The impact of the COVID-19 pandemic on the mental health of healthcare professionals

Maria Dolores Braquehais, Sebastián Vargas-Cáceres, Esperanza Gómez-Durán, Gemma Nieva, Sergi Valero, Miquel Casas, Eugeni Bruguera, Maria Dolores Braquehais, Sebastián Vargas-Cáceres, Esperanza Gómez-Durán, Gemma Nieva, Sergi Valero, Miquel Casas, Eugeni Bruguera

Abstract

Introduction: Healthcare professionals (HPs) have been confronted by unprecedented traumatic experiences during the COVID-19 pandemic, especially in countries that had not experienced similar epidemic outbreaks in recent years.

Aim: To analyze the impact of the COVID-19 pandemic on the mental health of HPs.

Method: We comprehensively reviewed the studies published in MEDLINE (PubMed), Web of Science and Google Scholar between December 2019 and May 2020.

Results: Most studies report a high prevalence of anxiety and depressive symptoms among HPs that can be associated with: a) COVID-19 exposure; b) epidemiological issues; c) material resources; d) human resources; and e) personal factors. The role of certain variables, before, during and after the pandemic, remains unexplored. Longitudinal studies will help elucidate which factors are associated with a higher risk of developing long-lasting negative effects. Qualitative studies may contribute to understanding the influence of individual and social narratives in HPs' distress.

Conclusion: A deeper analysis on the individual, institutional, political and socio-cultural factors, meanings and values influencing HPs distress and resilience during the COVID-19 pandemic is needed.

© The Author(s) 2020. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

References

    1. World Health Organization (WHO) Coronavirus Disease (COVID-19) Dashboard. (24 May 2020, date last accessed).
    1. Gómez-Duran EL, Martin-Fumadó C, García Forero C.. The psychological impact of quarantine on healthcare workers. Occup Environ Med 2020. doi:10.1136/oemed-2020-106587.
    1. Bettinsoli ML, Di Riso D, Napier JL, Moretti L, Bettinsoli PF, Deimedico M, et al. Psychological impact and contextual factors associated with physical and mental health conditions of Italian Healthcare Professionals during the COVID-19 disease outbreak. PsyArXiv2020. doi:10.31234/. (7 May 2020, date last accessed).
    1. Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al.Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry 2020; 7:e15–16.
    1. Blanco-Donoso LM, Garrosa E, Moreno-Jiménez J, Gálvez-Herrer M, Moreno-Jiménez B.. Occupational psychosocial risks of health professionals in the face of the crisis produced by the COVID-19: from the identification of these risks to immediate action. Int J Nurs Stud 2020; 2:100003.
    1. Ministerio de Sanidad y Consumo de España. Informe sobre la situación de la COVID-19 en España. (24 May 2020, date last accessed).
    1. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009; 6:e1000097.
    1. Xue-Hui F, Wu L, Lun-Shan L, Kan X-H, Wang H, Yang-jun X.. Analysis of mental health status and needs of health care workers in designated medical institutions of tuberculosis during the epidemic period of COVID-19. Research Square [Preprint] 2020; doi:10.20203/rs-22402/v1.
    1. Lu W, Wang H, Lin Y, Li L.. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res 2020; 288:112936.
    1. Liu X, Liang S, Zhang R, Wei Y, Li J, Wang C, et al.Perceived social support and its impact on psychological status and quality of life of medical staffs after outbreak of SARS-CoV-2 pneumonia: a cross-sectional study. Lancet 2020; doi:10.2139/ssrn.3541127.
    1. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al.Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020; 3:e203976.
    1. 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.
    1. Dai Y, Hu G, Xiong H, Qiu H, Yuan X.. Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China. Lancet Psychiatr 2020; doi:10.1101/2020.03.03.20030874.
    1. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al.Psychological impact and coping strategies of frontline medical staff in Wuhan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Med Sci Monit 2020; 26:e924171.
    1. Wu W, Zhang Y, Wang P, Zhang L, Wang G, Lei G, et al.Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. J Med Virol 2020; doi:10.1002/jmv.25914.
    1. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al.Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag 2020; doi:10.1111/jonm.13014.
    1. Cao J, Wei J, Zhu H, Duan Y, Geng W, Hong X, et al.A study of basic needs and psychological wellbeing of medical workers in the fever clinic of a tertiary general hospital in Beijing during the COVID-19 outbreak. Psychother Psychosom 2020; 30:1–3.
    1. Naser AY, Dahmash EZ, Al-Rousan R, Alwafi H, Alrawashed HM, Ghoul I, et al.Mental health status of the general population, healthcare professionals, and university students during 2019 coronavirus disease outbreak in Jordan: a cross-sectional study. MedRrviv [Preprint] 2020; doi:10.1101/2020.04.09.20056374.
    1. Zhang SX, Liu J, Jahanshahi A, Nawaser K, Yousefi A, Li J, et the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictorsduring the epidemic peak of COVID-19. Brain Behav Immun 2020. doi:10.1016/j.bbi.2020.05.010.
    1. Chew N, Lee G, Tan B, Goh Y, Ngiam N, Yeo L, et al.A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun 2020. doi:10.1016/j.bbi.2020.04.049.
    1. Gerada C. Doctors and their defences. BMJ 2019; 364:I871.
    1. Wu P, Liu X, Fang Y, Fan B, Fuller CJ, Guan Z, et al.Alcohol abuse/dependence symptoms among hospital employees exposed to a SARS outbreak. Alcohol Alcohol 2008; 43:706–12.
    1. Wu P, Fang Y, Guan Z, Fan B, Kong J, Zhongling Y, et al.The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry 2009; 54:302–11.
    1. Rimmer A, Chatfield C.. What organisations around the world are doing to help improve doctors’ wellbeing. BMJ 2020; 369:m1541.[32303490]
    1. Braquehais MD, Sher L.. Posttraumatic stress disorder in war veterans: a discussion of the neuroevolutionary time-depth principle. J Affect Disord 2010; 125:1–9.

Source: PubMed

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