Mental health status and associated factors with stress among healthcare workers during the COVID-19 pandemic: a cross-sectional study 10.55131/jphd/2024/220108
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Abstract
COVID-19, being the most terrible occurrence of the 21st century, has profoundly affected the physical and mental well-being of healthcare workers (HCWs). Throughout this pandemic, HCWs have been at the forefront, confronting numerous physical and mental health problems. Our study aimed to identify the major mental health issues experienced by HCWs in Dhaka City, Bangladesh. Additionally, we aimed to uncover the contributing factors that led to their heightened stress. According to this purpose, this cross-sectional study was conducted from June 2021 to February 2022 with different categories of HCWs selected from twelve hospitals exclusively designated for COVID-19 patients. Data were collected through face-to-face interviews using semi-structured questionnaires. A 10-item Perceived Stress Scale (PSS) was used to assess the stress levels experienced by the respondents. Among the total of 483 HCWs, 76.6% were nurses, 19.9% were doctors, and 3.5% were medical technologists. Our study found that the prevalence of COVID-19 positive cases among HCWs (nurses, doctors, and medical technologists) was 28.6%. Based on the PSS, 93.2% experienced low to moderate levels of stress, and 6.8% reported high levels of stress. A number of sociodemographic, habitual, organizational, and family factors of the respondents were significant, with the PSS at a 5% level of significance and a p-value less than 0.05. However, the variable ‘experience of any negligence, torture, blaming/bullying/threat from society’ was insignificant to the stress experienced by the HCWs. In brief, the study highlights the mental health issues faced by HCWs amid the pandemic, emphasizing significant associated factors. Organizational support and the role of the HCWs' families are crucial in reducing their stress levels.
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References
Esterwood E, Saeed SA. Past Epidemics, Natural Disasters, COVID19, and Mental Health: Learning from History as we Deal with the Present and Prepare for the Future. Psychiatr Q. 2020;91(4):1121-33. doi: 10.1007/s11126-020-09808-4.
WHO Coronavirus (COVID-19) Dashboard [Internet]. [cited 2023 Oct 18]. Available from: https://covid19. who.int
Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr Clin Res Rev. 2020;14(5):779–88.
Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020;368: m1211. doi: 10.1136/bmj.m1211.
Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur Psychiatry. 2020;63(1):e32. doi: 10.1192/j.eurpsy.2020.35.
Alnazly E, Khraisat OM, Al-Bashaireh AM, Bryant CL. Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLOS ONE. 2021;16(3):e0247679. doi: 10.1371/journal.pone.0247679.
Rathore P, Kumar S, Choudhary N, Sarma R, Singh N, Haokip N, et al. Concerns of Health-care Professionals Managing COVID Patients under Institutional Isolation during COVID-19 Pandemic in India: A Descriptive Cross-sectional Study. Indian J Palliat Care. 2020;26(Suppl 1):S90-s4. doi: 10.4103/IJPC.IJPC_172_20.
Albott CS, Wozniak JR, McGlinch BP, Wall MH, Gold BS, Vinogradov S. Battle Buddies: Rapid Deployment of a Psychological Resilience Intervention for Health Care Workers During the COVID-19 Pandemic. Anesth Analg. 2020;131(1):43-54. doi: 10.1213/ ANE.0000000000004912.
Trumello C, Bramanti SM, Ballarotto G, Candelori C, Cerniglia L, Cimino S, et al. Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. Int J Environ Res Public Health. 2020; 17(22). doi: 10.3390/ijerph17228358.
Handayani RT, Kuntari S, Darmayanti AT, Widiyanto A, Atmojo JT. Factors Causing Stress in Health and Community When the Covid-19 Pandemic. J Keperawatan Jiwa. 2020; 8(3):353–60.
Crisis24. Bangladesh: First cases of COVID-19 confirmed March 8 | Crisis24 [Internet]. 2020 [cited 2023 Jul 11]. Available from: https:// crisis24.garda.com/alerts/2020/03/bangladesh-first-cases-of-covid-19-confirmed-march-8
Bangladesh: WHO Coronavirus Disease (COVID-19) Dashboard With Vaccination Data [Internet]. [cited 2023 Oct 19]. Available from: https://covid19.who.int
Repon MAU, Pakhe SA, Quaiyum S, Das R, Daria S, Islam MR. Effect of COVID-19 pandemic on mental health among Bangladeshi healthcare professionals: A cross-sectional study. Sci Prog. 2021;104(2):3685042110264 09. doi: 10.1177/00368504211026409.
Rashid MU, Khan MAS, Dalal K, Sagar SK, Hossian M, Barsha SY, et al. Quality of life (QoL) among COVID-19 recovered healthcare workers in Bangladesh. BMC Health Serv Res. 2022;22(1):716. doi: 10.1186/s12913-022-07961-z.
Hossain MdJ. Impact of COVID-19 Pandemic among Health Care Providers in Bangladesh: A Systematic Review. Bangladesh J Infect Dis. 2020;7:S8–15. doi: 10.3329/bjid.v7i00.50156.
De Leo A, Cianci E, Mastore P, Gozzoli C. Protective and Risk Factors of Italian Healthcare Professionals during the COVID-19 Pandemic Outbreak: A Qualitative Study. Int J Environ Res Public Health. 2021; 18(2). doi: 10.3390/ijerph18020453.
Nath TK, Paul A, Sikdar D, Mahanta J, Paul S, Amin MR, et al. Capacity development and safety measures for health care workers exposed to COVID-19 in Bangladesh. BMC Health Serv Res. 2021;21(1):1079. doi: 10.1186/s12913-021-07071-2.
Urooj U, Ansari A, Siraj A, Khan S, Tariq H. Expectations, Fears and Perceptions of doctors during Covid-19 Pandemic. Pak J Med Sci. 2020;36(Covid19-s4):S37-s42. doi: 10.12669/pjms.36.COVID19-S4.2643.
Razu SR, Yasmin T, Arif TB, Islam MS, Islam SMS, Gesesew HA, et al. Challenges Faced by Healthcare Professionals During the COVID-19 Pandemic: A Qualitative Inquiry From Bangladesh. Front Public Health. 2021;9:647315. doi: 10.3389/fpubh. 2021.647315.
Chekole YA, Yimer Minaye S, Mekonnen Abate S, Mekuriaw B. Perceived Stress and Its Associated Factors during COVID-19 among Healthcare Providers in Ethiopia: A Cross-Sectional Study. Adv Public Health. 2020;2020:e5036861.
Teshome A, Shegaze M, Glagn M, Getie A, Tekabe B, Getahun D, et al. Perceived stress and associated factors among health care professionals working in the context of COVID-19 pandemic in public health institutions of southern Ethiopia 2020. PLOS ONE. 2021;16(6):e0252809. doi: 10.1371/journal.pone.0252809.
Ali M. Factors associated with COVID-19 fear among healthcare professionals in Bangladesh. Dialogues Health. 2022;1:100037. doi: 10.1016/j.dialog.2022.100037.
Alrawashdeh HM, Al-Tammemi AB, Alzawahreh MK, Al-Tamimi A, Elkholy M, Al Sarireh F, et al. Occupational burnout and job satisfaction among physicians in times of COVID-19 crisis: a convergent parallel mixed-method study. BMC Public Health. 2021;21(1):811. doi: 10.1186/s12889-021-10897-4.
Ansari D. An accumulation of distress: Grief, loss, and isolation among healthcare providers during the COVID-19 pandemic. SSM Ment Health. 2022;2:100146. doi: 10.1016/ j.ssmmh.2022.100146.
Teshome A, Shegaze M, Glagn M, Getie A, Tekabe B, Getahun D, et al. Perceived stress and associated factors among health care professionals working in the context of COVID-19 pandemic in public health institutions of southern Ethiopia 2020. PLoS One. 2021;16(6):e0252809. doi: 10.1371/ journal.pone.0252809.
Ayalew M, Deribe B, Abraham Y, Reta Y, Tadesse F, Defar S, et al. Prevalence and determinant factors of mental health problems among healthcare professionals during COVID-19 pandemic in southern Ethiopia: multicentre cross-sectional study. BMJ Open. 2021;11(12): e057708. doi: 10.1136/bmjopen-2021-057708.
Lisi L, Ciaffi J, Bruni A, Mancarella L, Brusi V, Gramegna P, et al. Levels and Factors Associated with Resilience in Italian Healthcare Professionals during the COVID-19 Pandemic: A Web-Based Survey. Behav Sci (Basel). 2020;10(12). doi: 10.3390/bs10120 183.
Suryavanshi N, Kadam A, Dhumal G, Nimkar S, Mave V, Gupta A, et al. Mental health and quality of life among healthcare professionals during the COVID-19 pandemic in India. Brain Behav. 2020;10(11):e01837. doi: 10.1002/brb3.1837.
Sharma M, Creutzfeldt CJ, Lewis A, Patel PV, Hartog C, Jannotta GE, et al. Health-care Professionals' Perceptions of Critical Care Resource Availability and Factors Associated With Mental Well-being During Coronavirus Disease 2019 (COVID-19): Results from a US Survey. Clin Infect Dis. 2021;72(10):e566-e76. doi: 10.1093/ cid/ciaa1311.
Wilson W, Raj JP, Rao S, Ghiya M, Nedungalaparambil NM, Mundra H, et al. Prevalence and Predictors of Stress, anxiety, and Depression among Healthcare Workers Managing COVID-19 Pandemic in India: A Nationwide Observational Study. Indian J Psychol Med. 2020;42(4):353-8. doi: 10.1177/0253717620933992.
Noreen K, Umar M, Sabir SA, Rehman R. Outbreak of Coronavirus Disease 2019 (COVID‑19) in Pakistan: Psychological impact and coping strategies of Health Care Professionals. Pak J Med Sci. 2020;36(7):1478-83. doi: 10.12669/pjms.36.7.2988.
Sultana F, Mondal P, Anqur M, Imtiaz M, Amanullah A, Shimul S. Level of depression and its associated factors among the frontline physicians of Bangladesh during the COVID-19 outbreak. J Public Health Dev. 2023;21:106–22.
Ahmmed Chowdhury MdOS, Meetei S, Hossain S, Sohel N, Alam M, Hossain S, et al. Explore the Psychological effect of Health Provider during Lockdown of Hospitals in Dhaka City. Int J Med Res Health Sci. 2022;8.
Sakib N, Akter T, Zohra F, Bhuiyan A, Mamun MA, Griffiths MD. Fear of COVID-19 and Depression: A Comparative Study Among the General Population and Healthcare Professionals During COVID-19 Pandemic Crisis in Bangladesh. Int J Ment Health Addict. 2023;21(2):976-92. doi: 10.1007/s11469-020-00477-9.
Chabili E, Simuyemba MC. Prevalence of Stress and Coping Strategies among Undergraduate Medical Students at Ridgeway Campus of the University of Zambia. Med J Zambia. 2020; 47(4):313–8.
Haque MdI, Rani V, Chowdhury AA, Akter T, Hasan I, Harun MdGD, et al. Drug Addiction and Substance Use Among the Dalit Married Adolescent Girls in Bangladesh: a Cross-Sectional Survey. Int J Ment Health Addict. 2022;20(5):3145–61.
Teshome A, Shegaze M, Glagn M, Getie A, Tekabe B, Getahun D, et al. Perceived stress and associated factors among health care professionals working in the context of COVID-19 pandemic in public health institutions of southern Ethiopia 2020. PLoS One. 2021;16(6):e0252809. doi: 10.1371/ journal.pone.0252809.
Almegewly W, Alhejji A, Alotaibi L, Almalki M, Alanezi M, Almotiri A, et al. Perceived stress and resilience levels during the COVID-19 pandemic among critical care nurses in Saudi Arabia: a correlational cross-sectional study. PeerJ. 2022;10:e13164. doi: 10.7717/peerj.13164.
Bangladesh: WHO Coronavirus Disease (COVID-19) Dashboard With Vaccination Data [Internet]. [cited 2023 Oct 18]. Available from: https://covid19.who.int
Antonio-Villa NE, Bello-Chavolla OY, Vargas-Vázquez A, Fermín-Martínez CA, Márquez-Salinas A, Pisanty-Alatorre J, et al. Assessing the Burden of Coronavirus Disease 2019 (COVID-19) Among Healthcare Workers in Mexico City: A Data-Driven Call to Action. Clin Infect Dis. 2021;73(1):e191-e8. doi: 10.1093/ cid/ciaa1487.
Mahajan NN, Mathe A, Patokar GA, Bahirat S, Lokhande PD, Rakh V, et al. Prevalence and Clinical Presentation of COVID-19 among Healthcare Workers at a Dedicated Hospital in India. J Assoc Physicians India. 2020;68(12):16-21.
Jeremias A, Nguyen J, Levine J, Pollack S, Engellenner W, Thakore A, et al. Prevalence of SARS-CoV-2 Infection Among Health Care Workers in a Tertiary Community Hospital. JAMA Intern Med. 2020; 180(12):1707-9. doi: 10.1001/ jamainternmed.2020.4214.
Alwaqdani N, Amer HA, Alwaqdani R, AlMansour F, Alzoman HA, Saadallah A, et al. Psychological Impact of COVID-19 Pandemic on Healthcare Workers in Riyadh, Saudi Arabia: Perceived Stress Scale Measures. J Epidemiol Glob Health. 2021;11(4):377-88. doi: 10.1007/ s44197-021-00014-4.
Guillen-Burgos HF, Gomez-Ureche J, Renowitzky C, Acevedo-Vergara K, Perez-Florez M, Villalba E, et al. Prevalence and associated factors of mental health outcomes among healthcare workers in Northern Colombia: A cross-sectional and multi-centre study. J Affect Disord Rep. 2022;10:100415. doi: 10.1016/j.jadr. 2022.100415.
Thu Pham H, Viet Cao T, Bich Le N, N TTN, Thi Ngoc Vuong B, Vu Dieu Pham L, et al. Depression, anxiety and stress among healthcare workers in the context of the COVID-19 pandemic: a cross-sectional study in a tertiary hospital in Northern Vietnam. Front Public Health. 2023;11:1231326. doi: 10.3389/fpubh.2023.1231326.
Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinicalMedicine. 2020;24:100443. doi: 10.1016/j.eclinm.2020.100443.
Chekole YA, Yimer Minaye S, Mekonnen Abate S, Mekuriaw B. Perceived Stress and Its Associated Factors during COVID-19 among Healthcare Providers in Ethiopia: A Cross-Sectional Study. Adv Public Health. 2020;2020:e5036861.
Hodge K. Mental Health Center. How Does Family Life Affect Mental Health? Building Blocks or Barriers - Mental Health Center [Internet]. 2023 [cited 2023 Oct 27]. Available from: https://www.mentalhealthcenter.org/family-life-affect-mental-health/
Windarwati HD, Ati NAL, Paraswati MD, Ilmy SK, Supianto AA, Rizzal AF, et al. Stressor, coping mechanism, and motivation among health care workers in dealing with stress due to the COVID-19 pandemic in Indonesia. Asian J Psychiatr. 2021;56:102470. doi: 10.1016/j.ajp.2020.102470.
Kheradmand A, Mahjani M, Pirsalehi A, Fatemizadeh S, Moshari M, Ziaie S, et al. Mental Health Status among Healthcare Workers during COVID-19 Pandemic. Iran J Psychiatry. 2021; 16(3):250-9. doi: 10.18502/ijps. v16i3.6250.
Guo WP, Min Q, Gu WW, Yu L, Xiao X, Yi WB, et al. Prevalence of mental health problems in frontline healthcare workers after the first outbreak of COVID-19 in China: a cross-sectional study. Health Qual Life Outcomes. 2021;19(1):103. doi: 10.1186/s12955-021-01743-7.
Nayak BS, Sahu PK, Ramsaroop K, Maharaj S, Mootoo W, Khan S, et al. Prevalence and factors associated with depression, anxiety and stress among healthcare workers of Trinidad and Tobago during COVID-19 pandemic: a cross-sectional study. BMJ Open. 2021;11(4):e044397. doi: 10.1136/ bmjopen-2020-044397.
Rodolfo R, Valentina S, Francesca P, Giorgio Di L, Antinisca Di M, Alberto S, et al. Mental health outcomes among front and second line health workers associated with the COVID-19 pandemic in Italy. medRxiv. 2020: 2020.04.16.20067801. doi: 10.1001/j amanetworkopen.2020.10185