Mental Health of Caregivers Working in Nursing Homes during the COVID-19 Pandemic

Takahashi, Takumi; Ekoyama, Saori; Tachikawa, Hirokazu; Midorikawa, Haruhiko; Shiratori, Yuki; Ota, Miho; Takahashi, Sho; Arai, Tetsuaki

doi:10.1159/000524953

Cited by 8 publications

(11 citation statements)

References 45 publications

(50 reference statements)

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“…Nurses were also associated with higher depressive symptoms when controlling for covariates. These results were consistent with previous studies [ 36 , 37 , 38 ]. However, multiple logistic regression analysis controlling for the influence of various sociodemographic variables showed that only being a nurse was associated with higher depressive symptoms.…”

Section: Discussionsupporting

confidence: 94%

“…In contrast, the association with depressive symptoms disappeared for among nursing home staff and PCR-positive testing. Among HCWs, nurses could be at high risk of mental disorders due to their primary duties, including direct care for patients at high risk of COVID-19 [ 37 ]. Meanwhile, as PCR-positive HCWs responded to the screening test soon after and during the quarantine, the association between testing PCR-positive and depressive symptoms might have disappeared after being relieved from hard work.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Unexpected In-House Major COVID-19 Outbreaks on Depressive Symptoms among Healthcare Workers: A Retrospective Multi-Institutional Study

Sato

Maeda

Takebayashi

et al. 2023

IJERPH

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The coronavirus disease 2019 (COVID-19) has significantly affected the mental health of healthcare workers (HCWs). The authors have provided psychosocial support to HCWs working in typical hospitals and nursing homes in Fukushima Prefecture, Japan, where major COVID-19 outbreaks have occurred since December 2020. This study retrospectively examines depressive symptoms before psychosocial interventions among HCWs working at typical hospitals and nursing homes experiencing in-house major COVID-19 outbreaks. We have offered psychosocial support in eight hospitals and nursing homes, obtaining data on the mental health status of 558 HCWs using the Patient Health Questionnaire-9. The study’s results indicate that 29.4% of HCWs have exhibited moderate or higher depressive symptoms, and 10.2% had suicidal ideation. Multiple logistic regression analysis showed that being a nurse was associated with higher depressive symptoms and suicidal ideation compared to other HCWs. In addition, multiple logistic regression analysis of Polymerase Chain Reaction-positive HCWs showed that being a nurse and the number of COVID-19-related symptoms was associated with high depressive symptoms. These results suggest that HCWs in typical hospitals and nursing homes experiencing major COVID-19 outbreaks are more likely to exhibit severe depressive symptoms, which may worsen if infected with COVID-19. This study’s findings expand the current understanding of HCWs’ depressive symptoms and the importance of psychosocial support during unexpected major outbreaks in healthcare facilities.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Impact of Unexpected In-House Major COVID-19 Outbreaks on Depressive Symptoms among Healthcare Workers: A Retrospective Multi-Institutional Study

Sato

Maeda

Takebayashi

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Nurses and nursing home staff were also associated with higher depressive symptoms when controlling for covariates. These results were consistent with previous studies [34][35][36]. However, multiple regression analysis controlling for the influence of various sociodemographic variables showed that only being nurses and being nursing home staff were associated with higher depressive symptoms.…”

Section: Discussionsupporting

confidence: 93%

“…Among HCWs, nurses and nursing home staff could be at high risk of mental disorders due to their primary duties, including direct care for patients at high risk of COVID-19 [35].…”

Section: Discussionmentioning

confidence: 99%

Impact of Unexpected In-house Major COVID-19 Outbreaks on Depressive Symptoms among Healthcare Workers: A Retrospective Multi-Institutional Study

Sato¹,

Takebayashi²,

Setou³

et al. 2023

Preprint

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The coronavirus disease 2019 (COVID-19), first identified in December 2019, has significantly affected healthcare workers' mental health (HCWs). The authors have provided psychosocial support to HCWs working in typical hospitals and nursing homes in Fukushima Prefecture, Japan, where major COVID-19 outbreaks have occurred since December 2020. This study examines depressive symptoms among HCWs working at typical hospitals and nursing homes experiencing in-house major COVID-19 outbreaks in a retrospective manner. We have offered psychosocial support in eight hospitals and nursing homes, obtaining data on the mental health status of 558 HCWs. The study’s results indicate that 29.7% of HCWs have exhibited moderate or higher depressive symptoms, and 10.2% had suicidal ideation. Multiple regression analysis shows that being a nurse and nursing home staff is associated with higher depressive symptoms. In addition, multiple regression analysis of PCR (Polymerase Chain Reaction)-positive HCWs shows that being a nurse and the number of COVID-19-related symptoms are associated with high depressive symptoms. These results suggest that HCWs in typical hospitals and nursing homes experiencing major COVID-19 outbreaks are more likely to exhibit severe depressive symptoms, such as suicidal ideation, which may worsen if infected with COVID-19. This study’s findings expand the current understanding of HCWs’ depressive symptoms and the importance of psychosocial support during unexpected major outbreaks in healthcare facilities.

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“…HCWs who fought COVID-19 in long-term care facilities experienced a dramatic increase in mental health issues as well. They were exposed to high levels of stress and were at high risk for developing severe depressive symptoms and burnout [ 12 , 13 ]. Major depressive symptoms are associated with an increased risk of believing common misinformation about COVID-19 vaccines, which might correlate with vaccination readiness [ 10 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Associations of Mental Health Issues with Health Literacy and Vaccination Readiness against COVID-19 in Long-Term Care Facilities—A Cross-Sectional Analysis

Sanftenberg,

Gschwendner,

Grass

et al. 2024

EJIHPE

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Vaccinations against COVID-19 are of the utmost importance in long-term care facilities. During the pandemic, mental health issues increased significantly. This cross-sectional analysis aimed to assess the associations of depression and anxiety with health literacy in people in need of care and the association of depression and burnout with vaccination readiness against COVID-19 in health care workers (HCWs). Within our cross-sectional study, people in need of care were assessed for symptoms of depression (PHQ-9), anxiety (GAD-7), and health literacy (HLS-EU-Q16). Among HCWs, we assessed symptoms of depression (PHQ-9) and burnout (MBI-HSS), as well as psychological antecedents of vaccination (5C) to measure vaccination readiness against COVID-19. A multivariate regression analysis was performed. Symptoms of a major depression were significantly associated with reduced health literacy (p = 0.010) in people in need of care. Among HCWs, symptoms of depression and burnout reduced vaccination readiness against COVID-19 significantly. In particular, collective responsibility was reduced in HCWs suffering from burnout symptoms (p = 0.001). People in need of care and their HCWs could benefit from intensified target group-specific vaccination counseling. Additionally, more attention should be paid to the protection of mental health in long-term care facilities.

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Mental Health of Caregivers Working in Nursing Homes during the COVID-19 Pandemic

Cited by 8 publications

References 45 publications

Impact of Unexpected In-House Major COVID-19 Outbreaks on Depressive Symptoms among Healthcare Workers: A Retrospective Multi-Institutional Study

Impact of Unexpected In-House Major COVID-19 Outbreaks on Depressive Symptoms among Healthcare Workers: A Retrospective Multi-Institutional Study

Impact of Unexpected In-house Major COVID-19 Outbreaks on Depressive Symptoms among Healthcare Workers: A Retrospective Multi-Institutional Study

Associations of Mental Health Issues with Health Literacy and Vaccination Readiness against COVID-19 in Long-Term Care Facilities—A Cross-Sectional Analysis

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