The impact of SARS-CoV-2 on the mental health of healthcare workers in a hospital setting—A Systematic Review

Sanghera, J; Pattani, N; Hashmi, Yousuf; Varley, Kate F.; Cheruvu, Manikandar Srinivas; Bradley, Alex; Burke, Joshua

doi:10.1002/1348-9585.12175

Cited by 206 publications

(276 citation statements)

References 119 publications

(324 reference statements)

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“…Most literature published on this topic was carried out in China or other Asian countries (Pappa et al ., 2020 ; Sanghera et al ., 2020 ; Song et al ., 2020 ). The generalisability of findings to other parts of the world is therefore limited by the fact that healthcare systems vary greatly and, consequently, their response to the current COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy

Lasalvia

Bonetto

Porru

et al. 2020

Epidemiol Psychiatr Sci

177

158

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Aims Healthcare workers exposed to coronavirus 2019 (COVID-19) patients could be psychologically distressed. This study aims to assess the magnitude of psychological distress and associated factors among hospital staff during the COVID-19 pandemic in a large tertiary hospital located in north-east Italy. Methods All healthcare and administrative staff working in the Verona University Hospital (Veneto, Italy) during the COVID-19 pandemic were asked to complete a web-based survey from 21 April to 6 May 2020. Symptoms of post-traumatic distress, anxiety and depression were assessed, respectively, using the Impact of Event Scale (IES-R), the Self-rating Anxiety Scale (SAS) and the Patient Health Questionnaire (PHQ-9). Personal socio-demographic information and job characteristics were also collected, including gender, age, living condition, having pre-existing psychological problems, occupation, length of working experience, hospital unit (ICUs and sub-intensive COVID-19 units vs. non-COVID-19 units). A multivariable logistic regression analysis was performed to identify factors associated with each of the three mental health outcomes. Results A total of 2195 healthcare workers (36.9% of the overall hospital staff) participated in the study. Of the participants, 35.7% were nurses, 24.3% other healthcare staff, 16.4% residents, 13.9% physicians and 9.7% administrative staff. Nine per cent of healthcare staff worked in ICUs, 8% in sub-intensive COVID-19 units and 7.6% in other front-line services, while the remaining staff worked in hospital units not directly engaged with COVID-19 patients. Overall, 63.2% of participants reported COVID-related traumatic experiences at work and 53.8% (95% CI 51.0%–56.6%) showed symptoms of post-traumatic distress; moreover, 50.1% (95% CI 47.9%–52.3%) showed symptoms of clinically relevant anxiety and 26.6% (95% CI 24.7%–28.5%) symptoms of at least moderate depression. Multivariable logistic regressions showed that women, nurses, healthcare workers directly engaged with COVID-19 patients and those with pre-existing psychological problems were at increased risk of psychopathological consequences of the pandemic. Conclusions The psychological impact of the COVID-19 pandemic on healthcare staff working in a highly burdened geographical of north-east Italy is relevant and to some extent greater than that reported in China. The study provides solid grounds to elaborate and implement interventions pertaining to psychology and occupational health.

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Section: Introductionmentioning

confidence: 99%

Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy

Lasalvia

Bonetto

Porru

et al. 2020

Epidemiol Psychiatr Sci

177

158

View full text Add to dashboard Cite

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“…Even in Japan, such restrictions and tight medical care are unprecedented, and there is concern that mental health may deteriorate [ 11 , 12 ]. These conditions produced anxiety among healthcare workers because of fears of becoming infected themselves [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Coping Mechanisms: Exploring Strategies Utilized by Japanese Healthcare Workers to Reduce Stress and Improve Mental Health during the COVID-19 Pandemic

Tahara

Mashizume

Takahashi

2020

IJERPH

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The COVID-19 pandemic is a major problem affecting the mental health of millions of people, including healthcare workers. In this study, we analyzed risk factors and coping mechanisms that could reduce the risk of poor mental health among healthcare workers during the COVID-19 pandemic in Japan. A cross-sectional survey was conducted for 7 days from 30 April 2020 using a web-based questionnaire. The survey assessed various outcome measures, including the General Health Questionnaire-12 (GHQ-12), health status, satisfaction with daily life activities, work, leisure, and new activities, and anxiety over COVID-19. Data from 661 participants were analyzed, and 440 participants (66.6%) showed poor mental health (GHQ-12 ≥ 4). Also, our result showed that female gender, lower levels of communication with friends, and high anxiety were associated with poorer mental health. In contrast, good health status, high work satisfaction, and high satisfaction from new activities were associated with buffering mental health problem. Most participants chose an escape-avoidance coping strategy, and participants with worse mental health were more likely to adopt seeking social support as a coping strategy. These results may support healthcare workers to cope with mental health problems associated with the COVID-19 pandemic.

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“…The global spread of SARS-CoV-2 infection has deeply affected the world. The increasing numbers of patients and outbreak-affected countries have elicited public worry and thus increased the risk of mental health problems (insomnia, anxiety, depression, and stress-related disorders, including the post-traumatic stress disorder (PTSD)) [ 1 , 2 , 3 , 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…The psychological burden of healthcare workers (HCWs) has received heightened awareness, with research continuing to show high rates of mental disorders among them in most countries, including China, the U.K., U.S.A., India, and Italy [ 3 , 4 , 5 , 6 ]. Thus, nearly 58% of HCWs in the U.K. met the threshold for clinically significant PTSD, anxiety, or depression [ 3 ]; in China, the prevalence rates of these conditions were estimated at 9.8–50.4%, 27.1–44.6%, and 15.0–25.0%, respectively [ 7 , 8 ]; and in Italy, about 22% and 40% of HCWs reported moderate-to-severe symptoms of anxiety and PTSD, respectively [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…In the U.S.A. and Australia, more than half of HCWs screened positive for PTSD symptoms, almost half screened positive for depression, and one-third screened positive for anxiety [ 9 , 10 ]. Overall, the substantial proportion of HCWs self-reported moderate-to-severe symptoms of depression (13.5–44.7%;), anxiety (12.3–35.6%), and PTSD (7.4–37.4%) [ 6 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Psychological Distress and Post-Traumatic Symptomatology among Dental Healthcare Workers in Russia: Results of a Pilot Study

Sarapultseva

Zolotareva

Kritsky

et al. 2021

IJERPH

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The spread of SARS-CoV-2 infection has increased the risk of mental health problems, including post-traumatic stress disorders (PTSD), and healthcare workers (HCWs) are at greater risk than other occupational groups. This observational cross-sectional study aimed to explore the symptoms of depression, anxiety, and PTSD among dental HCWs in Russia during the coronavirus disease 2019 (COVID-19) pandemic. The survey was carried out among 128 dental HCWs from three dental clinics of Ekaterinburg, Russia. The mean age of the sample was 38.6 years. Depression, anxiety, and stress were assessed using the Depression Anxiety and Stress Scale-21 (DASS-21); PTSD was assessed using the PTSD Symptom Scale-Self-Report (PSS-SR); subjective distress was assessed using the Impact of Event Scale-Revised (IES-R). The results indicated that 20.3–24.2% HCWs had mild to extremely severe symptoms of psychological distress, and 7.1–29.7% had clinical symptoms of PTSD. No differences between females and males were revealed. HCWs working directly with patients had significantly higher levels of PTSD symptoms and the risk of PTSD development compared to those working indirectly, whereas older HCWs had significantly higher levels of both psychological distress and PTSD symptoms compared to younger HCWs. Thus, dental HCWs are at high risk for psychological distress and PTSD symptoms during the COVID-19 pandemic.

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The impact of SARS-CoV-2 on the mental health of healthcare workers in a hospital setting—A Systematic Review

Cited by 206 publications

References 119 publications

Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy

Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy

Coping Mechanisms: Exploring Strategies Utilized by Japanese Healthcare Workers to Reduce Stress and Improve Mental Health during the COVID-19 Pandemic

Psychological Distress and Post-Traumatic Symptomatology among Dental Healthcare Workers in Russia: Results of a Pilot Study

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