Objective:
Literature investigating the change in psychological problems of the healthcare workers (HCWs) throughout the COVID-19 pandemic is lacking. We aimed at comparing the psychological problems and attitudes towards work among them over two waves of the COVID 19 pandemic in India.
Methods:
A survey was conducted involving HCWs (n=305, first-wave, 2020; n=325, second wave, 2021). Participants’ demographic- and professional- and psychological characteristics (using attitude towards COVID-19 questionnaire [ATCQ]; Depression, Anxiety, and Stress Scale – 21 Items and impact of event scale-22) were recorded. The unpaired ‘t-test/chi-square test was used for comparison.
Results:
A significant improvement in level of depression (42.2% vs 9.6%), anxiety (41.3% vs 16.3%), stress (30.1% vs 6.7%), event-related stress symptoms (31.2% vs 27%), work-related stress (89.8% vs 76.8%), and stigma (25.9% vs 22.8, though marginally significant) (χ2(1) =7.3 to 45.6, p<0.05) were found among the participants of the second wave (vs. first wave). However, on subgroup analysis, allied-HCWs (housekeeping staff, and security personnel) reported lesser concerns over the domains of the KAQ vis-a-viz frontline-HCWs [doctors and nurses].
Conclusion:
This improvement could be attributed to greater awareness about the illness, better coping skills, vaccination, etc, however, more research is warranted to investigate these determinants.