CopeNYP
            : a brief remote psychological intervention reduces health care workers’ depression and anxiety symptoms during
            COVID
            ‐19 pandemic

Background: COVID-19 has brought psychological disorders that affect health care workers and the general public. Hence it is important to have necessary counselling to address the psychological, social aspects of the pandemic to ensure psychological well-being of especially Health-care Workers and preserve their innate and acquired immunity.Methods: The study was planned as single centre retrospective study and conducted between April and June 2020 at dedicated COVID-19 hospital in India. Front-line HCWs more than 18 years, of any gender working in COVID-19 hospital and willing to participate for the study were enrolled in the study. Study included two questionnaires, generalized anxiety disorder scale, and socio-demographics and COVID-19 related awareness questionnaire. Measurements were taken pre and post the psychological counselling intervention.Results: As per generalized anxiety disorder (GAD) scale people suffering from moderate anxiety disorder dropped from 19% (pre counselling) to 5% (post counselling) and severe cases dropped from 14% (pre counseling) to 2% (post counseling), there was statistically significant difference observed due to psychological intervention in GAD scale (Chi square test-10.794, p value=3.67E-27). Socio demographics and COVID-19 related awareness questionnaire results were statistically significant (Chi square test-11.945, p value=6.91E-33).Conclusions: Counselling interventions based on scientific data offered in groups by investigator with an accurate knowledge of the COVID-19 and its manifestation increased the confidence of health care workers (HCWs) and reduced anxiety level. This was translated into the full availability of HCWs on the clinical study site, although medical services were disrupted while other hospitals were starving due to lack of staff.

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Mental Health and Associated Demographic and Occupational Factors among Health Care Workers during the COVID-19 Pandemic in Latvia

Medicina ◽

10.3390/medicina57121381 ◽

2021 ◽

Vol 57 (12) ◽

pp. 1381

Author(s):

Laura Valaine ◽

Gunta Ancāne ◽

Artūrs Utināns ◽

Ģirts Briģis

Keyword(s):

Mental Health ◽

Health Care ◽

Health Care System ◽

Health Care Workers ◽

Adverse Outcomes ◽

Depression And Anxiety ◽

Front Line ◽

Occupational Factors ◽

Symptoms Of Depression ◽

Care Workers

Background and Objectives: The COVID-19 pandemic has negatively impacted the health care system. Front-line health care workers (HCWs) are at a higher risk of mental health adverse outcomes. The aim of this study was to evaluate the frequency of the symptoms of depression and anxiety and associated demographic and occupational factors among front-line HCWs in Latvia. Materials and Methods: A cross-sectional quantitative study was performed in a population of HCWs during the first wave of the COVID-19 pandemic in Latvia. The participants were interviewed between 28 April 2020 and 2 June 2020. Answers from 864 HCWs were obtained. The participants reported their demographics, work-related information, contacts with COVID-19-positive patients and completed two standardised questionnaires that assessed the symptoms of anxiety (GAD-7) and depression (PHQ-9). The gathered data were analysed by a chi-squared test and binary logistic regression. The data analysis was performed using SPSS v25. Results: A total of 209 (24.8%) participants had depression symptoms and 145 (17.2%) had anxiety symptoms. Health care workers older than 50 had a lower risk of both depression (OR 0.422 (95% CI, 0.262–0.680)) and anxiety (OR 0.468 (95% CI, 0.270–0.813)). General practitioners had more frequent symptoms of depression and anxiety than participants who worked at hospitals (32.8% (n = 63) versus 19.4% (n = 73) and 27.1% (n = 52) versus 10.3% (n = 39), respectively (p = 0.037; p < 0.000)). Working more than 48 h during the week was associated with a higher risk of depression (OR 2.222 (95% CI, 1.315–3.753)) and anxiety (OR 2.416 (95% CI, 1.272–4.586)). Conclusions: The vulnerability of the health care system before the COVID-19 pandemic led to significant mental health adverse outcomes of HCWs during the COVID-19 pandemic in Latvia. A further cohort study is needed to evaluate the dynamics of mental health and other predisposing factors of HCWs.

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AB0910-HPR LEVELS OF DEPRESSION AND ANXIETY DURING COVID-19 PANDEMIC: AT WHAT DEGREE ARE HEALTH CARE WORKERS AFFECTED IN TUNISIA?

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.789 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1477.2-1477

Author(s):

K. Ben Abdelghani ◽

O. Hamdi ◽

S. Miladi ◽

M. Sellami ◽

K. Ouenniche ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Psychological Distress ◽

Health Care Workers ◽

Health Workers ◽

Psychological Support ◽

Depression And Anxiety ◽

Online Questionnaire ◽

Care Workers ◽

The Mean

Background:Since December 2019, a novel pneumonia caused by coronavirus-19 (COVID-19) has been spreading internationally. Facing this critical pandemic, health care workers who are involved in treating these patients are at risk of developing psychological distress.Objectives:To evaluate mental health outcomes among health care workers treating patients exposed to COVID-19.Methods:This cross-sectional study collected demographic data and mental health measurements from health workers in different hospitals using an online questionnaire. Participants were divided in two groups: G1 included participants working in a COVID-19 unit and G2 included those who worked in a normal ward. Participants were asked to complete the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder scale (GAD-7). The total scores of these measurement tools were interpreted as follows: PHQ-9 normal (0-4), mild (5-9), moderate (10-14) and severe (15-21) depression; GAD-7 normal (0-4), mild (5-9), moderate (10-14) and severe (15-21) anxiety. We compared the two groups in terms of psychological distress using a Chi-square test.Results:A total of 155 individuals with a mean age of 31.3 ± 25 years [26-45] and a sex-ratio of 0.3 completed the online questionnaire. Seventy-two participants (46%) worked in a COVID-unit. The mean number of nightshifts per month in the COVID-unit was 9.5 in G1 and 1.3 in G2 respectively. The mean number of work hours per day in the COVID unit was 5 hours in G1, and 0 in G2. G2 participants worked in COVID-units during nightshifts only. An increase in workload compared to the pre-epidemic was noted only in G1. Depression and anxiety scores were higher among participants of G1 compared to G2 (Table 1).Table 1.Comparison of the participants according to the PHQ-9 and GAD-7 scores:ScoreG1G2pMild depression33%12%0.001Moderate depression14%9%0.000Severe depression7%0.9%0.002Mild anxiety29%17%0.005Moderate anxiety18%7.3%0.002Severe anxiety8.4%2.1%0.001G: GroupThe need for psychological support was more frequent in G1 compared to G2 (38% vs 9%; p=0.005). Participants of G1 were diagnosed with depression (9 cases), anxiety (9 cases) and burn-out (3 cases). In G2, 4 participants were diagnosed with anxiety. The prescribed treatments were: antidepressants (5 cases), anxiolytic (10 cases), and psychotherapy (12 cases).Conclusion:Individuals experience varying levels of distress during pandemics. In our study, health care workers in the frontline of COVID-units experienced high levels of anxiety and depression. Thus, necessary measures should be attached to psychological support strategies for health care workers.Disclosure of Interests:None declared

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COVID-19 pandemic and self-reported symptoms of depression, anxiety, and stress among health care workers in Ethiopia

10.21203/rs.3.rs-62244/v1 ◽

2020 ◽

Author(s):

kemal Jemal ◽

Berhanu Senbeta ◽

Tinsae Abeya Geleta ◽

Mukemil Awol

Keyword(s):

Health Care ◽

Health Care Workers ◽

Online Survey ◽

Psychological Intervention ◽

Multiple Logistic Regression Analysis ◽

Medical Laboratory ◽

P Value ◽

Symptoms Of Depression ◽

Care Workers ◽

Medical Laboratory Professionals

Abstract BackgroundThe Coronavirus Diseases 2019 (COVID-19) pandemic has become a major problem in many of the world nations including Ethiopia. Moreover, it is a public health emergency of the community concern and poses a mental health problem to health care workers (HCWs). Therefore, this study aimed to assess the level of self-reporting symptoms of depression, anxiety, and stress during the COVID-19 pandemic among healthcare workers in Ethiopia.MethodsAn institutional-based cross-sectional study was conducted using an online survey from June 25, 2020, to July 25, 2020, in Ethiopia. The data were collected using a self-reported Depression, Anxiety, and Stress Scale (DASS-21). Data were cleaned, coded, and entered using Epi info version 7.5.1 and exported for analyzed to the Social Science package software Version 23 Statistical Package. Moreover, multiple logistic regression analysis was used to identify the associated factors at p-value less than 0.05.ResultsA total of 816 HCWs responded to self-reporting questions. From HCWs who screened positive for depression, anxiety, and stress; 60.3%, 78%, and 33.8% of them had scored moderate to extremely severe symptoms of depression, anxiety, and stress respectively. Females, HCWs who working in Oromiya Specialized Zone, medical laboratory professionals, and HCWs who have working in the COVID-19 treatment isolation department were significantly associated with depression, anxiety, and stress.ConcussionIn this study, health care workers had reported a high prevalence of depression, anxiety, and stress symptoms. Female gender, Oromiya especial zone, medical laboratory professionals, and HCWs who have working in the COVID-19 treatment isolation centers were significantly associated with depression, anxiety, and stress. Psychological intervention for health care workers in central Ethiopia needs special attention.

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Stress of Health Care Workers in Emergencies: Stressors, Risks and Protective Factors for Mental Health, and Suggestions for Psychological Intervention

Advances in Psychology ◽

10.12677/ap.2020.107122 ◽

2020 ◽

Vol 10 (07) ◽

pp. 1023-1032

Author(s):

思雨余

Keyword(s):

Mental Health ◽

Health Care ◽

Protective Factors ◽

Health Care Workers ◽

Psychological Intervention ◽

Care Workers

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RECHARGE – A Brief Psychological Intervention to Build Resilience in Health Care Workers During the COVID-19 Pandemic: Study Protocol for a Randomized Controlled Trial

10.21203/rs.3.rs-212942/v1 ◽

2021 ◽

Author(s):

Naser Morina ◽

Sonja Weilenmann ◽

Katie S Dawson ◽

Jutta Ernst ◽

Zelim Zanitti ◽

...

Keyword(s):

Health Care ◽

Randomized Controlled Trial ◽

Psychological Distress ◽

Crisis Intervention ◽

Health Care Workers ◽

Work Performance ◽

Psychological Intervention ◽

Controlled Trial ◽

Randomized Controlled ◽

Care Workers

Abstract Background: Health care workers (HCWs) typically face high work demands, which can be exacerbated during crises such as the COVID-19 pandemic. These demands may result in high psychological distress and reduced work performance. Although there are psychological interventions to reduce stress in HCWs under normal working circumstances, no intervention have been specifically developed to addresses stress in the context of public health crises such as the current COVID-19 pandemic. This study aims to evaluate the effectiveness of RECHARGE, a psychological intervention specifically developed for HCWs to reduce distress in HCWs. It is based on a brief crisis intervention of the World Health Organization that teaches basic stress management skills from cognitive behavioural therapy. Methods: A randomized controlled trial (RCT) will be carried out among 160 physicians, nurses, and other HCWs working in hospitals in Switzerland during COVID-19, who are at least moderately distressed. HCWs will be randomised to RECHARGE (n=80) or active treatment as usual (ATAU) (n=80). Pre-intervention (week 1, T1), post-intervention (week 4, T2) and 2-month follow-up (week 12, T3) assessments include psychological distress as primary outcome, and indicators of mental ill-being (worries, anxiety, depression, burnout, traumatic stress, distress due to perceived ethical dilemma) and work performance as secondary outcomes. These outcomes will be compared between HCWs in the RECHARGE and ATAU groups. Discussion: RECHARGE is an evidence-informed brief, flexible, easily scalable, fully online psychological program that allows delivery in pandemic conditions, including social isolation. Therefore, this program can serve as a much-needed template for an intervention to reduce stress and enhance work performance in HCWs during the COVID-19 pandemic. If proven effective, RECHARGE may not only be used to reduce elevated stress in HCWs in Switzerland, but also globally. Key words: COVID-19, randomised controlled trial, protocol, health care workers; psychological treatment; distress, crisis intervention; pandemic; resilience;

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Depression and Anxiety in Health Care Workers during COVID-19

BioMedica ◽

10.51441/biomedica//biomedica/5-414 ◽

2020 ◽

Vol 36 (2S) ◽

pp. 247-252

Author(s):

Muntazir Mehdi ◽

Muhammad Waseem ◽

Muhammad Hassam Rehm ◽

Nauman Aziz ◽

Sagheer Anjum ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Health Workers ◽

Influence Factors ◽

Depression Scale ◽

Depression And Anxiety ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Care Workers ◽

Married Individuals

Background and Objective: Pakistan has been sternly affected by COVID-19 (Coronavirus Disease 2019) since March, 2020. This study was intended to evaluate the mental health among health care workers throughout the epidemic and to sight see the possible influence factors. Methods: A web-based cross-sectional survey composed of n = 237 self-selected health care workers was conducted. Their demographics, COVID-19 associated knowledge, Hospital Anxiety and Depression Scale (HADS) were noted. Results: This study received n = 237 responses. A total of (59%) of the participants belonged to age group 20-30 years. Females (56.3%) were more among all of them. Regarding marital status, (44.5%) were unmarried. Out of n = 237 participants, there were (62%) doctors, (34%) nurses and (4%) paramedical staff. Depression and anxiety prevailed in about (34.6%) and (42.2%) of participants respectively. Moderate depression was reported equally by doctors and nurses. Severe anxiety was found in (25%) while borderline anxiety in (17%) of all the participants. Nurses reported more severity in depression while comparing to doctors. Conclusion: Females were slightly more depressed than males and anxiety was more common than depression especially in health workers from Sahiwal. Depression was seen more commonly in married individuals while comparing to singles. Risk of transmission of COVID-19 to family was most stressful for the participants and more than half of them affirmed it.

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