233145. [DOI] [PMID] [PMCID]
79. Yang S, Kwak SG, Ko EJ, Chang MC. The Mental Health Burden of the Covid-19 Pandemic on Physical Therapists. Int J Environ Res Public Health 2020; 17(10):3723. [DOI] [PMID] [PMCID]
80. Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. Survey of Insomnia and Related Social Psychological Factors among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak. Front Psychiatry 2020; 11:306. [DOI] [PMID] [PMCID]
81. Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom 2020; 89(4):242-50. [DOI] [PMID] [PMCID]
82. Zhu J, Sun L, Zhang L, Wang H, Fan A, Yang B, et al. Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against COVID-19 in Gansu. Front Psychiatry 2020; 11:386. [DOI] [PMID] [PMCID]
83. Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine 2020; 24:100443. [DOI] [PMID] [PMCID]
84. Marques AA, Bevilaqua MC, da Fonseca AM, Nardi AE, Thuret S, Dias GP. Gender Differences in the Neurobiology of Anxiety: Focus on Adult Hippocampal Neurogenesis. Neural Plast 2016; 2016:5026713. [DOI] [PMID] [PMCID]
85. Remes O, Brayne C, van der Linde R, Lafortune L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain Behav 2016; 6(7):e00497. [DOI] [PMID] [PMCID]
86. Petzold MB, Bendau A, Plag J, Pyrkosch L, Mascarell Maricic L, Betzler F, et al. Risk, resilience, psychological distress, and anxiety at the beginning of the COVID-19 pandemic in Germany. Brain Behav 2020; 10(9):e01745. [DOI] [PMID] [PMCID]
87. Sheraton M, Deo N, Dutt T, Surani S, Hall-Flavin D, Kashyap R. Psychological effects of the COVID 19 pandemic on healthcare workers globally: A systematic review. Psychiatry Res 2020; 292:113360. [DOI] [PMID] [PMCID]
88. Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine 2020; 24:100424. [DOI] [PMID] [PMCID]
89. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behav Immun 2020; 88:901-7. [DOI] [PMID] [PMCID]
90. Bahrami F, Yousefi N. Females are more anxious than males: a metacognitive perspective. Iran J Psychiatry Behav Sci 2011; 5(2):83-90. [PMID] [PMCID]
91. Jalnapurkar I, Allen M, Pigott T. Sex Differences in Anxiety Disorders: A Review. J Psychiatry Depress Anxiety 2018; 4:012. [DOI]
92. Muller AE, Hafstad EV, Himmels JPW, Smedslund G, Flottorp S, Stensland SØ, et al. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Res 2020; 293:113441. [DOI] [PMID] [PMCID]
93. da Silva Neto RM, Benjamim CJR, de Medeiros Carvalho PM, Neto MLR. Psychological effects caused by the COVID-19 pandemic in health professionals: A systematic review with meta-analysis. Prog Neuropsychopharmacol Biol Psychiatry 2021; 104:110062. [DOI] [PMID] [PMCID]
94. Choi KW, Kim YK, Jeon HJ. Comorbid Anxiety and Depression: Clinical and Conceptual Consideration and Transdiagnostic Treatment. Adv Exp Med Biol 2020; 1191:219-35. [DOI] [PMID]
95. Seeman MV. Why Are Women Prone to Restless Legs Syndrome? Int J Environ Res Public Health 2020; 17(1):368. [DOI] [PMID] [PMCID]
96. Labaka A, Goni-Balentziaga O, Lebena A, Perez-Tejada J. Biological Sex Differences in Depression: A Systematic Review. Biol Res Nurs 2018; 20(4):383-92. [DOI] [PMID]
97. Morin CM, Drake CL, Harvey AG, Krystal AD, Manber R, Riemann D, et al. Insomnia disorder. Nat Rev Dis Primers 2015; 1:15026. [DOI] [PMID]
98. Jansson M, Rello J. Mental Health in Healthcare Workers and the Covid-19 Pandemic Era: Novel Challenge for Critical Care. J Intensive Crit Care 2020; 6(2:6). doi: 10.36648/2471-8505.6.2.6 [Article]
99. Qiu D, Yu Y, Li RQ, Li YL, Xiao SY. Prevalence of sleep disturbances in Chinese healthcare professionals: a systematic review and meta-analysis. Sleep Med 2020; 67:258-66. [DOI] [PMID]
100. Winkelman JW. CLINICAL PRACTICE. Insomnia Disorder. N Engl J Med 2015; 373(15):1437-44. [DOI] [PMID]
101. Herrero San Martin A, Parra Serrano J, Diaz Cambriles T, Arias Arias EM, Munoz Mendez J, Del Yerro Alvarez MJ, et al. Sleep characteristics in health workers exposed to the COVID-19 pandemic. Sleep Med 2020; 75:388-94. [DOI] [PMID] [PMCID]

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