scholarly journals Healthcare workers’ heterogeneous mental-health responses to prolonging Covid-19 pandemic: A full year of monthly follow up in Finland

2021 ◽  
Author(s):  
Tom Rosenström ◽  
Katinka Tuisku ◽  
Jaana Suvisaari ◽  
Eero Pukkala ◽  
Kristiina Junttila ◽  
...  
Keyword(s):  
Mental Health ◽  
Living Arrangements ◽  
Healthcare Workers ◽  
Latent Class ◽  
Mixed Model ◽  
Severity Index ◽  
University Hospital ◽  
Calendar Time ◽  
Factors Affecting ◽  
Potentially Traumatic Events

Purpose: To investigate changes in healthcare workers’ mental-health under prolonging Covid-19 pandemic conditions.Methods: A monthly survey over a full year was conducted for employees of the HUS Helsinki University Hospital (n = 4804) between 4th June 2020 to 28th May 2021. Pandemic-related potentially traumatic events (PTEs), work characteristics (e.g., contact to Covid-19 patients), and other covariates were used to predict Mental Health Index-5 (MHI-5) and Insomnia Severity Index (ISI) in generalized multilevel and latent-class mixed model regressions.Results: Local Covid-19 log-incidence (odds ratio, OR = 1.21, with 95% CI = 1.10–1.60), directly caring for Covid-19 patients (OR = 1.33, CI = 1.10–1.60) and PTEs (OR = 4.57, CI = 3.85–5.43) were all independently associated with low mental health, when (additionally) adjusting for age, sex, profession, and calendar time (a 5th degree polynomial expansion). Independence from time suggests effects of incidence change in time. Effects of local Covid-19 incidence on sleep were fully dependent on time. Latent mental-health trajectories were characterized by a large class of “stable mental health” and minority classes for “early shock, improving” and “early resilience, deteriorating” mental health. The minority classes, especially “early shock, improving”, were more likely to live alone and be exposed to PTEs than others.Conclusion: Healthcare workers face increasingly heterogeneous mental-health challenges as the Covid-19 pandemic prolongs. Adversity and mental ill-being may accumulate in some employees. More research is needed on the factors affecting employees’ resilience to the prolonging pandemic. Living arrangements may play a role.

Snapshot of a social movement: mental health and protest classes in Hong Kong

2021 ◽  
Author(s):  
Adrienne Wing Yee Li ◽  
Wai Ho CHAK ◽  
Kenneth S.L. Yuen
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Latent Class ◽  
Demographic Data ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Class Differences ◽  
Potentially Traumatic Events ◽  
Political Views ◽  
Tear Gas

Background: Popular protests have broken out in worldwide, particularly in the last few years. In 2019, numerous demonstrations against an extradition bill occurred in Hong Kong until pandemic restrictions were imposed. The policing response relied heavily on methods such as batons, tear gas and rubber bullets. Given the relevance for other geographical contexts, the current study investigated the mental health impacts on protest participants and spillover to community members.Methods: Surveys were disseminated on social media in August and October 2019 to collect demographics, political views, protest participation, exposure to (protest-related) potentially traumatic events (PTEs) and mental health symptoms. A latent class analysis (LCA) was conducted using demographic data and inter-class differences in PTEs and mental health symptoms were examined.Results: There were 37,541 (59.8% female) and 40,703 (50.0% female) responses in August and October. Respondents, even those with low participation, reported significant levels of depression, anxiety, and symptoms of traumatic stress (STS). The LCA suggested a 5-class solution (youth, allies, supporters, sympathizers, and frontliners). Mental health symptoms and PTEs varied with class membership, with 50.8% of frontliners reporting severe STS.Limitations: The non-random sampling and self-reported measures may over-estimate the prevalence of mental distress in the wider population.Conclusions: Large numbers of pro-democracy supporters in Hong Kong reported high rates of depression, anxiety and STS during mass protests. Younger and more heavily involved respondents faced the highest mental health risks, however elevated rates were also observed for respondents with low participation.

scholarly journals Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients

2020 ◽  
Vol 17 (16) ◽  
pp. 5849 ◽  
Author(s):  
Paweł Wańkowicz ◽  
Aleksandra Szylińska ◽  
Iwona Rotter
Keyword(s):  
Mental Health ◽  
Intensive Care ◽  
Sleep Disorders ◽  
Intensive Care Units ◽  
Healthcare Workers ◽  
Severity Index ◽  
Control Group ◽  
Health Factors ◽  
Mental Health Factors ◽  
Anxiety Depression

It seems that the medical personnel in contact with patients infected with SARS-CoV-2 are at an especially high risk of adverse psychological effects. Therefore, the aim of this study was to assess the mental health factors among healthcare workers by quantifying the severity of anxiety, depression, and sleep disorders during the current SARS-CoV-2 pandemic, while taking into account coexisting diseases. The study involved 441 healthcare professionals including 206 healthcare workers at emergency wards, infectious wards, and intensive care units. The control group consisted of 235 healthcare workers working in wards other than those where individuals from the study group worked. Regression adjusted by age, gender, the occurrence of hypertension, diabetes mellitus, dyslipidemia, asthma, autoimmune diseases, and cigarette smoking showed the elevated risk of anxiety on the Generalized Anxiety Disorder (GAD-7) scale (OR = 1.934; p < 0.001), depression on the Patient Health Questionnaire (PHQ-9) scale (OR = 2.623; p < 0.001), and sleep disorders on the Insomnia Severity Index (ISI) scale (OR = 3.078; p < 0.001). Our study showed that healthcare workers who are exposed to SARS-CoV-2-infected patients at emergency wards, infectious wards, and intensive care units are at a much higher risk of showing symptoms of anxiety, depression, and sleep disorders than healthcare workers working in other wards.

scholarly journals THE PSYCHOLOGICAL IMPACT OF COVID-19 ON FRONTLINE HEALTHCARE WORKERS IN MOROCCO

2021 ◽  
Vol 9 (09) ◽  
pp. 678-689
Author(s):  
I. Hanine ◽  
◽  
I. Hmamouchi ◽  
S. Belbachir ◽  
M. Chtibi ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Healthcare Workers ◽  
Health Workers ◽  
Psychological Impact ◽  
Medical Personnel ◽  
Severity Index ◽  
University Hospital ◽  
World Health ◽  
Frontline Healthcare Workers ◽  
The Impact

Introduction: On March 11th 2020, the World Health Organization declared the infection of the virus severe acute respiratory syndrome coronavirus 2 or SARS-COV-2 a pandemic. The virus, which was first discovered in China in Wuhan province in December 2019, has affected more than 100 million people and more than two million deaths in more than 200 countries.Along with other epidemics and pandemics, the existence of this virus has led to psychiatric disorders in people in or without direct contact with the disease, especially frontline healthcare workers. Objective: To assess the impact of the virus on medical personnel working in Morocco, in particular stress, depression and sleep disorders. Methodology: To explore this topic, we used an anonymity questionnaire based on, in addition to individual status and conditions, scales assessing stress, depression and sleep.The questionnaire was sent via social networks to health personnel working in Morocco in the various hospitals and departments treating patients infected with this virus.The CES-D (Center of Epidemiological Studies - Depression) scales for depression, the PSS-10 (Cohens Perceived Stress Scale) for perceived stress and ISI (C. Morins Insomnia Severity Index) for disorders of sleep, were chosen given their frequent use in a number of studies on the same topic. Results: After sorting our responsesrigorously, we were able to collect 376 responses, of which 53.5% were women, with an average age of 28.45 years, 23.9% were nurses, 14.4% general practitioners, 19, 7% of internal doctors 37.2% of residents or specialists and 4.8% occupied other functions such as medical transport. 66% of our candidates were at the level of the different university hospital centers of Morocco.Our candidates respectively occupied 39.1% 28.2% 29% and 25.8% triage positions, observation of suspected cases, the COVID sector and resuscitation.Regarding our results, it was observed that 71% of our participants presented moderate stress, 44.9% had a risk of developing depression and 53.7 had insomnia of varying severity.The female sex, the lack of medical, surgical and psychiatric history influence the occurrence of the three abnormalities studied, it should also be noted that these last three maintain a relationship of influences between them. Conclusion: The exploration of stress, depression and insomnia revealed an impact of the state of health on the daily life of front-line health workers in Morocco.

scholarly journals Mental health assessment of healthcare workers in the Emergency Department of a low middle-income country during COVID 19 pandemic

2021 ◽  
Author(s):  
Shahan Waheed ◽  
Nirdosh Kumar ◽  
Bushra Qureshi ◽  
Ahmed Rahim
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Healthcare Workers ◽  
Mental Illnesses ◽  
University Hospital ◽  
Mental Wellbeing ◽  
Categorical Variables ◽  
Anxiety And Depression ◽  
P Value ◽  
And Training

Abstract Introduction: Emergency department healthcare workers of Pakistan during COVID 19 pandemic are facing an acute rise of mental illnesses. In the present study, the authors aim to assess the frequency of anxiety and depression among healthcare workers in the emergency department. Methods: A cross-sectional online survey was conducted in the emergency department between July to August 2020 at Aga Khan University Hospital Karachi, Pakistan. The Hospital Anxiety and Depression (HAD) scale was used for mental illness assessment among emergency physicians and nurses. Descriptive analysis of grading as per Likert scale is done through frequencies, means and standard deviations. Categorical variables were expressed as frequency (%). Mann-Whitney U test was used to compare scores of various groups and sub-groups and Chi-square test was used to assess the association of depression and anxiety categories among the groups. Results: In the emergency department, 127 healthcare professionals (physicians and nurses) were included in this survey. Median depression score was 8 (IQR 6–10) with 21% (27) fall under depression and 39% (50) to borderline depression. Median anxiety score was 9 (IQR 7–12) with 33% (42) had abnormal, 38% (48) had borderline anxiety. Healthcare workers working for > 45 hours per week have odds of 3.62 [1.374–9.549] of developing depression compared to anxiety with a p-value of 0.009. Similarly, nurses and medical officers develop depression with odds of 2.18 [1.016–4.686] p-value 0.045 and 5.18 [0.197–1.02] p-value 0.002, respectively. Conclusion: In our study, we determined that healthcare workers working in the Emergency Department during COVID-19 pandemic suffered high levels of anxiety and depression, which is a matter of concern. Therefore, comprehensive support and training of emergency department healthcare providers are paramount to promote physical and mental wellbeing specifically through adequate provision and training on the use of personal protective equipment, strict infection control practices, shorter shift length, and provision of mental health and support services.

scholarly journals Mental Health and Quality of Life for Healthcare Workers in a University Hospital Under COVID-19

2021 ◽  
Author(s):  
Hye-Ji Choi ◽  
Chan-Mo Yang ◽  
Sang-Yeol Lee ◽  
Hye-Jin Lee ◽  
Seung-Ho Jang
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Healthcare Workers ◽  
University Hospital

Factors Affecting the Mental Health of University Hospital Nurses

2019 ◽  
Vol 20 (6) ◽  
pp. 1215-1224 ◽  
Author(s):  
Sung-Ja Yoon ◽  
Ju-Hee Hwang ◽  
Eun-Ha Park ◽  
Myeong-Hui Choe
Keyword(s):  
Mental Health ◽  
University Hospital ◽  
Hospital Nurses ◽  
Factors Affecting

scholarly journals How to evaluate a schedule for SARS-CoV-2 swab test timing: a mixed model approach to study how probability of SARS-CoV-2 positivity change over time. (Preprint)

2021 ◽  
Author(s):  
Roberto Benoni ◽  
Silvia Panunzi ◽  
Irene Campagna ◽  
Francesca Moretti ◽  
Giuliana Lo Cascio ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Mixed Model ◽  
Close Contact ◽  
False Negative ◽  
Health Surveillance ◽  
University Hospital ◽  
Contact Tracing ◽  
Surveillance Program ◽  
Changes Over Time ◽  
Over Time

BACKGROUND During COVID-19 pandemic, swab tests proved to be effective in containing the infection, as mean for early diagnosis and contact tracing strategy. However, little evidence exists regarding the correct timing for the execution of the swab test, especially in asymptomatic subjects and in healthcare workers. OBJECTIVE The objective of this study is to analyse changes over time of individual SARS-CoV-2 swab test positivity during a health surveillance program. METHODS The study was conducted on 2071 healthcare workers of the University Hospital of Verona having a known date of close-contact with a COVID-19 case. A generalized additive mixed model was used to investigate how the probability of a positive test result changes over time in the sample of subjects who tested positive to SARS-CoV-2 and in the subset of subjects having a first negative swab result before proving positive in order to test different surveillance interval times scenario. RESULTS Among the 2071 healthcare workers under study, 191 (9.2%) tested positive to SARS-CoV-2: 103 (54%) of them were asymptomatic and 49 (25.7%) had a first negative swab. The analysis on the association between days since close-contact and probability to test positive showed the highest probability (77%) between the 5th and 8th day. In the three testing intervals (3, 5 and 7 days) the probability peak was on the 6th day, between the 9th and 10th and between the 13th and 14th day respectively. CONCLUSIONS Swab tests can result in false negative outcomes. Probability to test positive resulted higher in the first 10 days after close-contact. Early testing and a health surveillance program with close intervals in this temporal window would be recommendable.

Healthcare-workers’ Aggressive Behavior Scale-Users--Mental Health Version

2019 ◽  
Author(s):  
José Antonio Ruiz-Hernández ◽  
María Sánchez-Muñoz ◽  
José Antonio Jiménez- Barbero ◽  
David Pina López ◽  
Inmaculada Galían-Muñoz ◽  
...  
Keyword(s):  
Mental Health ◽  
Aggressive Behavior ◽  
Healthcare Workers ◽  
Behavior Scale
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