Cross-Sectional Online Study of the Psychological Status of Russian Doctors during the COVID-19 Pandemic

2021 ◽  
Vol 76 (6) ◽  
pp. 635-641
Author(s):  
Anna V. Vlasova ◽  
Maria V. Vetluzhskaya ◽  
Yulia A. Lutokhina ◽  
Polina A. Haritonova

Background. COVID-19 outbreak resulted in an increased psychological and physical pressure on healthcare professionals worldwide. Doctors treating COVID-19 patients have turned out to be at higher risk of depression, anxiety, psychosomatic disorders. The data about the influence of the pandemic on psychological health of Russian doctors is still missing. Aims to evaluate a psychological status of Russian doctors during COVID-19 pandemic. Methods. This cross-sectional online-study was conducted among 133 doctors of different specialties aged 2570 (mean age 43.6 9.9), 112 (84.2%) of the them were females. We assessed the work conditions of the respondents during pandemic, the presence of psychosomatic disorders, depression and anxiety levels by HADS scale. Results. Almost two thirds (82; 61.7%) of the respondents reported an increased workload during the pandemic, 54.1% of them work more than 40 hours per week. The income has risen only in 25.6% of the doctors. Most of the respondents announced a manifestation of one or more psychosomatic disorders during the pandemic. The most frequent complaint was insomnia found in 72 (54.1%) of the doctors. Clinical anxiety was confirmed in 30 (22.6%), clinical depression in 15 (11.3%), moderate anxiety in 22 (16.5%), moderate depression in 31 (23.3%), both clinical anxiety and depression in 6% of the participants. Conclusions. During the pandemic Russian doctors continue to work under physical and psychological pressure and provide medical care even if they have clinical depression and anxiety that influences on patients and doctors wellbeing. Theres still a lack of psychological assistance to doctors and of other methods to prevent professional burn-out.

2018 ◽  
Vol 2 (3) ◽  
pp. 87
Author(s):  
Zhun Gong ◽  
Lichao Yu ◽  
Jonathan W Schooler

<p class="tgt"><em>To investigate the relationship of resilience, positive emotions and mental health, and the relationship of resilience, positive emotion and three sub-dimensions of mental health: self-affirmation, depression and anxiety. In this study, the existing cross-sectional data, select the Beijing Forestry University data as samples. In this study, questionnaire survey a random sample of 199 undergraduate students of Beijing Forestry University, they uniform application three Scale Surveying, PANAS, CD-RISC, GHQ-20. According from the study, (1) resilience, positive mood and general health are related where resilience and positive emotions between the resilience. General psychological health, positive emotions and general mental health</em><em>?</em><em>it is positively correlated. (2) Resilience and self-affirmation exists, positive correlation with depression and anxiety, respectively negative correlation. Between positive emotions and self-affirmation the positive correlation with anxiety negative correlation. (3) Part mediating effect of positive emotions exist between resilience and self-affirmation, resilience can be made to self-affirmation prediction coefficient from 0.042 down to 0.036. Therefore, this study concluded that resilience undergraduates can have an impact on mental health through the intermediary variable positive emotions.</em></p>


2020 ◽  
Vol 11 ◽  
Author(s):  
Xin-yi Li ◽  
Jin Wang ◽  
Rui-xian Zhang ◽  
Luhua Chen ◽  
Colin K. He ◽  
...  

Background: Coronavirus Disease 2019 (COVID-19) caused by a novel strain of coronavirus (SARS-CoV-2) posed a major threat to public health. Anesthesiologists and operating room (OR) nurses are at high risk of occupational exposure to SARS-CoV-2 and developing COVID-19. We conducted a single-center survey to investigate the psychological status and perceived social support among operation room (OR) medical staffs during the outbreak of Coronavirus Disease 2019 (COVID-19).Methods: A total of 197 OR medical staffs were enrolled in the survey. The authors performed a cohort study during the period of Wuhan lockdown and then conducted a longitudinal follow-up after lifting of lockdown. The Patient Health Questionaire-9 (PHQ-9) was used to assess for depression and Generalized Anxiety Disorder-7 (GAD-7) for anxiety. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess perceived social support. We compared the psychological status of OR medical staffs before and after lifting of Wuhan lockdown.Results: During the period of city lockdown, 177 (89.8%) had close contact with confirmed COVID-19 cases. The prevalence of depression and anxiety in OR medical staffs was 41.6 and 43.1% under Wuhan lockdown, while 13.2 and 15.7% after lifting of lockdown (P = 0.002, P = 0.004). Logistic regression analysis showed that being female, living in suburb areas, shortage of protective equipment and close contact with COVID-19 patients were associated with a higher risk of depression and anxiety. Perceived social support was negatively correlated with depression and anxiety severity in the OR medical staffs (P &lt; 0.05).Conclusions: OR medical staffs exhibited high incidence of anxiety and depression faced with the high risk of exposure to COVID-19 patients. More social support and social recognition for anesthesiologists and OR nurses might potentially help them relieve their psychological pressure.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jun Xie ◽  
Qi Liu ◽  
Xiaobing Jiang ◽  
Upasana Manandhar ◽  
Zhen Zhu ◽  
...  

Background: The outbreak of novel coronavirus disease 2019 (COVID-19) has caused public panic and psychological health problems, especially in medical staff. We aimed to investigate the psychological effect of the COVID-19 outbreak on medical staff.Methods: A cross-sectional study was conducted to examine the psychological impact of medical staff working in COVID-19 designated hospitals from February to March 2020 in China. We assessed psychological health problems using the Symptom Check List 90 (SCL-90).Results: Among 656 medical staff, 244 were frontline medical staff and 412 general medical staff. The prevalence of psychological health problems was 19.7%. The SCL-90 scores in frontline medical staff were significantly higher than that in general medical staff (mean: 141.22 vs. 129.54, P &lt; 0.05). Furthermore, gender [odds ratio (OR) = 1.53, 95% CI = (1.02, 2.30), P = 0.042 for female vs. male] and the burden of current work [OR = 7.55, 95% CI = (3.75, 15.21), P &lt; 0.001 for high burden; OR = 2.76, 95% CI = (1.80, 4.24), P &lt; 0.001 for moderate burden vs. low burden] were associated with increased risk of poor psychological status.Conclusions: Medical staff experienced a high risk of psychological health problems during the outbreak of COVID-19, especially for frontline medical staff. Psychological health services are expected to arrange for medical staff in future unexpected infectious disease outbreaks.


2020 ◽  
Author(s):  
Xiaofei Li ◽  
Ye Li ◽  
Hong Liang ◽  
Nianshi Wang ◽  
Zhixin Fan ◽  
...  

BACKGROUND The initial outbreak of the COVID-19 disease occurred in Wuhan, China around the Spring Festival in 2020. In the face of such a high-intensity catastrophic epidemic response, Chinese doctors and nurses faced huge psychological pressure including fear, anxiety, and depression. OBJECTIVE The purpose of our study is to test the association between front-line clinical workers' fatigue and depression and anxiety during the COVID-19 epidemic. METHODS The current study is a cross-sectional, online survey administered to 275 healthcare professionals in Wuhan from February 22, 2020 to February 29, 2020. All respondents completed a questionnaire via WeChat, which collected demographics and responses on the Self-Rating Anxiety Scale (SAS), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Fatigue Scale-14 (FS-14). RESULTS A total of 275 participants completed the survey, including 46 doctors (16.73%) and 229 nurses (83.27%). Depression was significantly positively associated with physical fatigue (OR 1.61, 95% CI 1.41-1.83), mental fatigue (OR 1.98, 95% CI 1.60-2.45), and the total score (OR 1.56, 95% CI 1.39-1.75) after adjusting for age, occupation, gender, educational background, marital status, having children, years working, job title, and supporting time in Wuhan. Significant positive associations were also observed between the symptoms of anxiety and physical fatigue (OR 1.64, 95% CI 1.44-1.87), mental fatigue (OR 2.11, 95% CI 1.71-2.60), and the total score (OR 1.58, 95% CI 1.42-1.71) in the adjusted model. Similar associations between fatigue, depression, and anxiety were found in the analyses stratified by gender and occupation. CONCLUSIONS The current study demonstrated that, among the front-line clinical workers in Wuhan, fatigue is significantly associated with depression and anxiety and mental fatigue contributes to a greater risk than physical fatigue on the mental health of clinical workers. Males and doctors were found to be more vulnerable to psychological problems such as depression and anxiety under fatigue, suggesting the need for targeted psychological interventions.


2021 ◽  
pp. 1-4
Author(s):  
Fatema Mohsen ◽  
Batoul Bakkar ◽  
Sara Melhem ◽  
Samar Aldakkak ◽  
Dana Mchantaf ◽  
...  

This study aims to assess the prevalence of depression and anxiety during the COVID-19 outbreak embedded within the war in Syria. A web-based cross-sectional survey design was employed. The 9-item Patient Health Questionnaire and the 7-item Generalized Anxiety Disorder scale revealed a high prevalence of depressive (n = 3326; 83.4%) and anxiety symptoms (n = 2777; 69.6%) among the 3989 participants. Multivariable logistic regression analysis was performed to identify factors associated with depression and anxiety. There is an urgent need within the healthcare system in Syria to provide mental healthcare to alleviate acute mental health disturbances and associated physical health perceptions among Syrians.


Author(s):  
I. Seleznova ◽  
L. Storozhuk ◽  
T. Dovgaliuk

Objective: to study the psychological status of patients and disabled persons with chronic kidney disease. Materials and methods: 74 patients, invalids because of renal pathology, were included in the study. Psycho-diagnostic data were analyzed by parametric methods (Teilor’s and Spielberger’s tests, intellectual methods). Results: the majority of studied patients with chronic kidney disease (62%) had emotional and motivation disorders, in 38% of them the signs of asthenic state were observed in the clinical picture of psychologic disorders. Intensity of depression and anxiety symptoms significantly increased with the increase of chronic kidney disease severity (p<0.05 and p<0.01, respectively). Conclusions: emotional and motivation disorders were detected in more than a half of patients with chronic kidney disease (62%), and 38% of patients showed the signs of asthenic state manifested by the decrease of functional abilities in performing daily living activities.


2021 ◽  
Vol 66 ◽  
Author(s):  
Minh H. Nguyen ◽  
Thu T. M. Pham ◽  
Linh V. Pham ◽  
Dung T. Phan ◽  
Tien V. Tran ◽  
...  

Objectives: We explored the association of underlying health conditions (UHC) with depression and anxiety, and examined the modification effects of suspected COVID-19 symptoms (S-COVID-19-S), health-related behaviors (HB), and preventive behaviors (PB).Methods: A cross-sectional study was conducted on 8,291 outpatients aged 18–85 years, in 18 hospitals and health centers across Vietnam from 14th February to May 31, 2020. We collected the data regarding participant's characteristics, UHC, HB, PB, depression, and anxiety.Results: People with UHC had higher odds of depression (OR = 2.11; p &lt; 0.001) and anxiety (OR = 2.86; p &lt; 0.001) than those without UHC. The odds of depression and anxiety were significantly higher for those with UHC and S-COVID-19-S (p &lt; 0.001); and were significantly lower for those had UHC and interacted with “unchanged/more” physical activity (p &lt; 0.001), or “unchanged/more” drinking (p &lt; 0.001 for only anxiety), or “unchanged/healthier” eating (p &lt; 0.001), and high PB score (p &lt; 0.001), as compared to those without UHC and without S-COVID-19-S, “never/stopped/less” physical activity, drinking, “less healthy” eating, and low PB score, respectively.Conclusion: S-COVID-19-S worsen psychological health in patients with UHC. Physical activity, drinking, healthier eating, and high PB score were protective factors.


2021 ◽  
Vol 12 ◽  
Author(s):  
Hajar Mohd Salleh Sahimi ◽  
Tuti Iryani Mohd Daud ◽  
Lai Fong Chan ◽  
Shamsul Azhar Shah ◽  
Farynna Hana Ab Rahman ◽  
...  

Objective: The burden of suicidal behavior is anticipated to increase as a sequela of the COVID-19 pandemic. However, there is limited evidence on suicidal behavior among healthcare workers, an at-risk population. Our study aimed to investigate suicidal ideation in terms of the rate and associated factors in a sample of Malaysian healthcare workers during the early-phase of the COVID-19 pandemic.Methods: A subpopulation analysis (N = 171) was conducted within a larger, nation-wide cross-sectional study of Malaysian healthcare worker psychological distress from March 18–21, 2020. Current suicidal ideation was measured with item 9 of the Patient Health Questionnaire-9 (PHQ-9). The following independent variables were assessed: socio-demographic profile, occupation and service-related factors, health-anxiety (Health Anxiety Inventory, HAI), lifetime anxiety disorder and severity of depression (PHQ-9).Results: The proportion of healthcare workers with current suicidal ideation (19/171) and clinical depression (17/171) were 11.1 and 9.9%, respectively. Multivariable analysis showed that clinical depression was the most significant factor associated with current suicidal ideation (p &lt; 0.001, OR = 55.983, 95% CI = 9.015–347.671) followed by mild (subthreshold) depression (p = 0.001, OR = 115.984, 95% CI = 2.977–85.804). Service duration of more than 10 years was associated with significantly less suicidal ideation (p = 0.049, OR = 0.072, 95% CI = 0.005–0.993).Conclusions: Depression (subthreshold and especially within the clinical range) and early-career status (&lt;10 years in service) may be target areas of early intervention for reduction of suicidal ideation amongst healthcare workers who have served during the COVID-19 pandemic. Further research is warranted to elucidate specific occupational stressors related to COVID-19 work conditions to tailor appropriate suicide preventive strategies in this population.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Mario Miniati ◽  
Maria Grazia Fabrini ◽  
Federica Genovesi Ebert ◽  
Maricia Mancino ◽  
Alessandra Maglio ◽  
...  

The aim is to summarize current knowledge on both QoL and depressive/anxious symptoms in patients with UM, including studies on the effect on QoL and psychological status of genetic testing related to the risk of metastatic disease. A review from the last 25 years by using the databases “PsycInfo,” “Medline,” and “Science Direct” was performed. As a total result, eighteen papers were retrieved. Eight studies (44.4%) used a prospective design methodology: two were retrospective observations (11.1%), three were cross-sectional observational studies (16.6%), and three (16.6%) were naturalistic follow-up studies. One trial was conducted with a case-control design (5.5%), and one was a methodological paper (5.5%). The number of subjects included in the studies ranged widely, between 7 and 842 (mean: 152.1 ± 201.3), for a total of 2587 patients, 1306 males (50.5%) and 1281 females (49.5%). The mean age of subject enrolled was 61.3 ± 4.1 years. Twenty-six different scales, questionnaires, or interviews were utilized. No significant differences in QoL between radiotherapy and enucleation emerged. Genetic testing did not significantly affect QoL or psychological status.


2021 ◽  
Vol 9 ◽  
Author(s):  
Guanmao Chen ◽  
Jiaying Gong ◽  
Zhangzhang Qi ◽  
Shuming Zhong ◽  
Ting Su ◽  
...  

Introduction: The current outbreak of the novel coronavirus disease 2019 (COVID-19), originating from Wuhan (Hubei, China), has rapidly spread across China and several other countries. During the outbreak of COVID-19, mental health of the general population in Hubei province may be affected. This study aimed to assess the psychological status and associated risk factors of the general population in Hubei province during the COVID-19 outbreak.Methods: A cross-sectional online survey was used to evaluate the symptoms of posttraumatic stress disorder (PTSD), depression, and anxiety, which were assessed by the Chinese version of the Impact of Event Scale—Revised, the Patient Health Questionnaire 9, and the seven-item Generalized Anxiety Disorder Scale, respectively. Coping style was assessed by the Simplified Coping Style Questionnaire. Multivariate logistic regression analysis was carried out to detect factors associated with mental health outcomes.Results: Among 9,225 participants, 44.5% rated symptoms of PTSD, and 17.9 and 12.7% suffered from moderate and severe symptoms of depression and anxiety, respectively. Individuals who were geographically located in Wuhan and familiar with someone who has COVID-19 had more severe symptoms of PTSD, depression, and anxiety, as well as a higher score in passive coping style (P &lt; 0.05). Multivariate logistic regression analysis showed that people who were geographically located in Wuhan [odds ratio (OR) = 1.25, 95% confidence interval (CI) = 1.14–1.36, P &lt; 0.001] were associated with severe symptoms of PTSD. Besides, individuals who were familiar with someone who had COVID-19 (OR = 2.33, 95% CI = 2.07–2.63, P &lt; 0.001; OR = 1.90, 95% CI = 1.66–2.17, P &lt; 0.001; OR = 2.06, 95% CI = 1.78–2.39, P &lt; 0.001) and had a higher score in passive coping style (OR = 1.16, 95% CI = 1.14–1.17, P &lt; 0.001; OR = 1.17, 95% CI = 1.15–1.19, P &lt; 0.001; OR = 1.17, 95% CI = 1.15–1.19, P &lt; 0.001) were associated with severe symptoms of PTSD, depression, and anxiety. Moreover, a higher score in active coping style (OR = 0.96, 95% CI = 0.95–0.97, P &lt; 0.001; OR = 0.94, 95% CI = 0.93–0.94, P &lt; 0.001; OR = 0.95, 95% CI = 0.94–0.96, P &lt; 0.001) was associated with a lower risk of symptoms of PTSD, depression, and anxiety.Conclusions: During the midphase of COVID-19 outbreak, quite a few people have mental health problems; nearly half of the respondents rated symptoms of PTSD, and approximately one-fifth reported moderate to severe symptoms of anxiety and depression. Our findings may lead to better comprehend the psychological status of the general public and alleviate the public mental health crisis during the COVID-19 outbreak.


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