scholarly journals Prevalence and Predictors of Anxiety, Depression, and Insomnia among Healthcare Workers in Dhaka City amid COVID-19 Pandemic

2020 ◽  
Author(s):  
Mohammad Ali ◽  
Zakir Uddin ◽  
Nawara Faiza Ahsan ◽  
Muhammad Zahirul Haque ◽  
Monisha Bairagee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Marital Status ◽  
Healthcare Workers ◽  
Severity Index ◽  
Dhaka City ◽  
Financial Difficulty ◽  
Predicting Factors ◽  
Patient Health ◽  
Anxiety Depression ◽  
Insomnia Symptoms

Abstract Objective: The purpose of the study was to investigate the prevalence of anxiety, depression, and insomnia symptoms, and identify predicting factors among healthcare workers (HCW) of the Dhaka city in Bangladesh during the COVID-19 outbreak. The Generalized Anxiety Disorder 2-item, the Patient Health Questionnaire 9-item depression module, the Insomnia Severity Index were used to measure anxiety, depression and insomnia symptoms, respectively. Results: We found the prevalence of anxiety, depression and insomnia symptoms among HCW 20.7%, 26.5% and 44.2% respectively. Three regression models were run to identify the predictors of anxiety, depression and insomnia. Model 1 suggested that the singular marital status (β= -0.178, p= 0.011), occurrence of chronic disease (β= -0.132, p= 0.025), and financial difficulty (β= -0.163, p= 0.005) were the risk factors of anxiety. From model 2, it was found that the risk factors of depression were singular marital status (β= 0.254, p= <0.001) and financial difficulty (β= 0.198, p= 0.001). Final model revealed that the risk factors of insomnia were gender (β= -0.151, p= 0.008), singular marital status (β= -0.165, p= 0.016), financial difficulty (β= 0.213, p= <0.001) and occupation (β= -0.125, p= 0.029).

scholarly journals Risk Perception, Unhealthy Behavior, and Anxiety Due to Viral Epidemic Among Healthcare Workers: The Relationships With Depressive and Insomnia Symptoms During COVID-19

2021 ◽  
Vol 12 ◽  
Author(s):  
Jukab Lee ◽  
Hyuk Joo Lee ◽  
Youjin Hong ◽  
Yong-Wook Shin ◽  
Seockhoon Chung ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Online Survey ◽  
Mental Health Problems ◽  
Severity Index ◽  
Work Related Stress ◽  
Work Related ◽  
Unhealthy Behavior ◽  
Patient Health ◽  
Related Stress ◽  
Sex Perception

We aimed to investigate the relationship between mental health problems and unhealthy behaviors among healthcare workers in response to the COVID-19 pandemic. Using an online survey, we collected data on healthcare workers' perception regarding COVID-19 exposure in a work unit. Workers' depression, insomnia, and anxiety symptoms were assessed using the Patient Health Questionnaire-9, Insomnia Severity Index, and Generalized Anxiety Disorder-7 scale, respectively. Work-related stress and anxiety in response to the viral epidemic were measured using the Stress and Anxiety to Viral Epidemic-9 (SAVE-9) scale. We found that work-related stress and anxiety in response to the viral epidemic was associated with female sex, perception of the workplace as being dangerous, and depressive symptoms. Unhealthy behaviors, such as smoking and drinking as coping behaviors during the pandemic, were associated with male sex, young age, depression, and insomnia. During the COVID-19 pandemic, it is necessary to closely observe the patterns of work-related stress and anxiety reactions among healthcare workers to reduce their burnout.

scholarly journals Intervention on depression and insomnia symptoms during the COVID-19 pandemic

2021 ◽  
Vol 2 ◽  
pp. 5
Author(s):  
Sadhna Verma ◽  
James Donovan ◽  
Surekha Bhat ◽  
Hari Tunuguntla ◽  
Renuka Tunuguntla ◽  
...  
Keyword(s):  
Demographic Data ◽  
Intervention Strategy ◽  
Severity Index ◽  
Screening Tools ◽  
Depression Symptoms ◽  
Effective Interventions ◽  
Travel Restrictions ◽  
Patient Health ◽  
Insomnia Symptoms ◽  
Insomnia Severity

Objectives: The COVID-19 pandemic has created significant psychological challenges globally. Evidence has been mounting of greater emotional distress and possible worsening of underlying psychiatric disorders, due to repercussions of COVID-19. In addition, the pandemic has created barriers to access for help, due to social distancing and travel restrictions. Thus, creating a major need for effective interventions that can be accessed safely from home and provide coping tools which can be learned and practiced while in isolation. An App based Yoga of Immortals (YOI) program is one such strategy to help cope with stressful situations. The objective of this study was to investigate if the YOI program can provide significant benefit for depressive and insomnia symptoms. Material and Methods: Participants in this study were asked to complete two brief online but well validated mental health screening tools before intervention. This was followed by a 7-week long YOI intervention. Following the intervention, participants were once again asked to complete the online validated questionnaires. The survey questionnaires included baseline demographic data and validated scales for measuring insomnia severity Insomnia severity Index (ISI) and levels of depression symptoms patient health questionnaire-8, (PHQ-8). All statistical analysis was performed using the Statistical Package for the Social Science. Results: SY YOI intervention of 7 weeks significantly improved the ISI scores as well as PHQ-8 scores in the study population (P < 0.0001 in all comparisons). Conclusion: YOI intervention is an effective intervention strategy for decreasing insomnia and depression symptoms, even during the pandemic.

scholarly journals Impact of Insomnia Symptoms on the Clinical Presentation of Depressive Symptoms: A Cross-Sectional Population Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Yun Ho Choi ◽  
Kwang Ik Yang ◽  
Chang-Ho Yun ◽  
Won-Joo Kim ◽  
Kyoung Heo ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Clinical Presentation ◽  
Severity Index ◽  
Population Based ◽  
Cross Sectional ◽  
Sleep Study ◽  
Patient Health ◽  
Clinically Significant ◽  
The Impact ◽  
Insomnia Symptoms

Objective: Insomnia and depression are prevalent disorders that often co-occur. This study aimed to investigate the impact of clinically significant insomnia symptoms on the prevalence and clinical presentation of clinically significant depressive symptoms and vice versa.Methods: This study used data from the Korean Headache-Sleep Study (KHSS), a nationwide cross-sectional population-based survey regarding headache and sleep. Clinically significant insomnia symptoms were defined as Insomnia Severity Index (ISI) scores ≥ 10 and clinically significant depressive symptoms were defined as Patient Health Questionnaire-9 (PHQ-9) scores ≥ 10, respectively. We referred clinically significant insomnia symptoms and clinically significant depressive symptoms as insomnia symptoms and depressive symptoms, respectively.Results: Of 2,695 participants, 290 (10.8%) and 116 (4.3%) were classified as having insomnia and depressive symptoms, respectively. The prevalence of depressive symptoms was higher among participants with insomnia symptoms than in those without insomnia symptoms (25.9 vs. 1.7%, respectively, P &lt; 0.001). Among participants with depressive symptoms, the PHQ-9 scores were not significantly different between participants with and without insomnia symptoms (P = 0.124). The prevalence of insomnia symptoms was significantly higher among participants with depressive symptoms than in those without depressive symptoms (64.7 vs. 8.3%, respectively, P &lt; 0.001). The ISI scores were significantly higher among participants with insomnia and depressive symptoms than in participants with insomnia symptoms alone (P &lt; 0.001).Conclusions: Participants with depressive symptoms had a higher risk of insomnia symptoms than did those without depressive symptoms. The severity of depressive symptoms did not significantly differ based on insomnia symptoms among participants with depressive symptoms; however, the severity of insomnia symptoms was significantly higher in participants with depressive symptoms than in those without depressive symptoms.

scholarly journals Stress, Anxiety, Depression and Burnout in Frontline Healthcare Workers during COVID-19 Pandemic in Russia

2021 ◽  
Author(s):  
Ekaterina Mosolova ◽  
Dmitry Sosin ◽  
Sergey Mosolov
Keyword(s):  
Risk Factors ◽  
Perceived Stress ◽  
Healthcare Workers ◽  
Female Gender ◽  
Online Surveys ◽  
Saint Petersburg ◽  
Younger Age ◽  
Frontline Healthcare Workers ◽  
Anxiety Depression ◽  
Regions Of Russia

During the COVID-19 pandemic, healthcare workers (HCWs) have been subject to increased workload while also exposed to many psychosocial stressors. Most studies reported high levels of depression and anxiety among HCWs worldwide. Our study is based on two online surveys of 2195 HCWs from different regions of Russia during spring and autumn epidemic outbreaks revealed the rates of anxiety, stress, depression, emotional exhaustion and depersonalization and perceived stress as 32.3%, 31.1%, 45.5%, 74.2%, 37.7%,67.8%, respectively. Moreover, 2.4% of HCWs reported suicidal thoughts. Revealed risk factors included: female gender, younger age, working for over 6 months, living outside of Moscow or Saint Petersburg, the fear of getting infected or infecting family and friends. These results demonstrate the need for urgent supportive programs for HCWs fighting COVID-19 that fall into higher risk factors groups.

scholarly journals Protective and Risk Factors for Medical and Nursing Staff Suffering From Psychological Symptoms During COVID-19

2021 ◽  
Vol 12 ◽  
Author(s):  
Hailong Luo ◽  
Huiqi Yao ◽  
Yuandi Xi ◽  
Zhun Zhang ◽  
Jia Li ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Low Income ◽  
Medical Staff ◽  
Mental Health Problems ◽  
Psychological Symptoms ◽  
Binary Logistic Regression ◽  
Severity Index ◽  
Chi Square ◽  
Anxiety Depression

Background: With the outbreak of the coronavirus disease 2019 (COVID-19) epidemic in China, the general public but also medical staff were confronted with psychological challenges, suffering from the highly infectious and unknown characteristics of COVID-19. In this study, we surveyed psychological symptoms including anxiety, depression, and sleep disorders in medical staff.Method: A questionnaire star/WeChat link-based survey assessing the Generalized Anxiety Disorder 7-item scale, Patient Health Questionnaire-9 depression, the Insomnia Severity Index, Social Support scales in addition to lifestyle, and income level was conducted and included 8,288 medical staff from 24 provinces in China. Pearson Chi-square and Mann-Whitney U-tests were used to evaluate single risk factors and significant differences in psychological symptoms before and during the outbreak of COVID-19. Binary logistic regression analyses were conducted for the risk factors of anxiety, depression, and sleep disorder symptoms.Results: Medical staff had a high incidence of psychological symptoms, which was more prominent during the COVID-19 epidemic. Comparatively, females, nurses, first-line department, never exercised, and low income were risk factors for psychological symptoms. Social support including objective support, subjective support, support utility, and regular sports over 3 times per week were protective and manageable elements that could protect from and manage the psychological symptoms of medical staff.Conclusion: The susceptibility of psychological symptoms among medical staff should be of concern to policymakers and the public in the long-term, and the aggravation of mental health problems of medical staff could be eased by providing adequate social support during and after the COVID-19 outbreak.

scholarly journals Factors Associated With Healthcare Workers' Insomnia Symptoms and Fatigue in the Fight Against COVID-19, and the Role of Organizational Support

2021 ◽  
Vol 12 ◽  
Author(s):  
Xia Zou ◽  
Shaokun Liu ◽  
Jie Li ◽  
Wen Chen ◽  
Jiali Ye ◽  
...  
Keyword(s):  
Risk Factors ◽  
Organizational Support ◽  
Healthcare Workers ◽  
Organizational Level ◽  
Point Scale ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Positive Effects ◽  
Insomnia Symptoms

Background: Healthcare workers (HCWs) have been exposed to increased risks of insomnia and fatigue during the COVID-19 pandemic. In this study, we identify important risk factors associated with insomnia symptoms and fatigue among HCWs, and evaluate the effect of organizational support on insomnia and fatigue symptoms.Methods: This is an online cross-sectional survey of HCWs in China administered during the COVID-19 epidemic (from February 27, 2020 to March 12, 2020). We employed the AIS-8 scale for insomnia screening, and a self-reported ten-point scale to evaluate subjects' degrees of fatigue. We also designed a four-point scale to assess the degree of social support provided on an organizational level. Additionally, we conducted logistic regression analysis to identify risk factors.Results: This study included a total of 3,557 participants, 41% of which consisted of non-frontline HCWs and 59% of which was frontline HCWs. Of the non-frontline HCWs, 49% reported insomnia symptoms, and 53.8% reported a moderate to high degree of fatigue. Meanwhile, among the frontline HCWs, the percentages for insomnia and moderate to high fatigue were 63.4% and 72.2%, respectively. Additionally, frontline HCWs and HCWs employed at Centers for Disease Control and Prevention (CDCs) had elevated risks of insomnia and fatigue. However, with increased organizational support, insomnia symptoms decreased among frontline HCWs. Also, organizational support mitigated the positive correlation between daily working hours and degree of fatigue among HCWs.Conclusion: Frontline HCWs and staff in Chinese CDCs have been at a high risk of insomnia symptoms and fatigue during the fight against COVID-19. This study provides evidence for the positive effects of organizational support in relation to insomnia and fatigue among HCWs. This sheds light on government responses to the COVID-19 epidemic for other countries.

scholarly journals Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients

2020 ◽  
Vol 17 (16) ◽  
pp. 5849 ◽  
Author(s):  
Paweł Wańkowicz ◽  
Aleksandra Szylińska ◽  
Iwona Rotter
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Sleep Disorders ◽  
Intensive Care Units ◽  
Healthcare Workers ◽  
Severity Index ◽  
Control Group ◽  
Health Factors ◽  
Mental Health Factors ◽  
Anxiety Depression

It seems that the medical personnel in contact with patients infected with SARS-CoV-2 are at an especially high risk of adverse psychological effects. Therefore, the aim of this study was to assess the mental health factors among healthcare workers by quantifying the severity of anxiety, depression, and sleep disorders during the current SARS-CoV-2 pandemic, while taking into account coexisting diseases. The study involved 441 healthcare professionals including 206 healthcare workers at emergency wards, infectious wards, and intensive care units. The control group consisted of 235 healthcare workers working in wards other than those where individuals from the study group worked. Regression adjusted by age, gender, the occurrence of hypertension, diabetes mellitus, dyslipidemia, asthma, autoimmune diseases, and cigarette smoking showed the elevated risk of anxiety on the Generalized Anxiety Disorder (GAD-7) scale (OR = 1.934; p < 0.001), depression on the Patient Health Questionnaire (PHQ-9) scale (OR = 2.623; p < 0.001), and sleep disorders on the Insomnia Severity Index (ISI) scale (OR = 3.078; p < 0.001). Our study showed that healthcare workers who are exposed to SARS-CoV-2-infected patients at emergency wards, infectious wards, and intensive care units are at a much higher risk of showing symptoms of anxiety, depression, and sleep disorders than healthcare workers working in other wards.

scholarly journals The Hazardous Workplace, Work-related Stress, and Unhealthy Behaviors among Healthcare Workers: The Relationships with Depressive and Insomnia symptoms during COVID-19

2020 ◽  
Author(s):  
Ju Kab Lee ◽  
Hyuk Joo Lee ◽  
Yujin Hong ◽  
Yong Wook Shin ◽  
Seockhoon Chung ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Online Survey ◽  
Mental Health Problems ◽  
Severity Index ◽  
Coping Behaviors ◽  
Work Related Stress ◽  
Work Related ◽  
Patient Health ◽  
Related Stress ◽  
The Relationship

We aimed to investigate the relationship between mental health problems and unhealthy behaviors among healthcare workers in response to the COVID-19 pandemic. Using an online survey, we collected data on healthcare workers’ consideration of their work unit as hazardous. Furthermore, workers’ depression, insomnia, and anxiety symptoms were assessed using the Patient Health Questionnaire-9, Insomnia Severity Index, and Generalized Anxiety Disorder-7 scale, respectively. Healthcare workers’ work-related stress and anxiety in response to the viral epidemic were measured using the Stress and Anxiety to Viral Epidemic - 9 (SAVE-9) scale. As a result, work-related stress and anxiety in response to the viral epidemic was related to being female, to regarding one's work as a dangerous workplace, and depressive symptoms. Unhealthy behaviors, such as smoking and drinking as coping behaviors during the pandemic, were related to being male, young, experiencing depression, and having insomnia. During the COVID-19 pandemic, it is necessary to closely observe the patterns of work-related stress and anxiety reactions among healthcare workers to reduce their burnout.

scholarly journals Anxiety, depression, and comorbid anxiety and depression: risk factors and outcome over two years

2012 ◽  
Vol 24 (10) ◽  
pp. 1622-1632 ◽  
Author(s):  
Osvaldo P. Almeida ◽  
Brian Draper ◽  
Jane Pirkis ◽  
John Snowdon ◽  
Nicola T. Lautenschlager ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Depression Scale ◽  
Later Life ◽  
Anxiety And Depression ◽  
Course Of Illness ◽  
Comorbid Anxiety ◽  
Patient Health ◽  
Clinically Significant ◽  
Anxiety Depression

ABSTRACTBackground: This study aimed to determine: (1) the prevalence of depression, anxiety, and depression associated with anxiety (DA); (2) the risk factor profile of depression, anxiety, and DA; (3) the course of depression, anxiety, and DA over 24 months.Methods: Two-year longitudinal study of 20,036 adults aged 60+ years. We used the Patient Health Questionnaire and the Hospital Anxiety and Depression Scale anxiety subscale to establish the presence of depression and anxiety, and standard procedures to collect demographic, lifestyle, psychosocial, and clinical data.Results: The prevalence of anxiety, depression, and DA was 4.7%, 1.4%, and 1.8%. About 57% of depression cases showed evidence of comorbid anxiety, while only 28% of those with clinically significant anxiety had concurrent depression. There was not only an overlap in the distribution of risk factors in these diagnostic groups but also differences. We found that 31%, 23%, and 35% of older adults with anxiety, depression, and DA showed persistence of symptoms after two years. Repeated anxiety was more common in women and repeated depression in men. Socioeconomic stressors were common in repeated DA.Conclusions: Clinically significant anxiety and depression are distinct conditions that frequently coexist in later life; when they appear together, older adults endure a more chronic course of illness.

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