scholarly journals Holding the frontline: a cross-sectional survey of emergency department staff well-being and psychological distress in the course of the COVID-19 outbreak

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gijs Hesselink ◽  
Lise Straten ◽  
Lars Gallée ◽  
Anne Brants ◽  
Joris Holkenborg ◽  
...  
Keyword(s):  
Emergency Department ◽  
Psychological Distress ◽  
Perceived Stress ◽  
Well Being ◽  
Drop Out ◽  
World Health ◽  
Free Text ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stress Symptoms

Abstract Background The coronavirus disease 2019 (COVID-19) outbreak has been associated with stress and challenges for healthcare professionals, especially for those working in the front-line of treating COVID-19 patients. This study aimed to: 1) assess changes in well-being and perceived stress symptoms of Dutch emergency department (ED) staff in the course of the first COVID-19 wave, and 2) assess and explore stressors experienced by ED staff since the COVID-19 outbreak. Methods We conducted a cross-sectional study. An online questionnaire was administered during June–July 2020 to physicians, nurses and non-clinical staff of four EDs in the Netherlands. Well-being and stress symptoms (i.e., cognitive, emotional and physical) were scored for the periods pre, during and after the first COVID-19 wave using the World Health Organization Well-Being Index (WHO-5) and a 10-point Likert scale. Stressors were assessed and explored by rating experiences with specific situations (i.e., frequency and intensity of distress) and in free-text narratives. Quantitative data were analyzed with descriptive statistics and generalized estimating equations (GEE). Narratives were analyzed thematically. Results In total, 192 questionnaires were returned (39% response). Compared to pre-COVID-19, the mean WHO-5 index score (range: 0–100) decreased significantly with 14.1 points (p < 0.001) during the peak of the first wave and 3.7 points (< 0.001) after the first wave. Mean self-perceived stress symptom levels almost doubled during the peak of the first wave (≤0.005). Half of the respondents reported experiencing more moral distress in the ED since the COVID-19 outbreak. High levels of distress were primarily found in situations where the staff was unable to provide or facilitate necessary emotional support to a patient or family. Analysis of 51 free-texts revealed witnessing suffering, high work pressure, fear of contamination, inability to provide comfort and support, rapidly changing protocols regarding COVID-19 care and personal protection, and shortage of protection equipment as important stressors. Conclusions The first COVID-19 wave took its toll on ED staff. Actions to limit drop-out and illness among staff resulting from psychological distress are vital to secure acute care for (non-)COVID-19 patients during future infection waves.

scholarly journals Depressive Symptoms and Associated Factors in Female Students in Fukushima Four Years after the Fukushima Nuclear Power Plant Disaster

2018 ◽  
Vol 15 (11) ◽  
pp. 2411 ◽  
Author(s):  
Shinya Ito ◽  
Mie Sasaki ◽  
Satoko Okabe ◽  
Nobuhiro Konno ◽  
Aya Goto
Keyword(s):  
Depressive Symptoms ◽  
Risk Perceptions ◽  
Radiation Risk ◽  
Well Being ◽  
Female Students ◽  
World Health ◽  
Nuclear Radiation ◽  
Depression Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional

Young women in their late teens and early 20s are at the highest risk for depression onset. The present study aimed to assess depressive symptoms among female college students in Fukushima. More specifically, it aimed to clarify factors predicting possible symptom profiles, with an emphasis on determining how nuclear radiation risks affect the reporting of depression symptoms. A cross-sectional survey was conducted of 310 female students at a college in the Fukushima prefecture, Japan, in December 2015, and 288 participants submitted valid questionnaires. In total, 222 (77.1%) participants lived in Fukushima at the time of the Great East Japan Earthquake. The measures included the World Health Organization-Five Well-Being Index, the Fukushima Future Parents Attitude Measure, and risk perception of radiation health effects. A total of 46.5% of participants reported depressive symptoms. Path analysis revealed that higher radiation risk perceptions and reduced efficacy with reproduction related to a decline in self-esteem and self-efficacy, which was subsequently associated with increased depressive symptoms. These findings highlight the importance of radiation education among children and young adults, both after a nuclear accident and during disaster preparation, particularly in the context of reproductive and mental health.

scholarly journals Exploring the global impact of the COVID-19 pandemic on medical education: an international cross-sectional study of medical learners

2021 ◽  
Author(s):  
Allison Brown ◽  
Aliya Kassam ◽  
Mike Paget ◽  
Kenneth Blades ◽  
Megan Mercia ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Training ◽  
Well Being ◽  
World Health ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The World ◽  
Geographic Regions ◽  
The Impact

Background: The evidence surrounding the impact of COVID-19 on medical learners remains anecdotal and highly speculative despite the anticipated impact and potential consequences of the current pandemic on medical training. The purpose of this study was to explore the extent that COVID-19 initially impacted medical learners around the world and examine global trends and patterns across geographic regions and levels of training. Methods: A cross-sectional survey of medical learners was conducted between March 25–June 14, 2020, shortly after the World Health Organization declared COVID-19 a pandemic. Results: 6492 learners completed the survey from 140 countries. Most medical schools removed learners from the clinical environment and adopted online learning, but students reported concerns about the quality of their learning, training progression, and milestone fulfillment. Residents reported they could be better utilized and expressed concerns about their career timeline. Trainees generally felt under-utilized and wanted to be engaged clinically in meaningful ways; however, some felt that contributing to healthcare during a pandemic was beyond the scope of a learner. Significant differences were detected between levels of training and geographic regions for satisfaction with organizational responses as well as the impact of COVID-19 learner wellness and state-trait anxiety. Conclusions: The disruption to the status quo of medical education is perceived by learners across all levels and geographic regions to have negatively affected their training and well-being, particularly amongst postgraduate trainees. These results provide initial empirical insights into the areas that warrant future research as well as consideration for current and future policy planning.

scholarly journals Risk perception and psychological state of healthcare workers in referral hospitals during the early phase of the COVID-19 pandemic, Uganda

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Richard Migisha ◽  
Alex Riolexus Ario ◽  
Benon Kwesiga ◽  
Lilian Bulage ◽  
Daniel Kadobera ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Risk Perception ◽  
Healthcare Workers ◽  
General Health Questionnaire ◽  
Multivariable Analysis ◽  
Well Being ◽  
Psychological State ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Referral Hospitals

Abstract Background Safeguarding the psychological well-being of healthcare workers (HCWs) is crucial to ensuring sustainability and quality of healthcare services. During the COVID-19 pandemic, HCWs may be subject to excessive mental stress. We assessed the risk perception and immediate psychological state of HCWs early in the pandemic in referral hospitals involved in the management of COVID-19 patients in Uganda. Methods We conducted a cross-sectional survey in five referral hospitals from April 20–May 22, 2020. During this time, we distributed paper-based, self-administered questionnaires to all consenting HCWs on day shifts. The questionnaire included questions on socio-demographics, occupational behaviors, potential perceived risks, and psychological distress. We assessed risk perception towards COVID-19 using 27 concern statements with a four-point Likert scale. We defined psychological distress as a total score > 12 from the 12-item Goldberg’s General Health Questionnaire (GHQ-12). We used modified Poisson regression to identify factors associated with psychological distress. Results Among 335 HCWs who received questionnaires, 328 (98%) responded. Respondents’ mean age was 36 (range 18–59) years; 172 (52%) were male. The median duration of professional experience was eight (range 1–35) years; 208 (63%) worked more than 40 h per week; 116 (35%) were nurses, 52 (14%) doctors, 30 (9%) clinical officers, and 86 (26%) support staff. One hundred and forty-four (44%) had a GHQ-12 score > 12. The most common concerns reported included fear of infection at the workplace (81%), stigma from colleagues (79%), lack of workplace support (63%), and inadequate availability of personal protective equipment (PPE) (56%). In multivariable analysis, moderate (adjusted prevalence ratio, [aPR] = 2.2, 95% confidence interval [CI] 1.2–4.0) and high (aPR = 3.8, 95% CI 2.0–7.0) risk perception towards COVID-19 (compared with low-risk perception) were associated with psychological distress. Conclusions Forty-four percent of HCWs surveyed in hospitals treating COVID-19 patients during the early COVID-19 epidemic in Uganda reported psychological distress related to fear of infection, stigma, and inadequate PPE. Higher perceived personal risk towards COVID-19 was associated with increased psychological distress. To optimize patient care during the pandemic and future outbreaks, workplace management may consider identifying and addressing HCW concerns, ensuring sufficient PPE and training, and reducing infection-associated stigma.

scholarly journals The Relation Between Official WhatsApp-Distributed COVID-19 News Exposure and Psychological Symptoms: Cross-Sectional Survey Study (Preprint)

2020 ◽  
Author(s):  
Jean C J Liu ◽  
Eddie M W Tong
Keyword(s):  
Protective Factor ◽  
Psychological Symptoms ◽  
Well Being ◽  
Primary Outcome Measure ◽  
World Health ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Global Pandemic ◽  
Health Organization

BACKGROUND In a global pandemic, digital technology offers innovative methods to disseminate public health messages. As an example, the messenger app WhatsApp was adopted by both the World Health Organization and government agencies to provide updates on the coronavirus disease (COVID-19). During a time when rumors and excessive news threaten psychological well-being, these services allow for rapid transmission of information and may boost resilience. OBJECTIVE In this study, we sought to accomplish the following: (1) assess well-being during the pandemic; (2) replicate prior findings linking exposure to COVID-19 news with psychological distress; and (3) examine whether subscription to an official WhatsApp channel can mitigate this risk. METHODS Across 8 weeks of the COVID-19 outbreak (March 7 to April 21, 2020), we conducted a survey of 1145 adults in Singapore. As the primary outcome measure, participants completed the Depression, Anxiety, and Stress Scale (DASS-21). As predictor variables, participants also answered questions pertaining to the following: (1) their exposure to COVID-19 news; (2) their use of the Singapore government’s WhatsApp channel; and (3) their demographics. RESULTS Within the sample, 7.9% of participants had severe or extremely severe symptoms on at least one DASS-21 subscale. Depression scores were associated with increased time spent receiving COVID-19 updates, whereas use of the official WhatsApp channel emerged as a protective factor (<i>b</i>=–0.07, <i>t</i>[863]=–2.04, <i>P</i>=.04). Similarly, increased anxiety scores were associated with increased exposure to both updates and rumors, but this risk was mitigated by trust in the government’s WhatsApp messages (<i>b</i>=–0.05, <i>t</i>[863]=–2.13, <i>P</i>=.03). Finally, although stress symptoms increased with the amount of time spent receiving updates, these symptoms were not significantly related to WhatsApp use. CONCLUSIONS Our findings suggest that messenger apps may be an effective medium for disseminating pandemic-related information, allowing official agencies to reach a broad sector of the population rapidly. In turn, this use may promote public well-being amid an “infodemic.” CLINICALTRIAL ClinicalTrials.gov NCT04305574; https://clinicaltrials.gov/ct2/show/NCT04305574

scholarly journals Chronic social disruption following a systemic fishery failure

2019 ◽  
Vol 116 (46) ◽  
pp. 22912-22914 ◽  
Author(s):  
Steven B. Scyphers ◽  
J. Steven Picou ◽  
Jonathan H. Grabowski
Keyword(s):  
Psychological Distress ◽  
New England ◽  
Gulf Of Maine ◽  
Classification Tree ◽  
Well Being ◽  
The United States ◽  
Social Disruption ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Groundfish Fishery

In the United States, the iconic groundfish fishery for Gulf of Maine cod has endured several dramatic reductions in annual catch limits and been federally declared an economic disaster. Using a repeated cross-sectional survey of fishing captains to assess potential social impacts of the fishery failure, we found that psychological distress and social disruption were pervasive throughout New England fishing communities. For instance, our results indicate that 62% of captains self-reported severe or moderate psychological distress 1 y after the crisis began, and these patterns have persisted for 5 y. Using classification tree analyses, we found that low levels of trust in fisheries management was the most powerful predictor of both initial and chronic psychological distress. Distress was most severe among individuals without income diversity and those with dependents in the household. Compared to other aspects of fisheries, measuring and managing for noneconomic social outcomes and human well-being has lagged behind, even though it is a necessary component of mitigating the adverse impacts of fisheries disruptions.

Violence Exposure, Posttraumatic Stress, and Subjective Well-Being in a Sample of Russian Adults: A Facebook-Based Study

2017 ◽  
Vol 35 (5-6) ◽  
pp. 1476-1491 ◽  
Author(s):  
Olga Bogolyubova ◽  
Roman Tikhonov ◽  
Victor Ivanov ◽  
Polina Panicheva ◽  
Yanina Ledovaya
Keyword(s):  
Psychological Distress ◽  
Posttraumatic Stress ◽  
Traumatic Stress ◽  
Violence Exposure ◽  
Exposure To Violence ◽  
Well Being ◽  
World Health ◽  
Physical Assault ◽  
Subjective Well Being ◽  
Stress Symptoms

Exposure to violence has been shown to negatively affect mental health and well-being. The goal of this Facebook-based study was to describe the rates of exposure to violence in a sample of Russian adults and to assess the impact of these experiences on subjective well-being and victimization-related psychological distress. Three types of victimization were assessed: physical assault by a stranger, physical assault by someone known to victim, and nonconsensual sexual experiences. The 5-item World Health Organization Well-Being Index (WHO-5) was used to assess subjective well-being, and Primary Care PTSD Screen (PC-PTSD) was employed as an indicator of victimization-related psychological distress. Data were obtained from 6,724 Russian-speaking Facebook users. Significant levels of lifetime victimization were reported by the study participants. Lifetime physical assault by a stranger, physical assault by someone known to victim, and sexual assault were reported by 56.9%, 64.2%, and 54.1% of respondents, respectively. Respondents exposed to violence were more likely to report posttraumatic stress symptoms and lower levels of subjective well-being. Participants who were exposed to at least one type of violence were more likely to experience symptoms of traumatic stress ( U = 1,794,250.50, p < .001, d = 0.35). Exposure to multiple forms of violence was associated with more severe traumatic stress symptoms ( rs = .257, p < .001). Well-being scores were significantly lower among participants exposed to violence ( t = 8.37, p < .001, d = 0.31). The study demonstrated that violence exposure is associated with reduced well-being among Russian adults. Our findings highlight the negative impact of violence exposure on subjective well-being and underscore the necessity to develop programs addressing violence exposure in Russian populations.

Psychological Distress and Social Support Availability in Different Family Caregivers of Latinas With Breast Cancer

2019 ◽  
pp. 104365961989682
Author(s):  
Chris Segrin ◽  
Terry Badger ◽  
Alla Sikorskii
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Psychological Distress ◽  
Family Caregivers ◽  
Breast Cancer Survivors ◽  
Well Being ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Diverse Range

Introduction: Latinas with breast cancer draw on a diverse range of family members for informal care. Latin cultures typically prescribe high levels of support and care for an ill family member that leave caregivers vulnerable to compromised well-being. Method: In this cross-sectional survey study, 258 family caregivers of Latinas with breast cancer completed reports of psychological distress, availability of social support, and acculturation. Results: Mothers who provide care to a daughter with breast cancer experience higher levels of psychological distress and report lower availability of informational support than most other types of family caregivers. Mothers’ lower levels of acculturation may at least partially explain these reductions in well-being. Discussion: This study highlights the diverse range of family and fictive kin who participate in family caregiving for Latina breast cancer survivors. Spousal caregivers may not represent a unique population, whereas mothers as caregivers are indeed distinct for their higher distress levels.

scholarly journals Challenges facing essential workers: a cross-sectional survey of the subjective mental health and well-being of New Zealand healthcare and ‘other’ essential workers during the COVID-19 lockdown

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048107
Author(s):  
Caroline Bell ◽  
Jonathan Williman ◽  
Ben Beaglehole ◽  
James Stanley ◽  
Matthew Jenkins ◽  
...  
Keyword(s):  
Psychological Distress ◽  
New Zealand ◽  
Alcohol Use ◽  
Well Being ◽  
Secondary Outcome ◽  
Essential Work ◽  
Work Roles ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk

ObjectivesTo compare psychological outcomes, experiences and sources of stress over the COVID-19 lockdown in New Zealand in essential workers (healthcare and ‘other’ essential workers) with that of workers in nonessential work roles.DesignOnline cross-sectional survey.SettingConducted in New Zealand over level 4 lockdown in April/May 2020.ParticipantsFindings from employed participants (2495) are included in this report; 381 healthcare workers, 649 ‘other’ essential workers and 1465 nonessential workers.Primary and secondary outcome measuresMeasures included psychological distress (Kessler Psychological Distress Scale (K10)), anxiety (Generalised Anxiety Disorder (GAD-7)), well-being (WHO-5), alcohol use, subjective experiences and sources of stress. Differences between work categories were quantified as risk ratios or χ2 tests.ResultsAfter controlling for confounders that differed between groups of essential and nonessential workers, those in healthcare and those in ‘other’ essential work were at 71% (95% CI 1.29 to 2.27) and 59% (95% CI 1.25 to 2.02) greater risk respectively, of moderate levels of anxiety (GAD-7 ≥10), than those in nonessential work. Those in healthcare were at 19% (95% CI 1.02 to 1.39) greater risk of poor well-being (WHO-5 <13). There was no evidence of differences across work roles in risk for psychological distress (K10 ≥12) or increased alcohol use. Healthcare and ‘other’ essential workers reported increased workload (p<0.001) and less uncertainty about finances and employment than those in nonessential work (p<0.001). Healthcare and nonessential workers reported decreased social contact. No difference by work category in health concerns was reported; 15% had concerns about participants’ own health and 33% about other people’s health.ConclusionsDuring the pandemic lockdown, essential workers (those in healthcare and those providing ‘other’ essential work) were at increased risk of anxiety compared with those in nonessential work, with those in healthcare also being at increased risk of poor well-being. This highlights the need to recognise the challenges this vital workforce face in pandemics.

scholarly journals Comparative analysis of the health status of the population in six health zones in South Kivu: a cross-sectional population study using the WHODAS

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Samuel Lwamushi Makali ◽  
Espoir Bwenge Malembaka ◽  
Anne-Sophie Lambert ◽  
Hermès Bimana Karemere ◽  
Christian Molima Eboma ◽  
...  
Keyword(s):  
Health Status ◽  
Negative Impact ◽  
Demographic Data ◽  
Univariate Analysis ◽  
Well Being ◽  
Armed Conflicts ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
South Kivu

Abstract Background The eastern Democratic Republic of Congo (DRC) has experienced decades-long armed conflicts which have had a negative impact on population’s health. Most research in public health explores measures that focus on a specific health problem rather than overall population health status. The aim of this study was to assess the health status of the population and its predictors in conflict settings of South Kivu province, using the World Health Organization Disability Assessment Schedule (WHODAS). Methods Between May and June 2019, we conducted a community-based cross-sectional survey among 1440 adults in six health zones (HZ), classified according to their level of armed conflict intensity and chronicity in four types (accessible and stable, remote and stable, intermediate and unstable). The data were collected by a questionnaire including socio-demographic data and the WHODAS 2.0 tool with 12 items. The main variable of the study was the WHODAS summary score measuring individual’s health status and synthesize in six domains of disability (household, cognitive, mobility, self-care, social and society). Univariate analysis, correlation and comparison tests as well as hierarchical multiple linear regression were performed. Results The median WHODAS score in the accessible and stable (AS), remote and stable (RS), intermediate (I) and unstable (U) HZ was 6.3 (0–28.6); 25 (6.3–41.7); 22.9 (12.5–33.3) and 39.6 (22.9–54.2), respectively. Four of the six WHODAS domain scores (household, cognitive, mobility and society) were the most altered in the UHZs. The RSHZ and IHZ had statistically comparable global WHODAS scores. The stable HZs (accessible and remote) had statistically lower scores than the UHZ on all items. In regression analysis, the factors significantly associated with an overall poor health status (or higher WHODAS score) were advanced age, being woman, being membership of an association; being divorced, separated or widower and living in an unstable HZ. Conclusions Armed conflicts have a significantly negative impact on people’s perceived health, particularly in crisis health zones. In this area, we must accentuate actions aiming to strengthen people’s psychosocial well-being.

scholarly journals Fear, Psychosomatic Symptoms and Satisfaction of Primary Healthcare Workers during the First Wave of COVID-19 Pandemic in Rivers State Nigeria: A Descriptive Cross-sectional Study

2021 ◽  
pp. 48-54
Author(s):  
Clement Kevin Edet ◽  
Agiriye M. Harry ◽  
Anthony Ike Wegbom ◽  
Benjamin O. Osaro
Keyword(s):  
Primary Healthcare ◽  
Healthcare Workers ◽  
Well Being ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychosomatic Symptoms ◽  
Stress Symptoms ◽  
Rivers State

Introduction: Since the onset of COVID-19 pandemic there has been concerns about the imminent collapse of the health system if healthcare workers are physically, mentally, and socially affected to the point where service delivery is compromised. Therefore, this study investigated the fear, psychosomatic symptoms, and satisfaction of the Primary Healthcare Workers (PHCWs) during the first wave of the COVID-19 pandemic in Rivers State Nigeria. Methods: A facility cross-sectional survey was conducted involving the primary healthcare workers. Descriptive analysis of mean with standard deviation were reported for continuous variables, frequency and percentage were used to report categorical variables. Results: A total of 412 PHCWs participated in the study (mean age: 39.5±7.5). 223 (54.4%) were sure of going to work, while 260 (63.4%) were afraid of contracting the COVID-19 virus. However, 294 (71.7%) were not stigmatized and 256 (62.4%) were satisfied with their capacity for work. Also, 333 (81.2%), 357(87.3%), and 271(66.6%) were not satisfied with, transportation, money to meet their daily needs, and work environment, respectively. Perceived psychosomatic symptoms by respondents were chest pain (50.0%), stomach upset (38.0%), lump in the throat (40.0%), no feeling of hunger (52.0%), and shortness of breath (32.0%). Anxiety and stress symptoms experienced were inability to concentrate (38.2%), got angry easily (24.9%), worried (48.5%), low mood, anxiety, or depression (24.1%) and afraid of encountering security personnel on their way to work (67.6%). Conclusions: We observed perceived fears, psychosomatic, anxiety, and stress symptoms, as well as low satisfaction among the primary healthcare workers. We suggest that the government and health care agencies should put in place measures that will improve the psychological well-being and mental health of the PHCWs during the pandemic.

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