Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal

Khanal, Pratik; Devkota, Navin; Dahal, Minakshi; Paudel, Kiran; Joshi, D

doi:10.21203/rs.3.rs-40089/v2

Cited by 80 publications

(169 citation statements)

References 40 publications

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“…Fear of death for HCWs or their relatives double the risk of depression among HCWs. These findings are supported by previous studies [ 21 , 23 , 28 ].…”

Section: Discussionsupporting

confidence: 93%

“…HCWs with past history of psychiatric illness were seven times more likely to have depression than those without such history according to the current study. In line with this finding, other studies [ 23 , 38 ] reported that health workers who had a history of medication for mental health problems had a higher risk to exhibit anxiety, depression, and insomnia symptoms compared with those who had no psychiatric history.…”

Section: Discussionsupporting

confidence: 70%

“…The results showed that fear of being infected with COVID-19 or transmitting the infection to family members, fear of death, or family members’ death with COVID-19, were associated with an increase in the severity of depression among HCWs. In line with these findings, recent studies in China and Nepal reported that medical staffs were fearful about transmitting the virus to their families [ 21 , 23 , 28 ]. A recent study reported that the most concerns regarding the COVID-19-related fears among medical staff in Egypt were the fear of being infected and the fear of transmission of the disease to their families [ 34 ].…”

Section: Discussionsupporting

confidence: 58%

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Depression among health workers caring for patients with COVID-19 in Egypt

Elgohary

Sehlo

Bassiony

et al. 2021

Egypt J Neurol Psychiatry Neurosurg

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Background Health care workers caring for patients with COVID-19 pandemic are prone to extraordinary stressors and psychological problems. The aim of this study was to estimate the prevalence and risk factors of major depressive disorder among health care providers who are caring for patients with COVID-19. Methods Two hundred-seventy of health care workers were screened for depressive symptoms by DASS-21 Questionnaire. Only 152 of the participants accepted to be interviewed using SCID-I for diagnosis of major depressive disorder. Results According to DASS-21, 28.1% of HCWs had mild-to-moderate depressive symptoms, and 64.8% with severe symptoms. Of 152 who were interviewed using SCID-I, 74.3% were diagnosed with major depression disorder. Young age, decreased sleep hours, female sex, past history of a psychiatric disease, fear of COVID-19 infection for themselves or their relatives, and fear of death with COVID-19 for themselves or their relatives were significant predictors for major depressive disorder and its severity. Conclusion Major depressive disorder is common among HCWs during COVID-19 pandemic. Screening for depression, particularly for young females, and early treatment are recommended.

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“…Fear of death for HCWs or their relatives double the risk of depression among HCWs. These findings are supported by previous studies [ 21 , 23 , 28 ].…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 70%

Section: Discussionsupporting

confidence: 58%

See 1 more Smart Citation

Depression among health workers caring for patients with COVID-19 in Egypt

Elgohary

Sehlo

Bassiony

et al. 2021

Egypt J Neurol Psychiatry Neurosurg

View full text Add to dashboard Cite

show abstract

“…In this study women had a depressive, anxiety and stress sign more than men according to PHQ9 scale. Gao and et al (31), reported that anxiety turned out serious and frequently problem for female students.in contrary Khanal and et al (33) showed that gender had no signi cant effect on any mental health disorder.…”

Section: Availability Of Data and Materialsmentioning

confidence: 95%

Evaluation of Mental Health Status in healthcare workers during COVID-19 pandemic in south west of Iran

Sarvandian

Hosseinpour

Hoseinynejad

et al. 2021

Preprint

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Background During the COVID-19 pandemic, healthcare workers were exposed to risk of physical and mental health status. The aim of this study was evaluation of Mental Health Status during Covid-19 pandemic in healthcare workers in Ahvaz Jundishapur University of Medical Sciences. Methods In total, 2552 healthcare wokers that work in 24 hospitals and 212 Comprehensive health centers were enrolled in this cross-sectional study. All healthcare professional (clinical and none clinical staffs) who had been working in the hospitals and health center of AJUMS during the COVID-19 pandemic were surveyed. The three questionnaires consist of demographic, PHQ9, Kessler Scale were distributed across social media. Results The mean age of participants was 37.94 ± 8.07 years and 25.3% of participation was male. There was significant difference between mean score of Kessler and PHQ9 Scale on males and females (P < 0.001). Also the results showed a significant difference between depression, anxiety, and stress and working on intensive care unit. According to result of the Kessler scale 27% of participants had moderate to severe. A majority of the respondents (65.5%) in all professions had moderate to severe mental distress scores according to the Kessler scale. The results of logistic regression model illustrated that the effect of gender, work place, supporting by families and collogues, job satisfaction and feel the stress of media coverage of COVID 19 was significant on depression and anxiety (P < 0.05). Conclusions The present study revealed that medical and health worker suffer from great mental health problems. In this study, up to one-fifth of medical staff had stress, anxiety or depression symptoms and more than half of them had psychological distress.

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“…5 A timely assessment of mental health status and mental health needs of health workers will help to respond and reduce psychological distress earlier, improve their mental wellbeing and increase the work performance. 6 Healthcare workers like nurses' are the primary group who come in contact with patients, an important source of exposure to infected cases in healthcare settings. Corona Virus Disease 2019 (Covid-19) pandemic has brought all the health care professionals including nurses to work as a frontline member, which may bring threat to mental wellbeing.…”

Section: Introductionmentioning

confidence: 99%

Psychological Impact and their Associated Factors of COVID-19 Pandemic among Nurses of a Metropolitan City of Central Nepal

Lamichhane¹,

Dhakal²,

Thapa³

et al. 2021

J Coll Med Sci-Nepal

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Introduction: COVID-19 poses a great challenge to the global health system. The nurses worked in COVID ward and fever clinic act as gatekeepers to the health care system in the public health response to COVID-19 epidemic. The consequences of lockdown, quarantine of COVID-19 pandemic has not only caused physical sufferings but also affected the mental health of the nurses around the globe. This study aimed to assess psychological impact and associated factors of COVID 19 pandemic among nurses working in different level of hospital at Bharatpur Municipality Chitwan, Nepal. Methods: A cross-sectional descriptive study was conducted among 150 nurses working in different hospitals of Bharatpur Municipality. Non-probability Purposive Sampling Technique was used and Data was collected via online survey using Google Form questionnaire. COVID-19 peritraumatic distress index (CPDI) questionnaire was used to find out psychological impact. Statistical analysis of data was done using SPSS version 20. Results: Total of 150 nurses were involved in the study where 99.3% were female, 45.3% in the age group of 26-35 years, mean age 27.22±6.612 years, 87.2% bachelor in nursing. Mild to moderate peritraumatic distress was found in 47.33% and 16% of respondents found to have severe distress level. Chi-square test showed that respondents level of knowledge (p=0.003) and presence of chronic disease (p=0.007) was statistically significant with level of distress. Conclusions: Majority of the nurses had some form of psychological distress. Study highlights the need for counseling for distress and mental health during COVID-19 pandemic. A focus on improving mental wellbeing of nurses should be immediately initiated.

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Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal

Cited by 80 publications

References 40 publications

Depression among health workers caring for patients with COVID-19 in Egypt

Depression among health workers caring for patients with COVID-19 in Egypt

Evaluation of Mental Health Status in healthcare workers during COVID-19 pandemic in south west of Iran

Psychological Impact and their Associated Factors of COVID-19 Pandemic among Nurses of a Metropolitan City of Central Nepal

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