Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review

Mamidipalli Sai Spoorthy, Sree Karthik Pratapa, Supriya Mahant, Mamidipalli Sai Spoorthy, Sree Karthik Pratapa, Supriya Mahant

Abstract

Introduction: The spread of novel corona virus (COVID-19) across the globe and the associated morbidity and mortality challenged the nations by several means. One such underrecognized and unaddressed area is the mental health issues medical staff develop during the pandemic.

Materials and methods: This review aimed to review the literature about mental health problems faced by health care workers (HCW) during the COVID-19 pandemic. Literature search was conducted in the following databases: PubMed, Google Scholar, Cochrane Library, Embase. All types of articles published in the last 4 months (January 2020-April 2020) which were relevant to the subject of the review were searched. A total of 23 articles were selected by initial screening and 6 articles were included in the final review.

Results: Review of all the 6 articles showed that current research focused on assessing several aspects of mental health affected in HCW due to COVID-19. Several sociodemographic variables like gender, profession, age, place of work, department of work and psychological variables like poor social support, self-efficacy were associated with increased stress, anxiety, depressive symptoms, insomnia in HCW. There is increasing evidence that suggests that COVID-19 can be an independent risk factor for stress in HCW.

Conclusion: Regular screening of medical personnel involved in treating, diagnosing patients with COVID-19 should be done for evaluating stress, depression and anxiety by using multidisciplinary Psychiatry teams.

Keywords: COVID-19; Health care workers; Psychological; Stress.

Conflict of interest statement

Declaration of Competing Interest Nil.

Copyright © 2020 Elsevier B.V. All rights reserved.

References

    1. Cai H., Tu B., Ma J., Chen L., Fu L., Jiang Y., Zhuang Q. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID19) in Hubei, China. Med. Sci. Monit. 2020;26
    1. Chan A.O.M., Huak C.Y. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup. Med. Oxf. Engl. 2004;54:190–196.
    1. Folkman S., Greer S. Promoting psychological well-being in the face of serious illness: when theory, research and practice inform each other. Psychooncology. 2000;9:11–19.
    1. Hall R.C.W., Hall R.C.W., Chapman M.J. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen. Hosp. Psychiatry. 2008;30:446–452.
    1. Ho C.S., Chee C.Y., Ho R.C. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann. Acad. Med. Singapore. 2020;49:1–3.
    1. Kang L., Li Y., Hu S., Chen M., Yang C., Yang B.X., et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7:e14.
    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 network open. 2020;3
    1. Lee S.M., Kang W.S., Cho A., Kim T., Park J.K. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr. Psychiatry. 2018;87:123–127.
    1. Li Q., Guan X., Wu P., Wang X., Zhou L., Tong Y., et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N. Engl. J. Med. 2020;382(13):1199–1207.
    1. 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;133:1101–1102.
    1. Mahase E. Coronavirus covid-19 has killed more people than SARS and MERS combined, despite lower case fatality rate. BMJ. 2020;368:m641.
    1. Mohindra R., R.R, Suri V., Bhalla A., Singh S.M. Issues relevant to mental health promotion in frontline health care providers managing quarantined/isolated COVID19 patients. Asian J. Psychiatry. 2020;51
    1. Müller N. In: Key Issues in Mental Health. Sartorius N., Holt R.I.G., Maj M., editors. S. KARGER AG; Basel: 2014. Infectious diseases and mental health; pp. 99–113. Available at:
    1. National Health Commission of the People’s republic of China. The guidelines of psychological crisis intervention for COVID-19 pneumonia. Available at: .
    1. Naushad V.A., Bierens J.J., Nishan K.P., Firjeeth C.P., Mohammad O.H., Maliyakkal A.M., et al. A systematic review of the impact of disaster on the mental health of medical responders. Prehospital Disaster Med. 2019;34:632–643.
    1. Rana W., Mukhtar S., Mukhtar S. Mental health of medical workers in Pakistan during the pandemic COVID-19 outbreak. Asian J. Psychiatry. 2020;51
    1. Sim K., Huak, Chan Y., Chong P.N., Chua H.C., Wen, Soon S. Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease. J. Psychosom. Res. 2010;68:195–202.
    1. Styra R., Hawryluck L., Robinson S., Kasapinovic S., Fones C., Gold W.L. Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. J. Psychosom. Res. 2008;64:177–183.
    1. Tam C.W.C., Pang E.P.F., Lam L.C.W., Chiu H.F.K. Severe acute respiratory syndrome (SARS) in Hong Kong in, 2003: stress and psychological impact among frontline healthcare workers. Psychol. Med. 2004;34:1197–1204.
    1. Tang L., Bie B., Park S.E., Zhi D. Social media and outbreaks of emerging infectious diseases: a systematic review of literature. Am. J. Infect. Control. 2018;46:962–972.
    1. World Health Organization . 2020. Statement on the Second Meeting of the International Health Regulations (2005) Emergency Committee Regarding the Outbreak of Novel Coronavirus (2019-nCoV) Published January 30.
    1. Wu K.K., Chan S.K., Ma T.M. Posttraumatic stress after SARS. Emerg. Infect. Dis. 2005;11:1297–1300.
    1. Wu K.K., Chan S.K., Ma T.M. Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome (SARS) J. Trauma. Stress. 2005;18:39–42.
    1. Xiang Y.T., Yang Y., Li W., Zhang L., Zhang Q., Cheung T., et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7:228–229.
    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
    1. Zhu N., Zhang D., Wang W., Li X., Yang B., et al. A novel coronavirus from patients with pneumonia in China, 2019. New Engl. J. Med. 2020;382:727–733.

Source: PubMed

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