Health Care Workers’ Mental Health and Quality of Life During COVID-19: Results From a Mid-Pandemic, National Survey

Young, Kevin P.; Kolcz, Diana L.; O’Sullivan, David; Ferrand, Jennifer; Fried, Jeremy S.; Robinson, Kenneth J.

doi:10.1176/appi.ps.202000424

Cited by 186 publications

(227 citation statements)

References 26 publications

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“…This study indicated that having a history of psychological trauma and psychiatric pathology was associated with experiencing depression, generalized anxiety and post-traumatic stress disorder outcomes, in all models conducted. This is consistent with the findings of Young et al where healthcare workers with a history of mental illness were at increased risk for significant emotional symptoms 18 .…”

Section: Discussionsupporting

confidence: 93%

“…Of the respondents, 9.3% reported having suicidal thoughts, within them; 0.8% reported having suicidal ideation half of the days and 8.5% reported experiencing it almost every day. This result indicated elevated suicidal ideation above that found in U.S. health care workers by Young et al 18 and close to that reported by the CDC, with 10.7% of persons experiencing suicidal thoughts associated with the COVID-19 pandemic 23 .…”

Section: Discussionsupporting

confidence: 85%

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Prevalence and associated factors with mental health outcomes among interns and residents physicians during COVID-19 epidemic in Panama: a cross-sectional study

Espinosa-Guerra

Rodríguez-Barría

Donnelly

et al. 2021

Preprint

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BackgroundA new coronavirus SARS-CoV-2 was associated with a newly identified respiratory syndrome, COVID-19 in Wuhan, China, in early December 2019. SARS-CoV-2 rapidly spread across the globe resulting in 117 million cases and 2.59 million deaths by March 2021. Rapidly increased numbers of COVID-19 cases overwhelmed public health systems across the world, imposing increased working hours and workloads for health care workers. Here, we have evaluated the prevalence of health outcomes and associated factors of interns and resident physicians in Panama.MethodsA cross-sectional study was undertaken during July 23, 2020, to August 13, 2020, to evaluate the prevalence of health outcomes and associated factors in interns and residents across Panama. Snowball sampling was used to recruit participants. Then an electronic questionnaire with scales to evaluate anxiety disorders (GAD-7), depression (PHQ-9) and post-traumatic stress (IES-R) was evaluated. In addition, socio-demographic variables, clinical history of mental disorders and COVID-19 exposure were evaluated. Independent analyses for each mental health outcome were undertaken using a logistic regression analysis.ResultsA total of 517/1205 (42.9%) interns and residents were nationwide recruited. Of these 274 (53.0%) were interns and 243 (47.0%) residents. The overall prevalence of depression symptoms was 25.3%, 13.7% anxiety and 12.2% post-traumatic stress. At least, 9.3% participants reported having suicidal ideation.The most parsimonious model showed females had a higher prevalence of mental health disorders, in all results and the married participants were more likely to present depression (OR, 1.73; 95% CI, 1.03-2.91; P = 0.039) or at least one alteration to mental health (OR, 1.66; 95% CI, 1.03-2.68; P = 0.039). Resident physicians in surgical specialties were less likely to have post-traumatic stress (OR, 0.20; 95% CI, 0.06-0.63; P = 0.006) or at least one mental health disturbance (OR, 0.46; 95% CI, 0.26-0.83; P = 0.010). A history of psychological trauma and psychiatric pathology were risk factors for most of the disorders investigated.ConclusionsA high prevalence of mental health disorders was found, showing the need to mitigate this emotional burden among healthcare workers in the current context of the COVID-19 pandemic.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 85%

Prevalence and associated factors with mental health outcomes among interns and residents physicians during COVID-19 epidemic in Panama: a cross-sectional study

Espinosa-Guerra

Rodríguez-Barría

Donnelly

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Our study reported no signi cant differences in the rates of harmful alcohol use among health care workers with and without mental health disorders. This was an unexpected nding since prior studies conducted during the COVID-19 pandemic have overwhelmingly reported a positive association between harmful alcohol use and mental health symptoms including depression (15,16,41); PTSD (42); anxiety (15,42,43), and Stress (43). It is not clear why the present study did not nd an association between harmful alcohol use and mental health symptoms.…”

Section: Discussioncontrasting

confidence: 76%

Harmful Alcohol Use Among Healthcare Workers at the Beginning of the COVID-19 Pandemic in Kenya

Jaguga

Kwobah

Mwangi

et al. 2021

Preprint

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Background: The on-going COVID-19 pandemic has resulted in a major negative impact on public mental health particularly among health care workers. Alcohol use is a common maladaptive response to stress that is associated with adverse health consequences and that could impair productivity in the workplace for the health workforce. The aim of this study is to document the burden and factors associated with harmful alcohol use among health care workers at the beginning of the COVID-19 pandemic in Kenya.Methods: This study was a cross-sectional analysis of data obtained from a parent online survey that investigated the prevalence and factors associated with mental disorders among healthcare workers during the COVID-19 pandemic in Kenya. Analyses for this study were conducted to examine the burden and factors associated with harmful alcohol use among a sub-group of 887 participants who completed the Alcohol Use Disorder Identification Test (AUDIT) questionnaire.Results: Three hundred and eighty nine (43.9%) participants reported harmful alcohol use. The factors significantly associated with increased odds of endorsing harmful alcohol use were: being male (AOR= 1.56; 95% CI=1.14, 2.14; p=0.006), being not married (AOR= 2.06; 95% CI=1.48, 2.89; p<0.001), having 11-20 years of experience as compared to having 20+ years of experience (AOR= 1.91; 95% CI=1.18, 3.12; p=0.009), and being a specialist (AOR=2.78; CI=1.64, 4.78; P=<0.001) or doctor (AOR= 2.82; 95% CI=1.74, 4.63; p<0.001) as compared to being a nurse. Conclusions: A high proportion of health care workers reported harmful alcohol use at the beginning of the COVID-19 pandemic in Kenya. Males, the unmarried, those with 11-20 years of experience in the health field, doctors and specialists were more likely to report harmful alcohol use. These findings highlight the need to institute interventions for harmful alcohol use targeting these groups of health care workers in Kenya during the COVID-19 pandemic.

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“…Additionally, healthcare organizations should promote staff participation in the institutional decisionmaking process. In this sense, a transparent and bidirectional communication between health-care workers and leaders is vital to promote openness and feelings of support (Young et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Moral Injury and Light Triad traits: anxiety and depression in health-care personnel during the COVID-19 pandemic

Rodríguez¹,

Agüero-Flores²,

Landa-Blanco³

et al. 2021

Preprint

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During the COVID-19 pandemic, health workers are facing morally challenging, stressful, and life-threatening decisions while working with limited human and medical resources. The purpose of the current study was to determine the influence of Moral Injury and Light Triad (LT) personality traits on anxiety and depression symptoms of health-care personnel during the COVID-19 pandemic. A quantitative, cross-sectional research design was used, the study included a sample of 169 health-care workers. Data was gathered through the Moral Injury Symptom Scale for Health Professionals (MISS-HP), Light Triad Scale (LTS), the Generalized Anxiety Disorder- 7 (GAD-7), and the Patient-Health Questionnaire-9 (PHQ-9). Results suggest that almost 9 out of 10 respondents experienced at least one potentially morally injurious event, 45.6% were at significant risk of impairment related to Moral Injury. Working with limited staff and resources, and the implications of it, were among the most common potentially morally injurious situations reported by the respondents. Results suggest that MISS-HP Mistrust subscale has significant negative correlations with Light Triad traits. A hierarchical regression model determined that Moral Injury, but not Light Triad traits, significantly affected depression symptoms. The overall model accounted for 42.6% of the variance in depression scores. On the other hand, anxiety symptoms were significantly predicted by Moral Injury, as did LTS-Humanism. The model accounted for 38.2% of the variance in anxiety scores. Control variables included respondents’ sex, years of experience, profession, and prior COVID-19 diagnosis. The results were discussed according to their implications to public health.

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Health Care Workers’ Mental Health and Quality of Life During COVID-19: Results From a Mid-Pandemic, National Survey

Cited by 186 publications

References 26 publications

Prevalence and associated factors with mental health outcomes among interns and residents physicians during COVID-19 epidemic in Panama: a cross-sectional study

Prevalence and associated factors with mental health outcomes among interns and residents physicians during COVID-19 epidemic in Panama: a cross-sectional study

Harmful Alcohol Use Among Healthcare Workers at the Beginning of the COVID-19 Pandemic in Kenya

Moral Injury and Light Triad traits: anxiety and depression in health-care personnel during the COVID-19 pandemic

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