The impact of COVID-19 on healthcare workers’ anxiety levels
Open accessAbstract
Aim This study aims to examine the effect of COVID-19 on the anxiety levels of healthcare employees.Methods This descriptive study used the snowball sampling method to recruit participants. The study was conducted between 18 and 25 April 2020 with a total of 710 participants. The data were collected using a sociodemographic questionnaire and the State-Trait Anxiety Inventory. Ethics committee approval was obtained to conduct the study, and the data were analyzed using the SPSS 24.0 statistical package program using descriptive statistics, t tests and ANOVA.Results In the study, 46.8% of the participants were in the 26-35 age group, 60.7% were female, 19.9% worked at clinics with COVID-19 patients (service, intensive care and emergency clinics), and 17.6% had a chronic disease. The state and trait anxiety mean scores of the participants were 60.29 ± 6.13 and 44.18 ± 7.69, respectively. Statistically significant differences were found in the participants' state and trait anxiety levels with respect to their age, gender, unit of work, marital status, status of having children and presence of a chronic disease (p < 0.05).Conclusion The state and trait anxiety levels of the healthcare workers in the study were found to be "severe" and "moderate," respectively.
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In recent years, the prevalence of psychological disorders such as anxiety, depression, and somatic symptoms has increased among health professionals.
“In recent years, the prevalence of psychological disorders such as anxiety, depression, and somatic symptoms has increased among this population”
From Effectiveness of a Web-Based Self-Guided Intervention (MINDxYOU) for Reducing Stress and Promoting Mental Health Among Health Professionals: Results From a Stepped-Wedge Cluster Randomized Trial (2025) · cites this paper as [4]
The Introduction (page unavailable) says pandemic-related stress may trigger anxiety, somatization and depressive disorders in healthcare workers, and the Discussion (page unavailable) reports severe anxiety in more than half of the workers studied. The paper does not establish that the prevalence of all three conditions has increased over recent years; its findings concern anxiety during the COVID-19 pandemic. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe increase in psychological disorders among health professionals has been linked to the extra efforts exerted by health workers and the extremely difficult situations to which they were exposed during the COVID-19 pandemic.
“which has been linked to the extra efforts exerted by health workers and the extremely difficult situations to which they were exposed during the COVID-19 pandemic [3-6].”
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Cites
(1970) · Cited by 24,983 · see citing works
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17051729 · Cited by 9,923 · see citing works
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., et al. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.3976 · Cited by 8,015 · see citing works
Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020) · General Psychiatry · doi:10.1136/gpsych-2020-100213 · Cited by 4,307 · see citing works
Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed
Xiang, Y.-T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. H. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30046-8 · Cited by 3,598 · see citing works
2019-nCoV epidemic: Address mental health care to empower society
Bao, Y., Sun, Y., Meng, S., Shi, J., & Lu, L. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30309-3 · Cited by 2,038 · see citing works
Shanafelt, T., Ripp, J., & Trockel, M. (2020) · JAMA · doi:10.1001/jama.2020.5893 · Cited by 1,956 · see citing works
Psychological interventions for people affected by the COVID-19 epidemic
Duan, L., & Zhu, G. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30073-0 · Cited by 1,885 · see citing works
Ho, C. S., Chee, C. Y., & Ho, R. C. (2020) · Annals of the Academy of Medicine, Singapore · doi:10.47102/annals-acadmedsg.202043 · Cited by 1,699 · see citing works
Zhang, W.-R., Wang, K., Yin, L., Zhao, W.-F., Xue, Q., Peng, M., Min, B.-Q., Tian, Q., Leng, H.-X., Du, J.-L., et al. (2020) · Psychotherapy and Psychosomatics · doi:10.1159/000507639 · Cited by 1,690 · see citing works
Chew, N. W. S., Lee, G. K. H., Tan, B. Y. Q., Jing, M., Goh, Y., Ngiam, N. J. H., Yeo, L. L. L., Ahmad, A., Ahmed Khan, F., Napolean Shanmugam, G., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.04.049 · Cited by 1,650 · cited 5× · see citing works
“In contrast, trait anxiety refers to a relatively stable individual difference and permanent personality trait in both anxiety tendency reflected as anxiety states manifested over time and probability of future anxiety (Spielberger 1972; Chew et al. 2020).”
BackgroundInfluentialXiao, H., Zhang, Y., Kong, D., Li, S., & Yang, N. (2020) · Medical Science Monitor · doi:10.12659/msm.923549 · Cited by 1,404 · see citing works
Ho, C. S. H., Chee, C. Y., & Ho, R. (2020) · PubMed · Cited by 1,354 · see citing works
Psychological impact of the COVID-19 pandemic on health care workers in Singapore
Tan, B. Y. Q., Chew, N. W. S., Lee, G. K. H., Jing, M., Goh, Y., Yeo, L. L. L., Zhang, K., Chin, H.-K., Ahmad, A., Khan, F. A., et al. (2020) · Annals of Internal Medicine · doi:10.7326/m20-1083 · Cited by 1,279 · see citing works
Mental health in the COVID-19 pandemic
Cullen, W., Gulati, G., & Kelly, B. D. (2020) · QJM: An International Journal of Medicine · doi:10.1093/qjmed/hcaa110 · Cited by 1,275 · cited 1× · see citing works
“Increased efforts are needed to manage anxiety and stress in this group and help them prevent burnout, depression and post-traumatic stress disorder in the longer term (Bao et al. 2020; Cullen et al. 2020).”
BackgroundPsychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study
Lu, W. Z., Wang, H., Lin, Y., & Li, L. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112936 · Cited by 1,275 · see citing works
Spielberger, C. D. (1972) · Anxiety · doi:10.1016/b978-0-12-657401-2.50009-5 · Cited by 1,102 · see citing works
Survey of Stress Reactions Among Health Care Workers Involved With the SARS Outbreak
Bai, Y., Lin, C.-C., Lin, C.-Y., Chen, J.-Y., Chue, C.-M., & Chou, P. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.9.1055 · Cited by 1,092 · see citing works
Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic
Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., Qin, M., & Huang, H. (2020) · Journal of Nursing Management · doi:10.1111/jonm.13014 · Cited by 1,059 · see citing works
Huang, L. J., Lei, W., Xu, F., Liu, H., & Yu, L. (2020) · PLoS ONE · doi:10.1371/journal.pone.0237303 · Cited by 843 · see citing works
Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution
Nickell, L. A. (2004) · Canadian Medical Association Journal · doi:10.1503/cmaj.1031077 · Cited by 711 · see citing works
Wong, T. W., Yau, J. K. Y., Chan, C. L. W., Kwong, R. S. Y., Ho, S. M. Y., Lau, C. C., Lau, F. L., & Lit, C. H. (2005) · European Journal of Emergency Medicine · doi:10.1097/00063110-200502000-00005 · Cited by 486 · see citing works
Maunder, R. (2004) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2004.1483 · Cited by 405 · see citing works
Maunder, R. G., Lancee, W. J., Rourke, S., Hunter, J. J., Goldbloom, D., Balderson, K., Petryshen, P., Steinberg, R., Wasylenki, D., Koh, D., et al. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000145673.84698.18 · Cited by 368 · see citing works
Kvaal, K. S., Ulstein, I. D., Nordhus, I. H., & Engedal, K. (2005) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.1330 · Cited by 351 · see citing works
The psychological effect of severe acute respiratory syndrome on emergency department staff
Lin, C.-Y., Peng, Y.-C., Wu, Y., Chang, J. T., Chan, C.-H., & Yang, D.-Y. (2006) · Emergency Medicine Journal · doi:10.1136/emj.2006.035089 · Cited by 295 · see citing works
Phua, D. H., Tang, H. K., & Tham, K. Y. (2005) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2005.tb01951.x · Cited by 176 · see citing works
Ebola and Psychological Stress of Health Care Professionals
Lehmann, M., Bruenahl, C. A., Löwe, B., Addo, M. M., Schmiedel, S., Lohse, A. W., & Schramm, C. (2015) · Emerging infectious diseases · doi:10.3201/eid2105.141988 · Cited by 156 · see citing works
Assessment of Patient Anxiety Levels Before and After Stoma Surgery
Çakır, S. K., & Özbayır, T. (2018) · Turkish Journal of Colorectal Disease · doi:10.4274/tjcd.15046 · Cited by 16 · see citing works
Central Themes of Delusional Productions in Group Psychotherapy with Schizophrenic Patients
Illing, H. A., & Brownfield, B. (2010) · Acta psychotherapeutica, psychosomatica et orthopaedagogica/Acta psychotherapeutica et psychosomatica · doi:10.1159/000285572 · Cited by 8 · see citing works
Karasu, F. (2020) · DergiPark (Istanbul University) · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
López‐Del‐Hoyo, Y., Fernández‐Martínez, S., Pérez‐Aranda, A., Barceló‐Soler, A., Bani, M., Russo, S., Urcola‐Pardo, F., Strepparava, M. G., & García‐Campayo, J. (2023) · Journal of Clinical Nursing · doi:10.1111/jocn.16634 · Cited by 27 · see citing works
López-del-Hoyo, Y., Fernández-Martínez, S., Pérez-Aranda, A., Barceló-Soler, A., Guzman-Parra, J., Varela-Moreno, E., Campos, D., Monreal-Bartolomé, A., Beltrán-Ruiz, M., Moreno-Küstner, B., et al. (2022) · BMC Nursing · doi:10.1186/s12912-022-01089-5 · Cited by 9 · see citing works
López-del-Hoyo, Y., Fernández-Martínez, S., Perez-Aranda, A., Monreal-Bartolomé, A., Barceló-Soler, A., Camarero-Grados, L., Armas-Landaeta, C., Guzmán-Parra, J., Carbonell, V., Campos, D., et al. (2025) · Journal of Medical Internet Research · doi:10.2196/59653 · Cited by 9 · see citing works
- Authors
- Karasu, F., Öztürk Çopur, E., & Ayar, D.
- Affiliations
- Kilis 7 Aralık University (TR)
- Gaziantep İslam Bilim ve Teknoloji Üniversitesi (TR)
- Corresponding author
- Karasu, Fatma
- Venue
- Journal of Public Health
- Published
- 2021-01-04
- Volume
- 30
- Issue
- 6
- Pages
- 1399-1409
- ISSN
- 0943-1853 (ISSN-L)
- 2198-1833
- 1613-2238
- PMC
- PMC7779328
- OpenAlex
- W3120132329
- Cited by
- 29
- References
- 32
- Citations by year
- 2025: 3 · 2024: 6 · 2023: 7 · 2022: 9 · 2021: 4
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Update notices
- correction (2024-07-09)
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- no
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- COVID-19 pandemic, healthcare workers, anxiety, state anxiety, trait anxiety, occupational stress, chronic disease, sociodemographic factors, intensive care, emergency department
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