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Prevalence of Depression and Related Factors among Patients with Chronic Disease during the COVID-19 Pandemic: A
Rubén A García-Lara1, Nora Suleiman-Martos2, María J Membrive-Jiménez3
1UGC Orgiva, Granada-South Health Management Area, Andalusian Health Service, Calle La Madre s/n, Lanjarón, 18420 Granada, Spain.
Insights
The COVID-19 pandemic significantly increased depression in chronic disease patients. Factors like female sex, single status, and fear of contagion were linked to higher depression rates, highlighting the need for mental health support.
Area of Science:
- Public Health
- Epidemiology
- Mental Health Research
Background:
- The COVID-19 pandemic presents unique challenges for managing chronic diseases.
- Psychological well-being is a critical concern for individuals with chronic conditions during health crises.
Purpose of the Study:
- To determine the prevalence of depression in chronic disease patients during the COVID-19 pandemic.
- To identify factors associated with increased depression in this population.
Main Methods:
- Systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Meta-analysis conducted using StatsDirect software.
- Inclusion of 33 articles encompassing 50,905 patients with chronic diseases.
Main Results:
- Meta-analyses estimated depression prevalence: 17-33% in diabetic patients, 48% in obese patients, and 18% in hypertensive patients.
- Significant factors associated with depression included female sex, single marital status, worsening diabetes control, reduced self-care, decreased physical activity and sleep, and fear of contagion.
- The pandemic demonstrated a significant increase in depression levels among individuals with chronic conditions.
Conclusions:
- The COVID-19 pandemic has substantially elevated depression rates in patients with chronic diseases.
- Pandemics necessitate proactive psychological interventions and robust health management policies to support the mental health of vulnerable populations.
- Early interventions are crucial for reinforcing both the physical and mental health of individuals managing chronic conditions during public health emergencies.
Abstract:
The management of chronic diseases in the midst of the COVID-19 pandemic is especially challenging, and reducing potential psychological harm is essential. This review aims to determine the prevalence of depression during the COVID-19 pandemic in patients with chronic disease, and to characterize the impacts of related factors. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The meta-analysis was performed using StatsDirect software. The review identified 33 articles with a total of 50,905 patients with chronic diseases. Four meta-analyses were performed to estimate the prevalence of depression. In diabetic patients, the prevalence ranged from 17% (95% CI = 7-31) (PHQ-9) to 33% (95% CI = 16-51) (PHQ-8); in obese patients, the prevalence was 48% (95% CI = 26-71); and in hypertensive patients, the prevalence was 18% (95% CI = 13-24). The factors significantly associated with depression were female sex, being single, deterioration in the clinical parameters of diabetes, a decrease in self-care behavior, reduced physical activity and sleep time and fear of contagion. The COVID-19 pandemic has significantly increased levels of depression among persons with chronic disease. Pandemics and other emergency events have a major impact on mental health, so early psychological interventions and health management policies are needed to reinforce chronic patients' physical and mental health.
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