Effectiveness of Psychotherapy Interventions on the Mental Health of Children and Adults during COVID-19: A Systematic Review Meta-analysis

Document Type : Review Article/ Systematic Review Article/ Meta Analysis

Authors

1 Assistant Professor, Department of Pediatric Nephrology, Division of Nephrology, Mashhad University of Medical Sciences, Mashhad, Iran

2 Kerman Nursing Research Center, Razi School of Nursing and Midwifery, Kerman University of Medical Science, Kerman, Iran

3 Assistant Professor of Pulmonology, Faculty of Medicine, Lung Diseases Research Center, Mashhad University of Medical Science, Mashhad, Iran

4 Cell Therapy and Regenerative Medicine Comprehensive Center, Kerman University of Medical Sciences, Kerman, Iran

5 Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran

6 Reproductive Health, Family and Population Research Center, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Background: Numerous studies have been conducted to investigate psychological interventions on COVID-19-related anxiety and depression. However, the literature review revealed no meta-anysis that has thoroughly reviewed the effects of psychological interventions on COVID-19-related anxiety and depression.
 
Objectives: The present review aimed to examine the effectiveness of psychological interventions on anxiety and depression level during the COVID-19 outbreak.
 
Methods: The search strategy was to screen the relevant original English clinical trials in the electronic databases of PubMed, Cochrane Library, Web of Science, and Scopus published from January 30, 2020 to March 5, 2022.
 
Results: The number of studies included for anxiety, depression, and stress were three, four, and two, respectively. Based on the random effects model, the mean scores (95% confidence interval [CI]) of anxiety in the intervention group before and after the intervention were 13.29 (9.22, 17.35) and 6.89 (2.88, 10.90), respectively. Moreover, the mean scores (95% CI) of depression based on the random-effects model in the intervention group before and after the intervention were 9.86 (7.35, 12.36) and 9.13 (4.38, 7.89), respectively. The random effects model for stress was also calculated. The mean scores (95% CI) of stress before and after the intervention were 22.06 (11.43, 32.68) and 17.50 (8.64, 26.37) in the intervention group and 21.68 (12.21, 31.14) and 20.97 (4.65, 37.28) in the control group, respectively. 
 
Conclusion: The results of this review study showed that psychological interventions during the COVID-19 outbreak might be effective and more practical for the improvement of resilience, hope, and spiritual health in order to enhance mental health.
 

Keywords


Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

1. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmunity. 2020:102433.
https://doi.org/10.1016/j.jaut.2020.102433
PMid:32113704 PMCid:PMC7127067
 
2. Chen P, Ruan A, Zhou J, Huang L, Zhang X, Ma Y, et al. Cinnamic aldehyde inhibits lipopolysaccharide-induced chondrocyte inflammation and reduces cartilage degeneration by blocking the nuclear factor-kappa B signaling pathway. Front Pharmacol. 2020;11:949.
https://doi.org/10.3389/fphar.2020.00949
PMid:32848721 PMCid:PMC7419651
 
3. Shapira S, Yeshua-Katz D, Cohn-Schwartz E, Aharonson-Daniel L, Sarid O, Clarfield AM. A pilot randomized controlled trial of a group intervention via Zoom to relieve loneliness and depressive symptoms among older persons during the COVID-19 outbreak. Internet interv. 2021;24:100368.
https://doi.org/10.1016/j.invent.2021.100368
PMid:33527072 PMCid:PMC7839498
 
4. Gulen M, Satar S. Uncommon presentation of COVID-19: gastrointestinal bleeding. Clin Res Hepatol Gastroenterol. 2020;44(4):e72-e6.
https://doi.org/10.1016/j.clinre.2020.05.001
PMid:32505730 PMCid:PMC7241390
 
5. Elmahdy MA, Shebl EM. Mental Health Outcomes Among Health Care Workers Exposed to Covid-19 Pandemic, Qalyoubia Governorate: Cross-Sectional Survey. Egypt J Hospital Med. 2021;84(1):1945-54.
https://doi.org/10.21608/ejhm.2021.178615
 
6. Taub A. A new Covid-19 crisis: Domestic abuse rises worldwide. The New York Times. 2020;6.
 
7. Piquero AR, Jennings WG, Jemison E, Kaukinen C, Knaul FM. Domestic violence during the COVID-19 pandemic-Evidence from a systematic review and meta-analysis. J Crim Justice. 2021;74:101806.
https://doi.org/10.1016/j.jcrimjus.2021.101806
PMid:36281275 PMCid:PMC9582712
 
8. Galea S, Merchant RM, Lurie N. The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention. JAMA Intern Med. 2020;180(6):817-8.
https://doi.org/10.1001/jamainternmed.2020.1562
PMid:32275292
 
9. Cheng P, Kalmbach DA, Castelan AC, Murugan N, Drake CL. Depression prevention in digital cognitive behavioral therapy for insomnia: Is rumination a mediator? J affective disorders. 2020;273:434-41.
https://doi.org/10.1016/j.jad.2020.03.184
PMid:32560938
 
10. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled clinical trials. 1996;17(1):1-12.
https://doi.org/10.1016/0197-2456(95)00134-4
PMid:8721797
 
11. Kong X, Kong F, Zheng K, Tang M, Chen Y, Zhou J, et al. Effect of psychological-behavioral intervention on the depression and anxiety of COVID-19 patients. Front psychiatry. 2020:1241.
https://doi.org/10.3389/fpsyt.2020.586355
PMid:33329130 PMCid:PMC7715028
 
12. Wei N, Huang B-c, Lu S-j, Hu J-b, Zhou X-y, Hu C-c, et al. Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. J Zhejiang Uni-Sci B. 2020;21(5):400-4.
https://doi.org/10.1631/jzus.B2010013
PMid:32425006 PMCid:PMC7203540
 
13. Shaygan M, Yazdani Z, Valibeygi A. The effect of online multimedia psychoeducational interventions on the resilience and perceived stress of hospitalized patients with COVID-19: a pilot cluster randomized parallel-controlled trial. BMC Psychiatry. 2021;21(1):1-12.
https://doi.org/10.1186/s12888-021-03085-6
PMid:33573631 PMCid:PMC7877318
 
14. Malboeuf-Hurtubise C, Léger-Goodes T, Mageau GA, Joussemet M, Herba C, Chadi N, et al. Philosophy for children and mindfulness during COVID-19: Results from a randomized cluster trial and impact on mental health in elementary school students. Progress Neuro-Psychopharmacology Biological Psychiatry. 2021;107:110260.
https://doi.org/10.1016/j.pnpbp.2021.110260
PMid:33493652 PMCid:PMC9757049
 
15. Malboeuf-Hurtubise C, Léger-Goodes T, Mageau GA, Taylor G, Herba CM, Chadi N, et al. Online art therapy in elementary schools during COVID-19: results from a randomized cluster pilot and feasibility study and impact on mental health. Child Adolescent Psychiatry Mental Health. 2021;15(1):1-11.
https://doi.org/10.1186/s13034-021-00367-5
PMid:33676537 PMCid:PMC7936482
 
16. Li J, Li X, Jiang J, Xu X, Wu J, Xu Y, et al. The effect of cognitive behavioral therapy on depression, anxiety, and stress in patients with COVID-19: a randomized controlled trial. Front psychiatry. 2020;11:580827.
https://doi.org/10.3389/fpsyt.2020.580827
PMid:33192723 PMCid:PMC7661854
 
17. Li J, Li X, Jiang J, Xu X, Wu J, Xu Y, et al. The effect of cognitive behavioral therapy on depression, anxiety, and stress in patients with COVID-19: a randomized controlled trial. Front psychiatry. 2020:1096.
https://doi.org/10.3389/fpsyt.2020.580827
PMid:33192723 PMCid:PMC7661854
 
18. Klatt MD, Bawa R, Gabram O, Blake A, Steinberg B, Westrick A, et al. Embracing change: a mindful medical center meets COVID-19. Global Adv Health Med. 2020;9:2164956120975369.
https://doi.org/10.1177/2164956120975369
PMid:33354410 PMCid:PMC7734507