TY - JOUR
T1 - Global prevalence of low resilience among the general population and health professionals during the COVID-19 pandemic
T2 - A meta-analysis
AU - Janitra, Fitria Endah
AU - Jen, Hsiu Ju
AU - Chu, Hsin
AU - Chen, Ruey
AU - Pien, Li Chung
AU - Liu, Doresses
AU - Lai, Yueh Jung
AU - Banda, Kondwani Joseph
AU - Lee, Tso Ying
AU - Lin, Hui Chen
AU - Chang, Ching Yi
AU - Chou, Kuei Ru
N1 - Funding Information:
The findings and conclusions in this document are those of the authors, who are responsible for its contents.
Publisher Copyright:
© 2023
PY - 2023/7/1
Y1 - 2023/7/1
N2 - Objective: To estimate the global prevalence of low resilience among the general population and health professionals during the COVID-19 pandemic. Methods: Embase, Ovid-MEDLINE, PubMed, Scopus, Web of Science, CINAHL, WHO COVID-19 databases, and grey literature were searched for studies from January 1, 2020, to August 22, 2022. Hoy's assessment tool was used to assess for risk of bias. Meta-analysis and moderator analysis was performed using the Generalized Linear Mixed Model with a corresponding 95 % confidence interval (95 % CI) adopting the random-effect model in R software. Between-study heterogeneity was measured using I2 and τ2 statistics. Results: Overall, 44 studies involving 51,119 participants were identified. The pooled prevalence of low resilience was 27.0 % (95 % CI: 21.0 %–33.0 %) with prevalence among the general population being 35.0 % (95 % CI: 28.0 %–42.0 %) followed by 23.0 % (95 % CI: 16.0 %–30.9 %) for health professionals. The 3-month trend analysis of the prevalence of low resilience beginning January 2020 to June 2021 revealed upward then downward patterns among overall populations. The prevalence of low resilience was higher in females, studied during the delta variant dominant period, frontline health professionals, and undergraduate degree education. Limitations: Study outcomes showed high heterogeneity; however, sub-group and meta-regression analyses were conducted to identify potential moderating factors. Conclusions: Globally, 1 out of 4 people among the general population and health professionals experienced low resilience due to COVID-19 adversity. The prevalence of low resilience was twice as much among the general population compared to health professionals. These findings provide information for policymakers and clinicians in the development and implementation of resilience-enhancing programs.
AB - Objective: To estimate the global prevalence of low resilience among the general population and health professionals during the COVID-19 pandemic. Methods: Embase, Ovid-MEDLINE, PubMed, Scopus, Web of Science, CINAHL, WHO COVID-19 databases, and grey literature were searched for studies from January 1, 2020, to August 22, 2022. Hoy's assessment tool was used to assess for risk of bias. Meta-analysis and moderator analysis was performed using the Generalized Linear Mixed Model with a corresponding 95 % confidence interval (95 % CI) adopting the random-effect model in R software. Between-study heterogeneity was measured using I2 and τ2 statistics. Results: Overall, 44 studies involving 51,119 participants were identified. The pooled prevalence of low resilience was 27.0 % (95 % CI: 21.0 %–33.0 %) with prevalence among the general population being 35.0 % (95 % CI: 28.0 %–42.0 %) followed by 23.0 % (95 % CI: 16.0 %–30.9 %) for health professionals. The 3-month trend analysis of the prevalence of low resilience beginning January 2020 to June 2021 revealed upward then downward patterns among overall populations. The prevalence of low resilience was higher in females, studied during the delta variant dominant period, frontline health professionals, and undergraduate degree education. Limitations: Study outcomes showed high heterogeneity; however, sub-group and meta-regression analyses were conducted to identify potential moderating factors. Conclusions: Globally, 1 out of 4 people among the general population and health professionals experienced low resilience due to COVID-19 adversity. The prevalence of low resilience was twice as much among the general population compared to health professionals. These findings provide information for policymakers and clinicians in the development and implementation of resilience-enhancing programs.
KW - COVID-19
KW - General population
KW - Health professionals
KW - Low resilience
UR - http://www.scopus.com/inward/record.url?scp=85151283571&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85151283571&partnerID=8YFLogxK
U2 - 10.1016/j.jad.2023.03.077
DO - 10.1016/j.jad.2023.03.077
M3 - Article
AN - SCOPUS:85151283571
SN - 0165-0327
VL - 332
SP - 29
EP - 46
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -
