Post-traumatic Stress Disorder and Mental Health Assessment of Seafarers Working on Ocean-going Vessels During the COVID-19 Pandemic

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2022 Feb 6

PMID 35123421

Authors

Fereshteh Baygi

Christine Blome

Andrew Smith

Nami Mohammadian Khonsari

Arash Agoushi

Arman Maghoul

Mohammad Esmaeili-Abdar

Armita Mahdavi Gorabi

Mostafa Qorbani

Affiliations

Soon will be listed here.

Abstract

Background: There are increasing concerns about mental health consequences of the COVID-19 pandemic among seafarers. This study aims to assess the effects of the current global health pandemic on life satisfaction and adverse psychological outcomes among seafarers.

Methods: In this cross-sectional study, 470 multinational seafarers working on board ships of two international shipping companies were assessed. Mental health outcomes were assessed by the general anxiety disorder (GAD-7) questionnaire, post-traumatic stress disorder (PTSD-8) questionnaire, and patient health questionnaire (PHQ-9) depressive severity score. Multivariate logistic regression was used to determine the association of demographic and work-related variables with mental health outcomes.

Results: Overall, 439 out of 470 invited seafarers with a mean age of 34.5 (SD: 8.05) years participated in this study (participation rate: 93.4%). The prevalence of anxiety, depressive, and post-traumatic stress symptoms was 12.4, 14.1, and 37.3%, respectively. In the multivariate model, the current vessel's signing duration was directly associated with the odds of depressive and intrusion symptoms. Moreover, the duration of work per week was inversely associated with hyper-vigilance and avoidance. Also, non-officers, compared to officers, experienced significantly lower anxiety and depressive symptoms, hyper-vigilance, and avoidance.

Conclusion: The present study revealed a high prevalence of mental health problems among seafarers during the COVID-19 pandemic. We recommend that more evidence is generated regarding psychosocial health issues for this vulnerable occupation.

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References

Kavoor A . COVID-19 in People with Mental Illness: Challenges and Vulnerabilities. Asian J Psychiatr. 2020; 51:102051. PMC: 7139245. DOI: 10.1016/j.ajp.2020.102051. View

Hansen M, Andersen T, Armour C, Elklit A, Palic S, Mackrill T . PTSD-8: A Short PTSD Inventory. Clin Pract Epidemiol Ment Health. 2011; 6:101-8. PMC: 3023946. DOI: 10.2174/1745017901006010101. View

Lefkowitz R, Slade M, Redlich C . Rates and occupational characteristics of international seafarers with mental illness. Occup Med (Lond). 2019; 69(4):279-282. DOI: 10.1093/occmed/kqz069. View

McDonald S, Calhoun P . The diagnostic accuracy of the PTSD checklist: a critical review. Clin Psychol Rev. 2010; 30(8):976-87. DOI: 10.1016/j.cpr.2010.06.012. View

Baygi F, Djalalinia S, Qorbani M, Dejman M, Nielsen J . Lifestyle interventions in the maritime settings: a systematic review. Environ Health Prev Med. 2020; 25(1):10. PMC: 7110816. DOI: 10.1186/s12199-020-00848-7. View

Zandifar A, Karim H, Qorbani M, Badrfam R . Mental Health Care for Medical Staff in Iran during the COVID-19 Pandemic; Different Performance in Alborz Province. Iran J Psychiatry. 2020; 15(3):243-247. PMC: 7603594. DOI: 10.18502/ijps.v15i3.3817. View

Ko C, Yen C, Yen J, Yang M . Psychosocial impact among the public of the severe acute respiratory syndrome epidemic in Taiwan. Psychiatry Clin Neurosci. 2006; 60(4):397-403. DOI: 10.1111/j.1440-1819.2006.01522.x. View

Peng E, Lee M, Tsai S, Yang C, Morisky D, Tsai L . Population-based post-crisis psychological distress: an example from the SARS outbreak in Taiwan. J Formos Med Assoc. 2010; 109(7):524-32. PMC: 3106105. DOI: 10.1016/S0929-6646(10)60087-3. View

Liang L, Ren H, Cao R, Hu Y, Qin Z, Li C . The Effect of COVID-19 on Youth Mental Health. Psychiatr Q. 2020; 91(3):841-852. PMC: 7173777. DOI: 10.1007/s11126-020-09744-3. View

10.

Hossain M, Sultana A, Purohit N . Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence. Epidemiol Health. 2020; 42:e2020038. PMC: 7644933. DOI: 10.4178/epih.e2020038. View

11.

Brooks S, Webster R, Smith L, Woodland L, Wessely S, Greenberg N . The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395(10227):912-920. PMC: 7158942. DOI: 10.1016/S0140-6736(20)30460-8. View

12.

Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F . Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. J Affect Disord. 2020; 275:48-57. PMC: 7314697. DOI: 10.1016/j.jad.2020.06.022. View

13.

Hossain M, Purohit N, Sultana A, Ma P, McKyer E, Ahmed H . Prevalence of mental disorders in South Asia: An umbrella review of systematic reviews and meta-analyses. Asian J Psychiatr. 2020; 51:102041. DOI: 10.1016/j.ajp.2020.102041. View

14.

Tang W, Hu T, Hu B, Jin C, Wang G, Xie C . Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. J Affect Disord. 2020; 274:1-7. PMC: 7217769. DOI: 10.1016/j.jad.2020.05.009. View

15.

Lei L, Huang X, Zhang S, Yang J, Yang L, Xu M . Comparison of Prevalence and Associated Factors of Anxiety and Depression Among People Affected by versus People Unaffected by Quarantine During the COVID-19 Epidemic in Southwestern China. Med Sci Monit. 2020; 26:e924609. PMC: 7199435. DOI: 10.12659/MSM.924609. View

16.

Levis B, Benedetti A, Thombs B . Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis. BMJ. 2019; 365:l1476. PMC: 6454318. DOI: 10.1136/bmj.l1476. View

17.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

18.

Zandifar A, Badrfam R, Mohammadian Khonsari N, Mohammadi M, Asayesh H, Qorbani M . Prevalence and Associated Factors of Posttraumatic Stress Symptoms and Stigma among Health Care Workers in Contact with COVID-19 Patients. Iran J Psychiatry. 2020; 15(4):340-350. PMC: 7610075. DOI: 10.18502/ijps.v15i4.4303. View

19.

Spitzer R, Kroenke K, Williams J . Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999; 282(18):1737-44. DOI: 10.1001/jama.282.18.1737. View

20.

Dai Q, Hu S, Yan K, Chen Z, Chen B, Cai T . Reflection on SARS-CoV-2 infection of container ship seafarers. Travel Med Infect Dis. 2020; 36:101787. PMC: 7283070. DOI: 10.1016/j.tmaid.2020.101787. View