Mental health burden of frontline health professionals treating imported patients with COVID-19 in China during the pandemic

Tian, Tongtong; Meng, F.; Pan, Weigang; Zhang, Saina; Cheung, Teris; Ng, Chee H.; Li, Xiaohong; Xiang, Yu Tao

doi:10.1017/s0033291720002093

Cited by 37 publications

(40 citation statements)

References 2 publications

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“…Adequacy of support systems 6. Positive and negative perspectives of the outbreak Tian et al. (2020) ( Tian et al., 2020 ) China Cross-sectional COVID-19 845 health care workers 5 days, April 2020 PSS-10, PHQ-9, GAD-7 and ISI-7 Wang et al.…”

Section: Resultsmentioning

confidence: 99%

“…Positive and negative perspectives of the outbreak Tian et al. (2020) ( Tian et al., 2020 ) China Cross-sectional COVID-19 845 health care workers 5 days, April 2020 PSS-10, PHQ-9, GAD-7 and ISI-7 Wang et al. (2020) ( Wang et al., 2020 ) China Cross-sectional COVID-19 274 health care workers 6 days, February to March 2020.…”

Section: Resultsmentioning

confidence: 99%

“…The most common psychiatric disorders diagnosed were post-trauma stress syndrome (PTSS), depression and anxiety, as assessed in 32 studies ( Ji et al., 2017 ; Wu et al., 2009 ; Chan and Huak, 2004 ; Rossi et al., 2020 ; García-Fernández et al., 2020 ; Liu et al., 2020a ; Kang et al., 2020 ; Zhang et al., 2020b ; Mo et al. ; Zhou et al., 2020 ; Xiaoming et al., 2020 ; Wilson et al., 2020 ; Wasim et al., 2020 ; Wańkowicz et al., 2020 ; Wang et al., 2020 ; Tian et al., 2020 ; Shechter et al., 2020 ; Sandesh et al., 2020 ; Pouralizadeh et al., 2020 ; Liu et al., 2020b ; Lin et al., 2020 ; Korkmaz et al., 2020 ; Juan et al., 2020 ; Hu et al., 2020 ; Hong et al., 2020 ; Elbay et al., 2020 ; Du et al., 2020 ; Di Tella et al., 2020 ; Chew et al., 2020 ; Cai et al., 2020b ; An et al., 2020 ; Bai et al., 2004 ). In the COVID-19 pandemic, somatization was reported frequently ( Xiaoming et al., 2020 ; Juan et al., 2020 ; Hong et al., 2020 ) with 42.7% (2,005 of 4,692) of frontline nurses identifying somatic symptoms ( Hong et al., 2020 ), particularly headaches, throat pain and lethargy, which were significantly associated with psychological outcomes ( Chew et al., 2020 ).…”

Section: Resultsmentioning

confidence: 99%

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The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review

Cabarkapa

Nadjidai

Murgier

et al. 2020

Brain, Behavior, & Immunity - Health

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404

460

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Background As the world is battling the COVID-19 pandemic, frontline health care workers (HCWs) are among the most vulnerable groups at risk of mental health problems. The many risks to the wellbeing of HCWs are not well understood. Of the literature, there is a paucity of information around how to best prevent psychological distress, and what steps are needed to mitigate harm to HCWs’ wellbeing. Methods A systematic review using PRISMA methodology was used to investigate the psychological impact on HCWs facing epidemics or pandemics, using three electronic databases (PubMed, MEDLINE and CINAHL), dating back to 2002 until the 21st of August 2020. The search strategy included terms for HCWs (e.g., nurse and doctor), mental health (e.g., wellbeing and psychological), and viral outbreaks (e.g., epidemic and pandemic). Only studies with greater than 100 frontline HCWs (i.e. doctors or nurses in close proximity to infected patients) were included. Results A total of 55 studies were included, with 53 using quantitative methodology and 2 were qualitative. 50 of the quantitative studies used validated measurement tools while 5 used novel questionnaires. The studies were conducted across various countries and included people with SARS (13 studies), Ebola (1), MERS (3) and COVID-19 (38). Findings suggest that the psychological implications to HCWs are variable with several studies demonstrating an increased risk of acquiring trauma or stress-related disorders, depression and anxiety. Fear of the unknown or becoming infected were at the forefront of the mental challenges faced. Being a nurse and being female appeared to confer greater risk. The perceived stigma from family members and society heightened negative implications; predominantly stress and isolation. Coping strategies varied amongst the contrasting sociocultural settings and appeared to differ amongst doctors, nurses and other HCWs. Implemented changes, and suggestions for prevention in the future consistently highlighted the need for greater psychosocial support and clearer dissemination of disease-related information. Conclusion This review can inform current and future research priorities in the maintenance of wellbeing amongst frontline HCWs. Change needs to start at the level of policy-makers to offer an enhanced variety of supports to HCWs who play a critical role during largescale disease outbreaks. Psychological implications are largely negative and require greater attention to be mitigated, potentially through the involvement of psychologists, raised awareness and better education. The current knowledge of therapeutic interventions suggests they could be beneficial but more long-term follow-up is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review

Cabarkapa

Nadjidai

Murgier

et al. 2020

Brain, Behavior, & Immunity - Health

Self Cite

404

460

View full text Add to dashboard Cite

show abstract

“…The prevalence of depression, anxiety, insomnia, and distress in this research were high than those in other studies. [29,30,[40][41][42].…”

Section: Discussionmentioning

confidence: 99%

“…Tian et al reported prevalence of depression, anxiety, insomnia, and perceived stress of 45.6% (PHQ-9 ≥ 5), 20.7%(GAD-7 ≥ 5), 27.0%(ISI ≥ 8), and 60.8% (Perceived Stress Scale (PSS-10) ≥ 15), respectively, and Rossi et al reported prevalence of 24.7%(PHQ-9 ≥ 15), 8.3%(GAD-7 ≥ 15), 21.9%(ISI ≥ 22), and 49.4% (Global Psycho Trauma Scale—post-traumatic stress disorder subscale GPS-PTSD ≥ 3), respectively. In their study of female HCWs, Li et al reported a prevalence of 14.2% (PHQ-9 ≥ 10) for depression, 25.2% (GAD-7 ≥ 8) for anxiety, and 31.6% (IES-R > 33) for distress [ 29 , 30 , 40 – 42 ]. Very different values have been reported by several other studies [ 9 , 43 – 46 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Depression, Anxiety, Distress and Insomnia and Related Factors in Healthcare Workers During COVID-19 Pandemic in Turkey

et al. 2020

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The purpose of this study was to evaluate the prevalence of depression, anxiety, distress, and insomnia and related factors in healthcare workers during the COVID-19 pandemic in Turkey. We applied the study survey online to HCWs during the pandemic in Turkey between 23 April and 23 May 2020. We used the sociodemographic data form, Patient Health Questionnaire-9, General Anxiety Disorder-7, Insomnia Severity Index, and Impact of Event Scale-Revised. Six hundred twenty (66.0%) of the 939 HCWs taking part in the study were female, 580 (61.8%) were physicians, 569 (60.6%) were working on the front line. Seven hundred twenty-nine (77.6%) participants exhibited depression, 565 (60.2%) anxiety, 473 (50.4%) insomnia, and 717 (76.4%) distress symptoms. Depression, anxiety, insomnia, and distress symptoms were significantly greater among females, individuals with a history of psychiatric illness, and individuals receiving psychiatric support during the COVID-19 pandemic. HCWs serving in Turkey during the COVID-19 pandemic experienced high levels of depression, anxiety, insomnia, and distress symptoms. Female gender, being a nurse, working on the front line, history of psychiatric illness, and being tested for COVID-19 were identified as risk factors for mental health problems.

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Systematic review of productivity loss among healthcare workers due to Covid‐19

Yaghoubi

Salimi

Amiri

2021

Health Planning & Management

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Objective To assess existing evidence on the effects of COVID‐19 on healthcare workers (HCWs) using the health‐related productivity loss approach. Methods A systematic search of online databases including PubMed, Scopus, Ovid, Web of Science, and EMBASE was conducted up to 25 August 2020. Following two screening stages, studies related to the effects of COVID‐19 on healthcare workers were included in the study. Results 82 studies were included in the analysis. The COVID‐19 related death rate among HCWs ranged from 0.00‐0.7%, while the positive test incidence varied between 0.00 and 24.4%. 39 evidences assessed psychological disorders. A wide range of psychological disorders observed among HCWs: 5.2 to 71.2% in anxiety, 1.00 to 88.3% in stress, 8.27 to 61.67% in insomnia, and 4.5 to 50.4% in depression. Conclusions The early evidence suggests that healthcare workers are one of the most vulnerable groups when it comes to positive COVID‐19 infection, mortality, and mental illness.

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Mental health burden of frontline health professionals treating imported patients with COVID-19 in China during the pandemic

Abstract: Mental health burden of frontline health professionals treating imported patients with COVID-19 in China during the pandemic.

Cited by 37 publications

References 2 publications

The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review

The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review

Prevalence of Depression, Anxiety, Distress and Insomnia and Related Factors in Healthcare Workers During COVID-19 Pandemic in Turkey

Systematic review of productivity loss among healthcare workers due to Covid‐19

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