Mental Health Issues Among Health Care Workers During the COVID-19 Pandemic - A Study from India

Overview

Journal Asian J Psychiatr

Publisher Elsevier

Date 2021 Mar 15

PMID 33721830

Citations 29

Authors

Rajani Parthasarathy

Jaisoorya Ts

Thennarasu K

Pratima Murthy

Affiliations

Soon will be listed here.

Abstract

Mental health issues among health care workers (HCWs) in treatment settings during COVID-19 remains understudied in India. This study examines its prevalence and correlates among HCWs in Karnataka State, India. HCWs who attended a workshop to improve mental health well-being during COVID-19 completed an anonymous online questionnaire. In addition to socio-demographics, domains assessed include occupational characteristics, COVID-19 related concerns, anxiety/depression, substance use, suicidality, lifestyle and family functioning. Of the 3083 HCWs who completed the survey (response rate-51.4 %), anxiety disorder and depression was highest among those with frontline COVID-19 responsibilities (anxiety disorder-26.6 %, depression-23.8 %). Prevalence was significantly higher among those with clinical responsibilities compared to those with supportive responsibilities (anxiety disorder: 23.9 % vs 15.5 %), (depression: 20.0 % vs 14.2 %). In the backward step-wise logistic regression analysis, HCWs with anxiety disorder were more likely to be doctors/nurses/hospital assistants, older, female, unmarried, without a leisure activity, report increased alcohol use and suicidal thoughts after pandemic onset, and having a history of receiving mental health interventions. Participants with depression additionally had family distress and hardly ever exercised. To conclude, mental health issues are common among HCWs in India. Interventions need to ensure that HCWs are protected from mental health consequences of working in COVID-19 treatment settings.

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References

Xiao H, Zhang Y, Kong D, Li S, Yang N . The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020; 26:e923549. PMC: 7075079. DOI: 10.12659/MSM.923549. View

Remuzzi A, Remuzzi G . COVID-19 and Italy: what next?. Lancet. 2020; 395(10231):1225-1228. PMC: 7102589. DOI: 10.1016/S0140-6736(20)30627-9. View

Kolves K, De Leo D . Suicide in medical doctors and nurses: an analysis of the Queensland Suicide Register. J Nerv Ment Dis. 2013; 201(11):987-90. DOI: 10.1097/NMD.0000000000000047. View

Cai Q, Feng H, Huang J, Wang M, Wang Q, Lu X . The mental health of frontline and non-frontline medical workers during the coronavirus disease 2019 (COVID-19) outbreak in China: A case-control study. J Affect Disord. 2020; 275:210-215. PMC: 7329671. DOI: 10.1016/j.jad.2020.06.031. View

Braquehais M, Lusilla P, Bel M, Navarro M, Nasillo V, Diaz A . Dual diagnosis among physicians: a clinical perspective. J Dual Diagn. 2014; 10(3):148-55. DOI: 10.1080/15504263.2014.929331. View

Kalmoe M, Chapman M, Gold J, Giedinghagen A . Physician Suicide: A Call to Action. Mo Med. 2019; 116(3):211-216. PMC: 6690303. View

Maunder R, Lancee W, Balderson K, Bennett J, Borgundvaag B, Evans S . Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis. 2007; 12(12):1924-32. PMC: 3291360. DOI: 10.3201/eid1212.060584. View

Liang Y, Chen M, Zheng X, Liu J . Screening for Chinese medical staff mental health by SDS and SAS during the outbreak of COVID-19. J Psychosom Res. 2020; 133:110102. PMC: 7139244. DOI: 10.1016/j.jpsychores.2020.110102. View

Ruotsalainen J, Verbeek J, Marine A, Serra C . Preventing occupational stress in healthcare workers. Cochrane Database Syst Rev. 2015; (4):CD002892. PMC: 6718215. DOI: 10.1002/14651858.CD002892.pub5. View

10.

Mansfield A, Keitner G, Sheeran T . The Brief Assessment of Family Functioning Scale (BAFFS): a three-item version of the General Functioning Scale of the Family Assessment Device. Psychother Res. 2018; 29(6):824-831. DOI: 10.1080/10503307.2017.1422213. View

11.

Tsai Y, Liu C . Factors and symptoms associated with work stress and health-promoting lifestyles among hospital staff: a pilot study in Taiwan. BMC Health Serv Res. 2012; 12:199. PMC: 3511165. DOI: 10.1186/1472-6963-12-199. View

12.

Chew N, Lee G, Tan B, Jing M, Goh Y, Ngiam N . A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020; 88:559-565. PMC: 7172854. DOI: 10.1016/j.bbi.2020.04.049. View

13.

Angres D, McGovern M, Shaw M, Rawal P . Psychiatric comorbidity and physicians with substance use disorders: a comparison between the 1980s and 1990s. J Addict Dis. 2003; 22(3):79-87. DOI: 10.1300/J069v22n03_07. View

14.

Spoorthy M, Pratapa S, Mahant S . Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian J Psychiatr. 2020; 51:102119. PMC: 7175897. DOI: 10.1016/j.ajp.2020.102119. View

15.

Kroenke K, Spitzer R, Williams J, Lowe B . An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009; 50(6):613-21. DOI: 10.1176/appi.psy.50.6.613. View

16.

Wilson W, Raj J, Rao S, Ghiya M, Nedungalaparambil N, Mundra H . Prevalence and Predictors of Stress, anxiety, and Depression among Healthcare Workers Managing COVID-19 Pandemic in India: A Nationwide Observational Study. Indian J Psychol Med. 2021; 42(4):353-358. PMC: 7385435. DOI: 10.1177/0253717620933992. View

17.

Krishnamoorthy Y, Nagarajan R, Saya G, Menon V . Prevalence of psychological morbidities among general population, healthcare workers and COVID-19 patients amidst the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res. 2020; 293:113382. PMC: 7417292. DOI: 10.1016/j.psychres.2020.113382. View

18.

Nandy K, Salunke A, Pathak S, Pandey A, Doctor C, Puj K . Coronavirus disease (COVID-19): A systematic review and meta-analysis to evaluate the impact of various comorbidities on serious events. Diabetes Metab Syndr. 2020; 14(5):1017-1025. PMC: 7331565. DOI: 10.1016/j.dsx.2020.06.064. View

19.

Kakuma R, Minas H, van Ginneken N, Dal Poz M, Desiraju K, Morris J . Human resources for mental health care: current situation and strategies for action. Lancet. 2011; 378(9803):1654-63. DOI: 10.1016/S0140-6736(11)61093-3. View

20.

Kang L, Li Y, Hu S, Chen M, Yang C, Yang B . The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020; 7(3):e14. PMC: 7129673. DOI: 10.1016/S2215-0366(20)30047-X. View