Assessment on risk and stress of resident doctors during the COVID-19 pandemic

Introduction: It has been noted that post-traumatic stress disorder symptoms could be common in physicians who have experienced a traumatic event. The aim of this study was to determine the prevalence of post-traumatic stress disorder and contributing risk factors among resident doctors working in a tertiary care hospital during the COVID-19 pandemic. Methodology: A cross-sectional study was conducted via an online survey from May to July 2020. Sociodemographic characteristics, exposure to the coronavirus, application of personal hygiene rules, presence and use of personal protective equipment, anxiety and prevalence of post-traumatic stress disorder were investigated. Results: In total, 17.8% (n = 40) of 225 resident doctors who participated in the study had post-traumatic stress disorder. Working at a department serving to COVID-19 patients increased the risk of post-traumatic stress disorder by 2.9 times (OR = 2.936, p = 0.003) while contacting positive patients increased this risk by 2.6 times (OR = 2.607, p = 0.023) and lack of personal protective equipment by 3.6 times (OR = 3.656, p = 0.018). Anxiety scores were statistically significantly higher in women, married and those living with their parents or spouses and children (p = 0.049; p = 0.011; p = 0.004, respectively). Conclusions: Working in a department serving to COVID-19 patients, contact with positive patients and lack of personal protective equipment were risk factors in the emergence of post-traumatic stress disorder in resident doctors. Anxiety was also found to be greater in women, married and those living with their families.

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POST-TRAUMATIC STRESS DISORDER IN COVID-19 PCR POSITIVE PATIENTS; ITS FREQUENCY AND PSYCHOSOCIAL RISK FACTORS HAVE BEEN OBSERVED IN ENT AND NEUROLOGY OUTPATIENT’S CLINICS

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v71isuppl-3.7918 ◽

2021 ◽

Vol 71 (Suppl-3) ◽

pp. S508-11

Author(s):

Kausar Mahmood ◽

Shanila Feroz ◽

Iqbal Hussain Udaipurwala ◽

Aaqil Anwar ◽

Owais Khan Tareen ◽

...

Keyword(s):

Risk Factors ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Care Hospital ◽

Post Traumatic Stress ◽

Event Scale ◽

Post Traumatic

Objective: To find out the occurrence and psychosocial risk factors of post-traumatic stress disorder in COVID-19 polymerase chain reaction (PCR) positive patients presented to ENT and neurology clinics of a tertiary care hospital. Study Design: Cross-sectional study. Place and Duration of Study: Creek General Hospital, Karachi, Pakistan, from Sep to Dec 2020. Methodology: Total 60 patients with positive COVID-19 PCR test were included. After taking written and informed consent, they were evaluated using a semi-structured questionnaire. Questionnaire comprises of four main parts; first part includes demographic data, second part includes information about the course of COVID-19 in patient and other members of family, third part comprised of reasons of anxiety during COVID-19 and fourth part consist of Impact of Event Scale-revised (IES-R). Data was entered and analyzed through SPSS-23. Results: Out of total 60 patients, 36 (60%) had post COVID stress disorder. Females were affected more than the males (63% vs. 57%), above 50 years of age were affected more than below 50 years of age (81% vs 52%), singles were affected more than married (72% vs 38%) and lower socio-economic status were affected more than higher (65% vs 50%). Conclusion: PTSD was observed as long-term psychiatric problem leading to significant morbidity and mortality in patients with COVID-19 infection.

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Meta‐analysis found high rates of post‐traumatic stress disorder and associated risk factors in parents following paediatric medical events

Acta Paediatrica ◽

10.1111/apa.16113 ◽

2021 ◽

Author(s):

Aaron Burgess ◽

Lucy Wilcoxon ◽

Imogen Rushworth ◽

Richard Meiser‐Stedman

Keyword(s):

Risk Factors ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Meta Analysis ◽

Post Traumatic Stress ◽

Post Traumatic ◽

Associated Risk Factors

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The prevalence and risk factors of Post-Traumatic Stress Disorder among workers injured in Rana Plaza building collapse in Bangladesh

American Journal of Industrial Medicine ◽

10.1002/ajim.22471 ◽

2015 ◽

Vol 58 (7) ◽

pp. 756-763 ◽

Cited By ~ 18

Author(s):

Taylor Fitch ◽

Gabriela Villanueva ◽

Mohammad M. Quadir ◽

Hari K. R. Sagiraju ◽

Hasanat Alamgir

Keyword(s):

Risk Factors ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Post Traumatic Stress ◽

Building Collapse ◽

Post Traumatic

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Causes and Risk Factor of Post-Traumatic Stress Disorder in Adult Asylum Seekers and Refugees

Psychiatry International ◽

10.3390/psychiatryint2040032 ◽

2021 ◽

Vol 2 (4) ◽

pp. 410-423

Author(s):

Abdullah AlRefaie ◽

Christopher Dowrick

Keyword(s):

Risk Factors ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Asylum Seekers ◽

Stress Disorder ◽

Qualitative Assessment ◽

Post Traumatic Stress ◽

Post Traumatic ◽

Causes And Risk Factors ◽

Asylum Seekers And Refugees

Objectives: To assess the causes and risk factors of post-traumatic stress disorder (PTSD) in adult asylum seekers and refugees. To explore whether the causes and risk factors of PTSD between male and female adult refugees/asylum seekers are different. Study design: Systematic review of current literature. Data Sources: PubMed, Web of Science, Scopus and Google Scholar up until February 2019. Method: A structured, systematic search was conducted of the relevant databases. Papers were excluded if they failed to meet the inclusion and exclusion criteria. Afterwards, a qualitative assessment was performed on the selected papers. Results: 12 Studies were included for the final analysis. All papers were either case studies/reports or cross-sectional studies. Traumatic events experienced by refugees/asylum seekers are the most frequently reported pre-migration causes of PTSD development, while acculturative stress is the most common post-migration stressor. There were mixed reports regarding the causes of PTSD between both genders of refugees/asylum seekers. Conclusions: This review’s findings have potential clinical application in terms of helping clinicians to risk stratify refugees/asylum seekers for PTSD development and thus aid in embarking on earlier intervention measures. However, more rigorous research similar to this study is needed for it to be implemented into clinical practice.

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Pain in the aftermath of trauma is a risk factor for post-traumatic stress disorder

Psychological Medicine ◽

10.1017/s0033291707001389 ◽

2007 ◽

Vol 38 (4) ◽

pp. 533-542 ◽

Cited By ~ 118

Author(s):

S. B. Norman ◽

M. B. Stein ◽

J. E. Dimsdale ◽

D. B. Hoyt

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Post Traumatic Stress Disorder ◽

Traumatic Stress ◽

Stress Disorder ◽

Traumatic Injury ◽

Surgical Trauma ◽

Post Traumatic Stress ◽

Increased Risk ◽

Post Traumatic

BackgroundIdentifying risk factors for the development of post-traumatic stress disorder (PTSD) is important for understanding and ultimately preventing the disorder. This study assessed pain shortly after traumatic injury (i.e. peritraumatic pain) as a risk factor for PTSD.MethodParticipants (n=115) were patients admitted to a Level 1 Surgical Trauma Center. Admission to this service reflected a severe physical injury requiring specialized, emergent trauma care. Participants completed a pain questionnaire within 48 h of traumatic injury and a PTSD diagnostic module 4 and 8 months later.ResultsPeritraumatic pain was associated with an increased risk of PTSD, even after controlling for a number of other significant risk factors other than acute stress disorder symptoms. An increase of 0.5 s.d. from the mean in a 0–10 pain rating scale 24–48 h after injury was associated with an increased odds of PTSD at 4 months by more than fivefold, and at 8 months by almost sevenfold. A single item regarding amount of pain at the time of hospital admission correctly classified 65% of participants.ConclusionsIf these findings are replicated in other samples, high levels of peritraumatic pain could be used to identify individuals at elevated risk for PTSD following traumatic injury.

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