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Cited by 1COVID-19 and Mental HealthHealthcare professionals’ stress and burnoutOccupational Health and Burnout

The COVID-19 pandemic and mental health outcomes–A cross-sectional study among health care workers in Coastal South India

Open access
T, Rekha, Kumar, Nithin, Hegde, Kausthubh, Unnikrishnan, Bhaskaran, Mithra, Prasanna, Holla, Ramesh, Bhagawan, Darshan·2022·F1000Research
DOI 10.12688/f1000research.111193.2
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Abstract

Background: Frontline health care workers (HCWs) are at increased risk of developing unfavourable mental health outcomes and burnout, especially during the COVID-19 pandemic. Recognizing the early warning signs of mental distress is very important to ensure the provision of quality patient care. Methods: In this facility-based cross-sectional study, HCWs of the teaching hospitals affiliated to Kasturba Medical College, Mangalore were assessed regarding their mental health status using a semi-structured questionnaire. All doctors and nurses who were willing to participate from these teaching hospitals were included in the study. Data was collected over a period of four months (1 st March -30 th June 2021) till the required sample size was reached and analysed using IBM SPSS and expressed using mean (standard deviation), median (interquartile range), and proportions. Univariate analysis was done to identify the factors associated with mental health outcomes among the HCWs and the corresponding unadjusted odds ratio and 95% confidence interval were reported. Results: A total of 245 HCWs [52.2% (n=128) doctors and 47.8% (n=117) nurses] were included in our study. The proportion of participants with depressive symptoms, anxiety, and insomnia assessed using PHQ-9, GAD-7, and ISI-7 scales were 49% (n=119), 38% (n=93), and 42% (n=102) respectively. Depression, anxiety, and insomnia were more likely to be experienced by HCWs aged > 27 years, females, and involved in COVID-19 patient care. (p>0.05) Conclusions: Our findings that 38% of the examined HCWs had clinically relevant anxiety symptoms and 49% had clinically relevant depression symptoms draws attention to the importance of systematically tracking the mental health of HCWs during this ongoing pandemic. HCWs should monitor their stress reactions and seek appropriate help both on a personal and professional level. Appropriate workplace interventions including psychological support should be provided to HCWs, to ensure provision of uncompromised quality patient care.

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  • A considerable proportion of nurses experienced high levels of depression, anxiety, psychological distress, post-traumatic symptoms, burnout, and insomnia during COVID-19.

    “Studies reported that a considerable proportion of nurses were experiencing high levels of depression, anxiety, psychological distress, post-traumatic symptoms, burnout, and insomnia (4–6).”

    From Translation, adaptation, and initial evaluation of a guided self-help intervention to reduce psychological distress among nurses during COVID-19 in China (2023) · cites this paper as [5]

    The Results (page not specified) report depressive symptoms in 45.3% of nurses, anxiety symptoms in 36.7%, and insomnia symptoms in 45.2%. The Introduction and Discussion discuss psychological distress and burnout as risks for health-care workers, but the study does not report their prevalence among nurses; the passages also do not substantiate post-traumatic symptoms. The reported percentages include symptoms of varying severity, rather than exclusively high-severity symptoms. (LLM, conf=0.87)

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  1. [21]21. He XY, Li CB, Qian J, et al.: Reliability and validity of a generalized anxiety scale in general hospital outpatients. Shanghai Arch. Psychiatry. 2020; 22(4): 200–203.

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Authors
T, R., Kumar, N., Hegde, K., Unnikrishnan, B., Mithra, P., Holla, R., & Bhagawan, D.
Affiliations
Manipal Academy of Higher Education (IN)
Corresponding author
Kumar, Nithin
ORCID
Venue
F1000Research
Publisher
F1000 Research Ltd
Published
2022-11-01
Volume
11
Pages
676
ISSN
2046-1402 (ISSN-L)
DOI
10.12688/f1000research.111193.2
OpenAlex
W4308014918
Cited by
1
References
35
Citations by year
2023: 1
FWCI
0.23
Type
journal article
Language
en
Update notices
Open access
Licence
Locations
F1000Research (publishedVersion, cc-by)
Funders
Kasturba Medical College, Manipal
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 of healthcare workers, depression, anxiety, insomnia, burnout, frontline health workers, doctors and nurses, occupational stress, coastal South India

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