The effect of the COVID-19 pandemic on the psychological state of healthcare workers around the world: A review

Authors

DOI:

https://doi.org/10.5281/zenodo.6501610

Keywords:

COVID-19, healthcare workers, psychological state, pandemic, mental health

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has negative effects in many areas around the world, as well as causing psychological effects on healthcare workers to a great extent. We want to draw attention to this effect on healthcare workers, who play the largest part in the fight against the pandemic, by compiling surveys about the mental health of healthcare workers during the COVID-19 pandemic. Worldwide we analyzed and interpreted the causes of psycho-social and psycho-biological effects on healthcare workers by collating the existing studies from certain countries. These nine countries include China, USA, Brazil, Italy, Russia, Spain, India, Turkey, and Iran. The reason these countries were chosen is that the numbers of cases were high. Generally, surveys about the psychosocial status of healthcare workers were sorted and carefully analyzed. A comprehensive, systematic database search for manuscripts was performed in Medline, PubMed Central, ScienceDirect, Scopus, Google Scholar and Web of Science using key words. Psychological problems such as anxiety, depression, post-traumatic stress disorder, and insomnia increased significantly in healthcare workers with the prolongation of the pandemic. This data was interpreted by finding national-scale survey-based studies with the literature review method and statistical analysis is presented for a total of nine countries (China, USA, Brazil, Italy, Russia, Spain, India, Turkey, Iran). Healthcare workers need urgent psychological support, and if necessary pharmacological support, and pandemic management requires specific attention for job optimization and personal protective equipment. When the existing studies are examined carefully, the effects and assistance of healthcare professionals are incredibly vital, especially in extraordinary health conditions such as pandemics. Since the breakdown of this mechanism may lead to disaster, it is vital that their psycho-social status is constantly checked and kept stable.

References

Senchina DS. Disease out breaks as vehicles for exploring 'engaged citizen' themes through a course on the history of infectious diseases. FEMS MicrobiolLett 2017; 364: fnw242.

Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China of novel coronavirus-infected pneumonia. N Engl J Med 2020.

Wu K, Wei X. Analysis of psychological and sleep status and exercise rehabilitation of front-line clinical staff in the fight against COVID-19 in China. Medical science monitor basic research 2020; 26: e924085-1.

Lotfi M, Hamblin MR, Rezaei N. COVID-19: Transmission, prevention and potential therapeutic opportunities. Clin Chim Acta 2020; 508: 254-266.

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA 2020; 323: 1061–69.

Maunder RG, Lancee WJ, Balderson KE, Bennett JP, Borgundvaa B, Evans S, et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis 2006; 12: 1924.

Hacimusalar Y, Kahve AC, Yasar AB, Aydin MS. Anxiety and hopelessness levels in COVID-19 pandemic: A comparative study of healthcare professionals and other community sample in Turkey. J Psychiatric Research 2020; 129: 181-188.

https://covid19.who.int/table

Exposed, silenced, attacked: failures to protect health and essential workers during the COVID-19 pandemic. Amnesty International 2020: 61. (https://www.amnesty.org)

Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, et al. Coronavirus disease 2019 (COVID-19): a perspective from China. Radiology 2020; 296: E15-E25.

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open 2020; 3: e203976-e203976.

Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, behavior, and immunity 2020; 87: 11-17.

https://www.ptsd.va.gov/professional/assessment/adult-sr/ies-r.asp

Bastient C, Vallieres A, Morin C. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2001; 2: 297–307.

Kroenke K, Spitzer RL, Williams JB. The PHQ‐9: validity of a brief depression severity measure. Journal of general internal medicine 2001; 16: 606-613.

Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine 2006; 166: 1092-1097.

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet 2020; 395: 912-920.

Dietz W, Santos‐Burgoa C. Obesity and its implications for COVID-19 mortality. Obesity 2020; 28: 1005-1005.

https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with-medical-conditions.html

New Survey Shows COVID-19 is Having a SignificantImpact on the Mental Health of America’s Frontline Healthcare Providers and First Responders, Cohen Veterans Network (CVN) 2020.

Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York City area. JAMA 2020; 323: 2052–2059.

Sanyaolu A, Okorie C, Marinkovic A, Patidar R, Younis K, Desai P, et al. Comorbidity and its impact on patients with COVID-19. SN Compr. Clin. Med. 2020; 2: 1069–1076.

Civantos AM, Bertelli A, Gonçalves A, Getzen E, Chang C, Long Q, et al. Mental health among head and neck surgeons in Brazil during the COVID-19 pandemic: a national study. American journal of otolaryngology 2020; 41: 102694.

Dolan ED, Mohr D, Lempa M, Joos S, Fihn SD, Nelson KM, et al. Using a single item to measure burnout in primary care staff: a psychometric evaluation. Journal of general internal medicine 2015; 30: 582-587.

Drager L, Pachito D, Moreno C, Tavares A, Conway SG, Assis M, et al. Sleep Disturbances, Anxiety, and Burnout during the COVID-19 Pandemic: a nationwide cross-sectional study in Brazilian healthcare professionals. medRxiv 2020.

Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry research 2020; 288: 112954.

Zandifar A, Karim H, Qorbani M, Badrfam R. Mental health care for medical staff in iran during the COVID-19 pandemic; different performance in alborz province. Iranian journal of psychiatry 2020; 15: 243.

Remuzzi A, Remuzzi G. COVID-19 and Italy: what next?. The lancet 2020; 395: 1225-1228.

Buselli R, Baldanzi S, Corsi M, Chiumiento M, Del Lupo E, Carmassi C, et al. Psychological care of health workers during the COVID-19 utbreak in Italy: Preliminary report of an Occupational Health Department (AOUP) responsible for monitoring hospital staff condition. Sustainability 2020; 12: 5039.

Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry 2020; 7: e17–e18.

Beck AT, Steer RA, Ball R, Ranieri W. Comparison of Beck Depression Inventories -IA and -II in psychiatric out patients. J Pers Assess 1996; 67: 588–597.

Kvaal K, Ulstein I, Nordhus IH, Engedal K. The Spielberger State-Trait Anxiety Inventory (STAI): The state scale in detecting mental disorders in geriatric patients. Int J Geriatr Psychiatry 2005; 20: 629–634.

Di Filippo P, Attanasi M, Dodi G, Porreca A, Raso M, Di Pillo S, et al. A Survey on Mental Health Impact Caused by COVID-19 Pandemic in Italian Pediatric Healthcare Workers. Research Square 2020.

Chen GF, Cheng YR, Ye L, Wang MW, Zhou MY, Zhang F, et al. Psychological support and the COVID-19 A short report. Eur Rev Med Pharmacol Sci 2020; 24: 8185-6.

Åslund A. Responses to the COVID-19 crisis in Russia, Ukraine and Belarus. Eurasian Geography and Economics 2020; 61: 532-545.

Bachilo E, Barylnik J, Shuldyakov A, Efremov A, Novikov D. Mental health of medical workers during the COVID-19 pandemic in Russia: Results of a cross-sectional study. medRxiv 2020.

Legido-Quigley H, Mateos-García JT, Campos VR, Gea-Sánchez M, Muntaner C, McKee M. The resilience of the Spanish health system against the COVID-19 pandemic. The lancet public health 2020; 5: e251-e252.

Porter E, Chambless DL, McCarthy KS, DeRubeis RJ, Sharpless BA, Barrett MS, et al. Psychometric properties of the reconstructed Hamilton Depression and Anxiety Scales. The Journal of nervous and mental disease 2017; 205: 656–664.

García-Fernández L, Romero-Ferreiro V, López-Roldán PD, Padilla S, Calero-Sierra I, Monzó-García M, et al. Mental health impact of COVID-19 pandemic on Spanish healthcare workers. Psychological medicine 2020: 1-3.

Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res 2016; 14: 7-14.

The Lancet. India under COVID-19 lockdown. Lancet 2020; 395: 1315.

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 Journal of Psychological Medicine 2020; 42: 353-358.

Dozois DJA, Covin R. The Beck depression inventory-II (BDI-II), Beck hopelessness scale (BHS), and Beck scale for suicide ideation (BSS). Comprehensive handbook of psychological assessment 2004; 2: 50-69.

Saricam M. COVID-19 related anxiety in nurses working on front lines in Turkey. Nursing and Midwifery Studies 2020; 9: 178-181.

Tercan M, Bozkurt FT, Patmano G, Saraçoğlu G, Gür SC. Anxiety and depression differences between the nurses working at a COVID-19 pandemic hospital. Medical Science and Discovery 2020; 7: 526-531.

Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in january and february 2020 in China. Med Sci Monit 2020; 26: e923549.

Fessell D, Cherniss C. Coronavirus disease 2019 (COVID-19) and beyond: micropractices for burnout prevention and emotional wellness. J Am Coll Radiol 2020; 17: 746.

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. Psychiatric Services 2004; 55: 10557.

Mak WW, Cheung F, Woo J, Lee D, Li P, Chan KS, et al. A comparative study of the stigma associated with infectious diseases (SARS, AIDS, TB). Hong Kong Med J 2009; 15: 34-7.

Cohen S, Kamarck T, Mermelstein R. “Perceived stress scale” Measuring stress: A guide for health and social scientists 1994; 10: 1-2.

Erdem H, Lucey DR. Healthcare worker infections and deaths due to COVID-19: A survey from 37 nations and a call for WHO to post national data on their website. Int J Infect Dis 2020; 102: 239-241.

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Published

2022-04-30

How to Cite

Baber, A. (2022). The effect of the COVID-19 pandemic on the psychological state of healthcare workers around the world: A review. The Injector, 1(1), 16–30. https://doi.org/10.5281/zenodo.6501610