scholarly journals Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal

2020 ◽  
Author(s):  
Pratik Khanal ◽  
Navin Devkota ◽  
Minakshi Dahal ◽  
Kiran Paudel ◽  
Devavrat Joshi
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Mental Health Problems ◽  
Health Workers ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
History Of ◽  
Precautionary Measures ◽  
Anxiety Depression

Abstract Background: Health care workers exposed to COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health workers involved in COVID-19 response in Nepal. Methods: This was a cross-sectional web-based survey conducted between April 26 and May 12, 2020. A total of 475 health workers participated in the study. Anxiety and depression were measured using a 14-item Hospital Anxiety and Depression Scale (HADS: 0- 21) and insomnia was measured by using a 7-item Insomnia Severity Index (ISI: 0-28). Multivariable logistic regression analysis was done to determine the risk factors of mental health outcomes. Results: Overall, 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia. Stigma faced by health workers was significantly associated with higher odds of experiencing symptoms of anxiety (AOR: 2.47; 95% CI: 1.62-3.76), depression (AOR: 2.05; 95% CI: 1.34-3.11) and insomnia (AOR: 2.37; 95% CI: 1.46-3.84). History of medication for mental health problems was significantly associated with a higher likelihood of experiencing symptoms of anxiety (AOR: 3.40; 95% CI:1.31-8.81), depression (AOR: 3.83; 95% CI: 1.45-10.14) and insomnia (AOR: 3.82; 95% CI: 1.52-9.62) while inadequate precautionary measures in the workplace was significantly associated with higher odds of exhibiting symptoms of anxiety (AOR: 1.89; 95% CI: 1.12-3.19) and depression (AOR: 1.97; 95% CI: 1.16-3.37). Nurses (AOR: 2.33; 95% CI: 1.21-4.47) were significantly more likely to experience anxiety symptoms than other health workers. Conclusion: The study findings revealed a considerate proportion of anxiety, depression and insomnia symptoms among health workers during the early phase of the pandemic in Nepal. Health workers facing stigma, those with history of medication for mental health problems, and those reporting inadequate precautionary measures in their workplace were more at risk of developing mental health outcomes. A focus on improving mental wellbeing of health workers should be immediately initiated with attention to reduction of stigma, ensuring an adequate support system such as personal protective equipments, and family support for those with history of mental health problems.

scholarly journals Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Pratik Khanal ◽  
Navin Devkota ◽  
Minakshi Dahal ◽  
Kiran Paudel ◽  
Devavrat Joshi
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Mental Health Problems ◽  
Health Workers ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
History Of ◽  
Precautionary Measures ◽  
Anxiety Depression

Abstract Background Health care workers exposed to COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health workers involved in COVID-19 response in Nepal. Methods This was a cross-sectional web-based survey conducted between April 26 and May 12, 2020. A total of 475 health workers participated in the study. Anxiety and depression were measured using a 14-item Hospital Anxiety and Depression Scale (HADS: 0–21) and insomnia was measured by using a 7-item Insomnia Severity Index (ISI: 0–28). Multivariable logistic regression analysis was done to determine the risk factors of mental health outcomes. Results Overall, 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia. Stigma faced by health workers was significantly associated with higher odds of experiencing symptoms of anxiety (AOR: 2.47; 95% CI: 1.62–3.76), depression (AOR: 2.05; 95% CI: 1.34–3.11) and insomnia (AOR: 2.37; 95% CI: 1.46–3.84). History of medication for mental health problems was significantly associated with a higher likelihood of experiencing symptoms of anxiety (AOR: 3.40; 95% CI:1.31–8.81), depression (AOR: 3.83; 95% CI: 1.45–10.14) and insomnia (AOR: 3.82; 95% CI: 1.52–9.62) while inadequate precautionary measures in the workplace was significantly associated with higher odds of exhibiting symptoms of anxiety (AOR: 1.89; 95% CI: 1.12–3.19) and depression (AOR: 1.97; 95% CI: 1.16–3.37). Nurses (AOR: 2.33; 95% CI: 1.21–4.47) were significantly more likely to experience anxiety symptoms than other health workers. Conclusion The study findings revealed a considerate proportion of anxiety, depression and insomnia symptoms among health workers during the early phase of the pandemic in Nepal. Health workers facing stigma, those with history of medication for mental health problems, and those reporting inadequate precautionary measures in their workplace were more at risk of developing mental health outcomes. A focus on improving mental wellbeing of health workers should be immediately initiated with attention to reduction of stigma, ensuring an adequate support system such as personal protective equipments, and family support for those with history of mental health problems.

scholarly journals Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal

2020 ◽  
Author(s):  
Pratik Khanal ◽  
Navin Devkota ◽  
Minakshi Dahal ◽  
Kiran Paudel ◽  
Devavrat Joshi
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Mental Health Problems ◽  
Health Workers ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
History Of ◽  
Precautionary Measures ◽  
Anxiety Depression

Abstract Background: Health care workers exposed to COVID-19 might be at risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health workers involved in COVID-19 response in Nepal. Methods: This was a cross-sectional web-based survey conducted in between April 26 to May 12, 2020. A total of 475 health workers participated in the study. Anxiety and depression were measured using 14-item Hospital Anxiety and Depression Scale (HADS: 0- 21) and insomnia was measured by using 7-item Insomnia Severity Index (ISI: 0-28). Multivariable logistic regression analysis was done to determine the risk factors of mental health outcomes. Results: Overall, 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia. Stigma faced by health workers was significantly associated with higher odds of experiencing symptoms of anxiety (AOR: 2.47; 95% CI: 1.62-3.76), depression (AOR: 2.05; 95% CI: 1.34-3.11) and insomnia (AOR: 2.37; 95% CI: 1.46-3.84). History of medication for mental health problems was significantly associated with higher likelihood of experiencing symptoms of anxiety (AOR: 3.40; 95% CI:1.31-8.81) , depression (AOR: 3.83; 95% CI: 1.45-10.14) and insomnia (AOR: 3.82; 95% CI: 1.52-9.62) while inadequate precautionary measures in the workplace was significantly associated with higher odds of exhibiting symptoms of anxiety (AOR: 1.89; 95% CI: 1.12-3.19) and depression (AOR: 1.97; 95% CI: 1.16-3.37). Nurses (AOR: 2.33; 95% CI: 1.21-4.47) were significantly more likely to experience anxiety symptoms than other health workers. Conclusion: The study findings revealed higher proportion of anxiety, depression and insomnia among health workers during the early phase of the pandemic in Nepal. Health workers facing stigma, those with history of medication for mental health problem, and those reporting to having inadequate precautionary measures in their workplace were more at risk of developing mental health outcomes. A focus on improving mental health wellbeing of health workers should be immediately initiated with attention to reduction of stigma, ensuring adequate support system such as personal protective equipments, and family support for those with history of mental health problems.

scholarly journals Depression, Anxiety and Stress among Police Personnel during COVID-19 Pandemic: A Cross-sectional Study in North India

2021 ◽  
Vol 06 (02) ◽  
pp. 6-11
Author(s):  
Amit Kumar Mital ◽  
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Sectional Study ◽  
Cross Sectional ◽  
Duty Hours ◽  
Police Personnel

Background: COVID-19 pandemic has posed a public health threat to the whole world. The frontline line workers including police personnel involved in COVID-19 management and containment are at risk of mental health problems. Aims: To estimate mental health problems like stress, anxiety, and depression in police personnel and to determine their underlying drivers.Methods: A cross-sectional study was conducted among police personnel of city Rohtak in April 2020. 8 police stations and 13 check-posts were selected randomly by lottery method. Depression, Anxiety and Stress-21 Scale was used. Statistical analyses were undertaken using MS Excel, Epi Info, and R software. Results: 298 policemen were screened for mental problems. Their mean age was 39 ± 9.7 years. 20.1%, 13.8%, and 3.4% had stress, anxiety, and depression respectively. 172 (57.7%) respondents were not satisfied with their COVID duty hours. 239 (80.2%) subjects believed that they are at risk of getting the infection due to their duties in COVID-19 containment zones. About 68.8% of participants believed that their families were at risk of getting the infection because of their COVID-19 duty. The study subjects who were not satisfied with their duty hours had 2.4 and 3.5 times more risk of stress and anxiety as compared with those who were satisfied with them. Conclusion: Policemen are at significant risk for stress, anxiety, and depression due to COVID related duties. Identifiable risk factors were number of working hours per day, dissatisfaction with duty hours, and risk of contracting corona infection due to COVID-19 duty.

scholarly journals Prevalence of Mental Health Problems and Its Associated Factors Among Recovered COVID-19 Patients During the Pandemic: A Single-Center Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Mojgan Khademi ◽  
Roya Vaziri-Harami ◽  
Jamal Shams
Keyword(s):  
Mental Health ◽  
Associated Factors ◽  
Mental Health Problems ◽  
Female Gender ◽  
Health Problems ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Care Workers ◽  
Patient Health ◽  
History Of

Introduction: The coronavirus disease 2019 (COVID-19), is profoundly affecting the mental health status. Although the burden of mental health problems has been reported in the general population and health care workers, little is known about the prevalence of mental health disorders among recovered COVID-19 patients and their associated factors.Methods: A cross-sectional telephonic-study of recovered COVID-19 patients with and without a history of hospitalization was conducted from April 20 to June 20, 2020, in Tehran, Iran. We assessed the anxiety symptoms, depression, and post-traumatic stress disorder (PTSD) among participants, using the Patient Health Questionnaire (PHQ-4) and PTSD checklist for DSM-5 (PCL-5). Logistic regression analyses were used to explore the risk factors associated with mental health problems.Results: A total of 602 individuals with a mean age of 53.2 years (SD: 14.7), completed the study. The rates of mental health symptoms among the respondents were 5.8% (95% CI: 4.2–7.8%) for anxiety, 5.0% (95% CI: 3.5–7.0%) for depression, and 3.8% (95% CI: 2.3–5.3%) for PTSD disorders. Moreover, being younger than 50 years and female gender was significantly associated with a higher probability of reporting anxiety (p < 0.01), and depression (p < 0.001 for being younger than 50 years, p < 0.02 for female gender).Conclusions: The current study indicated that patients with COVID-19 presented features of anxiety, depression, and PTSD. These results may help implement appropriate mental health intervention policies for those at risk and minimize the mental health consequences of the COVID-19.

scholarly journals Are dietary patterns differently associated with differentiated levels of mental health problems? Results from a large cross-sectional study among Iranian manufacturing employees

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e020083 ◽  
Author(s):  
Zahra Heidari ◽  
Awat Feizi ◽  
Hamidreza Roohafza ◽  
Katayoun Rabiei ◽  
Nizal Sarrafzadegan
Keyword(s):  
Mental Health ◽  
Dietary Patterns ◽  
Mental Health Problems ◽  
Workplace Health Promotion ◽  
Depression Scale ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Manufacturing Companies ◽  
Cross Sectional ◽  
The Impact

ObjectivesThe present study aimed to classify participants based on mental health problems profile and to evaluate its relationship with dietary patterns among Iranian manufacturing employees.DesignObservational study with a cross-sectional design.SettingThis study was conducted in Esfahan Steel Company, one of the biggest Iranian industrial manufacturing companies.ParticipantsComplete data on 2942 manufacturing employees, with a mean (SD) age of 36.68 (7.31) years, were analysed.Outcome measuresHospital Anxiety and Depression Scale(HADA) and General Health Questionnaire (GHQ-12) were used to evaluate anxiety and depression and psychological distress, respectively.ResultsThree major dietary patterns, namely ‘western’, ‘healthy’ and ‘traditional’, were extracted using factor analysis. A two-class, one-factor structure was identified from study participants in terms of mental health problems profile based on the factor mixture model. Two identified classes were labelled as ‘low mental health problems’ (2683 manufacturing employees, 91.2%) and ‘high mental health problems’ (259 individuals, 8.8%). After adjusting for the impact of potential confounders, manufacturing employees in the highest tertile of healthy dietary pattern had lower odds of being in the high mental health problems profile class (OR=0.67, 95% CI 0.49 to 0.92). In contrast, greater adherence to Western and traditional dietary patterns was associated with increased odds of being in the high mental health problems class (OR=1.66, 95% CI: 1.18 to 2.35 and OR=1.52, 95% CI :1.10 to 2.11, respectively).ConclusionsOur study provided informative pathways on the association of dietary patterns and mental health among manufacturing employees. The findings can be used by workplace health promotion policymakers in improving mental health in such study population. Interventional and prospective studies that investigate the effects of change in dietary patterns on the mental health of manufacturing employees are suggested.

Mental health problems of Dutch young adult domestic adoptees compared to non-adopted peers and international adoptees

2016 ◽  
Vol 60 (5) ◽  
pp. 1201-1217 ◽  
Author(s):  
Marielle C Dekker ◽  
Wendy Tieman ◽  
Anneke G Vinke ◽  
Jan van der Ende ◽  
Frank C Verhulst ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adult ◽  
Mental Health Problems ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Adult Adoptees ◽  
Male Adult ◽  
Future Studies ◽  
International Adoptees ◽  
Anxiety Depression

We examined the mental health problems of Dutch young adult domestic adoptees ( N = 75) relative to Dutch non-adopted peers and Dutch international adoptees. We found small differences in favor of the non-adopted peers ( N = 2021), while a minority of male domestic adoptees were at risk of anxiety/depression problems. Domestic adoptees showed somewhat less problems behavior than international adoptees ( N = 1331). Domestic and international adoptees differed in search status (non-searcher, searcher, reunited), although this could not explain any differences in mental health problems. Social workers and clinicians should support (male) adult adoptees in coping with possible feelings of anxiety and depression. Future studies should pay attention to gender differences in adoptees.

scholarly journals Mental Health and Early Adolsecent: A Prevalence Study

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Karimah Hanim Abd Aziz ◽  
Nurjasmine Aida Jamani ◽  
Nur Wal Affa Aziz ◽  
Fatin Shahira Hamdan
Keyword(s):  
Mental Health ◽  
Family History ◽  
Low Socioeconomic Status ◽  
Household Income ◽  
Protective Factor ◽  
Mental Health Problems ◽  
Health Problems ◽  
Cross Sectional ◽  
Children And Adolescent ◽  
History Of

Introduction: Prevalence of mental health problems among children and adolescent is increasing in trend as reported in the National Health Morbidity Survey (NHMS). Male, younger age group and from low socioeconomic status were at higher risk to develop this problem. This study aimed to measure the prevalence of mental health problems and their associated factors among young adolescent in Kuantan, Pahang. Materials and Methods: A cross-sectional study was conducted among 211 standard 4 and 5 (aged 10-11) students in July 2017. A validated Malay version Strength and Difficulty Questionnaire (SDQ) which consisted of five problem subdomains (emotional, conduct, hyperactivity, peer and prosocial) was filled by parents. The data were analysed using descriptive statistics and logistic regression. Results: The prevalence of mental health problems among young adolescents was 16.3%. The commonest mental health problems were peer (45.8%), conduct (27.2%) and prosocial (18.7%). Higher household income (OR: 2.66, CI: 1.186-5.995), higher household number (OR: 0.593, Cl: 0.416-0.845) and no family history of mental illness (OR: 24.53, CI: 1.506-399.65) were associated with mental health problems. Conclusion: We found that the prevalence of mental health problems was higher than that was reported by NHMS in 2015. Adolescents from higher household income family and no family history of mental problems were more likely to develop emotional problems. However, higher household number was found to be a protective factor against mental health problems.

scholarly journals The Influence of Illness Perception, Anxiety and Depression Disorders on Students Mental Health during COVID-19 Outbreak in Pakistan: A Web-Based Cross-Sectional Survey

2020 ◽  
Author(s):  
Muhammad Aqeel ◽  
Kanwar Hamza Shuja ◽  
Jaffar Abbas ◽  
Tasnim Rehna ◽  
Arash Ziapour
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Illness Perception ◽  
Well Being ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Web Based ◽  
Depression Disorders

Abstract Background: Since the emergence of a coronavirus disease (2019-nCoV) in December 2019, the whole world is in a state of chaos. Isolation strategy with quarantine is a useful model in controlling transmission and rapid spread. As a result, people remained at homes and disrupted their outside daily activities. It led to the closure of educational institutes, which is a source of many students to cope with numerous personal and familial issues. This study focuses on exploring the relationships and potential mediational pathways between mental health problems, illness perception, anxiety, and depression disorders.Method: The study incorporated snowball sampling techniques through a cross-sectional, web-based survey and recruited 500 students from different public and private universities from twin cities, Rawalpindi, and Islamabad from March 23 to April 15, 2020, during the coronavirus outbreak lockdown. The study used four instruments, Beck Depression Scale, Beck Anxiety Inventory, Revised Illness Perception Questionnaire, and The Warwick-Edinburgh Mental Well-being Scale for assessing depression, anxiety, illness perception, and mental health disorders.Results: The findings indicated normal (43.2%) mild (20.5%), moderate (13.6%), and severe (22.7%) level of anxiety prevalence in students. Results specified a normal (65.9%), mild (9.10%), moderate (9.12%), and severe (15.90%) depression prevalence, and findings stipulated that anxiety disorder prevalence was higher than the depression disorder. The correlational results specified a negative and significant relationship between mental health, illness perception, anxiety, and depression symptoms. The multiple regression analysis stated that anxiety and depression disorders mediated the relationship between mental health and present illness perception. The perception of illness exhibited a relation to depression and anxiety disorders.Conclusion: The study proposed a model to address mental health problems during the lockdown. The (2019-nCoV) illness perception developed mental disorders, including anxiety and depression, which has declined individuals' mental health. There is an urgent need for ongoing clinical examination and management to address psychological disorders, and findings suggest assessing mental health to combatting the pandemic worldwide. Findings recommend developing strategies to promote mental healthcare facilities during COVID-19 wide-ranging disasters. These results highlight the impending importance of devising strategies to treat mental health problems.

scholarly journals Depression, Anxiety and Stress among Students amidst COVID-19 Pandemic: A Cross-Sectional Study in Philippines

2021 ◽  
Vol 9 (2) ◽  
pp. 102
Author(s):  
Joel Rey U. Acob ◽  
Hidayat Arifin ◽  
Yulis Setiya Dewi
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Mental Health Program ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Sectional Study ◽  
Monthly Income ◽  
Cross Sectional ◽  
Health Crisis ◽  
History Of

Background: COVID-19 considered as a global health crisis poses mental health problems among individual and specifics to students.Purpose: This study aimed to determine the depression, anxiety, and stress levels among students amidst COVID-19 pandemic in Philippines.Methods: A cross-sectional study was undertaken in Region 8, Eastern Visayas Philippines. A total of 311 tertiary respondents randomly selected both private and government owned higher education institutions. The data compilation was done using online questionnaires through Google Forms with validated version of the Stress, Anxiety and Depression Scales 21 (DASS21) is used to calculate students' level of stress, anxiety and, depression with their socio-demographic featuresResults: We revealed that depression, anxiety and stress are instituted in 18.6 %, 35.1 % and 2.85% of students, respectively, amidst the COVID – 19 pandemics. The symptoms of disorders were moderate to extremely severe in 6.1%, 23.5%, and 0.6% of the study sample, respectively. Age, gender, marital status and family history of illness are significantly different with age group 20 and below, females, singles, and families with no history of illness displaying high level of anxiety. Results also established an association between anxiety and family’s monthly income and history of illness. The higher the monthly income and no presence of illness of families, the more anxious the person.Conclusion: Finally, the variables used, explained only 1.5% depression, 3.4% anxiety and 1.4% stress in this time of COVID-19 outbreak. It is therefore recommended to essentially develop community-based mental health program for preventive purposes.

scholarly journals The influence of illness perception, anxiety and depression disorders on students mental health during COVID-19 outbreak in Pakistan: a Web-based cross-sectional survey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Muhammad Aqeel ◽  
Jaffar Abbas ◽  
Kanwar Hamza Shuja ◽  
Tasnim Rehna ◽  
Arash Ziapour ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Illness Perception ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Web Based ◽  
Content Type ◽  
Depression Disorders

Purpose Since the emergence of a coronavirus disease (2019-nCoV) in December 2019, the whole world is in a state of chaos. Isolation strategy with quarantine is a useful model in controlling transmission and rapid spread. As a result, people remained at home and disrupted their outside daily activities. It led to the closure of educational institutes, which is a source of many students to cope with numerous personal and familial issues. This study aims to focus on exploring the relationships and potential mediational pathways between mental health problems, illness perception, anxiety and depression disorders. Design/methodology/approach The study incorporated snowball sampling techniques through a cross-sectional, Web-based survey and recruited 500 students from different universities of twin cities, Rawalpindi and Islamabad from March 23 to April 15, 2020, during the coronavirus outbreak lockdown. The study used four instruments, Beck Depression Scale, Beck Anxiety Inventory, Revised Illness Perception Questionnaire and The Warwick-Edinburgh Mental Well-being Scale for assessing depression, anxiety, illness perception and mental health disorders. Findings The findings indicated normal (43.2%), mild (20.5%), moderate (13.6%) and severe (22.7%) levels of anxiety prevalence in students. Results specified a normal (65.9%), mild (9.10%), moderate (9.12%) and severe (15.90%) depression prevalence and findings stipulated that anxiety disorder prevalence was higher than depression disorder. The correlational results specified a negative and significant relationship between mental health, illness perception, anxiety and depression symptoms. The multiple regression analysis stated that anxiety and depression disorders mediated the relationship between mental health and present illness perception. The perception of illness exhibited a relation to depression and anxiety disorders. Originality/value The study proposed a model to address mental health problems during the lockdown. The (2019-nCoV) illness perception developed mental disorders, including anxiety and depression, which has declined individuals’ mental health. There is an urgent need for ongoing clinical examination and management to address psychological disorders and findings suggest assessing mental health to combatting the pandemic worldwide. Findings recommend developing strategies to promote mental health-care facilities during COVID-19 wide-ranging disasters. These results highlight the impending importance of devising strategies to treat mental health problems.

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