Challenges of Mental Health in Medical Staffs during COVID-19 Outbreak: A Systematic Review
Open accessAbstract
The frontline medical staff are under heavy workload conditions and are at high risk of infection with coronavirus disease 2019. This pandemic has burdened unprecedented psychological stress. The study aimed to compile and analyze the challenges of mental health among medical staff during the COVID-19 outbreak PubMed, Scopus, Web of science, and google scholar databases were systematically searched for published studies. Cross-sectional studies examining the impact of the COVID-19 outbreak on the medical staff's mental health were selected. Eventually, 7 articles were extracted for the final analysis after reviewing the titles, abstracts, and full text. The results show that the most common psychological problems of medical staff include stress, anxiety, and depression. The medical staff had higher levels of fear, anxiety, and stress than the management staff. Among physicians and nurses, the two groups that are most involved with patients with COVID-19, the nurses showed more anxiety and stress than physicians. The mental health of the medical staff during the COVID-19 epidemic is at greater risk than ever before. Therefore, it is necessary to adopt comprehensive and effective supportive policies and strategies for health systems and governments. El personal médico de primera línea se encuentra en condiciones de gran carga de trabajo y tiene un alto riesgo de infección por la enfermedad del coronavirus 2019. Esta pandemia ha causado un estrés psicológico sin precedentes. El objetivo del estudio fue recopilar y analizar los desafíos de la salud mental en el personal médico durante el brote de COVID-19. Se realizaron búsquedas sistemáticas de estudios publicados en las bases de datos PubMed, Scopus, Web of Science y Google Scholar. Se seleccionaron estudios transversales que examinaran el impacto del brote de COVID-19 en la salud mental del personal médico. Finalmente, se extrajeron 7 artículos para el análisis final después de revisar los títulos, resúmenes y texto completo. Los resultados muestran que los problemas psicológicos más comunes del personal médico incluyen estrés, ansiedad y depresión. El personal médico tenía niveles más altos de miedo, ansiedad y estrés que el personal administrativo. Entre los médicos y enfermeros, los dos grupos que más se involucran con los pacientes con COVID 19, los enfermeros mostraron más ansiedad y estrés que los médicos. La salud mental del personal médico en la epidemia de COVID 19 está en mayor riesgo que nunca. Por lo tanto, es necesario adoptar políticas y estrategias de apoyo integrales y efectivas por parte de los sistemas de salud y los gobiernos.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In Spain, 58.1% of surveyed personnel presented anxiety in 2023 compared to 46.5% in 2022; depression prevalence was 39.5% in 2021 and 37.2% in 2023; the increase in anxiety scores was statistically significant (p < 0.001); perceived quality of life was 42.4 ± 13.0 in 2021 versus 47.1 ± 11.8 in 2022, showing a significant improvement (p < 0.033).
“Another study conducted in Spain, through an anonymous online survey with occupational and non-occupational variables, Goldberg’s anxiety and depression questionnaire, and the SF-12 conducted in 2023, showed that 58.1% of the surveyed personnel presented anxiety compared to 46.5% in 2022. The prevalence of depression is 39.5% in 2021 and 37.2% in 2023. The increase in anxiety scores was”
From Mental Health in Healthcare Workers Post-COVID-19: A Latin American Review and Insights into Personalized Management Strategies (2024) · cites this paper as [28]
Split into 2 atoms — 0 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 2 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia
Li, Q., Guan, X., Wu, P., Wang, X., Zhou, L., Tong, Y., Ren, R., Leung, K. S. M., Lau, E. H. Y., Wong, J. Y., et al. (2020) · New England Journal of Medicine · doi:10.1056/nejmoa2001316 · Cited by 16,575 · see citing works
Cochrane Handbook for Systematic Reviews of Interventions
(2019) · doi:10.1002/9781119536604 · Cited by 14,828 · 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
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
Mental health care for medical staff in China during the COVID-19 outbreak
Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., He, L., Sheng, C., Cai, Y., Li, X., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30078-x · Cited by 2,233 · 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
Wu, P., Fang, Y., Guan, Z., Fan, B., Kong, J., Yao, Z., Liu, X., Fuller, C. J., Susser, E., Lü, J., et al. (2009) · The Canadian Journal of Psychiatry · doi:10.1177/070674370905400504 · Cited by 1,651 · see citing works
Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Cai, Z., Xiang Yang, B., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.03.028 · Cited by 1,516 · see citing works
Psychological 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
Lee, S. M., Kang, W. S., Cho, A.-R., Kim, T., & Park, J. K. (2018) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2018.10.003 · Cited by 1,112 · 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
TAM, C. W. C., PANG, E. P. F., LAM, L. C. W., & CHIU, H. F. K. (2004) · Psychological Medicine · doi:10.1017/s0033291704002247 · Cited by 735 · see citing works
[Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19].
Huang, J., Han, M., Luo, T. D., Ake, R., & Zhou, X. (2020) · PubMed · doi:10.3760/cma.j.cn121094-20200219-00063 · Cited by 691 · see citing works
Lim, J., Jeon, S., Shin, H., Kim, M. J., Seong, Y. M., Lee, W. J., Choe, K. W., Kang, Y. M., Lee, B., & Park, S.-J. (2020) · Journal of Korean Medical Science · doi:10.3346/jkms.2020.35.e79 · Cited by 637 · see citing works
Occupational risks for COVID-19 infection
Koh, D. S. Q. (2020) · Occupational Medicine · doi:10.1093/occmed/kqaa036 · Cited by 552 · see citing works
Wu, Y., Wang, J., Luo, C.-G., Hu, S., Lin, X., Anderson, A. E., Bruera, E., Yang, X.-X., Wei, S., & Qian, Y. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.04.008 · Cited by 530 · see citing works
Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers
Chua, S. E., Cheung, V., Cheung, C., McAlonan, G. M., Wong, J. W., Cheung, E. P., Chan, M. T., Wong, M. M., Tang, S. W., Choy, K. M., et al. (2004) · The Canadian Journal of Psychiatry · doi:10.1177/070674370404900609 · Cited by 462 · see citing works
Prevalence of psychological stress, depression and anxiety among medical students in Egypt
Fawzy, M., & Hamed, S. A. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.05.027 · Cited by 455 · see citing works
Koh, D., Lim, M. K., Chia, S. E., Ko, S. M., Qian, F., Ng, V., Tan, B. H., Wong, K. S., Chew, W. M., Tang, H. K., et al. (2005) · Medical Care · doi:10.1097/01.mlr.0000167181.36730.cc · Cited by 454 · see citing works
Nemati, M., Ebrahimi, B., & Nemati, F. (2020) · Archives of Clinical Infectious Diseases · doi:10.5812/archcid.102848 · Cited by 417 · see citing works
Creedy, D. K., Sidebotham, M., Gamble, J. A., Pallant, J., & Fenwick, J. (2017) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-016-1212-5 · Cited by 321 · see citing works
Zhu, J., Sun, L., Zhang, L., Wang, H., Fan, A., Yang, B. Q., Li, W., & Xiao, S. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00386 · Cited by 308 · see citing works
Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak
Styra, R., Hawryluck, L., Robinson, S., Kasapinovic, S., Fones, C., & Gold, W. L. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.07.015 · Cited by 280 · see citing works
Stress, burnout, and job dissatisfaction in mental health workers
Wulf Rössler, A. (2012) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-012-0353-4 · Cited by 246 · see citing works
Burnout in the NICU setting and its relation to safety culture
Profit, J., Sharek, P. J., Amspoker, A. B., Kowalkowski, M. A., Nisbet, C. C., Thomas, E. J., Chadwick, W. A., & Sexton, J. B. (2014) · BMJ Quality & Safety · doi:10.1136/bmjqs-2014-002831 · Cited by 246 · see citing works
Mental Health Status of Doctors and Nurses During COVID-19 Epidemic in ChinaPreprint
Liu, Z., Han, B., Jiang, R., Huang, Y., Ma, C., Wen, J., Zhang, T., Wang, Y., Chen, H., & Ma, Y. (2020) · SSRN Electronic Journal · doi:10.2139/ssrn.3551329 · Cited by 226 · see citing works
Elbarazi, I., Loney, T., Yousef, S., & Elias, A. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2319-8 · Cited by 216 · see citing works
Grover, S., Sahoo, S., Bhalla, A., & Avasthi, A. (2018) · Indian Journal of Psychiatry · doi:10.4103/psychiatry.indianjpsychiatry_254_17 · Cited by 181 · see citing works
Incidence and Factors Associated with Burnout in Anesthesiology: A Systematic Review
Sanfilippo, F., Noto, A., Foresta, G., Santonocito, C., Palumbo, G. J., Arcadipane, A., Maybauer, D. M., & Maybauer, M. O. (2017) · BioMed Research International · doi:10.1155/2017/8648925 · Cited by 167 · see citing works
Hamdan, M., & Hamra, A. A. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2356-3 · Cited by 164 · see citing works
Factors Associated With Provider Burnout in the NICU
Tawfik, D. S., Phibbs, C. S., Sexton, J. B., Kan, P., Sharek, P. J., Nisbet, C. C., Rigdon, J., Trockel, M., & Profit, J. (2017) · PEDIATRICS · doi:10.1542/peds.2016-4134 · Cited by 139 · see citing works
de Oliveira, D. R., Griep, R. H., Portela, L. F., & Rotenberg, L. (2017) · BMC Health Services Research · doi:10.1186/s12913-016-1949-6 · Cited by 133 · see citing works
The Dynamics of Fear at the Time of Covid-19: A Contextual Behavioral Science Perspective.
(2020) · PubMed Central · doi:10.36131/cn20200206 · Cited by 115 · see citing works
Factors associated with burnout among residents in a developing country
Zubairi, A. J., & Noordin, S. (2016) · Annals of Medicine and Surgery · doi:10.1016/j.amsu.2016.01.090 · Cited by 68 · see citing works
Schwarz, J., Gerhardsson, A., van Leeuwen, W., Lekander, M., Ericson, M. O., Fischer, H., Kecklund, G., & Åkerstedt, T. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.06.003 · Cited by 68 · see citing works
Yahaya, S. N., Wahab, S. F. A., Yusoff, M. S. B., Yasin, M. A. M., & Rahman, M. A. A. (2018) · World Journal of Emergency Medicine · doi:10.5847/wjem.j.1920-8642.2018.03.003 · Cited by 57 · see citing works
Predictors of burnout and health status in Samaritans’ listening volunteers
Roche, A., & Ogden, J. (2017) · Psychology Health & Medicine · doi:10.1080/13548506.2017.1280176 · Cited by 33 · see citing works
Covid-19: give NHS staff rest spaces and free parking not thank yous, says doctor
Rimmer, A. (2020) · BMJ · doi:10.1136/bmj.m1171 · Cited by 20 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [10]Jiang Y. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei China Med Sci Monit 26 2020 e924171 PMC7177038 32291383
Cited by
Sorted by citations
Muñoz-Ortega, S., Santamaría-Guayaquil, D., Pluas-Borja, J., Alvarado-Villa, G., Sandoval, V., Alvarado, R., Cherrez-Ojeda, I., & Faytong-Haro, M. (2024) · Journal of Personalized Medicine · doi:10.3390/jpm14070680 · Cited by 18 · see citing works
“In 2021, the perceived quality of life was 42.4 ± 13.0 vs. 47.1 ± 11.8 in 2022, showing a significant improvement ( p < 0.033) [27,28].”
BackgroundInfluential
- Authors
- Rakhshan, M., Hakimi, H., Mousazadeh, N., & Dorri, S.
- Affiliations
- Shiraz University of Medical Sciences (IR)
- Qazvin University of Medical Sciences (IR)
- Mazandaran University of Medical Sciences (IR)
- Isfahan University of Medical Sciences (IR)
- Corresponding author
- Mousazadeh, Noushin
- Venue
- Medicina Clínica Práctica
- Publisher
- Elsevier BV
- Published
- 2023-04
- Volume
- 6
- Issue
- 2
- Pages
- 100361
- ISSN
- 2603-9249 (ISSN-L)
- PMC
- PMC9794487
- OpenAlex
- W4313419573
- Cited by
- 4
- References
- 40
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1
- FWCI
- 0.17
- Type
- journal article
- Language
- es
- Open access
- gold
- doi.org
- Licence
- Locations
- Medicina Clínica Práctica (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Mazandaran University of Medical Sciences (7444)
- 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, mental health, healthcare workers, psychological stress, anxiety, depression, nurses, physicians, frontline health workers, fear, workplace mental health, workload, infection risk
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review