Al-Hassani, Z., Al-Hemiary, N. (2023). Anxiety, Depression and Stress Symptoms among Physicians Working with COVID 19 Patients. Alustath, 22(3), 244-250. doi: 10.52573/ipmj.2023.181127
Zainab Sinan Al-Hassani; Nesif Jasim Al-Hemiary. "Anxiety, Depression and Stress Symptoms among Physicians Working with COVID 19 Patients". Alustath, 22, 3, 2023, 244-250. doi: 10.52573/ipmj.2023.181127
Al-Hassani, Z., Al-Hemiary, N. (2023). 'Anxiety, Depression and Stress Symptoms among Physicians Working with COVID 19 Patients', Alustath, 22(3), pp. 244-250. doi: 10.52573/ipmj.2023.181127
Al-Hassani, Z., Al-Hemiary, N. Anxiety, Depression and Stress Symptoms among Physicians Working with COVID 19 Patients. Alustath, 2023; 22(3): 244-250. doi: 10.52573/ipmj.2023.181127

Anxiety, Depression and Stress Symptoms among Physicians Working with COVID 19 Patients

Iraqi Postgraduate Medical Journal
Article 2, Volume 22, Issue 3, July 2023, Pages 244-250    PDF (196.65 K)
DOI: 10.52573/ipmj.2023.181127
Authors
Zainab Sinan Al-Hassani1; Nesif Jasim Al-Hemiary2
1Department of Psychiatry, Baghdad Teaching Hospital., Baghdad, Iraq
2Iraqi Board of Medical Specialization
Abstract
BACKGROUND:
Since the end of December 2019, the world has been fighting one of the most serious pandemics in human history due to coronavirus disease 2019 (COVID-19). A pandemic that makes health care workers susceptible of developing depressive, anxiety symptoms now or in the future.
OBJECTIVE:    
To identify symptoms of depression, anxiety and stress among physicians managing COVID 19 patients in Iraq and to ascertain association with socio-demographic and clinical variables.
SUBJECTS AND METHODS:
A cross-sectional study (descriptive and analytical) was done from the 1st of September to the 1st of November 2020. Physicians working in different Iraqi health care institutions (general hospitals, primary health care centers and COVID 19 quarantine centers) were asked to submit an online survey.
RESULTS:
Out of the 656 physicians who were included in this study, 61.9% had stress symptoms, 27.0% had anxiety symptoms and 27.1% had depressive symptoms.
Stress related symptoms were more prevalent in younger age, females, single physicians, having less years of experience and lower academic degree, working in COVID 19 isolation wards, avoiding contact with the family and being infected with COVID 19. These factors were positively associated with developing stress symptoms.  Anxiety symptoms were positively associated with married physicians and working in COVID 19 isolation wards. Depression was not significantly associated with any of the studied variables.
CONCLUSION:
COVID 19 pandemic negatively impacts the psychological status of physicians as depression, anxiety and stress symptoms were found in different levels. 
 
Keywords
COVID 19; physicians; anxiety; depression; stress
References
  1. Sheraton , Deo  N., Dutt  T., Surani  S., Flavin D., and Kashyap  R., "Psychological effects of the COVID 19 pandemic on healthcare workers globally: A systematic review", Psychiatry Research, 2020 ;292, 113360. https://doi.org/10.1016/j.psychres.2020.113360
  2. Zerbini G, Ebigbo A, Reicherts P, Kunz M, Messman H, "Psychosocial burden of healthcare professionals in times of COVID-19 – a survey conducted at the University Hospital Augsburg". GMS GerMedSci.;2020;18:5.
    DOI: 10.3205/000281, URN: urn:nbn:de:0183-0002812.
  3. Salari N., Hosseinian-Fa A., Jalali R., Vaisi-Raygan A., et al., 2020, "Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis", Globalization and Health (2020) 16:57. https://doi.org/10.1186/s12992-020-00589-w.
  4. Greenberg N., " Mental health of health-care workers in the COVID-19 era", The Health Protection Research Unit,2020, vol.16 https://doi.org/10.1038/s41581-020-0314-5.
  5. Dai Y., Hu G., Xiong H., Qiu H., Yuan X., "Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China", 2020, medRxiv preprint doi: https://doi.org/1101/2020.03.03.20030874
  6. Spoorthy M.S., Praptapa S.K., Mahant S., "Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review ",Asian Journal of Psychiatry, 2020,51, 102-119, https://doi.org/10.1016/j.ajp.2020.102119.
  7. Wang H., Liu Y., Hu K., Zhang M., Du M., Huang H., Yue X., " Healthcare workers’ stress when caring for COVID-19 patients: An altruistic perspective", Nursing Ethics , 2020, 1–11.
  8. Cai Q., Feng H., Huang J., Wang M., Wang Q.,LuX.,Xie Y., Wang X., Liu Z., Hou B., Ouyang K.,  Pan J. ,  Li Q. , Fu B.,Deng Y.., Liu, , 2020, "The mental health of frontline and non-frontline medical workers during the coronavirus disease  (COVID-19) outbreak in China: A case-control study", Journal of Affective Disorders, 2019, 275 , 210–215, https://doi.org/10.1016/j.jad.2020.06.031
  9. .Badahdah A., Khamis F., Al Mahyijari N., et al., "The mental health of health care workers in Oman during the COVID-19 pandemic", International Journal of Social Psychiatry, 2020 ,1–6. DOI: 10.1177/0020764020939596.
  10. Xiao X., Zhu X., Fu S., Hu Y., Li X., Xiao J., " Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation", Journal of Affective Disorders, 2020,274, 405–410. https://doi.org/10.1016/j.jad.2020.05.081.
  11. Taouk Moussa M, Lovibond P, Laube R, Megahead H. Psychometric Properties of an Arabic Version of the Depression Anxiety. Stress Scales (DASS) 2016.
  12. Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology. 2005;44(2):227-39.
  13. Chatterjee SS, Bhattacharyya R, Bhattacharyya S, Gupta S, Das S, Banerjee BB. Attitude, practice, behavior, and mental health impact of COVID-19 on doctors. Indian J Psychiatry 2020;62: 257-265.
  14. Elbay R.Y., Kurtulmuş A., Arpacıoğlu S., Karadere E., "Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics",Psychiatry Research, 2020,290,113130.https://doi.org/10.1016/j.psychres.2020.113130
  15. Lia J., Ma S., Wang Y., Cai Z., Hu J., Wei N., Wu J., Chen T., Li R., Tan H., Kang L., Huang M., Wang H., Wang G., Liu Z., Hu S., "Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019", Jama network open, 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.
  16. Khalaf, O.O., Khalil, M.A. & Abdelmaksoud, R. Coping with depression and anxiety in Egyptian physicians during COVID-19 pandemic. Middle East Curr Psychiatry,2020,27,63.https://doi.org/10.1186/s43045-020-00070-9.
  17. Kannampallil T.G., Goss C.W., Evanoff B.A., Strickland J.R., McAlister R.P., Duncan J.,"Exposure to COVID-19 patients increases physician trainee stress and burnout".,2020 PLoSONE15:e0237301.https://doi.org/10.1371/journal.pone.023730.
  18. Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, Miao J, Zhang C, Yang Y, Sun W, Zhu S, Fan Y, Chen Y, Hu J, Liu J, Wang W. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine. 2020, vol(24) ,100443. doi: 10.1016/j.eclinm.2020.100443. PMID: 32766545; PMCID: PMC7311903.
  19. Shechter A., Diaz F., Moise N., Anstey D.E., Ye S., et al.,"Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic", General Hospital Psychiatry, 2020, 66, 1–8, https://doi.org/10.1016/j.genhosppsych.2020.06.007.
  20. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, Zhuang Q. 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 ,15;26:e924171. doi: 10.12659/MSM.924171. PMID: 32291383; PMCID: PMC7177038.
  21. Fatih Çalişkan, Burhan Dost. The Evaluation of Knowledge, Attitudes, Depression and Anxiety Levels among Emergency Physicians during the COVID-19 Pandemic. Signa Vitae. 2020. 16(1);163-171.
  22. Hasan SR, Hamid Z, Jawaid MT, Ali RK. Anxiety among Doctors during COVID-19 Pandemic in Secondary and Tertiary Care Hospitals. Pak J Med Sci. 2020, 36(6):1360-1365. doi: 10.12669/pjms.36.6.3113. PMID: 32968409; PMCID: PMC7501049.
  23. Amin F., Sharif S., Saeed R., Durrani N., Jilani D., " COVID-19 pandemic- knowledge, perception, anxiety and depression among frontline doctors of Pakistan", BMC Psychiatry,2020, 20:459 . https://doi.org/10.1186/s12888-020-02864-x .
  24. Que J, Shi L, Deng J, Liu J, Zhang L, Wu S, Gong Y, Huang W, Yuan K, Yan W, Sun Y, Ran M, Bao Y, Lu L. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr. 2020 Jun 14;33(3):e100259. doi: 10.1136/gpsych-2020-100259. PMID: 32596640; PMCID: PMC7299004.
 

Statistics
Article View: 86
PDF Download: 77


Journal Management System. Powered by ejournalplus.com