The Psychological Stress of the COVID-19 Pandemic on the Mental Health of Healthcare Workers in the Kurdistan Region
Abstract
Coronavirus disease-19 (COVID-19) pandemic can lead to terrific condition among healthcare workers (HCWs) and severe stress reactions can raise the risk of secondary trauma. The aim of this study was determine the psychological burden of the COVID-19 outbreak on HCWs. The cross-sectional quantitative survey was conducted online from September 1 to September 18, 2020. Online questionnaires employing scales including the generalized anxiety disorder (GAD-7), patient health questionnaire (PHQ-9), and perceived stress scale (PSS-10) were used to investigate anxiety, depression, and stress. This study has shown that percentage of severe anxiety, stress, and depression were (22%), (3.9%), and (11%) respectively among HCWs. There was a significant association of PHQ score with age, gender, marital status, number of children, kind of employment, and work experiences. GAD score was found to have a significant relationship (P = 0.05) with gender, job title, and healthcare experiences in this study. The PSS score of women who worked in hospitals was found to be considerably higher. Health-care professionals in Kurdistan experienced high anxiety and stress during the COVID-19 epidemic.
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N. Othman and N. M. Kamal. Depression, anxiety, and stress in the time of COVID-19 pandemic in Kurdistan region, Iraq. Kurdistan Journal of Applied Research, vol. 5, pp. 37-44, 2020.
K. R. Government. Latest information about COVID-19. 2021. Available from: https://gov.krd/coronavirus-en/dashboard/ [Last accessed on 2020 Sep 30].
S. M. Y. Ho, R. S. Y. Kwong-Lo, C. W. Y. Mak and J. S. Wong. Fear of severe acute respiratory syndrome (SARS) among health care workers. Journal of Consulting and Clinical Psychology, vol. 73, no. 2, pp. 344-349, 2005.
J. Lai, S. Ma, Y. Wang, Z. Cai, J. Hu, N. Wei, J. Wu, H. Du, T. Chen, R. Li, H. Tan, L. Kang, L. Yao, M. Huang, H. Wang, G. Wang, Z. Liu and S. Hu. Factors associated with mental health outcomes among health care workers exposed to Coronavirus disease 2019. JAMA Network Open, vol. 3, no. 3, p. e203976, 2020.
Worldmeter. Coronavirus COVID-19 Pandemic. 2021. Available from: https://www.worldometers.info/coronavirus [Last accessed on 2020 Sep 30].
A. D. Beswick, K. Rees, P. Dieppe, S. Ayis, R. Gooberman-Hill, J. Horwood and S. Ebrahim. Complex interventions to improve physical function and maintain independent living in elderly people: A systematic review and meta-analysis. Lancet, vol. 371, no. 9614, pp. 725-735, 2008.
J. Phua, L. Weng, L. Ling, M. Egi, C. M. Lim, J. V. Divatia, B. R. Shrestha, Y. M. Arabi, J. Ng, C. D. Gomersall, M. Nishimura, Y. Koh, B. Du and Asian Critical Care Clinical Trials Group. Intensive care management of Coronavirus disease 2019 (COVID- 19): Challenges and recommendations. The Lancet Respiratory Medicine, vol. 8, no. 5, pp. 506-517, 2020.
O. Arrogante and E. Aparicio-Zaldivar. Burnout and health among critical care professionals: The mediational role of resilience. Intensive and Critical Care Nursing, vol. 42, pp. 110-115, 2017.
Z. Wang, J. Chen, J. E. Boyd, H. Zhang, X. Jia, J. Qiu and Z. Xiao. Psychometric properties of the Chinese version of the perceived stress scale in policewomen. PLoS One, vol. 6, no. 12, p. e28610, 2011.
J. Torales, M. O’Higgins, J. M. Castaldelli-Maia and A. Ventriglio. The outbreak of COVID-19 Coronavirus and its impact on global mental health. International Journal of Social Psychiatry, vol. 66, no. 4, pp. 317-320, 2020.
J. Shigemura, R. J. Ursano, J. C. Morganstein, M. Kurosawa and D. M. Benedek. Public responses to the novel 2019 Coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences, vol. 74, no. 4, pp. 281-282, 2020.
B. Xie, Q. Xue, Y. Zhou, K. Zhu, Q. Liu, J. Zhang and R. Song. Mental health status among children in home confinement during the Coronavirus disease 2019 outbreak in Hubei Province, China. JAMA Pediatrics, vol. 174, pp. 898-900, 2020.
S. Mukhtar. Mental health and psychosocial aspects of Coronavirus outbreak in Pakistan: Psychological intervention for public mental health crisis. Asian Journal of Psychiatry, vol. 51, p. 102069, 2020.
D. Banerjee. How COVID-19 is Overwhelming Our Mental Health. Nature Publishing Group, London, 2020.
S. C. Park and Y. C. Park. Mental health care measures in response to the 2019 novel Coronavirus outbreak in Korea. Psychiatry Investigation, vol. 17, no. 2, pp. 85-86, 2020.
A. Zandifar and R. Badrfam. Iranian mental health during the COVID-19 epidemic. Asian Journal of Psychiatry, vol, 51, p. 101990, 2020.
J. Lee. Mental health effects of school closures during COVID-19. The Lancet Child and Adolescent Health, vol. 4, no. 6, p. 421, 2020.
B. Pfefferbaum and C. S. North. Mental health and the Covid- 19 pandemic. New England Journal of Medicine, vol. 383, no. 6, pp. 510-512, 2020.
Y. Ma, R. Rosenheck and H. He. Psychological stress among health care professionals during the 2019 novel Coronavirus disease Outbreak: Cases from online consulting customers. Intensive and Critical Care Nursing, vol. 61, p. 102905, 2020.
Y. T. Xiang, Y. Yang, W. Li, L. Zhang, Q. Zhang, T. Cheung and C.H. Ng. Timely mental health care for the 2019 novel Coronavirus outbreak is urgently needed. The Lancet Psychiatry, vol. 7, no. 3, pp. 228-229, 2020.
N. W. Chew, G. K. H. Lee, B. Y. Q. Tan, M. Jing, Y. Goh, N. J. H. Ngiam, L. L. L. Yeo, A. Ahmad, F. A. Khan, G. N. Shanmugam, A. K. Sharma, R. N. Komalkumar and P. V. Meenakshi. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID- 19 outbreak. Brain, Behavior, and Immunity, vol. 88, pp. 559- 565, 2020.
Z. A. Memish, S. Perlman, M. D. Van Kerkhove and A. Zumla. Middle East respiratory syndrome. The Lancet, vol. 395, no. 10229, pp. 1063-1077, 2020.
J. C. Hunter, D. Nguyen, B. Aden, Z. Al Bandar, W. Al Dhaheri, K. Abu Elkheir, A. Khudair, M. Al Mulla, F. El Saleh, H. Imambaccus, N. Al Kaabi and F. A. Sheikh. Transmission of Middle East respiratory syndrome Coronavirus infections in healthcare settings, Abu Dhabi. Emerging Infectious Diseases, vol. 22, no. 4,pp. 647-656, 2016.
S. Röhr, F. Müller, F. Jung, C. Apfelbacher, A. Seidler and S. G. Riedel-Heller. Psychosocial impact of quarantine measures during serious Coronavirus outbreaks: A rapid review. Psychiatrische Praxis, vol. 47, no. 4, pp. 179-189, 2020.
S. Cohen, T. Kamarck and R. Mermelstein. Perceived stress scale. In: Measuring Stress: A Guide for Health and Social Scientists. Vol. 1-2. Oxford University Press, United Kingdom, p. 10, 1994.
K. Kroenke, R. L. Spitzer and J. B. W. Williams. The Patient Health Questionnaire-2: validity of a two-item depression screener. Medical Care, vol. 41, pp. 1284-1292, 2003.
R. L. Spitzer, K. Kroenke, J. B. W. Williams and B. Löwe. A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, vol. 166, no. 10, pp. 1092-1097, 2006.
A. Malik, M. M. Hafeez, S. Waquar, M. A. Rana and R. Alam. Anxiety levels among healthcare professionals during COVID-19 pandemic: A multifactorial study. medRxiv, 2020. (Preprint article).
S. Pappa, V. Ntella, T. Giannakas, V. G. Giannakoulis, E. Papoutsi and P. Katsaounou. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID- 19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, vol. 92, p. 247, 2021.
A. Shechter, F. Diaz, N. Moise, D. E. Anstey, S. Ye, S. Agarwal, J. L. Birk, D. Brodie, D. E. Cannone, B. Chang and J. Claassen. Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. General Hospital Psychiatry, vol. 66, pp. 1-8, 2020.
Q. Liu, D. Luo, J. E. Haase, Q. Guo, X. Q. Wang, S. Liu, L. Xia, Z. Liu, J. Yang and B. X. Yang. The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, vol. 8, no. 6, pp. e790-e798, 2020.
M. Y. Si, X. Y. Su, Y. Jiang, W. J. Wang, X. F. Gu, L. Ma, J. Li, S. K. Zhang, Z. F. Ren, R. Ren, Y. L. Liu and Y. L. Qiao. Psychological impact of COVID-19 on medical care workers in China. Infectious Diseases of Poverty, vol. 9, no. 1, p. 113, 2020.
L. Q. Wang, M. Zhang, G. M. Liu, S. Y. Nan, T. Li, L. Xu, Y. Xue, M. Zhang, L. Wang, Y. D. Qu and F. Liu. Psychological impact of Coronavirus disease (2019) (COVID-19) epidemic on medical staff in different posts in China: A multicenter study. Journal of Psychiatric Research, vol. 129, pp. 198-205, 2020.
R. Buselli, M. Corsi, S. Baldanzi, M. Chiumiento, E. Del Lupo, V. Dell’Oste, C. A. Bertelloni, G. Massimetti, L. Dell’Osso, A. Cristaudo and C. Carmassi. Professional quality of life and mental health outcomes among health care workers exposed to SARS-COV-2 (Covid-19). International Journal of Environmental Research and Public Health, vol. 17, no. 17, p. 6180, 2020.
R. Rossi, V. Socci, F. Pacitti, G. Di Lorenzo, A. Di Marco, A. Siracusano and A. Rossi. Mental health outcomes among frontline and second-line health care workers during the Coronavirus disease 2019 (COVID-19) pandemic in Italy. JAMA Network Open, vol. 3, no. 5, p. e2010185, 2020.
B. A. Saeed, N. P. Shabila and A. J. Aziz. Stress and anxiety among physicians during the COVID-19 outbreak in the Iraqi Kurdistan Region: An online survey. PLoS One, vol. 16, no. 6, p. e0253903, 2021.
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