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Current Psychiatry Research and Reviews

Editor-in-Chief

ISSN (Print): 2666-0822
ISSN (Online): 2666-0830

Cross-Sectional Study

Mental Health Disorders in Healthcare Workers Exposed to COVID-19, Mashhad, Iran: A Cross-sectional Study

Author(s): Amin Saeidinia, Ghazale Ghanabri, Adele Akbari, Fateme khazaei, Najme Khani, Ali Khakshour* and Mahdi Talebi

Volume 20, Issue 2, 2024

Published on: 27 December, 2022

Page: [172 - 180] Pages: 9

DOI: 10.2174/2666082219666221227124013

Price: $65

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Abstract

Background: Healthcare workers (HCWs) who are directly involved in the management of patients with SARS-CoV-2 infection are at higher risk of psychological disorders.

Objective: In this study, we evaluated the risk factors related to mental health disorders in HCWs active in the management of the COVID-19 pandemic in Mashhad, Iran.

Methods: This was a cross-sectional investigation performed between April 2020 and May 2020 at five referral centers in Mashhad, Iran. Patient Health Questionnaire (PHQ-9), 7-item Generalized Anxiety Disorder scale (GAD-7), Insomnia Severity Index (ISI), Impact of Event Scale–Revised (IESR), and VAS (for fear from COVID-19) to assess depression, anxiety, insomnia, distress and fear related to COVID-19 were filled. Risk factors were evaluated by the regression model.

Results: Mean ± SD age of participants was 33.84 ± 7.03 years. Most were females (64.2%). Of 360 participants, 252 had some degree of an anxiety disorder (70%), 63.8% had depression, 55.8% had insomnia, and 72.8% had distress. Work experiences (OR: 0.94, 95% CI = 0.901- 0.983, p = 0.007), exposure to COVID-19 patients (OR: 2.54, 95% CI = 1.37-4.69, p < 0.001), and job status (OR: 1.40, 95% CI = 1.19 -1.54, p < 0.001) were significant predictors of anxiety. Age (OR: 1.15, 95% CI = 1.05-1.27, p = 0.002), exposure to COVID-19 patients (OR: 1.95, 95% CI = 1.04-3.64, p = 0.037), work experience (OR: 0.86, 95% CI = 0.78-0.93, p < 0.001), having children (OR: 0.58, 95% CI = 0.39- 0.87, p = 0.008), and being infected with COVID-19 (OR: 9.95, 95% CI = 1.92-51.64, p < 0.001) were the significant independent factors for depression in participants.

Conclusion: COVID-19 could significantly affect HCWs mental health status, specifically depression. By targeting these predictors, health policymakers can reduce the burden of psychological disorders in HCWs.

Graphical Abstract

[1]
(a) Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. N Engl J Med 2020; 382(13): 1199-207.
[http://dx.doi.org/10.1056/NEJMoa2001316] [PMID: 31995857];
(b) Ahanchian H, Moazzen N, Joghatayi SH, et al. Death due to COVID-19 in an Infant with Combined Immunodeficiencies. Endocr Metab Immune Disord Drug Targets 2021; 21(9): 1649-52.
[PMID: 33087035];
(c) Keihanian F, Bigdelu L. Cardiovascular considerations in COVID19: A comprehensive review. Ther Clin Risk Manag 2020; 16: 1089-97.
[http://dx.doi.org/10.2147/TCRM.S264377] [PMID: 33204097];
(d) Keihanian F, Poorzand H, Saeidinia A, Eshraghi A. Echocardiographic and electrocardiographic findings in COVID-19 patients: A cross-sectional study. Int J Cardiovasc Imaging 2022; 38(10): 2167-75.
[2]
Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020; 3(3): e203976-6.
[http://dx.doi.org/10.1001/jamanetworkopen.2020.3976] [PMID: 32202646]
[3]
Ardestani MS, Ashtiani RD, Rezaei Z, Vasegh S, Gudarzi SS. Validation of Persian version of PHQ-9 for diagnosis of major depressive episode in psychiatric wards in Iran. Int J Behav Sci 2018; 5(2): 1-8.
[4]
Kawasuji H, Takegoshi Y, Kaneda M, et al. Transmissibility of COVID-19 depends on the viral load around onset in adult and symptomatic patients. PLoS One 2020; 15(12): e0243597.
[http://dx.doi.org/10.1371/journal.pone.0243597] [PMID: 33296437]
[5]
(a) Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv 2004; 55(9): 1055-7.
[http://dx.doi.org/10.1176/appi.ps.55.9.1055] [PMID: 15345768];
(b) Lee AM, Wong JGWS, McAlonan GM, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry 2007; 52(4): 233-40.
[http://dx.doi.org/10.1177/070674370705200405] [PMID: 17500304]
[6]
Sadeghniiat-Haghighi K, Montazeri A, Khajeh-Mehrizi A, Nedjat S, Aminian O. The Insomnia Severity Index: cross-cultural adaptation and psychometric evaluation of a Persian version. Qual Life Res 2014; 23(2): 533-7.
[http://dx.doi.org/10.1007/s11136-013-0489-3] [PMID: 23912857]
[7]
Talevi D, Socci V, Carai M, et al. Mental health outcomes of the CoViD-19 pandemic. Riv Psichiatr 2020; 55(3): 137-44.
[PMID: 32489190]
[8]
Koh D, Lim MK, Chia SE, et al. Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn? Med Care 2005; 43(7): 676-82.
[http://dx.doi.org/10.1097/01.mlr.0000167181.36730.cc] [PMID: 15970782]
[9]
Poon E, Liu KS, Cheong DL, Lee CK, Yam LY, Tang WN. Impact of severe respiratory syndrome on anxiety levels of front-line health care workers. Hong Kong Med J 2004; 10(5): 325-30.
[PMID: 15479961]
[10]
Ho CS. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic 2020; 49(1): 1-3.
[11]
Abasi I, Mohammadkhani P, Pourshahbaz A, Dolatshahi B. The psychometric properties of attentional control scale and its relationship with symptoms of anxiety and depression: A study on Iranian population. Iran J Psychiatry 2017; 12(2): 109-17.
[PMID: 28659983]
[12]
Panaghi L, Mogadam JA. Persian version validation in impact of event Scale-Revised. Tehran Univ Med J TUMS Publications 2006; 64(3): 52-60.
[13]
Chua SE, Cheung V, McAlonan GM, et al. Stress and psychological impact on SARS patients during the outbreak. Can J Psychiatry 2004; 49(6): 385-90.
[http://dx.doi.org/10.1177/070674370404900607] [PMID: 15283533]
[14]
Wu P, Fang Y, Guan Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry 2009; 54(5): 302-11.
[http://dx.doi.org/10.1177/070674370905400504] [PMID: 19497162]
[15]
Kim JY, Song JY, Yoon YK, et al. Middle East respiratory syndrome infection control and prevention guideline for healthcare facilities. Infect Chemother 2015; 47(4): 278-302.
[http://dx.doi.org/10.3947/ic.2015.47.4.278] [PMID: 26788414]
[16]
Wong TW, Yau JKY, Chan CLW, et al. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. Eur J Emerg Med 2005; 12(1): 13-8.
[http://dx.doi.org/10.1097/00063110-200502000-00005] [PMID: 15674079]
[17]
Chan-Yeung M. Severe acute respiratory syndrome (SARS) and healthcare workers. Int J Occup Environ Health 2004; 10(4): 421-7.
[http://dx.doi.org/10.1179/oeh.2004.10.4.421] [PMID: 15702757]
[18]
(a) Li L, Cheng S, Gu J. SARS infection among health care workers in Beijing, China. JAMA 2003; 290(20): 2662-3.
[http://dx.doi.org/10.1001/jama.290.20.2662] [PMID: 14645305];
(b) Shih FJ, Gau ML, Kao CC, et al. Dying and caring on the edge: Taiwan’s surviving nurses’ reflections on taking care of patients with severe acute respiratory syndrome. Appl Nurs Res 2007; 20(4): 171-80.
[http://dx.doi.org/10.1016/j.apnr.2006.08.007] [PMID: 17996803]

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