Anxiety, pandemic‐related stress and resilience among physicians during the COVID‐19 pandemic

Abstract

Background: Physicians play a crucial frontline role in the COVID-19 pandemic, which may involve high levels of anxiety. We aimed to investigate the association between pandemic-related stress factors (PRSF) and anxiety and to evaluate the potential effect of resilience on anxiety among physicians. Methods: A self-report digital survey was completed by 1106 Israeli physicians (564 males and 542 females) during the COVID-19 outbreak. Anxiety was measured by the 8-item version of the Patient-Reported Outcomes Measurement Information System. Resilience was evaluated by the 10-item Connor-Davidson Resilience Scale. Stress was assessed using a PRSF inventory. Results: Physicians reported high levels of anxiety with a mean score of 59.20 ± 7.95. We found an inverse association between resilience and anxiety. Four salient PRSF (mental exhaustion, anxiety about being infected, anxiety infecting family members, and sleep difficulties) positively associated with anxiety scores. Conclusions: Our study identified specific PRSF including workload burden and fear of infection that are associated with increased anxiety and resilience that is associated with reduced anxiety among physicians.

Anxiety and Depression Symptoms in COVID-19 Isolated Patients and in Their Relatives

“…PROMIS has an established mean and SD of 50 and 10, respectively. It was validated in Hebrew using standard procedure of translation and back translation by independent bilingual English-Hebrew speakers, as described previously (10,11).…”

“…COVID-19 related stress domains were assessed with an inventory of pandemic-related stress factors (PRSF). The PRSF was compiled from questions that have been shown to be pertinent in previous research on the SARS and N1H1 pandemics (12), were adjusted for the COVID-19 pandemic and applied on a population of Israeli physicians in a previous study (11). The PRSF contain questions focusing on specific worries about contagion (e.g., anxiety about infecting family), feelings of being informed and protected by the authorities, feelings of exhaustion, and social isolation.…”

“…The PRSF were collapsed into binary values with 1 representing feeling stressed "often" or "always, " and 0 representing feeling stressed "never" or "sometimes" (11). PRSF scores were compared between groups using chi square.…”

Problemática psicosocial y de salud mental reportada por consultantes del servicio de atención telefónica Línea de la Vida, derivados a Centros de Integración Juvenil durante la epidemia de COVID-19

“…Creada para atender problemas de abuso de sustancias y de adicciones, bajo la coordinación de la Comisión Nacional contra las Adicciones (CONADIC), durante la pandemia la Línea de la Vida amplió su cobertura para dar respuesta no sólo a problemas por uso de sustancias, sino en general, a problemas de salud mental con incidencia durante la emergencia sanitaria. A partir de marzo de 2020, el Grupo Técnico de Trabajo de Salud Mental de la Secretaría de Salud ajustó sus estrategias para dar respuesta a las solicitudes de atención recibidas a través de este medio, a fin de dar cabida a la colaboración de instituciones y organizaciones que ofrecieron su apoyo para atender una demanda que mostraba un in-Los trastornos reportados más frecuentemente en el mundo son ansiedad y depresión, encontrándose tasas más altas de ansiedad entre la población de adultos jóvenes, mujeres, sectores económicamente vulnerables (Elbay et al, 2020;Hyland et al, 2020;Lin et al, 2020;Mental Health America, 2020;Qiu et al, 2020;Özdin & Bayrak Özdin, 2020;Wong et al, 2020), pacientes con un diagnóstico psiquiátrico previo (Mazza, De Lorenzo, et al, 2020) y personal de salud involucrado directa o indirectamente con la atención de población afectada por la epidemia (Luo et al, 2020;Mosheva et al, 2020;Torales et al, 2020;Savitsky et al, 2020). Por el contrario, destaca que adultos mayores, uno de los grupos más afectados en términos de mortalidad atribuible a COVID-19, muestran, según Bruine de Bruin (2020), niveles menores de depresión y ansiedad que adultos jóvenes.…”

“…En el caso de la epidemia del coronavirus SARS-CoV-2, hay un amplio número de estudios que dan cuenta de sus consecuencias en la salud mental, desde síntomas ligeros hasta trastornos graves que pueden afectar profundamente la vida de las personas, tales como depresión, ansiedad o estrés postraumático (Bruine de Bruin, 2020; Durankuş & Aksu, 2020;Elbay et al, 2020;Fitzpatrick et al, 2020;Huarcaya-Victoria, 2020;Hyland et al, 2020;Johnson et al, 2020;Jungmann & Witthöft, 2020;Karaşar & Canli, 2020;Luo et al, 2020;Martínez, 2020;Mazza, De Lorenzo et al, 2020;Mental Health America, 2020;Active Minds, 2020;Mosheva et al, 2020;Ni et al, 2020;Ozamiz-Etxebarria et al, 2020;Özdin & Bayrak Özdin, 2020;Pappa et al, 2020;Qiu et al, 2020;Ramírez-Ortiz et al, 2020;Rajkumar, 2020;Rehman et al, 2020;Salari et al, 2020;Savitsky et al, 2020;Tsamakis et al, 2020;Torales et al, 2020;Verma & Mishra, 2020;Wong et al, 2020).…”