Psychological Distress and Coping Strategies among Nurses during the COVID-19 Pandemic: A Cross-Sectional Online Survey

Background: The emergence of COVID-19 has a significant impact on nurse’s overall health. The severity and magnitude of the COVID-19 pandemic means it is extremely likely that health-care professionals will experience psychological distress as a result of their direct contact with patients who have contracted the infection. Objectives: This study aimed to evaluate levels of psychological distress among nurses during the COVID-19 pandemic, determine the associated factors, and identify nurses’ coping strategies. Methods: This study is a cross-sectional design. Overall, 130 nurses answered online questionnaires. The questionnaires measured sociodemographic characteristics, Fear of COVID-19 Scale, the Depression, Anxiety, and Stress Scale, and the Brief Coping Inventory. Results: Nurses have a moderate level of fear (mean score: 24.34 ± 13.43) and depression (43.8% of the sample), and severe anxiety (73.8%) and stress (45.4%). Anxiety and fear were positively correlated (r = .675, p < .001). Independent t-tests revealed that female nurses had higher psychological distress and fear than male nurses (p = 0.015 and p = 0.038, respectively). Nurses who cared for patients who had tested positive for coronavirus disease 2019 and those who had a friend or family member who had tested positive had higher fear and psychological distress than their respective counterparts (p < .001 and p = .010, respectively). Working more hours was moderately correlated with fear and anxiety (p = 0.016). Nurses were found to generally adopt maladaptive coping styles. Conclusion: Through careful study of the factors determined through this research to be associated with psychological distress among nurses, the health-care community can better prepare to mitigate nurses’ emotional and psychological toll in future pandemic situations. Working with patients who have tested positive for COVID-2019 causes psychological distress for nurses.

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Knowledge, attitudes and behaviours towards vaccination: a survey of university students in Europe

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1404 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Callegaro ◽

L Chinenye Ilogu ◽

O Lugovska ◽

S Mazzilli ◽

A Prugnola ◽

...

Keyword(s):

Health Care ◽

Medical Students ◽

Health Care Professionals ◽

Online Survey ◽

Educational Interventions ◽

Cross Sectional ◽

High Level ◽

Coverage Rates ◽

The University ◽

Vaccination Knowledge

Abstract Background Immunisation programs are still facing substantial challenges in achieving target coverage rates. This has been attributed to the growing negative individual vaccination attitudes and behaviours. Most of the current studies assessing vaccination knowledge, attitude and beliefs targets adults. However, young people represent future parents and health care professionals. The objective of this study was to investigate vaccination knowledge attitudes and behaviours among university medical and non-medical students in Europe. Methods We performed a cross-sectional online survey between April and July 2018. The study participants were students attending different faculties at the University of Antwerp, Belgium and the University of Pisa, Italy. We described sample characteristics. The effect of risk factors was tested with univariate and multivariate logistic regressions. Results A total of 2079 participants completed the survey including 873 medical students and 1206 from other faculties. The average of vaccination knowledge, attitudes, and confidence was respectively 5.51 (SD: 1.41), 4.66 (SD: 0.14) and 5.28 (SD: 0.57) on the 6-points scale. Our respondents demonstrated a high level of awareness with respect to their vaccination history. In total, 67.7% (n = 1407) reported to have received at least one vaccine in the previous five years; only 6.0% (n = 35) did not receive any vaccine in the previous 10 years. According to logistic regression analysis Italian students had significantly higher knowledge, attitude and confidence scores than Belgium respondents. Students of medicine scored significantly higher compared to non-medical students. Conclusions In order to reduce the gaps in vaccinations knowledge between non-medical and medical students we should plan educational interventions. In this way the number of future sceptical parents could be decreased. Further studies are required to explain the differences between countries. Key messages Young adults are the parents and the health care professionals of the future, for this reason their vaccination knowledge attitudes and behaviours should be carefully monitored. European non-medical students have lower vaccinations knowledge, attitudes and confidence compared with medical student. In order to fill these gaps, we should plan educational interventions.

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Psychological distress and coping styles in teachers: A preliminary study

Australian Journal of Education ◽

10.1177/0004944120908960 ◽

2020 ◽

Vol 64 (2) ◽

pp. 127-146 ◽

Cited By ~ 1

Author(s):

Peta Stapleton ◽

Sarah Garby ◽

Debbie Sabot

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Psychological Health ◽

Online Survey ◽

Satisfaction With Life ◽

Clinical Symptoms ◽

Coping Styles ◽

Satisfaction With Life Scale ◽

Empirical Measures ◽

Brief Cope

Teaching professionals report higher levels of work-related stress and symptoms of psychological health problems than the general population. This study examined psychological distress, coping styles and wellbeing in 166 Australian teachers (aged 22–65 years; M = 37.74 years, SD = 10.84 years). Participants completed an online survey comprising demographic items and four empirical measures (The Satisfaction with Life Scale, Subjective Happiness Scale, The Brief COPE Inventory and The Patient Health Questionnaire). Work, workload and finances were identified as leading sources of stress. Moreover, above-average clinical symptoms of anxiety, depression and physical concerns were reported, and 17% of respondents met criteria for probable alcohol dependence. Results suggested that maladaptive coping strategies employed by teachers may contribute to their risk of increased psychological distress, and decreased life satisfaction and happiness. These findings indicate the need for work-based programmes to enhance teachers’ coping strategies in an effort to reduce psychological distress and improve overall wellbeing in teaching professionals.

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COVID-19 Fear Among Health Care Workers (HCW) and Non-HCW in IGMC, Shimla: An Online Questionnaire-Based Prospective Study

Recent Advances in Biology and Medicine ◽

10.18639/rabm.2021.1520804 ◽

2021 ◽

Vol 7 (4) ◽

pp. 1-7

Author(s):

Girish K Sharma ◽

Pamposh Raina ◽

Kailash C Barwal ◽

Manjeet Kumar ◽

Vineet Kumar ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Health Care Professionals ◽

Cross Sectional Study ◽

Sectional Study ◽

Online Questionnaire ◽

Cross Sectional ◽

Web Based ◽

Care Workers ◽

Fear And Anxiety

The unremitting COVID-19 pandemic is evoking anxiety, fear, panic, and socio-occupational stress among human population all around the globe. This cross-sectional study was planned to assess the fear and anxiety because of COVID-19 pandemic among health care professionals, patients, and general public in IGMC, Shimla. A cross-sectional, web-based survey was conducted in month of December 2020. COVID-19 fear questionnaire was used to assess fear among participants. A total of 162 responses were received. Ninety-five (41.35%) respondents were males and 67(58.64%) were females. Average total score of COVID-19 fear based on questionnaire was 17.71 among the participants. The majority of respondents 67(41.4%) were afraid of COVID-19, 53(32.7%) were neutral, whereas 42 (25.9%) were not afraid of COVID-19. Sixty-two (38.3%) responders were uncomfortable thinking about COVID-19, whereas, 67(41.4%) were not uncomfortable. Only 22 (13.6%) participants felt their hands clammy when they thought of COVID-19, 78 (48.15%) respondents were afraid of losing their life, 78 (48.15%) respondents disagreed with the question of being nervous or anxious to hear news and stories of COVID-19. Thirteen (8%) participants were informed of sleeplessness, and 22 (13.5%) reported palpitations due to COVID-19 fear. COVID-19 fear was evident in 65.15% of all males and 55.8% of all females’ respondents, respectively. Seventy percent of participants of age more than 40 years were afraid of COVID-19, whereas only 54.83% participants of less than 40 years had COVID-19 fear. COVID-19 fear was more evident among non-HCW (74.42%) as compared to HCW in whom it was seen in 53.03% participants. Rampaging Pandemic has ingrained fear and anxiety among non-HCW as well as health care workers. But undeterred by COVID-19 fear, majority of participants didn’t fear death and didn’t have other effects of fear. Despite (can be used) surging pandemic when fear of COVID-19 is soaring, HCW and non-HCW could work, think, and live.

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HBV AND HCV PATIENTS

The Professional Medical Journal ◽

10.29309/tpmj/2015.22.09.1059 ◽

2015 ◽

Vol 22 (09) ◽

pp. 1150-1158

Author(s):

Atiq ur Rehman ◽

Syeda Farhana Kazmi

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Psychiatric Comorbidity ◽

Coping Styles ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Female Age ◽

Approach Coping ◽

The Relationship

Objectives: The main purpose of this research was to compare the level ofpsychological distress between HBV and HCV patients and to determine the effect of genderand age on psychological distress. Determine the relationship between coping strategies andpsychological distress. Method: For the present study 100 HBV patients (50 male and 50 female)and 100 HCV patients (50 male and 50 female) were selected. The sample was selected fromLiver Centre, district headquarter hospital Faisalabad. This was a cross sectional study. MHI-38was used to measure the psychological distress and CRI was used to measure the copyingstyles among HBV and HCV patients. Result: HCV patients have higher levels of psychologicaldistress t (198) = 6.54, p< .05 compared to HBV patients. Female hepatitis patients weresuffering from high levels of psychological distress t (198) = 3.90, p < .05 as compared to malehepatitis patients, with male, age is positively correlated with psychological distress, r = .32,p < .01 but with female age is negatively correlated with psychological distress r = -.49, p <.01. Approach coping is negatively correlated with psychological distress in male and femalehepatitis patients, respectively, r = -.45, p < .01 and, r = -.29, p <.01. Conclusion: HCV andfemale patients have higher levels of psychological distress comparatively of HBV and malepatients. Age is correlated with psychological distress. The approach coping styles play animportant role in controlling the psychiatric comorbidity in HBV and HCV patients.

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Coping with work-related stress in health care professionals – strategies for prevention of burnout and depression

Orvosi Hetilap ◽

10.1556/oh.2013.29572 ◽

2013 ◽

Vol 154 (12) ◽

pp. 449-454 ◽

Cited By ~ 2

Author(s):

Veronika Mészáros ◽

Zoltán Cserháti ◽

Attila Oláh ◽

Dóra Perczel Forintos ◽

Szilvia Ádám

Keyword(s):

Health Care ◽

Coping Strategies ◽

Work Stress ◽

Health Care Professionals ◽

Structural Equation ◽

Severe Depression ◽

Personal Accomplishment ◽

Depression Symptoms ◽

Cross Sectional Survey ◽

Cross Sectional

Background: The prevalence of depression and burnout among health care professionals is high in Hungary. However, there is limited empirical data on disease prevention among these populations. Aims: This study aims at evaluating the mediating role of coping mechanisms in preventing depression and burnout. Methods: Cross-sectional survey among 1333 health care professionals. Participants completed self-administered questionnaires about their perception of work stress, burnout and depressive symptoms, as well as their preferred coping strategies. Analyses were performed using structural equation modelling. Results: The prevalence of severe depression and lack of personal accomplishment was 5.6% and nearly 50%, respectively. Work stress predicted symptoms of burnout and depression both directly and indirectly through the mediation by coping strategies. Of the coping strategies, cognitive restructuring, which accentuates the realistic assessment of challenging situations, was found to reduce the probability of the development of burnout and depression symptoms. Conclusions: This study provides further data for the development of cognitive interventional strategies and highlights the significance of these strategies in the prevention of depression and burnout among Hungarian health care professionals. Orv. Hetil., 2013, 154, 449–454.

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Cyberbullying Among Traditional and Complementary Medicine Practitioners in the Workplace: Protocol for a Cross-sectional Descriptive Study (Preprint)

10.2196/preprints.29582 ◽

2021 ◽

Author(s):

Yun Jin Kim ◽

Linchao Qian ◽

Muhammad Shahzad Aslam

Keyword(s):

Health Care ◽

Complementary Medicine ◽

Social Factors ◽

Health Care Professionals ◽

Online Survey ◽

Research Work ◽

Well Being ◽

Descriptive Study ◽

Research Management ◽

Cross Sectional

BACKGROUND Cyberbullying is becoming prevalent among health care professionals and may cause a variety of mental health issues. Traditional and complementary medicine practitioners remain an important pillar of the health care system in Malaysia. OBJECTIVE This paper presents a study protocol for an online survey (Cyberbullying Among Traditional and Complementary Medicine Practitioner [TCMPs]) that will collect the first nationwide representative data on cyberbullying behavior among traditional and complementary medicine practitioners in Malaysia. The objectives of the survey are to (1) evaluate the cyberbullying behavior among traditional and complementary medicine practitioners in Malaysia, (2) identify sociodemographic and social factors related to cyberbullying, and (3) evaluate the association between cyberbullying behavior, sociodemographic, and social factors. METHODS A snowball sampling strategy will be applied. Traditional and complementary medicine practitioners who are permanent Malaysian residents will be randomly selected and invited to participate in the survey (N=1023). Cyberbullying behavior will be measured using the Cyberbullying Behavior Questionnaire (CBQ). Data on the following items will be collected: work-related bullying, person-related bullying, aggressively worded messages, distortion of messages, sending offensive photos/videos, hacking computers or sending a virus or rude message, and threatening messages about personal life or family members. We will also collect data on participants’ sociodemographic characteristics, social factors, and substance abuse behavior. RESULTS This cross-sectional descriptive study was registered with Research Registry (Unique Identifying Number 6216; November 05, 2020). This research work (substudy) is planned under a phase 1 study approved by the Research Management Centre, Xiamen University Malaysia. This substudy has been approved by the Research Ethics Committee of Xiamen University Malaysia (REC-2011.01). The cross-sectional survey will be conducted from July 01, 2021, to June 30, 2022. Data preparation and statistical analyses are planned from January 2022 onward. CONCLUSIONS The current research can contribute to identify the prevalence of workplace cyberbullying among Malaysian traditional and complementary medicine practitioners. The results will help government stakeholders, health professionals, and education professionals to understand the psychological well-being of Malaysian traditional and complementary medicine practitioners. CLINICALTRIAL Research Registry Unique Identifying Number 6216; https://tinyurl.com/3rsmxs7u INTERNATIONAL REGISTERED REPORT PRR1-10.2196/29582

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Psychological implications of COVID-19 pandemic among health care professionals of Madhya Pradesh India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211231 ◽

2021 ◽

Vol 8 (4) ◽

pp. 1765

Author(s):

Juhi Lohiya ◽

Vrinda Saxena ◽

Garima Bhambhani ◽

Shweta Chaturvedi ◽

Swapnil Jain ◽

...

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Online Survey ◽

Treatment Protocol ◽

Cross Sectional Study ◽

Madhya Pradesh ◽

Chi Square ◽

Cross Sectional ◽

Treatment Protocols ◽

Validated Questionnaire

Background: The rapid spread of the COVID-19 pandemic has loaded remarkable psychological stress on people around the world, predominantly the Health Care Professionals (HCPs). The present study aimed to assess anxiety and fear of getting infected among HCPs working during the current viral outbreak. Also, doctors' knowledge about various practice modifications to combat the novel coronavirus disease (COVID-19) outbreak has been evaluated.Methods: A cross-sectional study was conducted on Health care professionals (HCPs) of Madhya Pradesh India using an online survey. A pretested and pre-validated questionnaire was designed on Google forms and link generated was shared through social media. A total of 320 doctors from different cities of Madhya Pradesh have participated in the study. A Chi-Square and Spearman Correlation test was applied using SPSS version 25.Results: Present Study reveals that more than two-thirds of HCPs (80%) were anxious and worried about the overwhelming effect of COVID-19. Among HCPs, dental professionals (61%) unfolded greater fear and anxiety level than the medical professionals. The majority of participants (92%) were updated with good knowledge and awareness of recent changes in the treatment protocols regarding the COVID-19 pandemic. However, the implementation of modifying treatment protocol was recorded as 71%.Conclusions: High psychosomatic implications of COVID -19 outbursts were seen in HCPs while working in their respective fields. So providing psychological first aid is a significant care component for populations that have been victims of emergencies and disasters.

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Cyberbullying Among Traditional and Complementary Medicine Practitioners in the Workplace: Protocol for a Cross-sectional Descriptive Study

JMIR Research Protocols ◽

10.2196/29582 ◽

2021 ◽

Vol 10 (8) ◽

pp. e29582

Author(s):

Yun Jin Kim ◽

Linchao Qian ◽

Muhammad Shahzad Aslam

Keyword(s):

Health Care ◽

Complementary Medicine ◽

Social Factors ◽

Health Care Professionals ◽

Online Survey ◽

Research Work ◽

Well Being ◽

Descriptive Study ◽

Research Management ◽

Cross Sectional

Background Cyberbullying is becoming prevalent among health care professionals and may cause a variety of mental health issues. Traditional and complementary medicine practitioners remain an important pillar of the health care system in Malaysia. Objective This paper presents a study protocol for an online survey (Cyberbullying Among Traditional and Complementary Medicine Practitioner [TCMPs]) that will collect the first nationwide representative data on cyberbullying behavior among traditional and complementary medicine practitioners in Malaysia. The objectives of the survey are to (1) evaluate the cyberbullying behavior among traditional and complementary medicine practitioners in Malaysia, (2) identify sociodemographic and social factors related to cyberbullying, and (3) evaluate the association between cyberbullying behavior, sociodemographic, and social factors. Methods A snowball sampling strategy will be applied. Traditional and complementary medicine practitioners who are permanent Malaysian residents will be randomly selected and invited to participate in the survey (N=1023). Cyberbullying behavior will be measured using the Cyberbullying Behavior Questionnaire (CBQ). Data on the following items will be collected: work-related bullying, person-related bullying, aggressively worded messages, distortion of messages, sending offensive photos/videos, hacking computers or sending a virus or rude message, and threatening messages about personal life or family members. We will also collect data on participants’ sociodemographic characteristics, social factors, and substance abuse behavior. Results This cross-sectional descriptive study was registered with Research Registry (Unique Identifying Number 6216; November 05, 2020). This research work (substudy) is planned under a phase 1 study approved by the Research Management Centre, Xiamen University Malaysia. This substudy has been approved by the Research Ethics Committee of Xiamen University Malaysia (REC-2011.01). The cross-sectional survey will be conducted from July 01, 2021, to June 30, 2022. Data preparation and statistical analyses are planned from January 2022 onward. Conclusions The current research can contribute to identify the prevalence of workplace cyberbullying among Malaysian traditional and complementary medicine practitioners. The results will help government stakeholders, health professionals, and education professionals to understand the psychological well-being of Malaysian traditional and complementary medicine practitioners. Trial Registration Research Registry Unique Identifying Number 6216; https://tinyurl.com/3rsmxs7u International Registered Report Identifier (IRRID) PRR1-10.2196/29582

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A survey to evaluate mental well being and coping strategies of adolescents during COVID-19 pandemic in Bangalore, India

Journal of Student Research ◽

10.47611/jsrhs.v10i2.1835 ◽

2021 ◽

Vol 10 (2) ◽

Author(s):

Arna Bhattacharya ◽

DR Jigyansa Ipsita Pattnaik ◽

DR Suhas Chandran

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Online Survey ◽

Well Being ◽

Development Stage ◽

Coping Mechanisms ◽

Cross Sectional ◽

Brief Cope ◽

And Coping ◽

Mental Well Being

Background: The COVID-19 pandemic has brought about significant changes in the lifestyle of adolescents. Adolescence is a development stage of high vulnerability that can impact well-being later in life. Mental health plays an important role in one’s quality of life. Understanding coping mechanisms helps make a person safe and resilient from psychological distress. The present study aims to evaluate the mental well-being and coping strategies used by adolescents in India during the COVID-19 pandemic. Methods: A cross sectional study was conducted in a school in Bangalore, India via an online survey, circulated via the class teacher. Participants included 222 adolescents with ages ranging from 13 to 19. The DASS-21 and Brief COPE scales were used to assess mental well-being and coping mechanisms respectively. The questionnaire concluded with validated general lifestyle related questions. This included inquiring relationships between students and their families, friends, academic performance, social media consumption etc. The data was collected over a period of one month. Results: In the DASS-21 scoring, 31.9% (n=69), 24.8% (n=55) and 5.4% (n=12) received scores indicating extremely severe depression, anxiety and stress respectively. Females were statistically found to be more depressed and anxious than males. Behavioural disengagement and self blame were commonly used coping mechanisms by those who were found to be psychologically distressed. Conclusions: Psychological distress has been observed in adolescents in varying degrees during the COVID-19 pandemic. This should be addressed in order to prevent further distress. Keywords: adolescents, covid-19, mental well being, DASS-21, Brief COPE, depression, anxiety, stress

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The Relationship Between Nomophobia and Maladaptive Coping Styles in a Sample of Italian Young Adults: Insights and Implications From a Cross-Sectional Study (Preprint)

10.2196/preprints.13154 ◽

2018 ◽

Author(s):

Nicola Luigi Bragazzi ◽

Tania Simona Re ◽

Riccardo Zerbetto

Keyword(s):

Coping Strategies ◽

Undergraduate Students ◽

Information Technologies ◽

Online Survey ◽

Coping Styles ◽

Cross Sectional Study ◽

Sectional Study ◽

Maladaptive Coping ◽

Cross Sectional ◽

Brief Cope

BACKGROUND Information technologies have become an integral part of the modern society; however, it is speculated that their overuse would result in addiction. Nomophobia refers to the irrational fear of being out of contact with virtual communication platforms. Generally, upon exposure to stress, humans adjust by employing cognitive mechanisms and behavioral efforts known as coping strategies. OBJECTIVE The goal of the research was to explore coping styles implemented in subjects with nomophobia. METHODS This was a cross-sectional study involving young adult participants (undergraduate students and younger subjects) who were recruited via an online survey using a snowball approach. The Italian version of the Nomophobia Questionnaire was administered to subjects. The measurement of coping styles was done using the 28-item Brief COPE questionnaire. Continuous data were computed as means and standard deviations, whereas categorical data were expressed as percentages, where appropriate. Correlation analysis was performed between the Nomophobia Questionnaire and Brief COPE scores. Multivariate regression analyses were conducted in order to shed light on the determinants of each coping style and its association with nomophobia. RESULTS A total of 403 subjects took part in the study. Subjects with higher nomophobia scores responded when confronted with stress with behavioral disengagement (r=.16, P<.001), denial (r=.19, P<.001), self-blame (r=.12, P=.02), self-distraction (r=.22, P<.001), venting (r=.28, P<.001), use of emotional (r=.25, P<.001), and instrumental support (r=.16, P=.001). CONCLUSION Nomophobia subjects adopt maladaptive coping strategies when confronted with stress. The acknowledgment of how nomophobia subjects react provides insight and introduces a focus for preventative and interventional measures in this population.

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