The impact of the COVID-19 pandemic on the mental health of medical staff considering the interplay of pandemic burden and psychosocial resources-A rapid systematic review

PLoS One. 2022 Feb 22;17(2):e0264290. doi: 10.1371/journal.pone.0264290. eCollection 2022.

Abstract

Background: In times of the global corona pandemic health care workers (HCWs) fight the disease at the frontline of healthcare services and are confronted with an exacerbated load of pandemic burden. Psychosocial resources are thought to buffer adverse effects of pandemic stressors on mental health. This rapid review summarizes evidence on the specific interplay of pandemic burden and psychosocial resources with regard to the mental health of HCWs during the COVID-19 pandemic. The goal was to derive potential starting points for supportive interventions.

Methods: We conducted a rapid systematic review following the recommendations of the Cochrane Rapid Reviews Methods Group. We searched 7 databases in February 2021 and included peer-reviewed quantitative studies, that reported related data on pandemic stressors, psychosocial resources, and mental health of HCWs.

Results: 46 reports were finally included in the review and reported data on all three outcomes at hand. Most studies (n = 41) applied a cross-sectional design. Our results suggest that there are several statistically significant pandemic risk factors for mental health problems in HCWs such as high risk and fear of infection, while resilience, active and emotion-focused coping strategies as well as social support can be considered beneficial when protecting different aspects of mental health in HCWs during the COVID-19 pandemic. Evidence for patterns of interaction between outcomes were found in the context of coping style when facing specific pandemic stressors.

Conclusions: Our results indicate that several psychosocial resources may play an important role in buffering adverse effects of pandemic burden on the mental health of HCWs in the context of the COVID-19 pandemic. Nevertheless, causal interpretations of mentioned associations are inadequate due to the overall low study quality and the dominance of cross-sectional study designs. Prospective longitudinal studies are required to elucidate the missing links.

Publication types

  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • Adaptation, Psychological*
  • Burnout, Professional / epidemiology
  • Burnout, Professional / psychology*
  • Burnout, Professional / therapy
  • COVID-19 / epidemiology
  • COVID-19 / psychology*
  • Health Personnel / psychology*
  • Humans
  • Mental Health*
  • Pandemics*
  • SARS-CoV-2*

Grants and funding

This review is part of the cooperation project egePan Unimed (development, testing, and implementation of regional adaptive care structures and processes for evidence-based pandemic management by university medicine), which is being carried out by the Federal Ministry of Education and Research (BMBF, grant number: 01KX2021) under the direction of Prof. Dr. Jochen Schmitt and Dr. Michael von Wagner. It is a joint project (VOICE) of the psychosomatic university clinics in Erlangen, Bonn, Ulm, Dresden, and Cologne. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.