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Results of the COVID-19 mental health international for the health professionals (COMET-HP) study: depression, suicidal tendencies and conspiracism

N Fountoulakis K 1 , N Karakatsoulis G 2 , Abraham S 3 , Adorjan K 4 , Ahmed HU 5 , Alarcón RD 6 Show all authors , Arai K 7 , Auwal SS 8 , Bobes J 9 , Bobes-Bascaran T 10 , Bourgin-Duchesnay J 11 , Bredicean CA 12 , Bukelskis L 13 , Burkadze A 14 , Cabrera Abud II 15 , Castilla-Puentes R 16 , Cetkovich M 17 , Colon-Rivera H 18 , Corral R 19 , Cortez-Vergara C 20 , Crepin P 21 , de Berardis D 22 , Zamora Delgado S 23 , de Lucena D 24 , de Sousa A 25 , di Stefano R 26 , Dodd S 27 , Elek LP 28 , Elissa A 29 , Erdelyi-Hamza B 28 , Erzin G 30 , Etchevers MJ 31 , Falkai P 4 , Farcas A 32 , Fedotov I 33 , Filatova V 34 , Fountoulakis NK 35 , Frankova I 36 , Franza F 37 , Frias P 38 , Galako T 39 , Garay CJ 31 , Garcia-Álvarez L 40 , García-Portilla P 9 , Gonda X 28 , Gondek TM 41 , Morera González D 42 , Gould H 43 , Grandinetti P 22 , Grau A 23 , Groudeva V 44 , Hagin M 45 , Harada T 46 , Hasan TM 47 , Azreen Hashim N 48 , Hilbig J 13 , Hossain S 49 , Iakimova R 50 , Ibrahim M 51 , Iftene F 52 , Ignatenko Y 53 , Irarrazaval M 54 , Ismail Z 55 , Ismayilova J 56 , Jacobs A 57 , Jakovljević M 58 , Jakšić N 59 , Javed A 60 , Yilmaz Kafali H 61 , Karia S 25 , Kazakova O 62 , Khalifa D 51 , Khaustova O 36 , Koh S 43 , Kopishinskaia S 63 , Kosenko K 64 , Koupidis SA 65 , Kovacs I 28 , Kulig B 28 , Lalljee A 66 , Liewig J 11 , Majid A 67 , Malashonkova E 11 , Malik K 29 , Iqbal Malik N 68 , Mammadzada G 69 , Mandalia B 66 , Marazziti D 70 , Marčinko D 59 , Martinez S 43 , Matiekus E 13 , Mejia G 43 , Memon RS 71 , Meza Martínez XE 72 , Mickevičiūtė D 73 , Milev R 52 , Mohammed M 74 , Molina-López A 75 , Morozov P 76 , Muhammad NS 77 , Mustač F 59 , Naor MS 78 , Nassieb A 51 , Navickas A 13 , Okasha T 51 , Pandova M 50 , Panfil AL 79 , Panteleeva L 80 , Papava I 12 , Patsali ME 81 , Pavlichenko A 54 , Pejuskovic B 82 , Pinto da Costa M 83 , Popkov M 84 , Popovic D 85 , Raduan NJN 48 , Vargas Ramírez F 23 , Rancans E 86 , Razali S 48 , Rebok F 87 , Rewekant A 88 , Reyes Flores EN 89 , Rivera-Encinas MT 90 , Saiz PA 9 , Sánchez de Carmona M 91 , Saucedo Martínez D 92 , Saw JA 48 , Saygili G 93 , Schneidereit P 94 , Shah B 95 , Shirasaka T 96 , Silagadze K 14 , Sitanggang S 97 , Skugarevsky O 98 , Spikina A 99 , Mahalingappa SS 100 , Stoyanova M 50 , Szczegielniak A 101 , Tamasan SC 79 , Tavormina G 102 , Tavormina MGM 102 , Theodorakis PN 103 , Tohen M 104 , Tsapakis EM 105 , Tukhvatullina D 106 , Ullah I 107 , Vaidya R 108 , Vega-Dienstmaier JM 109 , Vrublevska J 86 , Vukovic O 110 , Vysotska O 111 , Widiasih N 29 , Yashikhina A 63 , Prezerakos PE 112 , Berk M 27 , Levaj S 59 , Smirnova D 63

Affiliations 

  • 1 3rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece
  • 2 3rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece. gregkarakatsoulis@gmail.com
  • 3 Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UK
  • 4 Department of Psychiatry, Ludiwig-Maximilians-University, Munich, Germany
  • 5 Child Adolescent and Family Psychiatry, National Institute of Mental Health, Dhaka, Bangladesh
  • 6 Section of Psychiatry and Mental Health, Universidad Peruana Cayetano Heredia, Facultad de Medicina Alberto Hurtado, Lima, Peru
  • 7 School of Medicine and Health Science, Institute of Health Science Shinshu University, Matsumoto, Japan
  • 8 Department of Psychiatry, Bayero University, Kano, Nigeria
  • 9 Psychiatry Area, Department of Medicine, University of Oviedo, ISPA, INEUROPA. CIBERSAM, Oviedo, Spain
  • 10 Mental Health Center of La Corredoria, ISPA, INEUROPA. CIBERSAM, Oviedo, Spain
  • 11 Division of Child and Adolescent Psychiatry, Department of Psychiatry, Groupe Hospitalier Nord Essonne, Orsay, France
  • 12 Department of Neuroscience, Discipline of Psychiatry, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
  • 13 Clinic of Psychiatry, Institute of Clinical Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania
  • 14 Mental Hub, Tbilisi, Georgia
  • 15 Hospital San Juan de Dios Hospital, Guadalajara, Mexico
  • 16 Janssen Research and Development, Johnson and Johnson, American Society of Hispanic Psychiatry and WARMI Women Mental Health, Cincinnati, OH, USA
  • 17 Institute of Translational and Cognitive Neuroscience (INCyT), INECO Foundation, Favaloro University, Buenos Aires, Argentina
  • 18 APM Board Certified in General Psychiatry and Neurology, Addiction Psychiatry, and Addiction Medicine, UPMC, DDAP, Philadelphia, USA
  • 19 Department of Teaching and Research, Hospital Borda, Buenos Aires, Argentina
  • 20 Universidad Peruana Cayetano Heredia, Clínica AngloAmericana, Lima, Perú
  • 21 Sanitaire and Social Union for Accompaniment and Prevention, Center of Ambulatory Psychiatry of Narbonne and Lezigan, Narbonne, France
  • 22 Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "G. Mazzini", ASL Teramo, Teramo, Italy
  • 23 Child and Adolescent Psychiatry Department, Hospital Luis Calvo Mackenna, Santiago, Chile
  • 24 Departamento de Fisiología E Farmacología, Universidade Federal Do Ceará, Fortaleza, Ceará, Brazil
  • 25 Department of Psychiatry, Lokmanya Tilak Municipal Medical College, Mumbai, India
  • 26 Department of Biotechnological and Applied Clinical Sciences, Section of Psychiatry, University of L'Aquila, L'Aquila, Italy
  • 27 IMPACT-the Institute for Mental and Physical Health and Clinical Translation, Deakin University, School of Medicine, Barwon Health, Geelong, Australia
  • 28 Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
  • 29 Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia
  • 30 Psychiatry Department, Ankara Dışkapı Training and Research Hospital, Ankara, Turkey
  • 31 Faculty of Psychology, University of Buenos Aires (UBA), Buenos Aires, Argentina
  • 32 Centre of Neuroscience, Queen's University, Kingston, ON, Canada
  • 33 Department of Psychiatry and Narcology, Ryazan State Medical University N.a. Academician I.P. Pavlov, Ryazan, Russia
  • 34 State Budgetary Institution of the Rostov Region "Psychoneurological Dispensary", Rostov-On-Don, Russia
  • 35 Faculty of Medicine, Medical University of Sofia, Sofia Center, Bulgaria
  • 36 Medical Psychology, Psychosomatic Medicine and Psychotherapy Department, Bogomolets National Medical University, Kiev, Ukraine
  • 37 Villa Dei Pini Psychiatric Rehabilitation Center, Avellino, Italy
  • 38 Hospital Magalhães Lemos, Porto, Portugal
  • 39 Department of Psychiatry, Medical Psychology and Drug Abuse, Kyrgyz State Medical Academy, Bishkek, Kyrgyz Republic
  • 40 Department of Psychology, University of Oviedo, ISPA, INEUROPA. CIBERSAM, Oviedo, Spain
  • 41 Specialty Training Section, Polish Psychiatric Association, Wroclaw, Poland
  • 42 Instituto Nacional de Psiquiatría Ramón De La Fuente Muñiz, Mexico City, Mexico
  • 43 Department of Psychiatry, University of California San Diego, San Diego, USA
  • 44 Department of Diagnostic Imaging, University Hospital Saint Ekaterina, Sofia, Bulgaria
  • 45 Forensic Psychiatry Unit, Abarbanel Mental Health Center, Bat Yam, Israel
  • 46 Faculty of Human Sciences, Education Bureau of the Laboratory Schools, University of Tsukuba, Tokyo, Japan
  • 47 Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK
  • 48 Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
  • 49 Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
  • 50 Second Psychiatric Clinic, University Hospital for Active Treatment in Neurology and Psychiatry "Saint Naum", Sofia, Bulgaria
  • 51 Faculty of Medicine, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt
  • 52 Department of Psychiatry, Queens University, Kingston, ON, Canada
  • 53 Mental Health Clinic No 1 N.a. N.A. Alexeev of Moscow Healthcare Department, Education Center, Moscow, Russia
  • 54 Ministry of Health, Millenium Institute for Research in Depression and Personality, Santiago, Chile
  • 55 Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
  • 56 National Mental Health Center of the Ministry of Health of the Republic of Azerbaijan, Baku, Azerbaijan
  • 57 Department of Psychiatry, Westchester Medical Center Health System, Valhalla, NY, USA
  • 58 School of Medicine, University of Zagreb, Zagreb, Croatia
  • 59 Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
  • 60 Institute of Applied Health Research, University of Birmingham, Birmingham, UK
  • 61 Child Psychiatry Department, Ankara City Hospital, Ankara, Turkey
  • 62 Faculty of Medicine, Lund University, Malmö, Sweden
  • 63 International Centre for Education and Research in Neuropsychiatry (ICERN), Samara State Medical University, Samara, Russia
  • 64 Drug Abuse and Psychology Department, Odessa National Medical University, Odessa, Ukraine
  • 65 Occupational and Environmental Health Sector, Public Health Policy Department, School of Public Health, University of West Attica, Athens, Greece
  • 66 Desousa Foundation, Mumbai, India
  • 67 Department of Psychiatry, SKIMS Medical College, Srinagar, India
  • 68 Department of Psychology, University of Sargodha, Sargodha, Pakistan
  • 69 Department of Psychiatry, Azerbaijan Medical University, Baku, Azerbaijan
  • 70 Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy
  • 71 Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • 72 Postgraduate Program in Psychiatry, National Autonomous University of Honduras, Tegucigalpa, Honduras
  • 73 Private Outpatient Clinics "JSC InMedica Klinika", Vilnius, Lithuania
  • 74 Department of Clinical Services, Federal Neuropsychiatric Hospital, Kaduna, Nigeria
  • 75 General Office for the Psychiatric Services of the Ministry of Health, Mexico City, Mexico
  • 76 Department of Postgraduate Education, Russian National Research Medical University N.a. N.I. Pirogov, Moscow, Russia
  • 77 Department of Community Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
  • 78 Sackler School of Medicine New York State American Program, Tel Aviv University, Tel Aviv-Yafo, Israel
  • 79 Compartment of Liaison Psychiatry, "Pius Brinzeu" County Emergency Clinical Hospital, Timisoara, Romania
  • 80 Department of Medical Psychology, Psychiatry and Psychotherapy, Kyrgyz-Russian Slavic University, Bishkek, Kyrgyz Republic
  • 81 School of Social Sciences, Hellenic Open University, Patras, Greece
  • 82 Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • 83 Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
  • 84 Department of the Introduction to Internal Medicine and Family Medicine, International Higher School of Medicine, Bishkek, Kyrgyz Republic
  • 85 Abarbanel Mental Health Center, Bat-Yam, Israel
  • 86 Department of Psychiatry and Narcology, Riga Stradins University, Riga, Latvia
  • 87 Servicio de Emergencia, Acute Inpatient Unit, Hospital Moyano, Buenos Aires, Argentina
  • 88 General Psychiatry Unit I, Greater Poland Neuropsychiatric Center, Kościan, Poland
  • 89 Department of Psychiatry, National Autonomous University of Honduras, Tegucigalpa, Honduras
  • 90 Centro de Investigación en Salud Pública, Facultad de Medicina, Universidad de San Martín de Porres, Instituto Nacional de Salud Mental "Honorio Delgado - Hideyo Noguchi", Lima, Perú
  • 91 Faculty of Health Sciences, Anahuac University, Mexico City, Mexico
  • 92 Department of Psychiatry, Escuela Nacional de Medicina, TEC de Monterrey. Servicio de Geriatría. Hospital Universitario "José Eleuterio González" UANL, Monterrey, Nuevo León, México
  • 93 Assistant Professor at Cognitive Science and Artificial Intelligence Department, Tilburg University, Tilburg, The Netherlands
  • 94 Klinik Für Allgemeine Psychiatrie Und Psychotherapie Ost, Psychiatrische Institutsambulanz, Klinikum Am Weissenhof, Weissenhof, Germany
  • 95 DY Patil Medical College, Navi Mumbai, India
  • 96 Department of Psychiatry, Teine Keijinkai Medical Center, Sapporo, Japan
  • 97 Psychiatric Unit, Pambalah Batung General Hospital, South Kalimantan, Amuntai, Indonesia
  • 98 Department of Psychiatry and Medical Psychology, Belarusian State Medical University, Minsk, Belarus
  • 99 Saint Petersburg Psychoneurological Dispensary No2, Saint Petersburg, Russia
  • 100 Derbyshire Healthcare NHS Foundation Trust, The Liasion Team, Royal Derby Hospital, Derby, Derbyshire, UK
  • 101 Department of Psychiatric Rehabilitation, Department of Psychiatry and Psychotherapy, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
  • 102 Psychiatric Studies Centre, Provaglio d'Iseo, Italy
  • 103 Health Policy, WHO Regional Office for Europe, Copenhagen, Denmark
  • 104 Department of Psychiatry and Behavioral Sciences, School of Medicine, University of New Mexico, Albuquerque, NM, USA
  • 105 Agios Charalambos Mental Health Clinic, Heraklion, Crete, Greece
  • 106 Centre for Global Public Health, Institute of Population Health Sciences, Queen Mary University of London, London, UK
  • 107 Kabir Medical College, Gandhara University, Peshawar, Pakistan
  • 108 Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK
  • 109 Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú
  • 110 Department of Internal Medicine, Nicosia General Hospital, Nicosia, Cyprus
  • 111 Department for Research and Education, Institute of Mental Health, Belgrade, Serbia
  • 112 Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia
Soc Psychiatry Psychiatr Epidemiol, 2023 Sep;58(9):1387-1410.
PMID: 36867224 DOI: 10.1007/s00127-023-02438-8

Abstract

INTRODUCTION: The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak.

MATERIALS AND METHODS: The data came from the larger COMET-G study. The study sample includes 12,792 health professionals from 40 countries (62.40% women aged 39.76 ± 11.70; 36.81% men aged 35.91 ± 11.00 and 0.78% non-binary gender aged 35.15 ± 13.03). Distress and clinical depression were identified with the use of a previously developed cut-off and algorithm, respectively.

STATISTICAL ANALYSIS: Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses, and Factorial Analysis of Variance (ANOVA) tested relations among variables.

RESULTS: Clinical depression was detected in 13.16% with male doctors and 'non-binary genders' having the lowest rates (7.89 and 5.88% respectively) and 'non-binary gender' nurses and administrative staff had the highest (37.50%); distress was present in 15.19%. A significant percentage reported a deterioration in mental state, family dynamics, and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (24.64% vs. 9.62%; p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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