COVID-19 pandemic and psychological wellbeing among health care workers and general population: A systematic-review and meta-analysis of the current evidence from India

Singh, Rajesh Kumar; Bajpai, Ram; Kaswan, Pradeep

doi:10.1016/j.cegh.2021.100737

Cited by 37 publications

(31 citation statements)

References 41 publications

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“…Mehta et al have reported that many healthcare workers are concerned about anxiety, depression, burnout, insomnia, and moral distress under unusual circumstances, which force wearing cumbersome and uncomfortable personal protective equipment and keeping up with emerging knowledge and new technologies of COVID-19 ( 10 ). Singh et al ( 8 ) systematic review meta-analysis has also shown that healthcare workers experienced a crisis of psychological well-being. In addition, our study revealed that healthcare workers bear an additional burden of nursing care for elderly patients in the aging society.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study has shown that clinicians and clinical teams for COVID-19 patient care had struggled with the complexity of providing high-quality care because of the following difficulties: crisis capacity, resource limitation, and multiple unprecedented barriers to care delivery ( 6 , 7 ). In addition, healthcare workers had a higher prevalence of stress, anxiety, depression, and psychological distress than the general population during the COVID-19 pandemic ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

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Increasing Burden of Nursing Care on the Treatment of COVID-19 Patients in the Aging Society: Analyses During the First to the Third Wave of Pandemic in Kyoto City, Japan

et al. 2021

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Background: The coronavirus disease 2019 (COVID-19) pandemic is associated with a heavy burden on patient's mental and physical health, regional healthcare resources, and global economic activity. An aging society such as Japan has many retirement homes and long-term stay hospitals for the elderly and their inhabitants. During the COVID-19 pandemic, disease clusters are often identified in retirement homes and long-term stay hospitals. Although we hypothesize that additional burdens of nursing care for elderly patients will reinforce the anxiety and exhaustion of medical staff and healthcare resources in the aging society, the actual situation is not well understood. In this study, we aimed to evaluate the current situation and countermeasures of the COVID-19 pandemic in the aging society.Methods: We reviewed COVID-19 patients who required hospitalization at the National Hospital Organization Kyoto Medical Center, a 600-bed capacity hospital located in Kyoto, Japan, between 1 April 2020 and 31 March 2021. We assessed the characteristics of the COVID-19 patients, disease severity, duration of hospitalization, outcome at discharge, degree of activities of daily living (ADLs), and complications unique to elderly patients.Results: We enrolled 118 patients who required hospitalization during the study period. Approximately 40% of the patients were aged ≥ 80 years. Dementia (27.1%) was the most prevalent underlying disease, followed by diabetes mellitus (23.7%) and chronic kidney disease (23.7%). Approximately 60% of hospitalized COVID-19 patients had impaired ADL at admission. The COVID-19 patients aged 80 years or older required significantly more longer-term hospitalization than the COVID-19 patients aged under 80 years (15.5 ± 8.2 vs. 13.1 ± 7.7, P = 0.032). In elderly patients aged 80 years or older, approximately 50% of patients had geriatric mental disorders, and approximately 70% had bedridden status and feeding difficulty. Poor ADL at admission was significantly associated with COVID-19 mortality (Odds ratio, 5.6; 95% confidence interval, 1.04–45.2; p-value = 0.044).Conclusions: The proportion of elderly patients aged 80 years or older was relatively high during the hospitalization for COVID-19. Poor ADL at admission in these elderly patients was significantly associated with poor prognosis of COVID-19. We should keep in mind that healthcare workers are forced to have an additional burden of nursing care in the aging society during the COVID-19 pandemic. Therefore, interventions to reduce the burden are urgently required.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Increasing Burden of Nursing Care on the Treatment of COVID-19 Patients in the Aging Society: Analyses During the First to the Third Wave of Pandemic in Kyoto City, Japan

et al. 2021

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“…Various Indian researches including a systematic review and meta-analysis (during COVID-19) also throws light on the presence of high levels of stress-related disorder among health care workers such as anxiety, depression, insomnia, hopelessness during the pandemic [ 28 – 30 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and severity of secondary traumatic stress and optimism in Indian health care professionals during COVID-19 lockdown

Manohar

Parashar²,

Verma

et al. 2021

PLoS ONE

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Background The COVID-19 pandemic has brought to light the lacunae in the preparedness of healthcare systems across the globe. This preparedness also includes the safety of healthcare providers (HCPs) at various levels. Sudden spread of COVID-19 infection has created threatening and vulnerable conditions for the HCPs. The current pandemic situation has not only affected physical health of HCPs but also their mental health. Objective This study aims to understand the prevalence and severity of secondary traumatic stress, optimism parameters, along with states of mood experienced by the HCPs, viz., doctors, nurses and allied healthcare professionals (including Physiotherapist, Lab technicians, Phlebotomist, dieticians, administrative staff and clinical pharmacist), during the COVID-19 lockdown in India. Methodology The assessment of level of secondary traumatic stress (STS), optimism/pessimism (via Life Orientation Test-Revised) and current mood states experienced by Indian HCPs in the present COVID-19 pandemic situation was done using a primary data of 2,008 HCPs from India during the first lockdown during April-May 2020. Data was collected through snow-ball sampling technique, reaching out to various medical health care professionals through social media platforms. Result Amongst the study sample 88.2% of doctors, 79.2 of nurses and 58.6% of allied HCPs were found to have STS in varying severity. There was a female preponderance in the category of Severe STS. Higher optimism on the LOTR scale was observed among doctors at 39.3% followed by nurses at 26.7% and allied health care professionals 22.8%. The mood visual analogue scale which measures the “mood” during the survey indicated moderate mood states without any gender bias in the study sample. Conclusion The current investigation sheds light on the magnitude of the STSS experienced by the HCPs in the Indian Subcontinent during the pandemic. This hitherto undiagnosed and unaddressed issue, calls for a dire need of creating better and accessible mental health programmes and facilities for the health care providers in India.

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“…Several studies concentrated on sleep disturbances during the pandemic. A recent metaanalysis based on 44 papers, involving a total of 54,231 participants from 13 countries reports that the prevalence of sleep problems during the COVID-19 pandemic is up to 40% of people from the general population (Jahrami et al, 2021), whereas another meta-analysis based on 6 studies and limited to India reports a lower prevalence of 26.7% (Singh, Bajpai, & Kaswan, 2021). These numbers may appear high, but it is important to remember that many studies show that even during "normal" days there is a high rate of sleep disturbances in the general population.…”

Section: Introductionmentioning

confidence: 99%

Sleep duration during COVID-19 lockdown: systematic review and meta-analysis

Stukalin

Lan

Kronfeld‐Schor

et al. 2021

Preprint

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In attempts to slow down the spread of COVID-19 pandemic, countries took different measures including lockdowns. Several studies reported the effects of lockdowns on sleep mostly suggesting an increase in sleep duration during lockdowns. This is an interesting outcome as life in the modern world were associated with insufficient sleep. The present study is a systematic review and meta-analysis of work regarding sleep duration during lockdowns. We searched PubMed using the terms “COVID-19”, “SARS-CoV-2”, “lockdown”, “stay at home”, “quarantine” and “sleep” and found 262 papers. After applying exclusion criteria, we identified 26 papers (with 35 discrete studies) for the meta-analysis. A fixed effect model was used with effect sizes estimated using Cohen’s d and heterogeneity of effect sizes tested using the Cochran’s Q test statistics. Most studies (31/35) report an increase in sleep duration during lockdown periods with a mean (± STD) of 31.5 ± 21.2 minutes. Effect sizes (Cohen’s d) ranged between 0.08 and 3.34, which are considered between very small and huge. Q statistics was 4859.3 (p < 0.0001) and with no indication for publication bias (Egger’s test, p = 0.45). Eight studies also reported measures of “sleep quality” with 6/8 reporting worsening of sleep quality with small to large effect sizes Cohen’s d range between 0.09 and 1.86). The study demonstrates increased sleep duration during lockdowns. Increased sleep duration is a positive change, but effects on well-being during lockdowns might be overshadowed by reduced sleep quality, increased stress, and lowered mood. It is interesting whether longer sleep duration habits may survive to post-COVID-19 days.

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COVID-19 pandemic and psychological wellbeing among health care workers and general population: A systematic-review and meta-analysis of the current evidence from India

Cited by 37 publications

References 41 publications

Increasing Burden of Nursing Care on the Treatment of COVID-19 Patients in the Aging Society: Analyses During the First to the Third Wave of Pandemic in Kyoto City, Japan

Increasing Burden of Nursing Care on the Treatment of COVID-19 Patients in the Aging Society: Analyses During the First to the Third Wave of Pandemic in Kyoto City, Japan

Prevalence and severity of secondary traumatic stress and optimism in Indian health care professionals during COVID-19 lockdown

Sleep duration during COVID-19 lockdown: systematic review and meta-analysis

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