scholarly journals Psychological impact of managing COVID-19 patients among doctors: A pre- and post-survey study

2021 ◽  
Vol 19 (9) ◽  
pp. 91-97
Author(s):  
Amber Tahir, MBBS, FCPS-I (Psychiatry) ◽  
Anaam Bugti, MBBS, FCPS-I (Psychiatry) ◽  
Ayesha Sarwat, MBBS, MCPS (Psychiatry), FCPS (Psychiatry) ◽  
Azizullah Khan Dhiloo, MBBS, FCPS (Medicine), FCPS (Infectious Diseases) ◽  
Mahnoor Yousif Shaikh, MBBS
Keyword(s):  
Mental Health ◽  
Psychological Health ◽  
Negative Impact ◽  
Psychological Impact ◽  
Survey Study ◽  
Care Providers ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
The Mean ◽  
The Impact

Objective: In any struggling healthcare system, it is always the frontline workers—doctors, nurses, and paramedical staff – that are affected first. This study aimed to assess the psychological impact—anxiety, stress, depression, and post-traumatic stress disorder (PTSD) —among doctors working in COVID-19 wards and the underlying triggers in a public hospital in Karachi. Methods: Pre- and post-survey methodologies were adopted. Post-graduate trainees working in COVID-19 isolation facilities from April till September 2020 were interviewed before starting their one-month rotation and after completing it. The psychological impact was assessed using two standard instruments—Depression Anxiety and Stress 21 (DASS-21) and the Impact of Event Scale-Revised (IES-R). Data were entered and analyzed through SPSS version 22.0. Results: For 100 doctors, the mean score for stress, anxiety, stress, and depression on DASS-21 and PTSD on IES-R significantly increased after the rotation (p 0.01). The mean score of depression and IES-R was higher in younger (28 years) doctors (p ≤ 0.05). Married doctors scored higher on anxiety and IES-R (p ≤ 0.05). Doctors who were not willfully performing their duties scored worse on all measures of DASS-21 and IES-R (p 0.01). Doctors facing family resist­ance scored significantly higher on stress, anxiety, and IES-R (p 0.01). Conclusion: Working in COVID-19 facilities is imparting a negative impact on the psychological health of doctors. Healthcare administration should be aware of this psychological distress and should introduce mental health aid at administrative levels to prevent a mental health epidemic among care providers.

scholarly journals Mental Health of the General Population during the 2019 Coronavirus Disease (COVID-19) Pandemic: A Tale of Two Developing Countries

2021 ◽  
Vol 2 (1) ◽  
pp. 71-84
Author(s):  
Cuiyan Wang ◽  
Mohammad A. Fardin ◽  
Mahmoud Shirazi ◽  
Riyu Pan ◽  
Xiaoyang Wan ◽  
...  
Keyword(s):  
Mental Health ◽  
Developing Countries ◽  
Health Information ◽  
Psychological Impact ◽  
Healthcare Services ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
The Impact

Background: This study aimed to compare the severity of psychological impact, anxiety and depression between people from two developing countries, Iran and China, and to correlate mental health parameters with variables relating to the COVID-19 pandemic. Although China and Iran are developing countries based on the World Bank’s criteria, these two countries are different in access to resources and health care systems. We hypothesized that Iranians would show higher levels of depression, anxiety and stress as compared to Chinese. Methods: This study collected information related to the COVID-19 pandemic including physical health, precautionary measures and knowledge about the pandemic. We also used validated questionnaires such as the Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety and Stress Scale (DASS-21) to assess the mental health status. Results: There were a total of 1411 respondents (550 from Iran; 861 from China). The mean IES-R scores of respondents from both countries were above the cut-off for post-traumatic stress disorder (PTSD) symptoms. Iranians had significantly higher levels of anxiety and depression (p < 0.01). Significantly more Iranians believed COVID-19 was transmitted via contact, practised hand hygiene, were unsatisfied with health information and expressed less confidence in their doctors, but were less likely to wear a facemask (p < 0.001). Significantly more Iranians received health information related to COVID-19 via television while Chinese preferred the Internet (p < 0.001). Conclusions: This cross-country study found that Iranians had significantly higher levels of anxiety and depression as compared to Chinese. The difference in reported measures between respondents from Iran and China were due to differences in access to healthcare services and governments’ responses to the pandemic.

scholarly journals COVID-19 Stress and Mental Health of Students in Locked-Down Colleges

2021 ◽  
Vol 18 (2) ◽  
pp. 771
Author(s):  
Xueyan Li ◽  
Ping Fu ◽  
Changyu Fan ◽  
Miao Zhu ◽  
Min Li
Keyword(s):  
Mental Health ◽  
College Students ◽  
Doctoral Students ◽  
Traumatic Stress ◽  
Family Income ◽  
Psychological Impact ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

The impact of the COVID-19 pandemic on the mental health of students in locked-down colleges remains obscure. This study aimed to explore influencing factors for the psychological impact of COVID-19 on Wuhan college students, post-traumatic stress symptoms in particular, so as to inform evidence-based strategy development to ameliorate such adverse impacts. An online survey was conducted from 26 to 29 April 2020, and 4355 students enrolled in Wuhan universities and colleges participated. Post-Traumatic Stress Disorder via the Impact of Event-Scale-Revised was assessed. COVID-19 disproportionately affected older male Master’s and doctoral students living in Wuhan. The overall prevalence of PTSD was 16.3%. The three-level socio-interpersonal model of PTSD was empirically validated, and college students faced individual level risks such as infection with COVID-19, close relationship level risks such as family support (infection suspicion of family members, the loss of loved ones, and the family income decrease) and online course difficulties (little interaction, disturbing learning environment, and difficulty in adaption), and distant level risks such as excessive collection of personal information, estrangement of family relatives, and harassment and insult from strangers. The findings suggest the severity of the psychological impact of COVID-19. Mental health services reducing PTSD should be provided. Students who have lost loved ones and suffered family financial loss should be given particular care.

Psychological Impacts of COVID-19 During the First Nationwide Lockdown in Vietnam: Web-Based, Cross-Sectional Survey Study (Preprint)

2020 ◽  
Author(s):  
Khanh Ngoc Cong Duong ◽  
Tien Nguyen Le Bao ◽  
Phuong Thi Lan Nguyen ◽  
Thanh Vo Van ◽  
Toi Phung Lam ◽  
...  
Keyword(s):  
Psychological Distress ◽  
General Population ◽  
Psychological Health ◽  
Online Survey ◽  
Survey Study ◽  
Limited Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Event Scale ◽  
The Impact

BACKGROUND The first nationwide lockdown due to the COVID-19 pandemic was implemented in Vietnam from April 1 to 15, 2020. Nevertheless, there has been limited information on the impact of COVID-19 on the psychological health of the public. OBJECTIVE This study aimed to estimate the prevalence of psychological issues and identify the factors associated with the psychological impact of COVID-19 during the first nationwide lockdown among the general population in Vietnam. METHODS We employed a cross-sectional study design with convenience sampling. A self-administered, online survey was used to collect data and assess psychological distress, depression, anxiety, and stress of participants from April 10 to 15, 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale-21 (DASS-21) were utilized to assess psychological distress, depression, anxiety, and stress of participants during social distancing due to COVID-19. Associations across factors were explored using regression analysis. RESULTS A total of 1385 respondents completed the survey. Of this, 35.9% (n=497) experienced psychological distress, as well as depression (n=325, 23.5%), anxiety (n=195, 14.1%), and stress (n=309, 22.3%). Respondents who evaluated their physical health as average had a higher IES-R score (beta coefficient [B]=9.16, 95% CI 6.43 to 11.89), as well as higher depression (B=5.85, 95% CI 4.49 to 7.21), anxiety (B=3.64, 95% CI 2.64 to 4.63), and stress (B=5.19, 95% CI 3.83 to 6.56) scores for DASS-21 than those who rated their health as good or very good. Those who self-reported their health as bad or very bad experienced more severe depression (B=9.57, 95% CI 4.54 to 14.59), anxiety (B=7.24, 95% CI 3.55 to 10.9), and stress (B=10.60, 95% CI 5.56 to 15.65). Unemployment was more likely to be associated with depression (B=3.34, 95% CI 1.68 to 5.01) and stress (B=2.34, 95% CI 0.84 to 3.85). Regarding worries about COVID-19, more than half (n=755, 54.5%) expressed concern for their children aged &lt;18 years, which increased their IES-R score (B=7.81, 95% CI 4.98 to 10.64) and DASS-21 stress score (B=1.75, 95% CI 0.27 to 3.24). The majority of respondents (n=1335, 96.4%) were confident about their doctor’s expertise in terms of COVID-19 diagnosis and treatment, which was positively associated with less distress caused by the outbreak (B=–7.84, 95% CI –14.58 to –1.11). CONCLUSIONS The findings highlight the effect of COVID-19 on mental health during the nationwide lockdown among the general population in Vietnam. The study provides useful evidence for policy decision makers to develop and implement interventions to mitigate these impacts. CLINICALTRIAL

scholarly journals The impact of the COVID-19 pandemic on mental health

2021 ◽  
Vol 11 (8) ◽  
pp. 44-54
Author(s):  
Julia Budzyńska ◽  
Magdalena Leśniewska ◽  
Ilona Kozioł ◽  
Joanna Milanowska
Keyword(s):  
Mental Health ◽  
Psychological Impact ◽  
Economic Security ◽  
Post Traumatic Stress ◽  
Past Infection ◽  
Global Epidemic ◽  
Response To Stress ◽  
Post Traumatic ◽  
Health Organization ◽  
The Impact

BACKGROUND: The outbreak of a coronavirus pandemic in 2019 posed a serious threat to the global population. Coronavirus Disease 2019 (COVID-19) has not only been a public health emergency, but has also affected mental health worldwide. Patients were exposed to a number of significant stressors during COVID-19 infection by which it appears that it may have had a major impact on mental health. Little is known about changes in levels of psychological affect, stress, anxiety and depression during this pandemic.AIM OF THE STUDY: The purpose of this study was to analyze the most recent available literature on the association of pandemic COVID-19 with psychiatric disorders occurring both as a result of past infection and in response to stress associated with the new situation of a global epidemic of Sars-CoV-2 virus.RESULTS: The psychological effects of the epidemic are clearly noticeable. The study identified groups particularly vulnerable to developing symptoms of anxiety, depression and post-traumatic stress disorder. Risk factors were also identified in people working in health care as having direct contact with the effects of infection with the new virus.SUMMARY AND CONCLUSIONS: Key elements of preventing psychological impact are the creation of a mental health organization. Another important task for governments is to create the conditions for economic security, as financial problems or job losses can also be the cause of mental crises.

Early Psychological Reactions in a Group of Individuals with Pre-existing and Enduring Mental Health Difficulties Following a Major Coach Accident

1996 ◽  
Vol 169 (4) ◽  
pp. 430-433 ◽  
Author(s):  
Helen L. Chubb ◽  
Jonathan I. Bisson
Keyword(s):  
Mental Health ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Chronic Schizophrenia ◽  
Post Traumatic Stress ◽  
Psychological Sequelae ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Mental Health Difficulties ◽  
The Impact

BackgroundThe impact of major trauma on individuals with pre-existing and enduring mental health difficulties is poorly understood.MethodTwenty individuals with pre-existing and enduring mental health difficulties were assessed with the Clinician Administered Post Traumatic Stress Disorder Scale, the 28-item version of the GHQ, the Hospital Anxiety and Depression Scale, and the Impact of Event Scale between four and eight weeks after their involvement in a major coach accident.ResultsTen (50%) individuals satisfied the full DSM–IV criteria for a diagnosis of PTSD. The questionnaire scores indicated a high level of psychological suffering among the group. On dividing the sample into those individuals with previous diagnoses of anxiety or depressive disorders and those with a previous diagnosis of chronic schizophrenia, the schizophrenia group displayed less marked psychological sequelae on all measures.ConclusionThere was a high incidence of early psychological sequelae among the group as a whole. Some diagnoses (e.g. depression and anxiety) may predispose to psychological sequelae while others (e.g. chronic schizophrenia) may not.

scholarly journals Impact of COVID-19 Pandemic on the Psychological Outcomes: Multiple Indicators and Multiple Causes (MIMIC) Modeling

2021 ◽  
Author(s):  
Musheer A. Aljaberi ◽  
Naser A. Alareqe ◽  
Mousa A. Qasem ◽  
Abdulsamad Alsalahi ◽  
Sarah Noman ◽  
...  
Keyword(s):  
Structural Equation ◽  
Online Survey ◽  
Psychological Impact ◽  
Psychological Outcomes ◽  
Post Traumatic Stress ◽  
Latent Factors ◽  
Event Scale ◽  
Multiple Indicators ◽  
The Impact ◽  
Multiple Causes

Abstract Background: Due to the limited research examining the psychological impact of coronavirus disease 2019 (COVID-19), our study aims to investigate the effect of the COVID-19 pandemic on psychological outcomes and assess the differences between participants with and without post-traumatic stress disorder (PTSD) on the psychological outcomes as latent factors and items. Methods: An online survey was conducted on 999 participants. The Impact of Event Scale-Revised (IES-R) assessed the psychological impact, while outcomes were measured by Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder (GAD-7), and Insomnia Severity Index (ISI). A series of Confirmatory Factor Analysis (CFA), structural equation model (SEM), Multiple Indicators and Multiple Causes (MIMIC), and Differential Item Functioning (DIF) were conducted. Results: The IES-R has significant effects on the psychological outcomes. Participants with PTSD have a higher impact on latent factors (depression, anxiety, and insomnia) than those without PTSD. Among participants, 36.5% experienced moderate to severe symptoms of depression, and 32.6% had mild depressive symptoms. For anxiety, 23.7% of respondents experienced moderate to severe anxiety symptoms, and 33.1% had mild symptoms of anxiety. For the ISI, 51.5% of participants experienced symptoms of insomnia. Conclusion: the IES-R for COVID-19 has a significant impact on depression, anxiety, and insomnia at the level of latent constructs and observed variables.

scholarly journals Comparison of Mental Health of General Population at the Peak of COVID-19 Pandemic in Iran

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Mohammad Ali Fardin ◽  
Sophia Khaneghahi
Keyword(s):  
Mental Health ◽  
General Public ◽  
Snowball Sampling ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Event Scale ◽  
North East ◽  
Post Traumatic ◽  
The Impact ◽  
East West

Background: The long-term outbreak of coronavirus (COVID-19), accompanied by high mortality rates, hysteria, and economic pressures, has profound, irreversible psychological effects worldwide. Objectives: This study compared mental health and post-traumatic impacts of the COVID-19 outbreak in the peak period of the pandemic in five regions of Iran. Methods: A web-based cross-sectional survey was carried out at the peak of the pandemic using free Google Forms® software. A snowball sampling method focused on the general public in the north east-west, central part, and south east-west of Iran was utilized from March 24 to 29th of 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale (DASS-21) were applied as data collection tools. Results: The current study included 749 respondents from all provinces in Iran. Most of the participants were from the southeast and the central part of Iran and stayed at home for about 20 to 24 hours during COVID-19 outbreak. The results of MANOVA indicated that there were no significant differences between the means of mental disorders and the impacts of COVID-19 outbreak in these five regions (F = 1.188, Wilks’ Lambda = 0.97, P ≥ 0.05). Nevertheless, one-sample test showed that the IES-R mean score was above the cut-off point, indicating the presence of post-traumatic stress disorder symptoms in all regions of Iran (t = 8.025, P ≤ 0.05, 95% CI: 3.22 to 5.31). Conclusions: As a result of this study that shows the presence of PTSD symptoms in all regions, mental health care is a necessity and should be provided to the general public so that psychologists and mental health teams have to provide psychological services in-person or online method.

scholarly journals A Survey of Psychological Symptoms One Month Post Discharge in Patients Infected with COVID 19

2021 ◽  
Vol 10 (34) ◽  
pp. 2884-2887
Author(s):  
Ajay Kumar Joopaka ◽  
Molanguri Umashankar ◽  
Pingali Srilakshmi ◽  
Pradeep Sharma Telkapalli ◽  
Chinni Krishna Banoth ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychological Symptoms ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

BACKGROUND Corona virus disease or the (COVID 19) has caused mental health problems in the general population, in people infected and hospitalised for the disease and in patients who have recovered from the disease physically but continue to suffer from lingering mental health problems. Studies have shown stress, depression, and anxiety in one third of the survivors. Similarly post-traumatic stress disorder has been reported to be around 13 % in the survivors of COVID 19. In this study, we wanted to assess the psychological symptoms in the survivors of Covid 19 patients, one month post discharge and also assess various factors associated with the same. METHODS A cross sectional telephonic survey of the patients one month following discharge was done to understand the psychological problems. Sociodemographic data was recorded on a semi structured proforma, whereas psychological distress was recorded on patient health questionnaire - 4 (PHQ - 4) and the post-traumatic stress disorder (PTSD) was screened for by the impact of event scale revised (IES - R). RESULTS Of the 200 patients evaluated, 46.8 % scored above 20 on the impact of event scale which was considered to be a positive screen for post-traumatic stress disorder. Moderate psychological distress was reported by 10.5 % and severe by 7.5 % as measured by PHQ - 4. Being married, having other family members effected by the infection and deaths in the family were some of the factors that were significantly associated with psychological distress and symptoms of post-traumatic stress disorder. CONCLUSIONS Continued mental health support needs to be extended to members who are considered to have recovered and discharged from the hospital following the COVID 19 infection. KEY WORDS COVID 19, Psychological Symptoms, Post-Traumatic Stress Disorder

scholarly journals Impact of COVID-19 on mental health and quality of life: Is there any effect? A cross-sectional study of the MENA region

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249107
Author(s):  
Ayesha S. Al Dhaheri ◽  
Mo’ath F. Bataineh ◽  
Maysm N. Mohamad ◽  
Abir Ajab ◽  
Amina Al Marzouqi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Family Support ◽  
North Africa ◽  
Psychological Impact ◽  
Mena Region ◽  
Event Scale ◽  
Health Crisis ◽  
The Impact

The COVID-19 pandemic is a major health crisis that has changed the life of millions globally. The purpose of this study was to assess the effect of the pandemic on mental health and quality of life among the general population in the Middle East and North Africa (MENA) region. A total of 6142 adults from eighteen countries within the MENA region completed an online questionnaire between May and June 2020. Psychological impact was assessed using the Impact of Event Scale-Revised (IES-R) and the social and family support impact was assessed with questions from the Perceived Support Scale (PSS). The IES-R mean score was 29.3 (SD = 14.8), corresponding to mild stressful impact with 30.9% reporting severe psychological impact. Most participants (45%–62%) felt horrified, apprehensive, or helpless due to COVID-19. Furthermore, over 40% reported increased stress from work and financial matters. Higher IES-R scores were found among females, participants aged 26–35 years, those with lower educational level, and participants residing in the North Africa region (p<0.005). About 42% reported receiving increased support from family members, 40.5% were paying more attention to their mental health, and over 40% reported spending more time resting since the pandemic started. The COVID-19 pandemic was associated with mild psychological impact while it also encouraged some positive impact on family support and mental health awareness among adults in the MENA region. Clinical interventions targeted towards vulnerable groups such as females and younger adults are needed.

scholarly journals COVID-19: impact on the mental health of university students

2021 ◽  
Vol 8 (10) ◽  
pp. 4891
Author(s):  
Priyanka Aswal ◽  
Parvesh Singh
Keyword(s):  
Mental Health ◽  
Psychological Health ◽  
Negative Impact ◽  
Well Being ◽  
Mental Illnesses ◽  
Future Prospects ◽  
Entire Country ◽  
The Impact ◽  
Mental Well Being ◽  
Detrimental Impact

Background: Ever since the outbreak of the covid-19 pandemic, education institutions in the entire country were shut down. This shutdown of universities caused the students to stay at home which caused a detrimental impact on their mental health.Methods: This survey-based study aims to decipher the impact the lockdown has caused on the mental well-being of the students. The survey was conducted through a set of online questionnaires.Results: The results of the study show that the students suffered from various psychological problems. Anxiety and stress were the most prevalent amongst mental illnesses and were reportedly increased due to uncertainty about future prospects like job and graduation.Conclusions: The study confirms that the pandemic has had a negative impact on the psychological health of the patients and has amplified stress and fear amongst them. 

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