Novel brief screening scale, Tokyo Metropolitan Distress Scale for Pandemic (<scp>TMDP</scp>), for assessing mental and social stress of medical personnel in <scp>COVID</scp>‐19 pandemic

Shiwaku, Hiroki; Doi, Satomi; Miyajima, Miho; Matsumoto, Yukiko; Fujino, Junya; Hirai, Nobuhide; Jitoku, Daisuke; Takagi, Shunsuke; Tamura, Takehiro; Maruo, Takashi; Shidei, Yuki; Kobayashi, Nanase; Ichihashi, Masanori; Noguchi, Shiori; Oohashi, Kanako; Takeuchi, Takashi; Sugihara, Genichi; Okada, Takayuki; Fujiwara, Takeo; Takahashi, Hidehiko

doi:10.1111/pcn.13168

Cited by 18 publications

(50 citation statements)

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“…The coronavirus disease 2019 (COVID-19) has affected all countries around the world, after the epidemic was confirmed in China in December 2019 ( An et al, 2020 ; Rajkumar, 2020 ; Xiang et al, 2020 ). Since April 2020, Japan has also been severely affected by COVID-19 ( Shigemura et al, 2020 ; Shiwaku et al, 2020 ; Ueda et al, 2020 ). Many general hospitals treated COVID-19 patients while limiting other medical services ( Lai et al, 2020 ; Pappa et al, 2020 ; Shiwaku et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Since April 2020, Japan has also been severely affected by COVID-19 ( Shigemura et al, 2020 ; Shiwaku et al, 2020 ; Ueda et al, 2020 ). Many general hospitals treated COVID-19 patients while limiting other medical services ( Lai et al, 2020 ; Pappa et al, 2020 ; Shiwaku et al, 2020 ). The impact of the COVID-19 pandemic can be expected to last for a long time, thus ensuring the smooth functioning of medical systems is of the utmost importance ( Chen et al, 2020 ; Lai et al, 2020 ; Liu et al, 2020 ; Pappa et al, 2020 ; Shanafelt et al, 2020 ; Shiwaku et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Hospital workers are at high risk of mental illness, such as increased anxiety and depressive symptoms ( Chen et al, 2020 ; Lai et al, 2020 ; Liu et al, 2020 ; Pappa et al, 2020 ; Shanafelt et al, 2020 ; Shiwaku et al, 2020 ). In addition, hospital workers may also face many social stresses during the COVID-19 pandemic ( An et al, 2020 ; Rajkumar et al, 2020; Shigemura et al, 2020 ; Shiwaku et al, 2020 ; Ueda et al, 2020 ; Xiang et al, 2020 ). For example, hospital workers might experience a downturn in human relations and a decline in income as a result of stigma and fear of contagion ( Shiwaku et al, 2020 ; Xiang et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, hospital workers may also face many social stresses during the COVID-19 pandemic ( An et al, 2020 ; Rajkumar et al, 2020; Shigemura et al, 2020 ; Shiwaku et al, 2020 ; Ueda et al, 2020 ; Xiang et al, 2020 ). For example, hospital workers might experience a downturn in human relations and a decline in income as a result of stigma and fear of contagion ( Shiwaku et al, 2020 ; Xiang et al, 2020 ). Some hospital workers were encouraged by their families to quit their jobs, some of them were avoided by others owing to the nature of their work, and some of them were eventually prevented from working in multiple facilities, leading to financial issues ( Shiwaku et al, 2020 ; Xiang et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…These social stresses reduce motivation, which can result in voluntary absenteeism ( Chen et al, 2020 ; Chong et al, 2004 ; Imai et al, 2010 ; Shiwaku et al, 2020 ; Tei et al, 2015 , 2014 ; Valdez and Nichols, 2013 ; Xiang et al, 2020 ). Apart from mental illness, voluntary absenteeism can also contribute to a collapse of medical systems ( Chen et al, 2020 ; Chong et al, 2004 ; Imai et al, 2010 ; Shiwaku et al, 2020 ; Tei et al, 2015 , 2014 ; Valdez and Nichols, 2013 ; Xiang et al, 2020 ). To ensure the smooth functioning of medical systems, both mental illness and social stress among hospital workers need to be understood, and individuals who may be more vulnerable to these problems during the COVID-19 pandemic should be identified.…”

Section: Introductionmentioning

confidence: 99%

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Factors affecting mental illness and social stress in hospital workers treating COVID-19: Paradoxical distress during pandemic era

Matsumoto

Fujino

Shiwaku

et al. 2021

Journal of Psychiatric Research

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Background The coronavirus disease 2019 (COVID-19) has affected all countries in the world. Hospital workers are at high risk of mental illness, such as anxiety and depression. Furthermore, they also face many social stresses, such as deterioration of human relations and income reduction. Apart from mental illness, these social stresses can reduce motivation and lead to voluntary absenteeism, which contribute to a collapse of medical systems. Thus, for maintaining medical systems, it is crucial to clarify risk factors for both mental illness and increased social stress among hospital workers. However, little attention has been paid to factors affecting social stress, and thus, we aimed to address this gap. Methods In this cross-sectional survey of 588 hospital workers, the levels of anxiety, depression, and social stress were assessed using the 7-item Generalized Anxiety Disorder scale (GAD-7), 9-item Patient Health Questionnaire (PHQ-9), and Tokyo Metropolitan Distress Scale for Pandemic (TMDP). Multiple regression analyses were conducted to identify the demographic variables affecting these problems. Results Older age and female sex were common risk factors for anxiety, depression, and social stress. Moreover, occupational exposure to COVID-19 and hospital staff other than doctors/fewer non-work days were risk factors for increased anxiety and depression, respectively. Furthermore, living with families/others was a risk factor for increased social stress during this pandemic. Conclusion Our findings could be useful for developing policies and practices to minimize the risk of mental illness and increased social stress among hospital workers, highlighting that attention should be paid to social factors, such as an individual’s household situation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Factors affecting mental illness and social stress in hospital workers treating COVID-19: Paradoxical distress during pandemic era

Matsumoto

Fujino

Shiwaku

et al. 2021

Journal of Psychiatric Research

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Development and Initial Psychometric Validation of the COVID-19 Pandemic Burden Index for Healthcare Workers

et al. 2023

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Background The burden of COVID-19 on healthcare workers (HCWs) is reported to be increasing, yet the psychometric scales now in use evaluate only single aspects; few measure the pandemic-specific burden on HCWs comprehensively. Objective To develop a scale to quantify the physical, mental, and socioeconomic burden of the COVID-19 pandemic on HCWs. Design Scale development and cross-sectional survey. Participants Consenting HCWs aged ≥20. Main Measures Development of an item-list based on literature reviews and HCW panel input, evaluation of content validity and item selection using the Delphi method, psychometric testing conducted on HCWs, validity assessment by factor analyses and hypothesis verification, internal consistency evaluation by Cronbach’s alpha, test-retest analysis, and interpretability assessment. Key Results Through the Delphi process, a 29-item pilot scale was generated. In psychometric testing, data from 863 HCWs contributed to the development of the final version of this scale, called Pandemic Burden Index twenty for HCWs (PBI-20), a 20-item scale to measure six domains: fatigue, fear of infection, inadequacy as a medical professional, mental health concerns, prejudice or discrimination, and anxiety about one’s livelihood and daily life. Factor analysis showed each factor corresponded to the six domains of this scale. Hypothesis verification showed the PBI-20 total score to be moderately to highly correlated with the Short Form 36 vitality score and mental health score and with intention of turnover. The PBI-20 had good internal consistency (Cronbach’s alpha 0.92). Test-retest analysis showed the intraclass correlation coefficient to be 0.70 and the minimal important change to be −7.0. Conclusions The psychometrically sound questionnaire we developed to measure pandemic-specific burdens for HCWs provides an understanding of comprehensive burdens on HCWs and may serve to evaluate interventions to reduce the burdens. Supplementary Information The online version contains supplementary material available at 10.1007/s11606-023-08028-3.

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Long COVID-19 and its persistence: A focus on mental health

Dwyer,

Mirandola,

Righi

2024

Linking Neuroscience and Behavior in COVID-19

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Novel brief screening scale, Tokyo Metropolitan Distress Scale for Pandemic (TMDP), for assessing mental and social stress of medical personnel in COVID‐19 pandemic

Cited by 18 publications

References 6 publications

Factors affecting mental illness and social stress in hospital workers treating COVID-19: Paradoxical distress during pandemic era

Factors affecting mental illness and social stress in hospital workers treating COVID-19: Paradoxical distress during pandemic era

Development and Initial Psychometric Validation of the COVID-19 Pandemic Burden Index for Healthcare Workers

Long COVID-19 and its persistence: A focus on mental health

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