Investigation of mental health among hospital workers in the COVID-19 pandemic
a cross-sectional study
Keywords:
Anxiety, COVID-19 virus disease, Depression, PandemicsAbstract
BACKGROUND: The rapid spread of the COVID-19 epidemic has led to extraordinary measures taken worldwide, and has led to serious psychological disorders. Healthcare professionals face greater severity of stress burden, due both to their direct contact with patients with the virus and to the isolation dimension of this outbreak. OBJECTIVE: To examine psychiatric disorders such as anxiety, depression and sleep disorders among healthcare professionals working in an emergency department and a COVID-19 clinic. DESIGN AND SETTING: Cross-sectional study including healthcare professionals in the emergency department and other units serving patients with COVID-19, of a training and research hospital in Turkey. METHODS: 210 volunteers, including 105 healthcare professionals in the emergency department and 105 healthcare professionals working in other departments rendering services for COVID-19 patients, were included in this study. A sociodemographic data form and the Hospital Anxiety Depression Scale (HAD), Pittsburg Sleep Quality Index (PSQI), World Health Organization Quality of Life scale (WHOQOL-BREF-TR) and Religious Orientation Scale were applied to the volunteers. RESULTS: The perceived stress levels and PSQI subscores were found to be significantly higher among the volunteers working in the emergency department than among those in other departments. The risk of development of anxiety among women was 16.6 times higher than among men. CONCLUSIONS: Healthcare professionals on the frontline need systematic regular psychosocial support mechanisms. Anxiety due to fear of infecting family members can be prevented through precautions such as isolation. However, it should be remembered that loneliness and feelings of missing family members consequent to isolation may increase the risk of depression.
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References
TC Sağlık Bakanlığı. Türkiye'deki Güncel Durum. Türkiye günlük koronavirüs tablosu. Available from: https://covid19.saglik.gov.tr/ Accessed in 2020 (May 27).
COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). Available from: https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6 Accessed in 2020 (May 27).
Stein MB. Editorial: COVID-19 and anxiety and depression in 2020. Depress Anxiety. 2020;37(4):302. PMID: 32266767; doi: 10.1002/da.23014.
Kang L, Li Y, Hu S, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7(3):e14. PMID: 32035030; doi: 10.1016/S2215-0366(20)30047-X.
Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during COVID-19 pandemic. BMJ. 2020;368:m1211. PMID: 32217624; doi: 10.1136/bmj.m1211.
Juruena MF, Bocharova M, Agustini B, Young AH. Atypical depression and non-atypical depression: Is HPA axis function a biomarker? A systematic review. J Affect Disord. 2018;233:45-67. PMID: 29150144; doi: 10.1016/j.jad.2017.09.052.
Juruena MF, Pariante CM, Papadopoulos AS, et al. Prednisolone suppression test in depression: Prospective study of the role of HPA axis dysfunction in treatment resistance. Br J Psychiatry. 2009;194(4):342-9. PMID: 19336786; doi: 10.1192/bjp.bp.108.050278.
Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70. PMID: 6880820; doi: 10.1111/j.1600-0447.1983.tb09716.x.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. PMID: 2748771; doi: 10.1016/0165-1781(89)90047-4.
The World Health Organization Quality of Life Assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med. 1998;46(12):1569-85. PMID: 9672396; doi: 10.1016/s0277-9536(98)00009-4.
Allport GW, Ross JM. Personal religious orientation and prejudice. J Pers Soc Psychol. 1967;5(4):432-43. PMID: 6051769; doi: 10.1037/0022-3514.5.4.432.
Wong ML, Anderson J, Knorr T, Joseph JW, Sanchez LD. Grit, anxiety, and stress in emergency physicians. Am J Emerg Med. 2018;36(6):1036-9. PMID: 29502975; doi: 10.1016/j.ajem.2018.02.021.
González-Cabrera JM, Fernández-Prada M, Iribar C, et al. Acute stress and anxiety in medical residents on the emergency department duty. Int J Environ Res Public Health. 2018;15(3):506. PMID: 29534002; doi: 10.3390/ijerph15030506.
Stetler C, Miller GE. Depression and hypothalamic-pituitary-adrenal activation: A quantitative summary of four decades of research. Psychosom Med. 2011;73(2):114-26. PMID: 21257974; doi: 10.1097/PSY.0b013e31820ad12b.
Moran TP. Anxiety and working memory capacity: A meta-analysis and narrative review. Psychol Bull. 2016;142(8):831-64. PMID: 26963369; doi: 10.1037/bul0000051.
Disner SG, Beevers CG, Haigh EA, Beck AT. Neural mechanisms of the cognitive model of depression. Nat Rev Neurosci. 2011;12(8):467-77. PMID: 21731066; doi: 10.1038/nrn3027.
Schaefer M, Gotthardt DN, Ganion N, et al. Wilson disease: Health-related quality of life and risk for depression. Clin Res Hepatol Gastroenterol. 2016;40(3):349-56. PMID: 26549350; doi: 10.1016/j.clinre.2015.09.007.
Sarma SI, Byrne GJ. Relationship between anxiety and quality of life in older mental health patients. Australas J Ageing. 2014;33(3):201-4. PMID: 25346973; doi: 10.1111/ajag.12102.
Yonkers KA, Bruce SE, Dyck IR, Keller MB. Chronicity, relapse, and illness − Course of panic disorder, social phobia, and generalized anxiety disorder: Findings in men and women from 8 years of follow-up. Depress Anxiety. 2003;17(3):173-9. PMID: 12768651; doi: 10.1002/da.10106.
Khan P, Qayyum N, Malik F, et al. Incidence of Anxiety and Depression Among Patients with Type 2 Diabetes and the Predicting Factors. Cureus. 2019;11(3):e4254. PMID: 31131177; doi: 10.7759/cureus.4254.
Masmoudi J, Damak R, Zouari H, et al. Prevalence and Impact of Anxiety and Depression on Type 2 Diabetes in Tunisian Patients over Sixty Years Old. Depress Res Treat. 2013;2013:341782. PMID: 23853718; doi: 10.1155/2013/341782.
Botha E, Gwin T, Purpora C. The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database System Rev Implement Rep. 2015;13(10):21-9. PMID: 26571279; doi: 10.11124/jbisrir-2015-2380.
Wang J. Work stress as a risk factor for major depressive episode(s). Psychol Med. 2005;35(6):865-71. PMID: 15997606; doi: 10.1017/s0033291704003241.