How Tunisian physicians of public health hospitals deal with <scp>COVID</scp>‐19 pandemic: Perceived stress and coping strategies

Halayem, Soumeyya; Sayari, N.; Chérif, W.; Cheour, M.; Damak, R.

doi:10.1111/pcn.13097

Cited by 10 publications

(13 citation statements)

References 9 publications

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“…The most common psychological symptoms measured with surveys or validated questionnaires reported included anxiety ( n = 103), depression ( n = 73), stress ( n = 68), fear ( n = 61), burnout ( n = 25), mental distress/health ( n = 21), and post-traumatic stress disorder (PTSD) ( n = 14) (Additional File 3 ). Most COVID-19 studies reported on physicians from USA ( n = 23) [ 41 , 52 , 66 , 70 , 77 , 90 – 107 ], China ( n = 22) [ 15 , 49 , 54 – 56 , 65 , 68 , 73 , 86 , 89 , 102 , 108 – 118 ] followed by India ( n = 21) [ 40 , 50 , 58 , 63 , 67 , 71 , 102 , 119 – 132 ] [ 41 , 52 , 66 , 70 , 77 ], Italy ( n = 10) [ 32 , 94 , 102 , 125 , 133 – 138 ], and Turkey ( n = 11) [ 35 , 44 , 94 , 139 – 146 ] [ 28 , 30 , 32 , 34 , 36 , 37 , 42 , 45 , 47 , 48 , 59 , 60 , 62 , 80 , 87 ]. .Sixtee...…”

Section: Resultsmentioning

confidence: 99%

“…One hundred studies reported on factors associated with psychological symptoms during infectious disease outbreaks. Female sex (compared to male) was the factor most commonly associated with worse psychological symptoms in physicians [ 30 , 41 , 44 , 48 , 63 , 66 , 71 , 77 , 89 , 98 , 112 , 122 , 127 , 128 , 138 , 142 , 144 , 148 , 163 , 165 , 170 , 174 – 189 ]. Other factors associated with poorer psychological outcomes included direct patient contact [ 28 , 32 , 34 , 44 , 46 , 53 , 59 , 64 , 71 , 81 , 95 , 98 , 112 , 122 , 130 , 163 , 169 , 175 , 182 , 183 , 186 , 190 – 192 ] [ 30 , 34 , 41 , 44 , 48 , 59 , 63 , 66 , 71 , 77 , 89 ], single marital status (compared to married) [ 39 , 44 , 59 , 63 , 98 , 122 ], younger age [ 33 ...…”

Section: Resultsmentioning

confidence: 99%

“…Physicians reported the importance of having social support from friends, family, colleagues, and professionals (e.g., counsellors) in 29 studies [ 28 , 30 , 39 , 43 , 44 , 48 , 56 , 58 , 67 , 72 , 78 , 83 , 91 , 99 , 102 , 106 , 115 , 119 , 131 , 150 , 155 , 163 , 172 , 192 , 202 – 205 ]. Several studies ( n = 29) described positive personal coping strategies such as maintaining a positive attitude and resilience [ 37 , 46 , 83 , 100 , 106 , 108 , 136 , 202 , 205 , 206 ], practicing self-care (e.g., physical activity, eating well, resting, engaging in activities they enjoy) [ 30 , 35 , 56 , 65 , 70 , 91 , 102 , 103 , 117 , 119 , 129 , 131 , 150 , 151 , 207 ], and engaging with religious practices [ 39 , 46 , 131 , 205 ] as a way to mitigate negative psychological outcomes.…”

Section: Resultsmentioning

confidence: 99%

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Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

et al. 2021

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Background Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty of the ongoing COVID-19 pandemic along with increased workload and difficult medical triage decisions may lead to a further decline in physician psychological health. Methods We searched Medline, EMBASE, and PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], PsycINFO [1806]) to November 17, 2020. Titles and abstracts were screened by one of three reviewers and full-text article screening and data abstraction were conducted independently, and in duplicate, by three reviewers. Results From 6223 unique citations, 480 articles were reviewed in full-text, with 193 studies (of 90,499 physicians) included in the final review. Studies reported on physician psychological symptoms and management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], three strains of Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East respiratory syndrome [MERS], and COVID-19) in 57 countries. Psychological symptoms of anxiety (14.3–92.3%), stress (11.9–93.7%), depression (17–80.5%), post-traumatic stress disorder (13.2–75.2%) and burnout (14.7–76%) were commonly reported among physicians, regardless of infectious disease outbreak or country. Younger, female (vs. male), single (vs. married), early career physicians, and those providing direct care to infected patients were associated with worse psychological symptoms. Interpretation Physicians should be aware that psychological symptoms of anxiety, depression, fear and distress are common, manifest differently and self-management strategies to improve psychological well-being exist. Health systems should implement short and long-term psychological supports for physicians caring for patients with COVID-19.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

et al. 2021

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“…[29] In a study conducted with healthcare professionals during the COVID-19 pandemic, high levels of perceived stress were positively correlated with social support and problem solving, which are one of the Brief-COPE subscales; and negatively correlated with avoidance. [39] In another study conducted with physicians, it was suggested that perceived stress has some positive effects on psychological stress, and coping mechanisms may have a regulatory effect on this correlation. [22] In this study, one of the COPE subscales, "Focus on and venting of emotions", was statistically and significantly higher in nurses compared to other hospital workers.…”

Section: The Relationship Between Anxiety and Depression Levels With Coping Strategiesmentioning

confidence: 99%

The Relationship Between Anxiety and Depression Levels with Perceived Stress and Coping Strategies in Health Care Workers During The COVID-19 Pandemic

Beşirli¹

2020

Sisli Etfal

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Objectives: Coronavirus disease (COVID-19) has spread rapidly, locally and internationally after it started in Hubei province of China in December 2019. During the spread of this infectious disease in the world, health care workers are taking place as the main people in the screening and treatment of the disease. The present study aims to evaluate the relationship between anxiety and depression levels with perceived stress and coping strategies in health care workers during the COVID-19 pandemic. Methods: In this study, 200 participants were included. Beck Anxiety Inventory (BDI), Beck Depression Inventory (BDI), Perceived Stress Scale-10 (PSS-10) and COPE (Coping Orientation to Problems Experienced) were applied. Results: Mean scores for BDI and BAI were 9.2±8.9 and 8.2±9.2, respectively. BDI scores of 33 (16.5%) of 200 participants were ≥17. 62% of the participants had minimal depression, 21.5% of the participants had mild depression, 13.5 % of the participants had moderate depression, and 3% of the participants had severe depression according to BDI scores. 60.5% of the participants had minimal anxiety, 25.5% of the participants had mild anxiety, 8.5% of the participants had moderate anxiety and 5.5% of the participants had severe anxiety according to BAI scores. BAI and BDI scores of the female participants were statistically higher than the male participants. A statistically significant positive correlation was found between BAI and BDI scores and PSS-10 scores. A statistically significant difference was found in the averages of BAI and BDI, PSS-10 COPE 3 (Focus on and venting of emotions), 7 (Religious coping) and 13 (Acceptance) subscales levels in occupational groups. A statistically significant difference was found in BDI levels in the clinical units during the pandemic. Conclusion:This study indicated that different coping strategies can be used in health care workers regarding anxiety, depression and stress levels during the COVID-19 pandemic. While problem-solving and emotion-focused adaptive coping mechanisms help reduce symptoms, maladaptive and negative coping mechanisms can cause symptoms to exacerbate. Thus, training should be given to developing attitudes of health care workers to cope with stress.

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“…Moreover, previous studies have reported that women and younger individuals have a higher risk of mental disorders, including anxiety and mood disorders [34,35]. Furthermore, previous studies have reported negative associations between mental health variables (eg, stress and anxiety) and age among health care workers, indicating that older individuals might be more resilient to the psychological impact of COVID-19 [20,36,37]. Moreover, older physicians might cope better with stressful situations because they have more years of experience.…”

Section: Xsl • Fomentioning

confidence: 99%

A Wake-up Call for Burnout in Portuguese Physicians During the COVID-19 Outbreak: National Survey Study

Ferreira¹,

Sousa²,

Moreira³

et al. 2021

JMIR Public Health Surveill

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Background The COVID-19 outbreak has imposed physical and psychological pressure on health care professionals, including frontline physicians. Hence, evaluating the mental health status of physicians during the current pandemic is important to define future preventive guidelines among health care stakeholders. Objective In this study, we intended to study alterations in the mental health status of Portuguese physicians working at the frontline during the COVID-19 pandemic and potential sociodemographic factors influencing their mental health status. Methods A nationwide survey was conducted during May 4-25, 2020, to infer differences in mental health status (depression, anxiety, stress, and obsessive compulsive symptoms) between Portuguese physicians working at the frontline during the COVID-19 pandemic and other nonfrontline physicians. A representative sample of 420 participants stratified by age, sex, and the geographic region was analyzed (200 frontline and 220 nonfrontline participants). Moreover, we explored the influence of several sociodemographic factors on mental health variables including age, sex, living conditions, and household composition. Results Our results show that being female (β=1.1; t=2.5; P=.01) and working at the frontline (β=1.4; t=2.9; P=.004) are potential risk factors for stress. In contrast, having a house with green space was a potentially beneficial factor for stress (β=–1.5; t=–2.5; P=.01) and anxiety (β=–1.1; t=–2.4; P=.02). Conclusions It is important to apply protective mental health measures for physicians to avoid the long-term effects of stress, such as burnout.

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How Tunisian physicians of public health hospitals deal with COVID‐19 pandemic: Perceived stress and coping strategies

Cited by 10 publications

References 9 publications

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

The Relationship Between Anxiety and Depression Levels with Perceived Stress and Coping Strategies in Health Care Workers During The COVID-19 Pandemic

A Wake-up Call for Burnout in Portuguese Physicians During the COVID-19 Outbreak: National Survey Study

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