Occupational stress, mental health, and self-efficacy among community mental health workers: A cross-sectional study during COVID-19 pandemic

Background: During the COVID-19, community mental health care workers (CMHWs) faced much heavier workloads, which make them vulnerable to mental problems. Aim: This study aims to investigate coronavirus disease-related occupational stress and its single and cumulative effect on mental health and self-efficacy among CMHWs. Methods: A quick-response online cross-sectional survey WA conducted during the coronavirus disease outbreak. A total of 536 CMHWs were recruited in March 2020, in China. Demographics, occupational stress, depression, anxiety, positive and negative emotions, and self-efficacy were collected. Logistic regression analysis was employed to test the single and cumulative effect of occupational stress on mental health and self-efficacy. Results: CMHWs did not show high level of depression or anxiety in this study. Those who provided service for suspected people who were quarantined reported higher risk of depression and anxiety. Staying out for more than 3 days was a risk factor of depression while cleaning/sterilising streets or communities was a protective factor of depression. Those who received psychiatric training showed higher positive emotion and self-efficacy, and providing psychological assistance online increased the self-efficacy. CMHWs with two different types of work had 0.996 times more risk of depression than those with only one type of work. Conclusion: The potential cumulative effect of occupation stress suggested that reasonable job assignment and organisational support are necessary safeguards for CMHWs.

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Does self-efficacy mediate the relationship between occupational stress and mental health problems? A study among nursing professionals

Health Promotion Perspectives ◽

10.34172/hpp.2021.44 ◽

2021 ◽

Vol 11 (3) ◽

pp. 344-350

Author(s):

Iman Dianat ◽

Sonia Azemi ◽

Farahnaz Abdollahazade ◽

Ahmad Bazazan ◽

Mohammad Asghari Jafarabadi

Keyword(s):

Mental Health ◽

Occupational Stress ◽

Self Efficacy ◽

Structural Equation ◽

Mental Health Problems ◽

General Health Questionnaire ◽

Mediating Effect ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Nursing Professionals

Background: While it is acknowledged that self-efficacy plays a significant role in understanding consequences of occupational stress, no research has given much attention to the mediating effect of self-efficacy in the association between occupational stress and mental health (MH)problems. The aims of this study were to examine: (1) the associations between occupational stress, MH problems, and self-efficacy among nursing professionals, and (2) mediating effect of self-efficacy in the association between occupational stress and MH problems. Methods: A multi-hospital cross-sectional survey was adopted in eight hospitals in Tabriz, Iran. 389 nursing staff were recruited through a two-stage sampling procedure. Study variables included occupational stress (Health & Safety Executive [HSE] Management Standards RevisedIndicator Tool [MS–RIT]), mental health (General Health Questionnaire [GHQ–28]), and self efficacy (General Self-Efficacy [GSE–10]). Generalized structural equation modelling (GSEM)was applied. Results: Occupational stress (mean±SD=109.2±13.4), poor MH (41.9%), and low selfefficacy (mean±SD=17.7±4.9) were fairly common among the participants. The results showed significant direct effect of occupational stress on MH problems (β=- 0.38, P<0.001). Indirect effect of occupational stress on MH problems through self-efficacy was not significant. Conclusion: The findings highlight the role of other mechanisms or factors than self-efficacy in the association between occupational stress and MH problems that should be established in future work.

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Task-shifting in Mental Health Services: Extent, Impact and Challenges in Ghana

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.988 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S618-S618

Author(s):

V. Agyapong

Keyword(s):

Mental Health ◽

Health Policy ◽

Health Workers ◽

Continuing Professional Development ◽

Task Shifting ◽

Mental Health Workers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Impact

AimTo examine the role and scope of practice of community mental health workers (CMHWs) as well as the impact and challenges associated with of work of CMHWs within Ghana's mental health delivery system.MethodsA cross sectional survey of 11 psychiatrists, 29 health policy directors and 164 CMHWs as well as key informant interviews with 3 CMHWs, 5 psychiatrists and 2 health policy directors and three focus group discussions with 21 CMHWs. Results of quantitative data were analysed with SPSS version 20 whilst the results from qualitative data were analysed manually through thematic analysis.ResultsIn addition to duties prescribed in their job descriptions, all the CMHWs identified several jobs that they routinely perform including jobs reserved for higher level cadres such as medication prescribing for which most of the CMHWs have no training. Some CMHWs reported they had considered leaving the mental health profession because of the stigma, risk, lack of opportunities for continuing professional development and career progression as well as poor remuneration. Almost all the stakeholders believed CMHWs in Ghana receive adequate training for the role they are expected to play although many identify some gaps in the training of these mental health workers for the expanded roles they actually play. All the stakeholders expressed concerns about the quality of the care provided by CMHWs.ConclusionThe study highlights several important issues, which facilitate or hinder effective task-shifting arrangements from psychiatrists to CMHWs and impact on the quality of care provided by the latter.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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Influencing Factors of Humanistic Care Ability in Mental Health Workers: An Online Cross-Sectional Study

10.21203/rs.3.rs-1057790/v1 ◽

2021 ◽

Author(s):

Xiaolin Liu ◽

Hongjin Zhu

Keyword(s):

Mental Health ◽

Personality Traits ◽

Influencing Factors ◽

Psychological Capital ◽

Health Workers ◽

Cross Sectional Study ◽

Mental Health Workers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Low Level

Abstract Background Mental health workers may face more obstacles in humanistic care during the COVID-19 pandemic, we aimed to explore the humanistic care ability of mental health workers and its potential influencing factors.Method(s) An online cross-sectional survey was conducted among 262 mental health workers working in Chongqing, China from December 1 to 31, 2020. Self-administered questionnaires were used to collect data from the participants. Results Mental health workers’ humanistic care ability score was 186.47 ± 21.34, and most of the them (79.8%) were at a low level. Psychological capital and personality traits were significant influencing factors of humanistic care ability and its sub-dimensions.Conclusion(s) Research has found that the humanistic care ability of mental health workers is at a low level, and psychological capital and personality traits are significant factors influencing the humanistic care ability and its sub-dimensions. Interventions to improve psychological capital of mental health workers or to promote the change of personality traits that they want are recommended, thereby promoting humanistic practice.

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The Prevalence of Mental Health Problems and Associated Risk Factors among Military Health Workers of COVID-19 Specialized Hospitals in Wuhan, China: A Cross-Sectional Survey

10.21203/rs.3.rs-22537/v1 ◽

2020 ◽

Author(s):

Xiao Pan ◽

Ying Xiao ◽

Ding Ren ◽

Zhengmei Xu ◽

Qian Zhang ◽

...

Keyword(s):

Mental Health ◽

Risk Factors ◽

Health Workers ◽

Somatic Symptoms ◽

Generalized Anxiety ◽

Poor Sleep ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Military Health ◽

Patient Health

Abstract Background China has been severely affected by COVID-19 (Coronavirus Disease 2019) since December 2019.In the combat against COVID-19, military health workers in China suffered from many pressures. This study aimed to investigate the current psychological status and risk factors of the military health workers.Methods Using a web-based cross-sectional survey, we collected data from 194 military health workers from three inpatient wards in two COVID-19 specialized hospitals. The survey questions consisted of demographic information, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-15 (PHQ-15). Hierarchical regression analysis was used to explore potential risk factors for mental health problem.Results The overall prevalence of depressive symptoms, generalized anxiety and somatic symptoms were37.6%, 32.5% and 50%, respectively. Severe depression, generalized anxiety and somatic symptoms was 5.2%, 3.6% and 15.5%. In 22.7% of cases, comorbidities existed between depression, generalized anxiety and somatization. Junior-grade professional title was associated with depression, older age was associated with generalized anxiety and somatization, and less sleep duration and poor sleep quality were associated with all three symptoms.Conclusion The prevalence of depression, generalized anxiety and somatic symptoms were high in military health workers of COVID-19 specialized hospitals during the COVID-19 outbreak. Junior-grade professional title, older age, less sleep duration, and poor sleep quality have significant effects on the mental health of military health workers. Continuous surveillance and monitoring of the psychological consequences of the COVID-19outbreak should become routine to promote the mental health of military health workers.

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The Effect of Pets on Human Mental Health and Wellbeing during COVID-19 Lockdown in Malaysia

Animals ◽

10.3390/ani11092689 ◽

2021 ◽

Vol 11 (9) ◽

pp. 2689

Author(s):

Dasha Grajfoner ◽

Guek Nee Ke ◽

Rachel Mei Ming Wong

Keyword(s):

Mental Health ◽

Psychological Health ◽

Self Efficacy ◽

Positive Emotions ◽

Movement Control ◽

Psychological Wellbeing ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Health And Wellbeing ◽

Pet Owners

The adverse impact of SARS-CoV-2 (COVID-19) on mental and physical health has been witnessed across the globe. Associated mental health and wellbeing issues include stress, social isolation, boredom, and anxiety. Research suggests human–animal interactions may improve the overall wellbeing of an individual. However, this has been less explored in Southeast Asian countries like Malaysia and the present study examined the effect of pets on the mental health and wellbeing of Malaysians during the lockdown, or movement control order (MCO), due to COVID-19 pandemic. A cross-sectional survey was carried out, with 448 Malaysian participants, who completed online assessments for psychological outcomes, psychological wellbeing, positive–negative emotions, resilience, and coping self-efficacy. Results indicate that pet owners reported significantly better coping self-efficacy, significantly more positive emotions, and better psychological wellbeing, but contrary to expectations, there was no differences on other measures. Among pet owners, cat owners reported more positive emotions and greater wellbeing than dog owners. The results show that that pets have some impact on improved psychological health of their owners and could be integrated into recovery frameworks for promoting mental health and wellbeing.

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Community mental health provision in Pemba Island, Zanzibar: a cross-sectional survey of different stakeholder groups

International Psychiatry ◽

10.1192/s1749367600005749 ◽

2010 ◽

Vol 7 (2) ◽

pp. 43-45 ◽

Cited By ~ 1

Author(s):

Michel Okitapoy On'okoko ◽

Ilyas Mirza ◽

Rachel Jenkins

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Community Mental Health ◽

Health Services ◽

Community Mental Health Services ◽

Limited Information ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Health Service Provision ◽

Pemba Island

There is limited information about stakeholder perceptions of health service provision in low- and middle-income countries. We conducted a cross-sectional survey of 821 stakeholders of the community mental health services in Pemba Island, Zanzibar, Tanzania. The aim was to obtain systematic information about coverage, barriers, accountability and room for improvement as a baseline before implementation of a new mental health policy to strengthen mental health services.

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Cross-Sectional Survey on the Relationship Between Occupational Stress, Hormone Levels, and the Sleep Quality of Oilfield Workers in Xinjiang, China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16183316 ◽

2019 ◽

Vol 16 (18) ◽

pp. 3316 ◽

Cited By ~ 3

Author(s):

Xue Li ◽

Xiaoyan Gao ◽

Jiwen Liu

Keyword(s):

Sleep Quality ◽

Sleep Disorders ◽

Sleep Disorder ◽

Occupational Stress ◽

Protective Factor ◽

High Stress ◽

Cross Sectional Survey ◽

Subjective Sleep Quality ◽

Cross Sectional ◽

Quality Sleep

The impact of psychosocial factors on health has received increased attention. This study employed a multi-stage hierarchical cluster sampling method and a cross-sectional survey was conducted from March to August 2017. By studying 2116 oilfield workers based in Karamay, Xinjiang, the relationship between occupational stress, blood hormone levels, and sleep was analyzed. Occupational stress was measured using the internationally accepted Occupational Stress Inventory Revised Edition (OSI-R) questionnaire and sleep disorders were measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The study found that the sleep quality of respondents was not high and the incidence of sleep disorders was 36.67%. The higher the level of occupational stress, the higher the incidence of sleep disorders. Irregular shifts can affect sleep quality and individuals with high-level professional titles experience a higher incidence of sleep disorders than those with low-level titles. The total score of the PSQI was different among the low, medium, and high stress groups. The higher the level of stress, the higher the scores of subjective sleep quality, sleep disorder, and daytime dysfunction. The scores of the PSQI, subjective sleep quality, sleep time, sleep disturbance, and daytime dysfunction in the high-stress group were higher than those in the low stress group. A case-control study found that the concentration of glucocorticoids in the sleep disorder positive group was lower than that in the sleep disorder negative group. The results of the regression analysis showed that glucocorticoid is a protective factor for sleep disorders (OR = 0.989, 95% CI: 0.983–0.995), suggesting that the higher the level of glycosaminoglycan, the less likely the subject is to have sleep disorders. For example, in the case of high occupational stress, the interaction between low and moderate occupational stress levels and glucocorticoids is a protective factor for sleep disorders.

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Influencing Factors of Humanistic Care Ability in Mental Health Workers: an Online Cross-Sectional Study

10.21203/rs.3.rs-1057790/v2 ◽

2021 ◽

Author(s):

Xiaolin Liu ◽

Hongjin Zhu

Keyword(s):

Mental Health ◽

Personality Traits ◽

Influencing Factors ◽

Psychological Capital ◽

Health Workers ◽

Cross Sectional Study ◽

Mental Health Workers ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Low Level

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Resilience and Psychological Well-Being of Higher Education Students During COVID-19: The Mediating Role of Perceived Distress

Journal of Health Management ◽

10.1177/0972063420983111 ◽

2021 ◽

pp. 097206342098311

Author(s):

Sarita Sood ◽

Ananya Sharma

Keyword(s):

Mental Health ◽

Higher Education ◽

Structural Equation ◽

Health Workers ◽

Well Being ◽

Education Students ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Psychological Well Being ◽

Novel Coronavirus

The novel coronavirus disease (COVID-19) pandemic has created a crisis with a severe effect on the masses, particularly the young students across the world. Framed by the transactional theory of stress and coping, this study investigates the factors influencing psychological well-being (PWB) of the students in higher education during the peri-traumatic phase of COVID-19. A cross-sectional survey using a questionnaire was employed. The study aimed at prediction and theory building and was carried out in India. Data were collected online from 173 higher education students. Partial least squares structural equation modelling (PLS-SEM) was used to test the hypothesised relationships among the constructs. Results indicated resilience significantly predicts PWB both directly and indirectly. Further, the study revealed perceived distress and PWB are not on the same continuum. This study has a contribution to theory and health promotion. Furthermore, the findings have several practical implications for counselling psychologists, academicians, and mental health workers associated with the higher education sector. These findings will put them in a better position to design interventions to enhance resilience in students in the backdrop of the relevance of both positive and negative mental health during the outbreak of diseases. Based on the findings, future directions were discussed.

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Occupational Stress and Mental Health among Anesthetists during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17218245 ◽

2020 ◽

Vol 17 (21) ◽

pp. 8245

Author(s):

Nicola Magnavita ◽

Paolo Maurizio Soave ◽

Walter Ricciardi ◽

Massimo Antonelli

Keyword(s):

Mental Health ◽

Organizational Justice ◽

Occupational Stress ◽

Work Organization ◽

Depression Scale ◽

Good Health ◽

Cross Sectional Survey ◽

Optimal Care ◽

Cross Sectional ◽

Psychosocial Risks

Anesthetist-intensivists who treat patients with coronavirus disease 19 (COVID-19) are exposed to significant biological and psychosocial risks. Our study investigated the occupational and health conditions of anesthesiologists in a COVID-19 hub hospital in Latium, Italy. Ninety out of a total of 155 eligible workers (59%; male 48%) participated in the cross-sectional survey. Occupational stress was assessed with the Effort Reward Imbalance (ERI) questionnaire, organizational justice with the Colquitt Scale, insomnia with the Sleep Condition Indicator (SCI), and mental health with the Goldberg Anxiety and Depression Scale (GADS). A considerable percentage of workers (71.1%) reported high work-related stress, with an imbalance between high effort and low rewards. The level of perceived organizational justice was modest. Physical activity and meditation—the behaviors most commonly adopted to increase resilience—decreased. Workers also reported insomnia (36.7%), anxiety (27.8%), and depression (51.1%). The effort made for work was significantly correlated with the presence of depressive symptoms (r = 0.396). Anesthetists need to be in good health in order to ensure optimal care for COVID-19 patients. Their state of health can be improved by providing an increase in individual resources with interventions for better work organization.

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