The Emotional Burden of COVID 19 in Frontline Health Care Workers at A Tertiary Care Hospital in Pakistan
DOI:
https://doi.org/10.51985/LLFV9024Keywords:
Anxiety, Depression, Health care workers, StressAbstract
Objective: To assess the levels of depression, anxiety and stress in frontline health care workers dealing with COVID 19
patients.
Study Design and Setting: This cross-sectional study was conducted at PNS Shifa hospital from 1st June 2020 to 14th June
2020.
Methodology: Total n=124 health care workers were assessed using Depression, Anxiety and stress scale(DASS 21). All
health care workers who dealt with COVID 19 patients were approached and asked to participate after an informed consent.
The scale was administered by a doctor who contacted the health care workers directly working with COVID 19 patients
through video call and those previously working in this pandemic were contacted in person. The SPSS 20 package program
was used for statistical analysis. Quantitative Variables like age were described as mean ± SD. Cross tabulation and Chi-
Squared Test were used to identify which of the independent variables had significant influence on the outcome.
Results: Total 31(25%) health care workers out of 124 exhibited features of depression whereas 49(39.5%) health care
workers showed features of anxiety. Total n=26(21%) health care workers were found to be under stress. It was also seen
that depression and anxiety was more common in females and health care workers working as residents, house officers
and nursing assistants.
Conclusion: This study showed COVID 19 can cause significant distress in health care workers therefore all health care
workers dealing with COVID 19 patient should be regularly monitored for psychological symptoms.
References
Worldometer Coronavirus pandemic reported cases and deaths. Available at: www.worldometers.info/coronavirus/ coronavirus-cases/. (Accessed July 11,2020.)
Government of Pakistan. Coronavirus in Pakistan. Available at: http://covid.gov.pk/. (Accessed July 11, 2020.)
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry. 2020;7(3):e14. doi: 10.1016/s2215-0366(20)30047-x
Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L et al. Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020;7(4):e15-e16. doi:10.1016/s2215-0366(20)30078-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. doi: https://doi.org/10.1136/bmj.m1211
Vieta E, Pérez V, Arango C. Psychiatry in the aftermath of COVID-19. Revista de Psiquiatría y Salud Mental. 2020;13(2):105-110. doi:https: 10.1016/j.rpsm.2020.04.004
Urooj U, Ansari A, Siraj A, Khan S, Tariq H. Expectations, Fears and Perceptions of doctors during Covid-19 Pandemic. Pakistan Journal of Medical Sciences. 2020;36(COVID19-S4):S37-S42. Doi: 10.12669/pjms.36.covid19-s4.2643
Pappa S, Ntella V, Giannakas T, Giannakoulis V, Papoutsi E, Katsaounou P. Prevalence of Depression, Anxiety, and Insomnia Among Healthcare Workers During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Brain Behave Immun. 2020.88;901-7.Doi:10.2139/ssrn.3594632
Du J, Dong L, Wang T, Yuan C, Fu R, Zhang L et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. General Hospital Psychiatry. 2020.doi:10.1016/j.genhosppsych.2020.03.011 [Epub ahead of print]
Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua lao Dong wei Sheng zhi ye Bing za zhi = Zhonghua Laodong Weisheng Zhiyebing Zazhi = Chinese Journal of Industrial Hygiene and Occupational Diseases. 2020 Mar;38(3):192-5. DOI: 10.3760/cma.j.cn121094-20200219-00063.
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020 03 2;3(3):e203976. doi;10.1001/ jamanetworkopen.2020.3976
Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T,et al. Timely mental health care for the 2019 novel Coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7:228–9. doi: 10.1016/s2215-0366(20)30046-8
Amin F,Sharif S, Saeed R, Durrani N,Jilani D. COVID-19 Pandemic- Knowledge, Perception, Anxiety and Depression Among Frontline Doctors of Pakistan. Research Square. 2020. doi: https://doi.org/10.21203/rs.3.rs-27559/v1
Lovibond, S.H. and Lovibond, P.F. (1995) Manual for the Depression Anxiety Stress Scales. 2nd Edition, Psychology Foundation, Sydney.
Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research. 2020;288:112936. doi:10.1016/j.psychres.2020.112936
Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. [COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review]. Psychiatr Prax. 2020;47(4):190-7. doi:10.1055/a-1159-5551.
Zhang W, Wang K, Yin L, Zhao W, Xue Q, Peng M,et al: Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom 2020;89:242-50. doi: 10.1159/000507639
Chua S, Cheung V, McAlonan G, Cheung C, Wong J, Cheung E et al. Stress and Psychological Impact on SARS Patients during the Outbreak. The Canadian Journal of Psychiatry. 2004;49(6):385-90. doi:10.1177/070674370404900607.
Lam M. Mental Morbidities and Chronic Fatigue in Severe Acute Respiratory Syndrome Survivors. Archives of Internal Medicine.2009;169(22):2142.doi 10.1001/archinternmed. 2009.384
Okusaga O, Yolken R, Langenberg P, Lapidus M, Arling T, Dickerson F et al. Association of seropositivity for influenza and coronaviruses with history of mood disorders and suicide attempts. Journal of Affective Disorders. 2011;130(1-2):220-225. doi: 10.1016/j.jad.2010.09.029
Shi Y, Wang Y, Shao C, Huang J, Gan J, Huang X et al. COVID-19 infection: the perspectives on immune responses. Cell Death & Differentiation. 2020;27(5):1451-1454. doi:10.1038/s41418-020-0530-3
Tan BY, Chew NW, Lee GK, Jing M, Goh Y, Yeo LL et al. Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Ann Intern Med. 2020;M20-1083 DOI:10.7326/M20-1083.
Munawar K, Choudhry FR. Exploring Stress Coping Strategies of Frontline Emergency Health Workers dealing Covid-19 in Pakistan: A Qualitative Inquiry. American Journal of Infection Control. 2020 Jul 7. doi.org/10.1016/j.ajic.2020.06.214 [Epub ahead of print]
Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y,et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of Coronavirus disease 2019 (COVID-19) in Hubei, China. Med Sci Monit. 2020, 26:e924171. Doi:10.12659/ MSM.924171
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Copyright (c) 2021 Muhammad Siddique Kakar, Shehzad Rauf, Umer Jalal, Waseem Ahmed Khan, Isbah Gul
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