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Current Psychiatry Research and Reviews

Editor-in-Chief

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

Research Article

Assessing Depression, Anxiety, Perceived Stress, and Job Burnout in Hospital Medical Staff During COVID-19: A Cross-sectional Study in Hamedan, Iran, 2019

Author(s): Saeid Yazdi-Ravandi, Nasrin Matinnia, Arya Haddadi, Mojtaba Tayebi, Mojgan Mamani and Ali Ghaleiha*

Volume 20, Issue 3, 2024

Published on: 11 January, 2024

Page: [228 - 242] Pages: 15

DOI: 10.2174/0126660822262216231120062102

Price: $65

Abstract

Background: The medical staff who fought on the front line against the COVID- 19 pandemic were more affected by its physical and psychological dangers than others.

Objective: This study aimed to investigate the level of depression, stress, anxiety, and job burnout of the medical staff in the COVID-19 wards of Hamedan Hospitals.

Methods: In this cross-sectional study, the study population consisted of all medical staff working in educational and treatment centers affiliated with Hamedan University of Medical Sciences in 2019, of which 173 were medical staff in COVID-19 wards, and 173 were medical staff included by systematic random sampling from other wards. Data were collected using a demographic information checklist, Beck Depression Inventory, Beck Anxiety Inventory, perceived stress scale, and Maslach Burnout Inventory. The data were analyzed with chi-square coefficient tests and one-way analysis of variance (ANOVA) with SPSS-22 software.

Results: About 26.9% of medical staff in COVID-19 wards had high job burnout, significantly different from those in non-COVID-19 wards (p < 0.05). The incidence of depression was 67.5% among the medical staff in COVID-19 wards, including twenty-nine people (18.5%) with mild depression, forty-two (26.7%) with moderate depression, and thirtyfive (22.3%) with severe depression. Thirty people (19.1%) had mild anxiety, forty-three (27.4%) had moderate anxiety, and three (3.3%) had severe anxiety. In addition, the prevalence of perceived stress was 94.3%. A statistically significant difference was observed between depression, anxiety, perceived stress, and job burnout in the medical staff of COVID-19 wards and other wards (p < 0.05).

Conclusions: Stress, anxiety, depression, and job burnout among staff working in COVID- 19 wards differ significantly from other hospital wards employees. In similar circumstances to this pandemic, paying extra attention to medical staff is essential due to their role and the effect of their health on society’s health.

[1]
World Health Organization. Coronavirus Disease 2019 (COVID-19): Situation Report 34. Available from: https://apps.who.int/iris/handle/10665/331220
[2]
Bajema KL, Oster AM, McGovern OL, et al. Persons evaluated for 2019 Novel Coronavirus-United States, January 2020. MMWR Morb Mortal Wkly Rep 2020; 69(6): 166-70.
[http://dx.doi.org/10.15585/mmwr.mm6906e1] [PMID: 32053579]
[3]
Sullivan V, Hughes V, Wilson DR. Nursing burnout and its impact on health. Nurs Clin North Am 2022; 57(1): 153-69.
[http://dx.doi.org/10.1016/j.cnur.2021.11.011] [PMID: 35236605]
[4]
Milutinović D, Golubović B, Brkić N, Prokeš B. Professional stress and health among critical care nurses in Serbia. Arh Hig Rada Toksikol 2012; 63(2): 171-80.
[http://dx.doi.org/10.2478/10004-1254-63-2012-2140] [PMID: 22728799]
[5]
Fasbender U, Van der Heijden BIJM, Grimshaw S. Job satisfaction, job stress and nurses’ turnover intentions: The moderating roles of on-the-job and off-the-job embeddedness. J Adv Nurs 2019; 75(2): 327-37.
[http://dx.doi.org/10.1111/jan.13842] [PMID: 30187541]
[6]
Williams HL, Costley T, Bellury LM, Moobed J. Do health promotion behaviors affect levels of job satisfaction and job stress for nurses in an acute care hospital? J Nurs Adm 2018; 48(6): 342-8.
[http://dx.doi.org/10.1097/NNA.0000000000000625] [PMID: 29794598]
[7]
reza GG, Valiei S, Rezaei M, Rezaei K. The relationship between personality characteristics and Nursing occupational stress. Iran J Psychiatr Nurs 2013; 1(3): 27-34.
[8]
Khamseh F, Roohi H, Ebaady A, Hajiamini Z, Salimi H, Radfar S. Survey relationship between demographic factors and stress, anxiety and depression in nurses working in selected hospitals in Tehran city. J Holist Nurs Midwifery 2011; 21(1): 13-21.
[9]
van Barneveld E, Manders J, van Osch FHM, et al. Depression, anxiety, and correlating factors in endometriosis: A systematic review and meta-analysis. J Womens Health 2022; 31(2): 219-30.
[http://dx.doi.org/10.1089/jwh.2021.0021] [PMID: 34077695]
[10]
Kikuchi Y, Nakaya M, Ikeda M, Takeda M, Nishi M. Job stress and temperaments in female nurses. Occup Med 2013; 63(2): 123-8.
[http://dx.doi.org/10.1093/occmed/kqs212] [PMID: 23266430]
[11]
Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun 2020; 88: 901-7.
[http://dx.doi.org/10.1016/j.bbi.2020.05.026] [PMID: 32437915]
[12]
Sharifi A, Fallahi-Khoshknab M, Mohammadi S, et al. Depression, anxiety, and stress among Iranian nurses in COVID-19 care wards. BMC Psychol 2022; 10(1): 205.
[http://dx.doi.org/10.1186/s40359-022-00911-8] [PMID: 35987839]
[13]
Leiter MP, Maslach C. Burnout at Work. A psychological perspective 2014.
[http://dx.doi.org/10.4324/978131589416]
[14]
Stufano A, Awoonor-Williams JK, Vimercati L. Editorial: Factors and health outcomes of job burnout. Front Public Health 2022; 10: 1023462.
[http://dx.doi.org/10.3389/fpubh.2022.1023462] [PMID: 36424976]
[15]
Al Sabei SD, Al-Rawajfah O, AbuAlRub R, Labrague LJ, Burney IA. Nurses’ job burnout and its association with work environment, empowerment and psychological stress during COVID-19 pandemic. Int J Nurs Pract 2022; 28(5): e13077.
[http://dx.doi.org/10.1111/ijn.13077] [PMID: 35770445]
[16]
Zareei M, Tabanejad Z, Oskouie F, Ebadi A, Mesri M. Job burnout among nurses during COVID-19 pandemic: A systematic review. J Educ Health Promot 2022; 11(1): 107.
[http://dx.doi.org/10.4103/JEHP.JEHP_797_21] [PMID: 35573618]
[17]
Zarei S, Fooladvand K. Mediating effect of sleep disturbance and rumination on work-related burnout of nurses treating patients with coronavirus disease. BMC Psychol 2022; 10(1): 197.
[http://dx.doi.org/10.1186/s40359-022-00905-6] [PMID: 35962404]
[18]
Zahednezhad H, Zareiyan A, Zargar Balaye Jame S. Relationship between quality of work-life, resilience and burnout among nursing professionals during COVID-19 pandemic in Iran: A cross-sectional study. Belitung Nursing Journal 2021; 7(6): 508-15.
[http://dx.doi.org/10.33546/bnj.1702] [PMID: 37497286]
[19]
Wang L, Dong X, An Y, et al. Relationships between job burnout, ethical climate and organizational citizenship behaviour among registered nurses: A cross-sectional study. Int J Nurs Pract 2023; 29(5): e13115.
[http://dx.doi.org/10.1111/ijn.13115] [PMID: 36285488]
[20]
Ashoori J. Prediction nurse’s job burnout based on social capital, perceived social support and organizational citizenship behavior. Pajouhan Sci J 2017; 15(2): 13-9.
[http://dx.doi.org/10.21859/PSJ-15023]
[21]
Beck AT, Steer RA, Brown G. Beck depression inventory-II. Psychol Assess 1996.
[22]
Mohamadian R, Khazaie H, Ahmadi SM, et al. The psychometric properties of the persian versions of the patient health questionnaires 9 and 2 as screening tools for detecting depression among university students. Int J Prev Med 2022; 13(1): 116.
[http://dx.doi.org/10.4103/IJPVM.IJPVM_213_20] [PMID: 36276890]
[23]
Steer RA, Beck AT. Beck anxiety inventory. In: Encyclopedia of Personality and Individual Differences. 2017; pp. 1-4.
[24]
Zangeneh Soroush M, Tahvilian P, Koohestani S, et al. Effects of COVID-19-related psychological distress and anxiety on quality of sleep and life in healthcare workers in Iran and three European countries. Front Public Health 2022; 10: 997626.
[http://dx.doi.org/10.3389/fpubh.2022.997626] [PMID: 36504977]
[25]
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 24(4): 385-96.
[http://dx.doi.org/10.2307/2136404] [PMID: 6668417]
[26]
Maroufizadeh S, Zareiyan A, Sigari N. Reliability and validity of Persian version of perceived stress scale (PSS-10) in adults with asthma. Arch Iran Med 2014; 17(5): 361-5.
[PMID: 24784866]
[27]
Moalemi S, Kavoosi Z, Beygi N, Deghan A, Karimi A, Parvizi MM. Evaluation of the Persian version of maslach burnout inventory-human services survey among Iranian nurses: Validity and reliability. Galen Med J 2018; 7: e995.
[http://dx.doi.org/10.31661/gmj.v7i0.995] [PMID: 34466422]
[28]
An Y, Yang Y, Wang A, et al. Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak. J Affect Disord 2020; 276: 312-5.
[http://dx.doi.org/10.1016/j.jad.2020.06.047] [PMID: 32871661]
[29]
Liu Y, Chen H, Zhang N, et al. Anxiety and depression symptoms of medical staff under COVID-19 epidemic in China. J Affect Disord 2021; 278: 144-8.
[http://dx.doi.org/10.1016/j.jad.2020.09.004] [PMID: 32961409]
[30]
Haddadi A, Ebrahimi ME. The effect of yalom group therapy on resiliency and communication skills in students. Health Research Journal 2020; 5(3): 188-98.
[http://dx.doi.org/10.29252/hrjbaq.5.3.188]
[31]
Haddadi A, Ebrahimi ME, Zamani N, Zarabian N. Effects of yalom group therapy on the resilience and meaning in life of the nurses in Covid-19 centers. Avicenna J Neuropsychophysiol 2021; 8(4): 209-14.
[http://dx.doi.org/10.32592/ajnpp.2021.8.4.107]
[32]
Haddadi A, Yazdi-Ravandi S, Moradi A, Hajaghaie E. Comparing the resilience of the medical staff during the COVID-19 pandemic after yalom group psychotherapy and acceptance and commitment group therapy. Journal of Research & Health 2023; 13(3): 227-36.
[http://dx.doi.org/10.32598/JRH.13.3.1751.1]
[33]
Li JM, Wu R, Zhang T, et al. Psychological responses of medical staff during COVID-19 and the adjustment effect of brief mindfulness meditation. Complement Ther Clin Pract 2022; 48: 101600.
[http://dx.doi.org/10.1016/j.ctcp.2022.101600] [PMID: 35580535]
[34]
Şahan E, Tangılntız A. State and trait anxiety among medical staff during the first month of COVID-19 pandemic: A sample from Turkey. Int J Psychiatry Med 2022; 57(4): 338-56.
[http://dx.doi.org/10.1177/00912174211042698] [PMID: 34435896]
[35]
Alboghdadly A, Saadh MJ, Kharshid AM, Shaalan MS, Alshawwa SZ. Assessment of anxiety level and sleep quality of medical staff treating patients with COVID-19. Eur Rev Med Pharmacol Sci 2022; 26(1): 312-9.
[http://dx.doi.org/10.26355/EURREV_202201_27783] [PMID: 35049010]
[36]
Chen Y, Zhang L, Qi H, et al. Relationship between negative emotions and job burnout in medical staff during the prevention and control of the COVID-19 epidemic: The mediating role of psychological resilience. Front Psychiatry 2022; 13: 857134.
[http://dx.doi.org/10.3389/fpsyt.2022.857134] [PMID: 35815046]
[37]
Alblihed M, Alzghaibi HA. The Impact of job stress, role ambiguity and work–life imbalance on turnover intention during COVID-19: A case study of frontline health workers in Saudi Arabia. Int J Environ Res Public Health 2022; 19(20): 13132.
[http://dx.doi.org/10.3390/ijerph192013132] [PMID: 36293713]
[38]
Wan Z, Lian M, Ma H, Cai Z, Xianyu Y. Factors associated with burnout among Chinese nurses during COVID-19 epidemic: A cross-sectional study. BMC Nurs 2022; 21(1): 51.
[http://dx.doi.org/10.1186/s12912-022-00831-3] [PMID: 35227272]

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