Anxiety, Distress, and Turnover Intention of Healthcare Workers in Peru by Their Distance to the Epicenter during the COVID-19 Crisis

Yáñez, Jaime A.; Jahanshahi, Asghar Afshar; Álvarez-Risco, Aldo; Li, Jizhen; Zhang, Stephen X.

doi:10.4269/ajtmh.20-0800

Cited by 154 publications

(158 citation statements)

References 46 publications

(88 reference statements)

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“…Previous literature revealed that geographical distance from the epicenter as an important prognosticator during catastrophic events [19]. In the present study the ndings overall showed that participants residing distantly from the epicenter have better mental health with less distress and anxiety, supporting the ripple effect rather than the typhoon eye effect [7,17]. However, the association can diverge based on individuals' family size.…”

Section: Discussionsupporting

confidence: 56%

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Typhoon Eye Effect Vs. Ripple Effect: The Role of Family Size on the Mental Health Under the Covid-19 Pandemic in Pakistan

Lateef

Chen

Tahir

et al. 2020

Preprint

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Background: The recent outbreak of COVID-19 impacts the mental health of people worldwide. The mental conditions and the associated predictors of adults in Pakistan, the fifth most populous country in the world, during the COVID-19 remains understudied. We aim to investigate distress, anxiety and overall mental health and their associated predictors among Pakistani adults in this pandemic. We specifically examine the mental health issues based on the distance to the epicenter, a predictor that has revealed opposing evidence in other countries based on the theories of typhoon eye effect and ripple effect. The samples consist of 601 adults who were surveyed online about 2.5 months into the outbreak across Pakistan with varying distance to the epicenter of COVID-19 of Karachi in Pakistan. Results: The results showed that 9.2% and 19.0% of the participants surpassed the cut-off of distress and anxiety disorders, respectively. Overall, the distance to the epicenter positively predicted the mental health of adults in Pakistan, and family size negatively moderated this effect. The distance to the epicenter negatively predicted distress and anxiety disorders for adults in large families, which are quite common in Pakistan. Conclusion: The evidence of the study interestingly finds the prediction of the mental health of people by their distance to the epicenter depends on the family. The evidence of this study can help to provide the initial indicator for mental health care providers to screen vulnerable groups in Pakistan, a populous country that continues to struggle to cope with the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 56%

“…As COVID-19 spreads, a psychological panic among the public happened across the country, as it has happened in other countries as well such as China, Iran, Italy, Peru, Bolivia, etc. [2][3][4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Typhoon Eye Effect Vs. Ripple Effect: The Role of Family Size on the Mental Health Under the Covid-19 Pandemic in Pakistan

Lateef

Chen

Tahir

et al. 2020

Preprint

Self Cite

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“…This critical situation, set in a context of great vulnerability, can lead to a feeling of extreme helplessness among the population, which particularly affects mental health (Llibre-Guerra et al, 2020). Thus, recent studies in Latin American countries have found that health care workers have symptoms of anxiety and distress (Chen et al, 2020b;Yáñez et al, 2020;Zhang et al, 2020); while, in other studies, almost half reported symptoms of depression (Guiroy et al, 2020). However, despite the fact that some studies have reported that these symptoms occur to a greater extent in the population between 18 and 28 years of age (Cortés-Álvarez et al, 2020), hardly any studies have been carried out in university students.…”

Section: Covid-19 In Latin Americamentioning

confidence: 99%

Fear of COVID-19, Stress, and Anxiety in University Undergraduate Students: A Predictive Model for Depression

et al. 2020

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Depression is a disabling illness which increases the risk of suicide. The Corona Virus Disease 2019 (COVID-19) pandemic has led to a rise in fear, anxiety, stress, and depression among the population: of these, university undergraduates from countries severely affected by COVID-19 are some of the most vulnerable of all, as they face strict lockdown measures and have fewer resources to cope with it. The aim of this study was to analyze the levels of fear of COVID-19, stress, anxiety, and depression during lockdown among undergraduates from Ecuador, and to test these possible predictors of depression using a model taken from our study of the scientific literature. A total of 640 undergraduates (72% women) between 18 and 47 years old (M = 21.69; S.D = 4.093) were surveyed. The resulting mean levels found for stress, anxiety, and depression were above levels considered non-pathological. Women showed higher levels of fear of COVID-19 than men. The statistical prediction for depression showed a good fit. This depression could be related: both directly and positively by fear of COVID-19 and stress, and indirectly, as a result of these two factors, positively mediated by anxiety. Our study concludes by highlighting the important role that the complex relationships between fear, stress, and anxiety can play in the development of depression symptoms and how they can be taken into account in programs aimed at preventing and alleviating this disorder. We propose some general measures for reducing fear of COVID-19 and stress and suggest that specific programs be designed to control and overcome anxiety among undergraduates.

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“…The anxiety subscale consists of questions 2, 4, 7, 9, 15, 19, and 20, and the score ranges are as follows: normal/no anxiety (0-7), mild anxiety (8)(9), moderate anxiety (10)(11)(12)(13)(14), severe anxiety (15)(16)(17)(18)(19), and extremely severe anxiety (20 and above). The stress subscale consists of questions 1, 6, 8, 11, 12, 14 and 18, and the score ranges are as follows: normal/no stress (0-14), mild stress (15)(16)(17)(18), moderate stress (19)(20)(21)(22)(23)(24)(25), severe stress (26)(27)(28)(29)(30)(31)(32)(33), and extremely severe stress (34 and above). Example items include "I couldn't seem to experience any positive feeling at all" (depression), "I was aware of dryness of my mouth" (anxiety), and "I found it hard to wind down" (stress).…”

mentioning

confidence: 99%

<p>Mental Health Impact of COVID-19 on Quarantine Hotel Employees in China</p>

Teng¹,

Wu²,

Lin³

et al. 2020

RMHP

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Background: The COVID-19 pandemic has had a far-reaching and unprecedented influence on economies worldwide. It has also impacted on the global population's mental health and caused negative psychosocial effects, which may lead to psychological crises. During the pandemic, the challenges for quarantine hotel employees are not only the increased workloads created by operating a quarantine hotel but also high psychological stress associated with job insecurity, risk of exposure and contagion for themselves, their friends and families. This research attempts to explore COVID-19-related depression, anxiety, and stress among quarantine hotel employees in China. The mental health of quarantine hotel employees, who have faced unprecedented changes, is paramount while they provide hospitality and care for healthcare workers and quarantine guests during mandatory quarantine periods. Methods: This is a cross-sectional study that applied convenience sampling to collect questionnaire samples from 170 quarantine hotel employees in Xiamen, Fujian Province, China, during the COVID-19 pandemic, from May 20 to June 10, 2020. The Depression, Anxiety, and Stress Scale (DASS-21) was used to collect data. The study uses descriptive analysis, chi-square test and binary logistic regression to examine the sociodemographic factors associated with depression, anxiety and stress levels during the COVID-19 pandemic. Results: The results reveal that 43.5% of respondents report moderate to extremely severe symptoms of depression; 68.2% have moderate to extremely severe anxiety symptoms; and 8.2% indicated moderate to extremely severe stress symptoms. Quarantine hotel employees who have a higher level of education are less likely to experience anxiety, and those with higher incomes are less likely to experience depression. Discussion: In order to mitigate the increasing levels of anxiety and depression among their staff, quarantine hoteliers or managers urgently need to implement mental health assistance programs, such as providing extra training in hygiene and knowledge about COVID-19, offering online counseling and psychological support services, training in positive thinking, encouraging staff to keep in touch with their personal support networks, and constructing a resilience model.

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Anxiety, Distress, and Turnover Intention of Healthcare Workers in Peru by Their Distance to the Epicenter during the COVID-19 Crisis

Cited by 154 publications

References 46 publications

Typhoon Eye Effect Vs. Ripple Effect: The Role of Family Size on the Mental Health Under the Covid-19 Pandemic in Pakistan

Typhoon Eye Effect Vs. Ripple Effect: The Role of Family Size on the Mental Health Under the Covid-19 Pandemic in Pakistan

Fear of COVID-19, Stress, and Anxiety in University Undergraduate Students: A Predictive Model for Depression

<p>Mental Health Impact of COVID-19 on Quarantine Hotel Employees in China</p>

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