scholarly journals Factors associated with mental health outcomes among medical residents exposed to COVID-19

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S232-S232
Author(s):  
Mohamed Adil Shah Khoodoruth ◽  
Sami Ouanes ◽  
Malek Smida ◽  
Zerak Al-Salihy ◽  
Saleem Al Nuaimi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Coping Strategies ◽  
Coping Style ◽  
Mental Health Outcomes ◽  
Medical Residents ◽  
Front Line ◽  
And Coping ◽  
Junior Residents

AimsThe aims of our study were to assess and to examine i. the psychological impact of the COVID-19 pandemic on medical residents working on the front and second line, ii. the association between coping strategies, resilience and optimism and different mental health outcomes like stress, anxiety, and depression among the medical residents’ workers during the COVID-19 pandemic, and iii. the coping strategies used on the same sample with consideration of different factors like seniority, frontliner, gender and coping style.MethodAn electronic survey was sent to all medical residents in Qatar. Depression, anxiety and stress were assessed by the Depression, Anxiety and Stress Scale – 21 Items. Professional quality of life was measured by the Professional Quality of Life measure. The coping mechanisms were assessed with the Brief-COPE, resilience by the Brief Resilience Scale, and optimism by the Revised Life Orientation Test (LOT-R).ResultOf the 640 medical residents contacted, 127 (20%) responded. A considerable proportion of residents reported symptoms of depression (42.5%), anxiety (41.7%) and stress (30.7%). Multivariate analysis of variance showed significant effects of seniority in residency, with junior residents having poorer outcomes. In addition, there was a statistically significant interaction effect with moderate effect sizes between gender and working on the front line, as well as gender, working on the front line and seniority, on mental health outcomes. The most commonly used coping strategies were acceptance, religion, and active coping. The least reported coping strategies were substance use and denial. Avoidant coping style scores were higher among junior residents (p = .032) and non-COVID-19 frontliners (p = .039). Optimism LOT-R score was higher in senior than in junior residents (p < .001). Another important finding is that optimism and resilience were associated with better mental health outcomes. In addition, we find that avoidant coping style is highly associated with depression.ConclusionThe COVID-19 pandemic may have a negative impact on junior residents’ mental health. Preventive measures to reduce stress levels and easy access to professional mental health services are crucial. This study also raises awareness among residency programs on the psychological and coping responses and strategies of medical residents.

scholarly journals Factors associated with mental health outcomes among medical residents exposed to COVID-19

BJPsych Open ◽  
2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Mohamed Adil Shah Khoodoruth ◽  
Saleem Khaldoon Al-Nuaimi ◽  
Zerak Al-Salihy ◽  
Adeel Ghaffar ◽  
Widaad Nuzhah Chut-kai Khoodoruth ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Outcomes ◽  
Psychological Impact ◽  
Medical Residents ◽  
Professional Quality Of Life ◽  
Front Line ◽  
Professional Quality ◽  
Junior Residents

Background The COVID-19 outbreak has caused challenges for healthcare systems worldwide. Recent data indicates that the psychological impact has differed with respect to occupation. In many countries, medical residents have been on the front line of this pandemic. However, data on the psychological impact of infectious disease outbreaks, and COVID-19 in particular, on medical residents are relatively lacking. Aims The aim of our study was to assess the psychological impact of the COVID-19 pandemic on medical residents working on the front and second line. Method An electronic survey was sent to all medical residents in Qatar. Depression, anxiety and stress were assessed by the Depression, Anxiety and Stress Scale – 21 Items. Professional quality of life was measured by the Professional Quality of Life measure. Results Of the 640 medical residents contacted, 127 (20%) responded. A considerable proportion of residents reported symptoms of depression (42.5%), anxiety (41.7%) and stress (30.7%). Multivariate analysis of variance showed significant effects of seniority in residency, with junior residents having poorer outcomes. In addition, there was a statistically significant interaction effect with moderate effect sizes between gender and working on the front line, as well as gender, working on the front line and seniority, on mental health outcomes. Conclusions The COVID-19 pandemic may have a negative impact on junior residents’ mental health. Preventive measures to reduce stress levels and easy access to professional mental health services are crucial.

scholarly journals Resilience and coping strategies in relation to mental health outcomes in people with cancer

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0252075
Author(s):  
Patricia Macía ◽  
Mercedes Barranco ◽  
Susana Gorbeña ◽  
Esther Álvarez-Fuentes ◽  
Ioseba Iraurgi
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Coping Strategies ◽  
Structural Equation ◽  
Health Indicators ◽  
Educational Interventions ◽  
Positive Contribution ◽  
Adaptive Coping ◽  
Cognitive Emotion Regulation ◽  
And Coping

Considering the importance of psychological variables on health-related processes, this study investigated the role of resilience and coping strategies in relation to health. The aim of this research was to explore the underlying association between these aspects for the better understanding of the effect of psychosocial variables on mental health in cancer. This information could lead to the design of adapted psychological interventions in cancer. Participants with different diagnosis of cancer were recruited (N = 170). They came from the Spanish Association Against Cancer of Biscay. Resilience was measured with the 10 items Connor-Davidson Resilience Scale, coping with the Cognitive Emotion Regulation Questionnaire and mental health was measured as a global indicator through the SF-12 and the GHQ-12. A structural equation model (SEM) was conducted to test the effects between the constructs. Results showed that resilience and coping were significantly associated. Results reflected an absence of significant correlation between adaptive and disadaptive coping strategies. Resilience was the factor that most correlated with health outcomes (β = –.45, p < .001). However, disadaptive coping strategies did not correlate with resilience or mental health indicators. Findings in this study underscore the positive contribution of high levels of resilience and an adaptive coping on participants´ level of health. Disadaptive coping strategies did not reflect any positive relation with resilience or health indicators. Thus, promoting resilience and adaptive coping could be a significant goal for psychosocial and educational interventions in people with cancer.

Evolution of Quality of Life, Mental Health, and Coping Strategies in Amyotrophic Lateral Sclerosis: A Pilot Study

2012 ◽  
Vol 15 (11) ◽  
pp. 1181-1184 ◽  
Author(s):  
Sébastien Montel ◽  
Laurence Albertini ◽  
Claude Desnuelle ◽  
Elisabeth Spitz
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Amyotrophic Lateral Sclerosis ◽  
Pilot Study ◽  
Coping Strategies ◽  
And Coping ◽  
Lateral Sclerosis

scholarly journals THE SOCIOCULTURAL STRESS PROCESS MODEL APPLIED TO LONG-DISTANCE CAREGIVING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S557-S557
Author(s):  
Verena R Cimarolli ◽  
Amy Horowitz ◽  
Danielle Jimenez ◽  
Xiaomei Shi ◽  
Francesca Falzarano ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Health Outcomes ◽  
Coping Strategies ◽  
Process Model ◽  
Mental Health Outcomes ◽  
Stress Process ◽  
Stress Process Model ◽  
Sociocultural Stress ◽  
The Impact

Abstract This study investigated the impact of LDC on mental health utilizing the Sociocultural Stress Process Model as a conceptual framework. A path analytic model tested the impact of caregiving stressors (i.e. distance, frequencies of visits, hours spent helping, burden) and sociocultural values (i.e. familialism) on LDCs’ mental health outcomes (i.e. depression, anxiety), and resources (i.e. coping strategies, social support) which can mediate the association between stressors and mental health outcomes while controlling for socio-demographics. Results show that resources did not mediate the effects of stressors on the mental health outcomes. However, both higher depression and anxiety were associated with living closer to the care recipient (CR), less frequent visits, higher burden, being younger, being female, and less optimal income adequacy. In addition, higher depression was associated with lower use of coping strategies and higher education. Higher anxiety was also associated with lower levels of social support and higher familialism.

scholarly journals Mental Health Outcomes Among Healthcare Workers and the General Population During the COVID-19 in Italy

2020 ◽  
Vol 11 ◽  
Author(s):  
Rodolfo Rossi ◽  
Valentina Socci ◽  
Francesca Pacitti ◽  
Sonia Mensi ◽  
Antinisca Di Marco ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Health Outcomes ◽  
Healthcare Workers ◽  
Female Gender ◽  
Mental Health Outcomes ◽  
Second Line ◽  
Front Line ◽  
Post Traumatic ◽  
Traumatic Symptoms

IntroductionDuring the COVID-19 pandemic, healthcare workers in Italy have been exposed to an unprecedented pressure and traumatic events. However, no direct comparison with the general population is available so far. The aim of this study is to detail mental health outcomes in healthcare workers compared to the general population.Methods24050 respondents completed an on-line questionnaire during the contagion peak, 21342 general population, 1295 second-line healthcare workers, and 1411 front-line healthcare workers. Depressive, anxious, post-traumatic symptoms and insomnia were assessed. Specific COVID-19 related potential risk factors were also considered in healthcare workers.ResultsDepressive symptoms were more frequent in the general population (28.12%) and front-line healthcare workers (28.35%) compared to the second-line healthcare workers (19.98%) groups. Anxiety symptoms showed a prevalence of 21.25% in the general population, 18.05% for second-line healthcare workers, and 20.55% for front-line healthcare workers. Insomnia showed a prevalence of 7.82, 6.58, and 9.92% for the general population, second-line healthcare workers, and front-line healthcare workers, respectively. Compared to the general population, front-line healthcare workers had higher odds of endorsing total trauma-related symptoms. Both second-line healthcare workers and front-line healthcare workers had higher odds of endorsing core post-traumatic symptoms compared to the general population, while second-line healthcare workers had lower odds of endorsing negative affect and dissociative symptoms. Higher total traumatic symptom score was associated with being a front-line healthcare worker, having a colleague infected, hospitalized, or deceased, being a nurse, female gender, and younger age.ConclusionThis study suggests a significant psychological impact of the COVID-19 pandemic on the Italian general population and healthcare workers. Front-line healthcare workers represent a specific at-risk population for post-traumatic symptoms. These findings underline the importance of monitoring and intervention strategies.

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