The relationship between fatigue and depression and anxiety symptoms among front-line clinical workers during the COVID-19 pandemic (Preprint)

2020 ◽  
Author(s):  
Xiaofei Li ◽  
Ye Li ◽  
Hong Liang ◽  
Nianshi Wang ◽  
Zhixin Fan ◽  
...  
Keyword(s):  
Online Survey ◽  
Depression Scale ◽  
Educational Background ◽  
Epidemiologic Studies ◽  
Mental Fatigue ◽  
Depression And Anxiety ◽  
Physical Fatigue ◽  
Front Line ◽  
Cross Sectional ◽  
Psychological Pressure

BACKGROUND The initial outbreak of the COVID-19 disease occurred in Wuhan, China around the Spring Festival in 2020. In the face of such a high-intensity catastrophic epidemic response, Chinese doctors and nurses faced huge psychological pressure including fear, anxiety, and depression. OBJECTIVE The purpose of our study is to test the association between front-line clinical workers' fatigue and depression and anxiety during the COVID-19 epidemic. METHODS The current study is a cross-sectional, online survey administered to 275 healthcare professionals in Wuhan from February 22, 2020 to February 29, 2020. All respondents completed a questionnaire via WeChat, which collected demographics and responses on the Self-Rating Anxiety Scale (SAS), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Fatigue Scale-14 (FS-14). RESULTS A total of 275 participants completed the survey, including 46 doctors (16.73%) and 229 nurses (83.27%). Depression was significantly positively associated with physical fatigue (OR 1.61, 95% CI 1.41-1.83), mental fatigue (OR 1.98, 95% CI 1.60-2.45), and the total score (OR 1.56, 95% CI 1.39-1.75) after adjusting for age, occupation, gender, educational background, marital status, having children, years working, job title, and supporting time in Wuhan. Significant positive associations were also observed between the symptoms of anxiety and physical fatigue (OR 1.64, 95% CI 1.44-1.87), mental fatigue (OR 2.11, 95% CI 1.71-2.60), and the total score (OR 1.58, 95% CI 1.42-1.71) in the adjusted model. Similar associations between fatigue, depression, and anxiety were found in the analyses stratified by gender and occupation. CONCLUSIONS The current study demonstrated that, among the front-line clinical workers in Wuhan, fatigue is significantly associated with depression and anxiety and mental fatigue contributes to a greater risk than physical fatigue on the mental health of clinical workers. Males and doctors were found to be more vulnerable to psychological problems such as depression and anxiety under fatigue, suggesting the need for targeted psychological interventions.

scholarly journals Depression and Anxiety in Women During Pregnancy in Slovenia / Depresija In Anksioznost Pri Ženskah Med Nosečnostjo V Sloveniji

2015 ◽  
Vol 54 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Nuša Podvornik ◽  
Vislava Globevnik Velikonja ◽  
Peter Praper
Keyword(s):  
Pregnant Women ◽  
Trait Anxiety ◽  
State Anxiety ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Health Complications ◽  
High Trait Anxiety

Abstract Objective. The aim of the study was to evaluate the prevalence of elevated depression and anxiety among pregnant women and to examine its correlation with medical complications and socio-demographic characteristics. Methods. The study is based on a cross-sectional design of a sample of 348 women in three trimesters of pregnancy who received routine obstetrical care at the University Medical Centre Ljubljana, Department of Obstetrics and Gynaecology. The responding women filled out a questionnaire on socio-demographic variables, the Centre for Epidemiologic Studies Depression Scale CES-D and the State Trait Anxiety Inventory STAI. Results. 21.7% of pregnant women were identified as suffering from elevated depression symptomatology, 15.7% reported high state anxiety and 12.5% had high trait anxiety. No significant differences in depression and anxiety across pregnancy trimesters were found. The women who have suffered from health complications during previous pregnancies showed higher state anxiety; those experiencing complications during their current pregnancy reported more intense symptoms of depression and of state and trait anxiety than women free of complications. Less educated, lower income and mothers of many children in the third pregnancy trimester reported more intensive symptoms of depression and trait anxiety. Conclusions. Elevated depression and anxiety are frequent among pregnant women. The results draw attention to the need for early detection and treatment of depression and anxiety during pregnancy

scholarly journals Differential item functioning of the CESDR-R and GAD-7 in African and white working adults

2019 ◽  
Vol 45 ◽  
Author(s):  
Carolina Henn ◽  
Brandon Morgan
Keyword(s):  
Differential Item Functioning ◽  
Survey Design ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Depression And Anxiety ◽  
Measurement Instruments ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Working Adults ◽  
Item Functioning

Orientation: Depression and anxiety can have undesirable consequences for employees and their employers. It is therefore important that employers pay attention to the existence and extent of depression and anxiety. However, measuring these constructs requires unbiased, reliable and valid instruments.Research purpose: To facilitate unbiased measurement of depression and anxiety, we investigated differential item functioning of the Centre for Epidemiologic Studies Depression Scale-Revised (CESD-R) and Generalised Anxiety Disorder Scale 7 (GAD-7) in a sample of non-clinical African and white working adults.Motivation for the study: Biased measurement instruments can lead to serious problems when comparing scores between groups, using raw score cut-offs, or creating norm scores. Practitioners are legally and ethically required to ensure that any instrument used is unbiased.Research approach/design and method: A cross-sectional survey design was used. The CESD-R and GAD-7 were administered to working adults. A final sample of 551 CESD-R responses and 529 GAD-7 responses were included in the analyses. Ordinal logistic regression was performed to investigate differential item functioning.Main findings: Both CESD-R and GAD-7 showed some evidence of differential item functioning although it was mostly small in magnitude. Item bias had some minor non-negligible impact on aggregated observed scores within specific ranges of the underlying traits.Practical/managerial implications: Both CESD-R and GAD-7 show promise as instruments that can be utilised to explore the experience of anxiety and depression in African and white employees.Contribution/value-add: This study is a promising first step towards the measurement fairness of the CESD-R and GAD-7 in the South African context.

scholarly journals Psychological and Social Impact of COVID-19 in Pakistan: Need for Gender Responsive Policies

2020 ◽  
Author(s):  
FAUZIAH RABBANI ◽  
Hyder Ali Khan ◽  
Suneel Piryani ◽  
Areeba Raza Khan ◽  
Fahad Abid
Keyword(s):  
Social Media ◽  
Risk Perceptions ◽  
Online Survey ◽  
Social Impact ◽  
Depression Scale ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Precautionary Behavior ◽  
Radio Programs ◽  
Gender Impacts

Abstract BACKGROUNDCOVID-19 has rapidly crossed borders, infecting people throughout the world. Women may be especially vulnerable to depression and anxiety due to the pandemic, AIMSThis study attempted to assess how gender impacts risk perceptions, anxiety levels behavioral responses to the COVID 19 pandemic in Pakistan in order to recommend gender responsive health policies METHODSA cross-sectional online survey was conducted. Participants were asked to complete a sociodemographic data form, the Hospital Anxiety and Depression Scale (HADS), and questions on their risk perceptions, preventive behavior and information exposure. Regression analysis was used to assess effects of factors such as age, gender and household income on anxiety levels.RESULTSOf the 1390 respondents, 478 were women, and 913 were men. Women considered their chances of survival to be relatively lower than men ( 59 % women vs 73% men). They were also more anxious (62% women vs 50% men), and more likely to adopt precautionary behavior, such as avoiding going to the hospital (78% women vs. 71% men), not going to work (72% women and 57% men), and using disinfectants (93% women and 86% men). Men were more likely to trust friends, family and social media as reliable sources of COVID-19 information, while women were more likely to trust doctors.CONCLUSIONWomen experience a disproportion burden of the psychological and social impact of the pandemic compared to men. Involving doctors in healthcare communication targeting women, might prove effective. Social media and radio programs may be effective in disseminating information related to COVID among men.

scholarly journals The catastrophization of pain is related to the patient and not to the migraine

2021 ◽  
Author(s):  
Eduardo Almeida Guimarães Nogueira ◽  
Flávia Rodrigues de Oliveira ◽  
Vitor Martinez de Carvalho ◽  
Carina Tellaroli ◽  
Yara Dadalti Fragoso
Keyword(s):  
Online Survey ◽  
Depression Scale ◽  
Pain Scale ◽  
Anxiety And Depression ◽  
Visual Analogue Pain Scale ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Visual Analogue Pain ◽  
One Year ◽  
The Individual

Background: Catastrophization is a psychological aspect of pain that alters its perception and expression. Objective: Assess catastrophization in migraine. Design and setting: Cross-sectional observational study conducted by online survey, 2020. Method: Online survey of individuals suffering from migraine attacks at least twice a month, for at least one year. Confidentiality was assured. The participant gave details of his/her headache (including via a visual analogue pain scale) and answered the Hospital Anxiety and Depression Scale and the Catastrophization Scale questionnaires. Results: The survey identified 242 individuals with migraine attacks at least twice a month. The median scores observed in this group of individuals were 7 for pain, 11 for anxiety, 7 for depression and 2 for catastrophization. Catastrophization had no correlation with the duration or intensity of migraine pain. There was no correlation between catastrophization and headache frequency or the monthly amount of headache medication taken. High scores for catastrophization were identified in one third of the participants. High scores were not associated with age, headache duration, pain severity, frequency of attacks or traits of depression or anxiety. There was a moderate association between both depression and anxiety traits with catastrophization. Conclusion: Catastrophization seems to be a trait of the individual and appears to be unrelated to the characteristics of the migraine.

scholarly journals Factors associated with depression and anxiety in the adult population of Qatar after the first COVID-19 wave: a cross-sectional study

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Salma Mawfek Khaled ◽  
Iman Amro ◽  
Lina Bader ◽  
Peter Woodruff ◽  
Majid A. Alabdulla ◽  
...  
Keyword(s):  
Risk Factors ◽  
Online Survey ◽  
Adult Population ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Prior History ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Factors Associated ◽  
History Of

AbstractThere is limited data from Arabic-speaking countries on risk factors for depression and anxiety during the COVID-19 pandemic. Country-specific data is necessary given differences in culture, demographics, and COVID-19 infection and mortality rates. The main purpose of the study is to identify the factors associated with symptoms of depression-anxiety in the adult population of Qatar during the first year of the COVID-19 pandemic. We conducted a cross-sectional online survey in Qatar between July and December 2020 after Qatar’s first COVID-19 wave and before the beginning of the second wave. Depression-anxiety was defined as a cut-off of 20 or higher on the Patient Health Questionnaire-Anxiety Depression Scale (PHQ-ADS). Of 1138 participants, 71.0% were female, 69.0% Arabs, 70.0% Non-Qataris, and 77.0% were < 40 years (the median age in Qatar is 32 years). In a fully-adjusted model, six variables were significantly associated with moderate-to-severe levels of depression or anxiety on the PHQ-ADS; Arab ethnicity (OR = 1.67, p = 0.026), never married versus married (OR = 1.69, p = 0.015), prior history of psychiatric disorder versus no history (OR = 1.80, p = 0.009), increased worries due to social media use for COVID-related news/updates (OR = 1.72, p = 0.003), a history of COVID-19 (OR = 1.76, p = 0.039), loneliness (OR = 1.91, p < 0.001), and lower levels of religiosity (OR = 0.96, p = 0.039). These associations also pertained in the reduced model, with the exception of religiosity which was only marginally statistically significant (OR = 0.97, p = 0.055). The potential risk factors identified may assist with anxiety and depression prevention in future COVID-19 waves, and similar national events, and assist with early intervention to treat sufferers.

scholarly journals Factores psicosociales en estudiantes universitarios de Loreto, Ancash, Moquegua y Puno durante el confinamiento por el Covid-19, Perú

2021 ◽  
Vol 39 (68) ◽  
pp. 51-69
Author(s):  
Cynthia M. Apaza-Panca ◽  
Pedro J. Maquera-Luque ◽  
José O. Huanca-Frías ◽  
Luis A. Supo-Quispe ◽  
Anthony P. Távara-Ramos ◽  
...  
Keyword(s):  
University Students ◽  
Undergraduate Students ◽  
Online Survey ◽  
Depression Scale ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Undergraduate University Students ◽  
Vulnerability To Stress ◽  
Quantitative Descriptive ◽  
As Stress

The study was carried out with the objective of comparing and analyzing psychosocial factors such as stress, depression and anxiety in undergraduate university students from Loreto, Ancash, Moquegua and Puno during confinement by Covid-19, Peru. The study was based on a non-experimental, quantitative-descriptive, cross-sectional and correlational design with non-probability and intentional sampling, an online survey was applied to a sample of 665 undergraduate students using validated instruments such as the List of Indicators of Vulnerability to stress, the Zung Depression Scale, and the Hamilton Anxiety Scale. The study reports vulnerability to stress in 50.8%, 46.3%, 36.4% and 37.5% in Loreto, Ancash, Moquegua and Puno. The prevalence of depression was 100.0%, 97.6%, 96.9% and 95.2% between mild, moderate and severe; likewise, 100.0% presented anxiety symptoms. It was concluded that a situation of obligatory social confinement is directly related to the presence of stress, depression and anxiety, particularly in undergraduate university students, affecting a greater proportion of women; of these between 19 and 22 years, and with a higher incidence in regions with a greater number of confirmed cases; where insomnia, worry and irritability are the most significant symptoms.

scholarly journals Mental health crisis in healthcare providers in the COVID-19 pandemic: a cross-sectional facility-based survey

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e052184
Author(s):  
Chih-Wei Sung ◽  
Chi-Hsin Chen ◽  
Cheng-Yi Fan ◽  
Jia-How Chang ◽  
Chia Chun Hung ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Depressive Disorder ◽  
Acute Stress ◽  
Healthcare Providers ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Mental Health Crisis ◽  
Cross Sectional ◽  
Health Crisis ◽  
Levels Of Care

ObjectivesDuring a pandemic, healthcare providers experience increased mental and physical burden. Burnout can lead to treatment errors, patient mortality, increased suicidal ideation and substance abuse as well as medical malpractice suits among medical staff. This study aimed to investigate the occurrence of burnout, acute stress disorder, anxiety disorder and depressive disorder among healthcare providers at the third month of the COVID-19 pandemic.DesignA cross-sectional facility-based survey.SettingHospitals around the country with different levels of care.ParticipantsA total of 1795 respondents, including 360 men and 1435 women who participated in the survey.Primary outcome measuresBurnout was assessed using the Physician Work Life Study. A score of ≥3 implied burnout.ResultsOf the 1795 respondents, 723 (40.3%) reported burnout, and 669 (37.3%) cared for patients with COVID-19. Anxiety levels were mild in 185 (10.3%) respondents, moderate in 209 (11.6%) and severe in 1401 (78.1%). The mean Center for Epidemiologic Studies Depression Scale-10 score was 9.5±6.3, and 817 (45.5%) respondents were classified as having depression. Factors associated with burnout were working in acute and critical care (ACC) divisions (adjusted OR (aOR)=1.84, 95% CI 1.20 to 3.39, p=0.019), caring for patients with COVID-19 (aOR=3.90, 95% CI 1.14 to 13.37, p=0.031) and having depressive disorder (aOR=9.44, 95% CI 7.44 to 11.97, p<0.001).ConclusionsPhysicians and nurses are vulnerable to burnout during a pandemic, especially those working in ACC divisions. Anxiety disorder, depressive disorder and care of patients with COVID-19 may be factors that influence the occurrence of burnout among healthcare providers.

scholarly journals Association between self-care agency and depression and anxiety in patients with diabetic retinopathy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bo Zhang ◽  
Qin Wang ◽  
Xuancan Zhang ◽  
Li Jiang ◽  
Lezhi Li ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Rural Areas ◽  
Self Care ◽  
Depression Scale ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Clinical Factors ◽  
Cross Sectional ◽  
History Of ◽  
Care Agency

Abstract Background This study aimed at investigating: 1) the relationship between self-care agency and depression and anxiety; 2) the sociodemographic and clinical factors associated with depression and anxiety in patients with diabetic retinopathy (DR) in China. Methods A cross-sectional study was conducted. One-hundred and five patients with DR were recruited. Self-care agency was assessed by the exercise of self-care agency (ESCA) scale. Depression and anxiety were assessed by the hospital anxiety and depression scale (HADS-D and HADS-A). Pearson or Spearman correlations were performed to assess the association between self-care agency and depression and anxiety. Stepwise multivariate linear regression analyses were conducted to assess the contribution of the sociodemographic and clinical factors to depression and anxiety. Results Thirty-six (34.3%) and 43 (41.1%) patients exhibited depressive and anxiety symptoms, respectively. Only 24 (22.9%) patients showed a high self-care agency. The ESCA total and subscale scores were negatively correlated depressive symptoms (P < 0.05). Self-care skills were negatively correlated with anxiety symptoms (P < 0.05). ESCA total score, rural residence, history of hypertension and visual acuity were associated with depression; self-care skills and diastolic blood pressure were associated with anxiety. Conclusions Self-care agency negatively correlates with depression and anxiety in patients with DR. Special attention should be paid to patients living in rural areas and/or those having a history of hypertension when assessing depression and anxiety in patients with DR. Future studies are needed to clarify the causal relationship between self-care agency and depression and anxiety.

scholarly journals Prevalence of Depression and Anxiety amongst Cancer Patients in a Hospital Setting: A Cross-Sectional Study

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Anish Khalil ◽  
Muhammad Faheem ◽  
Ammad Fahim ◽  
Haran Innocent ◽  
Zainab Mansoor ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Mental Wellbeing ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.

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