A Study to Evaluate Depression and Perceived Stress Among Frontline Indian Doctors Combating the COVID-19 Pandemic

Das, Anupam; Sil, Abheek; Jaiswal, Saurabh; Rajeev, Rahul; Thole, Akhilesh; Jafferany, Mohammad; Ali, Syed Naiyer

doi:10.4088/pcc.20m02716

Cited by 49 publications

(56 citation statements)

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“…Details and outcomes related to the mental health of included articles are provided in Table 1 . 3 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 All 22 cross-sectional studies were carried out in the Indian population, with age ranging from 12 to 82 years, and the majority of study participants were above 18 years. These 22 studies enrolled a total of 9947 participants, including 5542 (55.7%) males and 4405 (44.3%) females.…”

Section: Resultsmentioning

confidence: 99%

“… Chatterjee et al 21 May- 2020 West Bengal Cross-sectional 152 Doctors Mean age: (42.05 ± 12.19) 119 (78.29%) Online survey DASS-21 - Depression, anxiety & stress Dabholkar et al 22 June- 2020 Maharashtra Cross-sectional 40 COVID-19 infected health care professionals (HCPs) – 16 (40%) Both interview and an online questionnaire form Self-reported questionnaire - Several psychological parameters like anxiety, fear, anger, irritability and insomnia. Das et al 23 October-2020 Across India Cross-sectional 422 Frontline doctors Mean age: (27.61 ± 4.98) 224 (53.08%) online survey PHQ-9, PSS-10 PHQ-9 score >4, PSS-10 score >13 Depression & stress Ghosh et al 24 May- 2020 Delhi Cross-sectional 150 Type 2 diabetes (T2DM) patients – 93 (62%) Telephonic interview Self-reported questionnaire - Mental stress and sleep disturbances. Gupta et al 3 July- 2020 Across India Cross-sectional 1124 Health care workers (HCWs) – ...…”

Section: Resultsmentioning

confidence: 99%

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COVID-19 pandemic and psychological wellbeing among health care workers and general population: A systematic-review and meta-analysis of the current evidence from India

Singh

Bajpai²,

Kaswan³

2021

Clinical Epidemiology and Global Health

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Introduction Coronavirus disease 2019 (COVID-19) was declared as pandemic and measures adopted for its control included quarantine of at-risk, isolation of infected along with other measures such as lockdown, restrictions on movement, and social interactions. Both the pandemic and these measures have the potential to cause mental health problems among individuals. Objective The present study aimed to investigate and estimate the prevalence of psychological well-being, particularly from an Indian perspective using systematic review and meta-analysis of existing literature. Methods We searched in the PubMed database, starting from the onset of the current pandemic and until 10th October 2020 to synthesize evidence on mental health outcomes from India. DerSimonian and Laird method of the random-effects meta-analysis was employed and heterogeneity between studies was assessed using the Chi-square based Cochran's Q statistic and I-squared (I 2 ) statistics. Results The pooled prevalence of stress in nine studies was 60.7% (95% CI: 42.3%–77.7%), depression in eight studies was 32.7% (95% CI: 24.6%–41.3%), anxiety in six studies was 34.1% (95% CI: 26.3%–42.3%) and sleep disturbances in six studies was 26.7% (95% CI: 13.9%–41.8%). As expected, high heterogeneity was observed in the above-mentioned outcomes. Sub-group analysis showed that Health Care Workers (HCWs) had a higher prevalence of stress, anxiety, depression & psychological distress in comparison to the general population. Conclusion A significant impact on psychological well-being during COVID-19 was observed in India as common adverse outcomes were stress (61%), psychological distress (43%), anxiety (34%), depression (33%), and sleep disturbances (27%). Thus the COVID-19 pandemic represents an unprecedented threat to mental health, which should become a priority for public health strategies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

COVID-19 pandemic and psychological wellbeing among health care workers and general population: A systematic-review and meta-analysis of the current evidence from India

Singh

Bajpai²,

Kaswan³

2021

Clinical Epidemiology and Global Health

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“…Hazarika et al have reported depression, anxiety and suicidal thoughts among callers availing helpline services ( Hazarika et al, 2021 ). Also, some studies have reported psychological distress among health care providers ( Das et al, 2020 ). The present study assessed the COVID-19 related fear and anxiety among the patients coming to COVID screening clinic.…”

Section: Discussionmentioning

confidence: 99%

Fear and anxiety among COVID-19 Screening Clinic Beneficiaries of a tertiary care hospital of Eastern India

Sahu

Pradhan

Patra

et al. 2021

Asian Journal of Psychiatry

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“…One hundred studies reported on factors associated with psychological symptoms during infectious disease outbreaks. Female sex (compared to male) was the factor most commonly associated with worse psychological symptoms in physicians [30,41,44,48,63,66,71,77,89,98,112,122,127,128,138,142,144,148,163,165,170,[174][175][176][177][178][179][180][181][182][183][184][185][186][187][188][189]. Other factors associated with poorer psychological outcomes included direct patient contact [28, 32, 34, 44, 46, 53, 59, 64, 71, 81, 95, 98, 112, 122, 130, 163, 169, 175, 182, 183, 186, 190-192] [30, 34, 41, 44, 48, 59, 63, 66, 71, 77, 89], single marital status (compared to married) [39,44,59,63,98,122], younger age [33,…”

Section: Factors Associated With Psychological Symptoms During Infectmentioning

confidence: 96%

“…The most common psychological symptoms measured with surveys or validated questionnaires reported included anxiety (n = 103), depression (n = 73), stress (n = 68), fear (n = 61), burnout (n = 25), mental distress/health (n = 21), and post-traumatic stress disorder (PTSD) (n = 14) (Additional File 3). Most COVID-19 studies reported on physicians from USA (n = 23) [41,52,66,70,77,[90][91][92][93][94][95][96][97][98][99][100][101][102][103][104][105][106][107], China (n = 22) [15, 49, 54-56, 65, 68, 73, 86, 89, 102, 108-118] followed by India (n = 21) [40,50,58,63,67,71,102,[119][120][121][122][123][124][125][126][127][128][129][130][131][132] [41,52,…”

Section: Experiences With Physician Psychological Symptoms During Infmentioning

confidence: 99%

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

et al. 2021

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Background Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty of the ongoing COVID-19 pandemic along with increased workload and difficult medical triage decisions may lead to a further decline in physician psychological health. Methods We searched Medline, EMBASE, and PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], PsycINFO [1806]) to November 17, 2020. Titles and abstracts were screened by one of three reviewers and full-text article screening and data abstraction were conducted independently, and in duplicate, by three reviewers. Results From 6223 unique citations, 480 articles were reviewed in full-text, with 193 studies (of 90,499 physicians) included in the final review. Studies reported on physician psychological symptoms and management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], three strains of Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East respiratory syndrome [MERS], and COVID-19) in 57 countries. Psychological symptoms of anxiety (14.3–92.3%), stress (11.9–93.7%), depression (17–80.5%), post-traumatic stress disorder (13.2–75.2%) and burnout (14.7–76%) were commonly reported among physicians, regardless of infectious disease outbreak or country. Younger, female (vs. male), single (vs. married), early career physicians, and those providing direct care to infected patients were associated with worse psychological symptoms. Interpretation Physicians should be aware that psychological symptoms of anxiety, depression, fear and distress are common, manifest differently and self-management strategies to improve psychological well-being exist. Health systems should implement short and long-term psychological supports for physicians caring for patients with COVID-19.

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A Study to Evaluate Depression and Perceived Stress Among Frontline Indian Doctors Combating the COVID-19 Pandemic

Cited by 49 publications

References 0 publications

COVID-19 pandemic and psychological wellbeing among health care workers and general population: A systematic-review and meta-analysis of the current evidence from India

COVID-19 pandemic and psychological wellbeing among health care workers and general population: A systematic-review and meta-analysis of the current evidence from India

Fear and anxiety among COVID-19 Screening Clinic Beneficiaries of a tertiary care hospital of Eastern India

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

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