Psychological and mental health impacts of COVID-19 pandemic on healthcare workers in China: A review

Cai, Carla Zi; Lin, Yulan; Hu, Zhijian; Wong, Li Ping

doi:10.5498/wjp.v11.i7.337

Cited by 22 publications

(28 citation statements)

References 54 publications

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“…There may be a few reasons for the lack of significant correlation between depression and adherence to physical distancing in this study. First, healthcare workers will adhere to physical distancing during the COVID-19 pandemic regardless of whether they feel depressed or stressed, as they believe that adhering to physical distancing is their duty or that it contributes to the safety of themselves and the patients they care for ( 50 ). Another possible explanation is that they have already adapted well to the stress or depressed mood associated with having to work continuously throughout the COVID-19 pandemic, and they adhere to physical distancing regardless of their state of depression.…”

Section: Discussionmentioning

confidence: 99%

Viral Anxiety Mediates the Influence of Intolerance of Uncertainty on Adherence to Physical Distancing Among Healthcare Workers in COVID-19 Pandemic

et al. 2022

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IntroductionThe aims of this study were to examine the mediation effect of viral anxiety of healthcare workers on the influence of their intolerance of uncertainty on the adherence to physical distancing during the COVID-19 pandemic.MethodsAn online survey was conducted among 329 healthcare workers (female: 81.4%, nursing professionals: 59.0%, and shift workers: 22.3%) on November 29, 2021. Participants responded to questionnaires on adherence to physical distancing, health beliefs, and perceived social norms, and rating scales of the Stress and Anxiety to Viral Epidemics-6 items (SAVE-6), Patient Health Questionnaire-9 items (PHQ-9), and the Intolerance of Uncertainty-12 items (IUS-12) scale.ResultsAdherence to physical distancing of healthcare workers was predicted by perceived benefits of physical distancing (β = 0.13, p = 0.01), personal injunctive norms (β = 0.32, p < 0.001), SAVE-6 score (β = 0.13, p = 0.02), and IUS-12 score (β = 0.10, p = 0.045) (adjusted R2 = 0.21, F = 22.3, p < 0.001). Viral anxiety mediated the association between intolerance of uncertainty and adherence to physical distancing but not the influence of perceived benefits and personal injunctive norms on adherence to physical distancing.ConclusionWe observed that viral anxiety of healthcare workers mediated the association between intolerance of uncertainty and adherence to physical distancing. During this pandemic, exploring adherence to physical distancing and its predicting factors will be helpful for the safety of healthcare workers and the patients for whom they care.

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Section: Discussionmentioning

confidence: 99%

Viral Anxiety Mediates the Influence of Intolerance of Uncertainty on Adherence to Physical Distancing Among Healthcare Workers in COVID-19 Pandemic

et al. 2022

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“… 1 , 2 , 3 , 4 The intense and unpredictable demands of the COVID-19 pandemic quickly led to further mental health consequences for this already at-risk group. 5 , 6 , 7 , 8 , 9 , 10 Systematic reviews cite high prevalence of burnout, stress, sleep disturbances, and other anxiety symptoms in HCWs during the pandemic. 11 , 12 The mental health of HCWs has become a vital concern in the infrastructure of the US health care system.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Resilience Training for Hospital Employees in the Era of COVID-19

et al. 2022

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IMPORTANCE Health care workers face serious mental health challenges as a result of ongoing work stress. The COVID-19 pandemic exacerbated that stress, resulting in high rates of anxiety, depression, and burnout. To date, few evidence-based programs targeting mental health outcomes in health care workers have been described. OBJECTIVETo assess the feasibility, acceptability, and preliminary outcomes of a skills-based coaching program designed to reduce stress and build resilience. DESIGN, SETTING, AND PARTICIPANTSA pilot cohort study was conducted between September 2020 and April 2021 using preprogram and postprogram assessments and a mixed-methods analysis. Duration of follow-up was 7 weeks. The coaching program was delivered via video conferencing. Participants were health care workers and staff from a large urban health system. INTERVENTION The Promoting Resilience in Stress Management (PRISM) program, a manualized, skills-based coaching program originally developed for adolescents and young adults with serious/ chronic illness, was adapted to support health care workers and staff ("PRISM at Work"). It included 6 weekly 1-hour group sessions. MAIN OUTCOMES AND MEASURES Feasibility was defined a priori as 70% completion rates. Acceptability was defined quantitatively (satisfaction scores) and qualitatively (open-ended questions regarding experience with program). Preliminary outcomes were assessed with preprogram and post program assessments of self-reported resilience, stress, anxiety, and burnout using validated instruments. Descriptive statistics summarized demographic variables and feasibility and acceptability. Linear mixed effects regression models examined preliminary outcomes, controlling for relevant covariates. RESULTS A total of 153 participants (median [SD] age, 40.6 [10.1] years; 142 [92%] were female; 128 [84%] identified as having White race; 81 [53%] were in patient-facing roles) enrolled. Of the 132 health care workers who provided follow-up surveys, 120 (91%) had completed the program, and 116 (88%) reported being satisfied. Answers to open-ended questions suggested that participants wanted more PRISM either with longer or additional sessions. Participant-reported resilience (β = 1.74; 95% CI, 1.00-2.48), stress (β = −2.40; 95% CI, −3.28 to −1.51), anxiety (β = −2.04; 95% CI, −2.74 to −1.34), and burnout-exhaustion (β = −0.37; 95% CI, −0.56 to −0.18) improved after the program. CONCLUSIONS AND RELEVANCEResults of this study suggest that PRISM at Work may have utility for health care workers and staff in that the program was found to be feasible, acceptable, and associated with improved outcomes.

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“…Healthcare workers were one of the groups of people that were most affected by the pandemic; hence, they may present many different mental health problems as a consequence of it [ 44 , 45 , 46 , 47 , 48 ]. In one a study conducted in Turkey, the mean state anxiety score among emergency medical service professionals during the COVID-19 pandemic was 50.7 ± 11.6 [ 49 ], which was similar to our results (45.07 ± 10.94).…”

Section: Discussionmentioning

confidence: 99%

Anxiety Levels among Polish and Turkish Dentists during the COVID-19 Pandemic

Olszewska-Czyż

Sözkes

2022

Healthcare

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Working conditions, work-related stressors and high risk of infection, as well as the fear of contagion and spreading the disease to family members, may have influenced dentists’ mental health during the COVID-19 pandemic. The aim of this study was to evaluate the anxiety levels among Polish and Turkish dentists during the COVID-19 pandemic and to investigate any relevant predictors. The study was an anonymous online questionnaire-based cross-sectional study that was conducted among dentists from two countries: Poland and Turkey. In total 400 dentists (200 from each country) participated in the study. The survey consisted of two parts: part 1 comprised demographic data, including age, gender, country of origin, COVID-19 infection history, place of work and lockdown history; part 2 was based on the State–Trait Anxiety Inventory (STAI). The mean trait and state anxiety levels of the Polish dentists was statistically significantly lower than that of the Turkish dentists (p = 0.000; p < 0.05). However, Polish dentists had higher state anxiety levels than trait levels, while both types of anxiety among Turkish dentists were almost at the same level. The number of dentists who suffered from COVID-19 was found to be statistically significantly higher in Poland (54%) than in Turkey (16%) (p = 0.000; p < 0.05). The percentage of dentists reporting anxiety was 51% in Poland and 95.5% in Turkey. Polish dentists reported a lower mean anxiety level during the COVID-19 pandemic than the dentists in Turkey but their anxiety levels were more affected by the COVID-19 pandemic as they had a higher difference between their state and trait anxiety levels. The higher coronavirus infection rate and lack of governmental lockdowns of dental practices during the pandemic in Poland compared with those in Turkey may explain the difference in the state and trait anxiety levels.

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Psychological and mental health impacts of COVID-19 pandemic on healthcare workers in China: A review

Cited by 22 publications

References 54 publications

Viral Anxiety Mediates the Influence of Intolerance of Uncertainty on Adherence to Physical Distancing Among Healthcare Workers in COVID-19 Pandemic

Viral Anxiety Mediates the Influence of Intolerance of Uncertainty on Adherence to Physical Distancing Among Healthcare Workers in COVID-19 Pandemic

Assessment of Resilience Training for Hospital Employees in the Era of COVID-19

Anxiety Levels among Polish and Turkish Dentists during the COVID-19 Pandemic

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