scholarly journals CORONAcrisis—An Observational Study on the Experience of Healthcare Professionals in a University Hospital during a Pandemic Emergency

Author(s):  
Teresa Matarazzo ◽  
Francesca Bravi ◽  
Giorgia Valpiani ◽  
Chiara Morotti ◽  
Francesca Martino ◽  
...  

The Coronavirus disease 2019 (COVID-19) pandemic continues to affect millions worldwide and has posed unique challenges to healthcare professionals. Caring for patients during a pandemic may have negative impacts on their mental health. We describe the first part of a study using a mixed-method sequential explanatory design (QUANT→QUAL). This quantitative part examines the experiences of healthcare professionals during the pandemic in a University Hospital in Italy. We performed a cross-sectional hospital-based survey involving all healthcare professionals between 19 May 2020 and 3 June 2020. Perceived Stress Scale, Patient Health Questionnaire, and General Anxiety Disorder scores were calculated, in order to assess how the pandemic emergency changed the occupational and social habits of the healthcare professionals. The mean age of the 275 respondents was 47 years and females accounted for 80.2%. A total of 29.8% had a Perceived Stress Scale (PSS) score ≥25, 22.9% scored ≥15 on the Patient Health Questionnaire (PHQ-9) scale, and 17.1% scored ≥15 on the General Anxiety Disorder (GAD) scale. Stress symptoms were mostly manifested for interviewees over 55, females, those who live far from their family, those who have only one child, and those who had a qualification lower than high school or who had a medical specialization. Our findings show a relevant level of psychological distress, anxiety, and depression in up to 30% of the sample, highlighting a significant psychological burden in all professionals.

2021 ◽  
Vol 19 ◽  
Author(s):  
Gabriel Trevizani Depolli ◽  
Jéssica Nascimento Brozzi ◽  
Andressa de Oliveira Perobelli ◽  
Bruno Lima Alves ◽  
Carmen Barreira-Nielsen

Resumo O estudo visou comparar escores de ansiedade e depressão em profissionais da saúde em atendimento remoto ou presencial em um hospital universitário brasileiro durante a pandemia de Covid-19 e identificar fatores associados à ansiedade e à depressão. Para tanto, realizou-se um estudo observacional e transversal. Os participantes responderam aos protocolos Patient Health Questionnaire-9 e General Anxiety Disorder-7, além de um questionário sociodemográfico, e foram divididos em três grupos: profissionais da telessaúde (G1), profissionais que exercem de maneira presencial (G2) e profissionais que exercem de ambas as formas (G3). Participaram 159 profissionais da saúde, sendo 36 homens e 123 mulheres, a maioria de enfermeiros, com a média de idade de 42 anos. Os participantes do G2 apresentaram maiores escores de ansiedade e depressão quando comparados aos demais. No entanto, não houve diferenças e associações estatísticas significantes entre esses grupos (p>0,05). ‘Idade’, ‘tipo de profissão’ e ‘receber diagnóstico de Covid-19’ tiveram associações estatísticas com ansiedade e depressão. Concluiu-se que não houve diferença significante entre ansiedade e depressão em profissionais da saúde que trabalham de forma remota ou presencial, assim como não houve associações entre os protocolos e os grupos. ‘Idade’ ‘profissão’ e ‘receber diagnóstico de Covid-19’ podem interferir nesses escores.


2021 ◽  
Vol 4 (5) ◽  
Author(s):  
Thays Oliveira Silva ◽  
Davy Nicodemos de Lucena ◽  
Juliana Seara dos Santos Vieira ◽  
Rodolfo Augusto dos Santos Mendonça ◽  
Aída Felisbela Leite Lessa Araújo ◽  
...  

A pandemia instituída pela Organização Mundial de Saúde (OMS), devido ao surgimento desenfreado da cepa Sars-Cov-2, já existente, porém, não tão presente e/ou conhecido no meio, da família Coronaviridae, desencadeou um número elevado de infectados a nível mundial, principalmente de profissionais de saúde, e morte de milhares de pessoas. O objetivo é identificar os impactos causados durante esse período na saúde mental dos profissionais de saúde que atuam no Serviço de Atendimento Móvel de Urgência de Maceió-AL. A pesquisa foi realizada com esses profissionais, no Centro Universitário CESMAC, através de formulários online via Google forms. Os questionários foram divididos em três partes: a primeira tem a finalidade de avaliar a relação entre trabalho exercido e o medo de contrair a COVID-19, incidência de sintomas ansiosos e/ou depressivos durante a pandemia, entre outros; a segunda e terceira partes são utilizadas para aplicação do Patient Health Questionnaire-9 (PHQ-9), para rastreamento de depressão, e o General Anxiety Disorder-7 (GAD-7), para a frequência de sintomas ansiosos, nas últimas semanas. Os participantes da pesquisa apresentaram média de idade de 38,5 anos (DP: 10,5) e eu os mesmos apresentaram e desenvolveram com mais frequência ansiedade e depressão nesse período, principalmente naqueles que com idade menor, além de aumento no consumo de álcool, principalmente entre os profissionais do sexo masculino. Diante dos dados encontrados, faz-se necessária a busca por estratégias de orientação e prevenção quanto à saúde mental desses profissionais.


2021 ◽  
Vol 7 ◽  
pp. 205520762110606
Author(s):  
Silvan Hornstein ◽  
Valerie Forman-Hoffman ◽  
Albert Nazander ◽  
Kristian Ranta ◽  
Kevin Hilbert

Objective Predicting the outcomes of individual participants for treatment interventions appears central to making mental healthcare more tailored and effective. However, little work has been done to investigate the performance of machine learning-based predictions within digital mental health interventions. Therefore, this study evaluates the performance of machine learning in predicting treatment response in a digital mental health intervention designed for treating depression and anxiety. Methods Several algorithms were trained based on the data of 970 participants to predict a significant reduction in depression and anxiety symptoms using clinical and sociodemographic variables. As a random forest classifier performed best over cross-validation, it was used to predict the outcomes of 279 new participants. Results The random forest achieved an accuracy of 0.71 for the test set (base rate: 0.67, area under curve (AUC): 0.60, p = 0.001, balanced accuracy: 0.60). Additionally, predicted non-responders showed less average reduction of their Patient Health Questionnaire-9 (PHQ-9) (−2.7, p = 0.004) and General Anxiety Disorder Screener-7 values (−3.7, p < 0.001) compared to responders. Besides pre-treatment Patient Health Questionnaire-9 and General Anxiety Disorder Screener-7 values, the self-reported motivation, type of referral into the programme (self vs. healthcare provider) as well as Work Productivity and Activity Impairment Questionnaire items contributed most to the predictions. Conclusions This study provides evidence that social-demographic and clinical variables can be used for machine learning to predict therapy outcomes within the context of a therapist-supported digital mental health intervention. Despite the overall moderate performance, this appears promising as these predictions can potentially improve the outcomes of non-responders by monitoring their progress or by offering alternative or additional treatment.


Author(s):  
Csanád Szabó ◽  
Judit Pukánszky ◽  
Lajos Kemény

We aimed to explore psychological effects of the coronavirus pandemic on Hungarian adults in the time of the national quarantine situation in May 2020.We conducted a cross-sectional observational study with the use of an anonymous online questionnaire that consisted of 65 items. The following measuring instruments were used: Perceived Stress Scale (PSS-10); The General Anxiety Disorder Assessment (GAD)-2; The Patient Health Questionnaire (PHQ)-2; European Quality of Life Visual Analogue Scale (EQ-VAS); Self-administered inventory of complaints (Hungarian questionnaire); Shortened (Hungarian) version of the Ways of Coping Questionnaire; 2 open-ended questions to examine the participants’ mood and ways of coping during the pandemic. The data of 431 participants were analyzed, their average age was 47.53 ± 11.66 years, and the percentage of females was 90%. The mean of participants’ scores were the following: 19.34 ± 7.97 for perceived stress, 73.05 ± 21.73 for health status, and 8.68 ± 4.65 for neurotic complaints. Thirty-four and one-tenth percent of participants were depressed, 36.2% were anxious, and they tended to use problem-focused coping strategies more frequently than emotion-focused ones. We found significant correlations between all of the seven examined psychological variables. Our results highlight the importance of stress management in the psychological support of healthy adults in quarantine situation caused by the coronavirus pandemic.


2021 ◽  
Author(s):  
Francisco José Barbosa-Camacho ◽  
Olaya Moramay Romero-Limón ◽  
Juan Carlos Ibarrola-Peña ◽  
Yolanda Lorelei Almanza-Mena ◽  
Kevin Josue Pintor-Belmontes ◽  
...  

Abstract BackgroundAfter almost nine months of social isolation, the high incidence of depression and anxiety is understandable. However, depression and anxiety can adversely affect the quality of life. One of the biggest challenges in this global pandemic is providing education within public and private academic institutes.MethodsThis study was a cross-sectional survey distributed online from April to June 2020. We used the Patient Health Questionnaire-9 depression screening scale and the General Anxiety Disorder-7 screening scale to identify the presence of mental health disorders such as depression or anxiety in undergraduate and graduate students. We used the Academic Self-Concept Scale to determine whether these disorders altered students' perception of their academic performance.ResultsA total of 610 students answered the survey: 386 female (63.3%) and 224 male (36.7%). Most students (71.5%) had not participated in online courses before. When asked about their class preferences, 581 students (95.2%) preferred to be taught in classes. The average Academic Self-Concept Scale score was 2.76 ± 0.35. The Academic Self-Concept Scale scores were divided into Confidence and Effort categories, and their respective mean scores were 2.71 ± 0.37 and 2.82 ± 0.45. The total mean Patient Health Questionnarie-9 scores were 11.94 ± 6.90, and the mean General Anxiety Disorder-7 score was 10.30 ± 5.66. There were significant effects of the severity of depression and anxiety on the Academic Self-Concept Scale scores (p < 0.001 and p < 0.05, respectively).ConclusionsThe findings suggest that changing from classroom-based teaching to online delivery is not a challenge for students in the normal situation. However, being quarantined can be stressful and frustrating, which may challenge effective learning.Trial registrationThe study protocol was submitted to ClinicalTrials.gov and registered with the identifier: NCT04420416.


2020 ◽  
Vol 11 ◽  
Author(s):  
Mina Kim ◽  
In-Hoo Park ◽  
Young-Shin Kang ◽  
Honey Kim ◽  
Min Jhon ◽  
...  

Objectives: This study aimed to compare psychosocial distress in areas in Korea with different prevalence of coronavirus disease 2019 (COVID-19) after validating a questionnaire on psychological experiences and stress associated with the disease outbreak.Methods: Using an online-based survey, psychosocial distress associated with COVID-19 was investigated in three regions, which were selected according to their prevalence of COVID-19. A total of 1,500 people from an online public panel in the three regions participated in the study. The questionnaire included sociodemographic information, psychosocial experience and stress related to COVID-19, and the perceived stress scale (PSS), patient health questionnaire-9 (PHQ-9), and generalized anxiety disorder-7 (GAD-7). Those questionnaires and scales were compared by level of prevalence of COVID-19 after validating the questionnaire on psychosocial distress associated with COVID-19.Results: The 19 items on psychosocial experience associated with COVID-19 comprised 5 subscales, with favorable Cronbach's α ranging from 0.69 to 0.88. Six stress items related to COVID-19 had a Cronbach's α of 0.79. Disturbance in eating and sleeping, difficulty with outside activities, stress from COVID-19, and PSS scores were greater in the areas where COVID-19 was highly prevalent. Economic problems, daily activity changes, and anger toward society were higher in the higher-prevalence regions.Discussion: Psychosocial distress associated with COVID-19 was closely related to the prevalence of the disease in the areas where participants lived. Psychosocial interventions for distress associated with COVID-19 should be developed and prepared for people during this lengthy pandemic.


Author(s):  
Mohammed Amine Lafraxo ◽  
Mohammed Ouadoud ◽  
Youssef El Madhi ◽  
Abdelmajid Soulaymani

This study aimed to assess the prevalence of stress among healthcare professionals, and to study coping strategies adopted to deal with stress. This is an observational study of a cross-sectional type. A self-administered survey was used to determine the personal and professional characteristics. The Perceived Stress Scale to assess the level of perceived stress. The Ways of Coping Checklist to measure coping strategies. The Perceived Stress Scale shows that the study population is susceptible to stress. Problem-focused coping emerged as the most frequently used coping process for coping with stress. The results lead us to question the importance of coping strategies and to propose effective solutions, the use of new technology is recommended for coping with stress.


2018 ◽  
Vol 9 (1) ◽  
pp. 58
Author(s):  
Hend E. Mohammed ◽  
Amal H. Mohammed ◽  
Sabah S. Hassan

Background and objective: Educating the epileptic patient represents a critical part of quality care and is considered a therapeutic outcome for those patients. This study aimed to determine epileptic patients' knowledge regarding the disease and frequency of seizure attacks prior to the implementation of the educational protocol and to evaluate the effect of an educational protocol on epileptic patient's knowledge and frequency of seizure attacks.Methods: Design: A quasi-experimental (pre-posttest) design was submit to meet the aim of the study. Patients: Sixty convenient male and female adult seizure patients were their age ranged between 18-64 years. Setting: This study was carried out in Neurological department and neurology out-patient clinic at Minia University Hospital.  Tools of data collection: Four tools were utilized; Pre/posttest questionnaire sheet, Perceived Stress Scale, Epworth Sleepiness Scale, and patient teaching booklet.Results: About 86.7% of the study sample has an unsatisfactory level of knowledge about seizures and 13.3% have satisfactory knowledge about seizures before the implementation of the protocol. While in posttest II it was noticed that 90.0% have satisfactory knowledge about seizures. There was a high positive significant correlation between perceived stress scale and frequency of attacks among the study subjects.Conclusions: An improvement in seizure patients’ knowledge after the implementation of the educational protocol. An improvement in patient’s knowledge positively reflected on minimization and control frequency of seizure attacks. Recommendation: An educational and training protocol should be planned in a continuous manner and offered on regular basis to seizure patients.


2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 259-265
Author(s):  
Fatma Uçan Yarkaç ◽  
Ümmühan Tekin Atay ◽  
Nisa Nur Dinçer ◽  
Elif Öncü

Aim: Coronavirus disease 2019 (COVID-19) can cause stress, anxiety, and fear, especially in healthcare workers as it has a high risk of transmission. The aim of this study was to investigate the levels of stress and anxiety during the COVID-19 pandemic among dentists working in our country. Methodology: The study included 164 dentists. Sociodemographic data and the stress and anxiety levels of the individuals who participated in the study were recorded. The COVID-19 Stress Scale and the Perceived Stress Scale-10 were used for evaluation of the stress levels, and the Generalized Anxiety Disorder 7 was used to evaluate the anxiety levels. All data were considered statistically significant at p < 0.05. Results: Among those who participated in the study, 112 were women and 52 were men, and 50% of them were 20 to 30 years of age. Based on the information these dentists provided, 63% did not have any expertise and 66% had worked in the normalization process. Their scores in the COVID-19 Stress Scale, the Generalized Anxiety Disorder Scale 7, and Perceived Stress Scale-10 were 64.4 ± 25.2, 5.46 ± 4.8, and 18.8 ± 5.9, respectively, and there was a positive correlation between all scales. When evaluating the stress levels according to gender, it was observed that those of the female dentists were higher than those of the male dentists (p < 0.05). There was no significant difference in the anxiety levels between the male and female dentists. While there were no significant differences between the dentists who worked during the pandemic process and those who did not work (p > 0.05), the COVID-19 stress levels were found to be lower in the normalization process (p < 0.05). Conclusion: The COVID-19 pandemic has caused stress and anxiety in dentists and has affected female dentists more than male dentists. In addition, working during the pandemic process can benefit dentists by helping to reduce the stress caused by the pandemic.   How to cite this article: Öncü E, Dinçer NN, Uçan Yarkaç F, Tekin Atay Ü. Evaluation of dentists' stress and anxiety levels in the COVID-19 pandemic. Int Dent Res 2021;11(Suppl.1):259-65. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.38   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.


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