COVID-19 in Wuhan: Immediate Psychological Impact on 5062 Health Workers

ABSTRACTBACKGROUNDThe outbreak of COVID-19 has laid unprecedented psychological stress on health workers (HWs). We aimed to assess the immediate psychological impact on HWs at Tongji Hospital in Wuhan, China.METHODSWe conducted a single-center, cross-sectional survey of HWs via online questionnaires between February 8th and 10th, 2020. We evaluated stress, depression and anxiety by Impact of Event Scale-Revised (IES-R), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder 7-item (GAD-7), respectively. We also designed a questionnaire to assess the effect of psychological protective measures taken by Tongji Hospital. Multivariate logistic regression was used to identify predictors of acute stress, depression, and anxiety.RESULTSWe received 5062 completed questionnaires (response rate, 77.1 percent). 1509 (29.8 percent), 681 (13.5 percent) and 1218 (24.1 percent) HWs reported stress, depression and anxiety symptoms. Women (hazard ratio[HR], 1.31; P=0.032), years of working> 10 years (HR, 2.02; P<0.001), concomitant chronic diseases (HR, 1.51; P<0.001), history of mental disorders (HR, 3.27; P<0.001), and family members or relatives confirmed or suspected (HR, 1.23; P=0.030) were risk factors for stress, whereas care provided by hospital and department administrators(odds ratio [OR], 0.76; P=0.024) and full coverage of all departments with protective measures (OR, 0.69; P=0.004) were protective factors.CONCLUSIONSWomen and those who have more than 10 years of working, concomitant chronic diseases, history of mental disorders, and family members or relatives confirmed or suspected are susceptible to stress, depression and anxiety among HWs during the COVID-19 pandemic. Psychological protective measures implemented by the hospital could be helpful.

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The Correlation between Anxiety and Insomnia Levels to Families of Health Workers during COVID-19

RSF Conference Proceeding Series: Medical and Health Science ◽

10.31098/cpmhs.v1i1.261 ◽

2021 ◽

Vol 1 (1) ◽

pp. 1-8

Author(s):

Noripansyah Noripansyah ◽

Lily Nabila Amar

Keyword(s):

Health Workers ◽

Psychological Impact ◽

Family Members ◽

Rank Correlation ◽

Severity Index ◽

Ordinal Scale ◽

P Value ◽

Cross Sectional ◽

The Family ◽

Psychological Pressure

There are 5,197 positive confirmed cases of COVID-19 in Banjarbaru. It is known that the COVID-19 pandemic causes essential problems related to basic needs such as economic, social, shelter and nutrition, as well as the physical effects of the disease. Not only health workers but also families of health workers experience psychological pressure. In a preliminary study, it was found that the family feel worried and anxious about their families members who work in a hospital to take care of patients. This research aims to investigate the correlation between anxiety levels and insomnia in family members of health workers at Idaman Hospital, Banjarbaru, during the COVID-19 pandemic. This research uses a Cross-Sectional approach using social media with the google form platform taking 125 correspondence as a sample. The research instrument used the DASS-21 and Insomnia Severity Index. The data were analyzed using the SPSS program, with the Spearman rank correlation test working by testing the associative hypothesis of two ordinal scale variables (ranking). A total of 70.4% of family members of health workers at Idaman Hospital Banjarbaru have a very severe level of anxiety. In addition, 46.4% of the families of health workers at Idaman Hospital Banjarbaru experienced severe insomnia. The correlation for state anxiety-insomnia is 0.846 with a p-value = 0.000 (p < 0.05). This indicates that the two variables have a significant relationship with moderate correlation strength. The direction of the positive correlation indicates that these two variables move in the same direction, meaning that the higher the anxiety, the higher insomnia is experienced. Due to the COVID-19 pandemic, the population was limited. It is necessary to conduct further and comprehensive research on the psychological impact on family members of health workers. It is very limited to find research that examines the psychological condition of the family of health workers because, as we know, that not only affects the health workers themselves, but the family also experiences psychological impacts.

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P.247 Psychological impact of COVID-19 confinement among people with history of mental disorders (bipolar, anxiety, depression) and general population in Spain

European Neuropsychopharmacology ◽

10.1016/j.euroneuro.2020.09.186 ◽

2020 ◽

Vol 40 ◽

pp. S141-S142

Author(s):

L. García-Álvarez ◽

L. De la Fuente Tomás ◽

P. García-Portilla González ◽

T. Bobes Bascarán ◽

C. Martínez Cao ◽

...

Keyword(s):

General Population ◽

Mental Disorders ◽

Psychological Impact ◽

History Of ◽

Anxiety Depression

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Acute stress-related psychological impact in children following devastating natural disaster, the Sikkim earthquake (2011), India

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.116434 ◽

2013 ◽

Vol 04 (S 01) ◽

pp. S19-S23 ◽

Cited By ~ 3

Author(s):

Rakesh Mondal ◽

Indira Banerjee ◽

Tapas Sabui ◽

Abhisek Saren ◽

Sumantra Sarkar ◽

...

Keyword(s):

Natural Disaster ◽

Psychological Stress ◽

Acute Stress ◽

Tertiary Care ◽

Psychological Impact ◽

Child Victims ◽

Older Children ◽

Cross Sectional ◽

Event Scale ◽

Stress Symptoms

ABSTRACT Background: Psychological stress following natural disaster is common. Despite several earthquakes in India, data on evaluation of acute stress among the child victims in the early postdisaster period is scarce. Immediately following a devastating earthquake (6.9 Richter) at Sikkim on September, 18 2011, many children attended North Bengal Medical College, the nearest government tertiary care institution, with unusual stress symptoms. Objective: Evaluation of acute stress symptoms in children in the immediate postearthquake period. Materials and Methods: This was a cross‑sectional study done over 4 weeks and includes all the children from 1 to 12 years presenting with unusual physical or behavioral symptoms. Those with major injuries requiring admission were excluded. They were divided into two age groups. For older children (8-12 years) the 8‑item Children Impact of Event Scale (CIES) was used for screening of stress. Unusual symptoms were recorded in younger children (1-8 years) as CIES is not validated < 8 years. Result: A total of 84 children (2.66%) out of 3154 had stress symptoms. Maximum attendance was noted in first 3 days (65.47%) and declined gradually. In children ≥ 8 years, 48.78% had psychological stress, which was statistically significant on CIES scores without any gender predilection. Static posturing (41.86%), sleeplessness (32.55%), anorexia (9.30%), recurrent vomiting (13.95%), excessive crying (13.95%), or night‑awakenings (4.65%) were found in younger children (n = 43) and three required admission. Conclusion: This study represent the first Indian data showing statistically significant psychological impact in older children (8-12 years) and various forms of physical stress symptoms in young children (1-8 years) following earthquake.

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Depression symptoms as longitudinal predictors of the psychological impact of COVID-19 pandemic in hypertensive patients

Scientific Reports ◽

10.1038/s41598-021-96165-2 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Marco D’Addario ◽

Francesco Zanatta ◽

Roberta Adorni ◽

Andrea Greco ◽

Francesco Fattirolli ◽

...

Keyword(s):

Psychological Distress ◽

Longitudinal Design ◽

Psychological Impact ◽

Depression Scale ◽

Structured Interview ◽

Depression Symptoms ◽

Depression And Anxiety ◽

Event Scale ◽

The Impact

AbstractCOVID-19 has brought considerable changes and caused critical psychological responses, especially among frail populations. So far, researchers have explored the predictive effect of diverse factors on pandemic-related psychological distress, but none have focused on the impact of prior depression and anxiety symptomatology adopting an extended (10-year) longitudinal design. 105 patients aged over 60, affected by hypertension who participated in a previous longitudinal study were assessed through a follow-up telephone structured interview. The Hospital Anxiety and Depression Scale (HADS) and the Impact of Event Scale-Revised (IES-R) were used for assessing depression and anxiety symptoms and the psychological impact of COVID-19, respectively. Multiple linear regression analyses were conducted. At the assessment, participants did not report clinically relevant depression, anxiety, and psychological pandemic-related distress symptoms. However, significant mean differences between baseline and current follow-up evaluations for both depression and anxiety were found, reflecting a decrease in symptomatology over time (p < .001). Baseline depression symptoms (β = 1.483, p = .005) significantly predicted the psychological impact of COVID-19 after 10 years. Conversely, their decrease (β = −1.640, p < .001) and living with others (β = −7.274, p = .041) significantly contributed to lower psychological distress scores. Our findings provide insight into the predisposing influence of depressive symptoms on pandemic-related psychological distress ten years later. Preventive interventions and strategies considering these factors are needed to better pre-empt the severe mental consequences of the pandemic.

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The Psychological Impact of COVID-19 on Individuals With and Without Mental Health Disorders

Psychological Reports ◽

10.1177/00332941211026850 ◽

2021 ◽

pp. 003329412110268

Author(s):

Juliana Alvares Duarte Bonini Campos ◽

Lucas Arrais Campos ◽

Bianca Gonzalez Martins ◽

Filomena Valadão Dias ◽

Rodrigo Ruano ◽

...

Keyword(s):

Mental Health ◽

Bipolar Disorder ◽

Psychological Impact ◽

Mental Health Disorders ◽

Mental Health Disorder ◽

Subjective Distress ◽

Event Scale ◽

History Of ◽

Health Disorders ◽

The Impact

Objective To identify people with history of mental health disorders before the COVID-19 pandemic in the Brazilian population and estimate the prevalence of mood swings and the subjective distress of the pandemic among individuals with or without mental health disorders. Methods Through an online survey, participants were asked about presence or absence of mental health disorders. In addition, they answered the Brunel Mood Scale and the Impact of Event Scale. The mean percentile of mood swing indicators and psychological impact scores were estimated, and data were analyzed by logistic regression. Results 13,248 people participated (70.5% women, mean age 35.4 years, 31.2% with history of mental health disorder). Women and younger people were more likely to be diagnosed with mental health disorder. All participants had significant changes in mood due to the pandemic. Anger, depressed mood, mental confusion, and fatigue were higher among individuals with bipolar disorder or with combined disorders. Individuals with mental health disorders had a greater subjective distress, especially the group with bipolar disorder (OR = 4.89 [3.64–6.56]) and combined disorders (OR = 6.89 [5.21–9.10]). Conclusion Individuals previously diagnosed with mental health disorders at some point in life are more vulnerable to psychological impact from the pandemic.

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Faktor Kecemasan Tenaga Kesehatan dalam Memberikan Perawatan pada Pasien Covid-19: A Literatur Review

Jurnal Surya Medika ◽

10.33084/jsm.v7i1.2383 ◽

2021 ◽

Vol 7 (1) ◽

pp. 72-82

Author(s):

Hermanto Hermanto ◽

Putria Carolina ◽

Siti Santy Sianipar

Keyword(s):

Marital Status ◽

Working Conditions ◽

Direct Contact ◽

Health Workers ◽

Family Members ◽

External Factors ◽

Inclusion Criteria ◽

Contact Type ◽

History Of ◽

Elderly Family

Covid-19 as a global pandemic has overwhelmed the global health care system, and medical personnel experience a large workload due to long service shifts, which impact psychological disorders, one of which is anxiety; the anxiety experienced varies from mild, moderate to severe. To find out and display the causes of anxiety that arise in health workers while dealing with COVID-19 patients through searching literature articles. This research method is a literature review, with article searches starting from 2019-2020, using the ProQuest, PubMed, sciencedirect.com, google scholar, and crossref databases with the keywords health workers anxiety, OR Nurse anxiety, OR covid-19 patients. The identification of articles found as many as 620 articles and included in the selection criteria for 101 articles. 101 articles were included in the inclusion criteria selection, 11 articles were found that met the inclusion criteria. 11 articles were extracted and found several factors including gender, age, education, marital status, availability of APD, fear of infection, presence of comorbidities, having elderly family members, working conditions and environment, direct contact, type of hospital, profession, history of anxiety, patient honesty. The factors that cause anxiety in health workers when treating COVID-19 patients occur from individual internal and external factors. It occurs from individual internal factors including gender, age, education, marital status, fear of being infected, the presence of comorbidities, having a history of anxiety. External factors include the availability of APD, having elderly family members, working conditions and environment, direct contact, type of hospital, profession, patient honesty.

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Predictors of Depression and Anxiety in Family Members 3 Months After Child’s Admission to a Pediatric ICU

American Journal of Hospice and Palliative Medicine® ◽

10.1177/1049909119859517 ◽

2019 ◽

Vol 36 (10) ◽

pp. 841-850 ◽

Cited By ~ 1

Author(s):

Masayuki Iwata ◽

Soojeong Han ◽

Ross Hays ◽

Ardith Z. Doorenbos

Keyword(s):

Linear Regression ◽

Acute Stress ◽

Family Relationship ◽

Family Members ◽

Secondary Analysis ◽

Severe Depression ◽

Psychological Status ◽

Depression And Anxiety ◽

Linear Regression Models ◽

Pediatric Icu

Objectives: Family members of children admitted to intensive care units (ICUs) suffer from severe stress, which sometimes results in long-term psychological problems. We aimed to identify associations between demographic and psychosocial variables at early stages of a child’s admission to the ICU and depression and anxiety in family members at approximately 3 months after admission. We also explored predictive models for depression and anxiety at 3 months after admission. Methods: This study is a secondary analysis of data from a previous clinical trial of palliative care for family members in ICUs, in which 380 family members of 220 children reported demographic and psychosocial status at approximately 1 week after ICU admission (baseline), at discharge from the ICUs, and at 3 months after the child’s admission to the ICU. Clinical data were extracted from the children’s medical records. We used linear regression models and stepwise linear regression for the analyses. Results: After controlling for significant confounders of gender (female) and child mortality, worse psychological status at baseline, represented by reported depression, anxiety, and acute stress symptoms, was associated with more severe depression and anxiety at 3 months. Also, a better family relationship at baseline was associated with lower depression and anxiety at 3 months. Conclusion: We suggest a need to screen family members of children admitted to the ICU with validated scales and intervening with those at high risk of depression and anxiety. Clinical Trials: Registry number NCT02144779 on ClinicalTrials.gov . https://clinicaltrials.gov/ct2/show/NCT02144779?term=NCT02144779&rank=1 .

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PERAN PETUGAS KESEHATAN DAN PENGETAHUAN KELUARGA TERHADAP PENINGKATAN KEMAMPUAN MERAWAT KLIEN GANGGUAN JIWA DI RUMAH

Jurnal Kesehatan Manarang ◽

10.33490/jkm.v2i2.20 ◽

2018 ◽

Vol 2 (2) ◽

pp. 83

Author(s):

Edi Purnomo ◽

Zulhaini Sartika A. Pulungan ◽

Andi Milawati

Keyword(s):

Mental Disorders ◽

Quantitative Research ◽

Health Workers ◽

Family Members ◽

Cross Sectional Study ◽

Cross Sectional ◽

Care Workers ◽

The Family ◽

At Home

Mental disorder schizophrenia is a disorder psychic who ranks second in diseases that cause the greatest burden after heart disease. Its burden of mental disorders is mainly felt by the families who have family members with mental disorders. Patients with mental disorders who live with the family does not always indicate the best condition for the recovery of the client. The purpose of this study was to determine the effect of the role of the clerk and the knowledge of the family in improving the ability of families caring for clients with mental disorders at home. This research method is descriptive quantitative research design descriptive analytic approach cross sectional study. The samples used were 30 families who have family members experiencing mental disorders withpurposivesampling method. The research was conducted in Puskesmas Ulumanda Majene district. Results showed no effect between family knowledge (p=0.005) and the role of health care workers (p=0.008) with the ability of families in caring for clients with mental disorders at home. Conclusion the role of health workers and knowledge affect the ability of families caring for clients with mental disorders at home. Advised the family to be more active in seeking information about the treatment of people with mental disorders at home and health officials often approach to the family to help care clients with mental disorders.

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HUBUNGAN BEBAN KELUARGA DENGAN KEMAMPUAN CAREGIVER DALAM MERAWAT KLIEN SKIZOFRENIA

Jurnal Kesehatan Medika Saintika ◽

10.30633/jkms.v10i2.449 ◽

2019 ◽

Vol 10 (2) ◽

pp. 45

Author(s):

Helena Patricia ◽

Dwi Christina Rahayuningrum ◽

Vino Rika Nofia

Keyword(s):

Mental Disorders ◽

Health Center ◽

Health Workers ◽

Community Health Center ◽

Family Members ◽

Family Burden ◽

P Value ◽

Cross Sectional ◽

Schizophrenic Patients ◽

Relationship Of

ABSTRAK Puskesmas Naras merupakan angka tertinggi untuk gangguan jiwa dibandingkan dengan gangguan jiwa yang ada di Puskesmas yang ada di kota Pariaman. Banyaknya keluarga yang tidak mampu merawat anggota keluarganya dengan skizofrenia disebabkan karena beban keluarga yang tinggi. Tujuan penelitian ini adalah untuk mengetahui hubungan beban keluarga dengan kemampuan caregiver dalam merawat pasien skizofrenia di wilayah kerja Puskesmas Naras Kota Pariaman tahun 2018.Penelitian ini merupakan penelitian deskriptif analitik menggunakan metode cross sectional. Penelitian dilakukan di Puskesmas Naras kota Pariaman pada bulan Agustus 2018. Populasi adalah seluruh keluarga pasien skizofrenia sebanyak 66 orang dengan sampel penelitian diambil secara totalsampling. Hasil analisis menunjukkan 54,5% mengalami beban sedang, 56,1%memiliki kemampuan yang kurang baik dalam merawat klien skizofrenia. Terdapat hubungan beban keluarga dengan kemampuan caregiver dalam merawat pasien skizofrenia di wilayah kerja Puskesmas Naras Kota Pariaman, dengan p value 0,016.Dari hasil penelitian ini dapat simpulkan bahwa terdapat hubungan beban keluarga dengan kemampuan caregiver dalam merawat pasien skizofrenia di wilayah kerja Puskesmas Naras Kota Pariaman tahun 2018. Untuk itu kepada tenaga kesehatan agar memberikan informasi dan penyuluhan yang lebih banyak tentang gangguan jiwa khususnya pada keluargayang anggota keluarganya menderita gangguan jiwa. Kata kunci : Beban Keluarga; Kemampuan Caregiver; Skizofrenia ABSTRACTNaras Health Center is the highest number for mental disorders compared to mental disorders in Puskesmas in the city of Pariaman. The number of families who are unable to care for their family members with schizophrenia is caused by a high family burden. The purpose of this study was to determine the relationship of family burden with the caregiver's ability to treat schizophrenic patients in the working area of Naras Health Center Pariaman City in 2018. This research is a descriptive analytic study using cross sectional method. This research has been carried out at Naras Public Health Center in Pariaman City and the time of the research was carried on August 2018. The population in this study was the whole family of schizophrenic patients, as many as 66 people with the study sample taken in total population.The results of this study showed that 54.5% had a moderate burden, 56.1% have poor skills in treating schizophrenia clients. There is a family burden relationship with the caregiver's ability to treat schizophrenic patients in the Naras Community Health Center in Pariaman City), with a p value of 0.016. From the results of this study it can be concluded that there is a family burden relationship with the caregiver's ability to care for schizophrenic patients in the Naras Health Center working area Pariaman City in 2018. For that to the health workers to provide more information and counseling about mental disorders, especially in families family members suffer from mental disorders.Keywords : Family Expenses, Caregiver Ability,schizophrenic

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Acute Stress Response Profiles in Health Workers Facing SARS-CoV-2

Frontiers in Psychology ◽

10.3389/fpsyg.2021.660156 ◽

2021 ◽

Vol 12 ◽

Author(s):

Luca Moderato ◽

Davide Lazzeroni ◽

Annalisa Oppo ◽

Francesco Dell’Orco ◽

Paolo Moderato ◽

...

Keyword(s):

Stress Response ◽

Acute Stress ◽

Health Workers ◽

Severe Depression ◽

Severity Index ◽

Self Report ◽

Cross Sectional ◽

Impact Of Event Scale ◽

Event Scale ◽

Acute Stress Response

ObjectiveThe study is an explorative investigation aimed to assess the differences in acute stress response patterns of health workers facing coronavirus disease 2019 (COVID-19) during Italy’s first lockdown.MethodsA cross-sectional investigation using convenience sampling method was conducted in Italy during April 2020. Eight hundred fifty-eight health workers participated in the research filling out self-report measures including Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7), Insomnia Severity Index (ISI), and Impact of Event Scale–Revised (IES-R).ResultsModerate/severe depression was found in 28.9% (95% CI, 25.8–32.04), moderate/severe anxiety in 55.4% (95% CI, 51.9–58.8), insomnia in 15% (95% CI, 12.5–17.5), and distress in 52.5% (95% CI, 48.5%–56.6) of participants. The 3% of health workers reported frequent suicidal thoughts. Female sex, working for >15 h/week in a COVID-19 unit, and living apart from family were associated with a significantly higher risk of distress, anxiety, insomnia, depression, and functional impairment. Four profiles were identified on the basis of psychopathological measures: Profile_0 included 44% (N = 270); Profile_1, 25.6% (N = 157); Profile_2, 19.1% (N = 117); and Profile_3, 11.3% (N = 69) of participants. Results showed a significant effect for Profiles X IES-R (η2 = 0.079; f = 0.29), indicating that in all profiles, except for Profile_0, avoidance scale is lower than hyperarousal and intrusion symptoms scales of the IES-R. This characteristic could be a probable index of the control exerted by the responders to not fly away from their job.ConclusionThe identification of specific profiles could help psychiatrists and emergency psychologists to build specific interventions in terms of both primary and secondary prevention to face future waves of the COVID-19 outbreak.

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