A Systematic Review of the Impact of Disaster on the Mental Health of Medical Responders

Naushad, Vamanjore A; Bierens, Joost; Purayil, Nishan K; Firjeeth, Chirakkal Paramba; Mohammad, Osama; Maliyakkal, Abdul Majeed; Chalihadan, Sajid; Schreiber, Merritt

doi:10.1017/s1049023x19004874

Cited by 261 publications

(268 citation statements)

References 84 publications

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“…Depression exhibits a higher chance to raise both the risks of anxiety and burnout. Our result is in line to Nushad et al's study, which showed that health professionals in an emergency department and nurses in intensive rooms and infectious diseases ward exhibit a higher risk for adverse psychiatric effects [37]. Another study argued that 23.7% intensive care unit doctors in France experience depression [38].…”

Section: Discussionsupporting

confidence: 92%

Depressive, Anxiety, and Burnout Symptoms on Health Care Personnel at a Month After COVID-19 Outbreak in Indonesia: A Documentary Research Using Rasch Model Analysis

Sunjaya

Herawati

Siregar

2020

Preprint

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Background: Health personnel who demonstrated close contact with patients with COVID-19, might experience a higher risk of infection and psychological problems. This study aims to explore depressive, anxiety, and burnout symptoms among health care personnel with a higher risk for psychological trauma.Methods: This study was a cross-sectional study using secondary data from an online assessment, which was conducted one month after the COVID-19 outbreak. A total of 544 respondents from 21 provinces in Indonesia were included. Data on depressive, anxiety, and burnout symptoms were transformed using the Rasch model. Data from health professionals in the higher risk group and the lower risk group were analyzed.Results: A higher percentage of health professionals experiencing depressive symptoms (22.8%), anxiety (28.1%), and burnout (26.8%) are found in the higher risk group. The chance for the higher risk group’s personnel to present with moderate and severe depressive symptoms, anxiety, and burnout are 5.3 (p < 0.05), 1.36 (p > 0.05), and 3.92 (p < 0.05) times higher, respectively. The probability for patient-induced burnout is 2.13 (p < 0.05) times higher and highest among the other burn out dimensions. The depressive symptoms complained were similar between groups: loneliness, sleep disturbances, difficulty concentrating, and inability to initiate activities. Loneliness demonstrates the highest logit value among the symptoms.Conclusions: Health professionals with direct contact and responsibility to treat COVID-19 patients exhibit a higher risk to experience depressive symptoms and burnout. Communication with peers and staying in contact with family needs to be encouraged. Physiological well-being should be considered for high-risk health personnel. Incentive or insurance guaranteed by the government or institution is essential as a reward and compensation during this period.

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Section: Discussionsupporting

confidence: 92%

Depressive, Anxiety, and Burnout Symptoms on Health Care Personnel at a Month After COVID-19 Outbreak in Indonesia: A Documentary Research Using Rasch Model Analysis

Sunjaya

Herawati

Siregar

2020

Preprint

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“…The effect of social support and coping was shown by a systematic review conducted on the impact of a disaster on the mental health of HCW. As per the report, the common risk factors for developing psychiatric morbidities were lack of social support, communication, maladaptive coping and lack of training (Naushad et al, 2019). In the current review, the effect of social support on self-efficacy, insomnia, anxiety, and depression was shown by the study done by Xiao H et al, 2020 13 .…”

Section: Discussionmentioning

confidence: 94%

“…The psychiatric illnesses that people develop include depression, anxiety, panic attacks, somatic symptoms, and posttraumatic stress disorder symptoms, to delirium, psychosis and even suicidality (Hall et al, 2008;Muller, 2014;Sim et al, 2010). As already pointed out, studies done in the past reported that HCW especially those working in emergency units, intensive care units, and infectious disease wards are at higher risk of developing adverse psychiatric impact (Naushad et al, 2019). The current review also showed similar results that HCWs are at higher risk of developing adverse psychiatric outcomes.…”

Section: Discussionmentioning

confidence: 99%

Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review

Spoorthy

Pratapa

Mahant

2020

Asian Journal of Psychiatry

1,135

949

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Highlights The current review was done to conduct systematic appraisal of studies conducted on Mental health problems faced by healthcare workers due to the COVID-19 pandemic  Out of 23 articles selected by initial screening 6 original articles were included in the final review.  Review of all the 6 articles showed that several socio-demographic variables like gender, profession, age, place of work, department of work and certain psychological variables like poor social support, self-efficacy were found to be associated with increased reporting of stress, anxiety, depressive symptoms, insomnia in HCW.  There is increasing evidence which suggests that COVID-19 can be an independent risk factor for stress in HCW. Abstract IntroductionThe spread of novel coronavirus (COVID-19) across the globe and the associated morbidity and mortality challenged the nations by several means. One such under-recognized and unaddressed area is the mental health issues medical staff develop during the pandemic. Materials and methods J o u r n a l P r e -p r o o fThis review aimed to review the literature about mental health problems faced by health care workers (HCW) during the COVID-19 pandemic. The literature search was conducted in the following databases: PubMed, Google Scholar, Cochrane Library, Embase. All types of articles published in the last 4 months (January 2020-April 2020) which were relevant to the subject of the review were searched. A total of 23 articles were selected by initial screening and 6 articles were included in the final review. ResultsA review of all the 6 articles showed that current research focused on assessing several aspects of mental health affected in HCW due to COVID-19. Several socio-demographic variables like gender, profession, age, place of work, department of work and psychological variables like poor social support, self-efficacy were associated with increased stress, anxiety, depressive symptoms, insomnia in HCW. There is increasing evidence that suggests that COVID-19 can be an independent risk factor for stress in HCW. ConclusionRegular screening of medical personnel involved in treating, diagnosing patients with COVID-19 should be done for evaluating stress, depression, and anxiety by using multidisciplinary Psychiatry teams.

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“…Healthcare workers caring for patients diagnosed with COVID 19 are at a higher risk of developing psychological distress. Taking preventive measures and providing psychological interventions tailored to these healthcare workers can positively affect this distress (Naushad et al, 2019). To date, the Chinese authorities have taken numerous decisive measures to help relieve mental stress related to the ongoing coronavirus outbreak.…”

mentioning

confidence: 99%

Protecting the psychological well‐being of healthcare workers affected by the COVID‐19 outbreak: Perspectives from China

Huang

2020

Nursing & Health Sciences

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positively effect this distress (Naushad et al., 2019). To date, the Chinese authorities have taken numerous decisive measures to help relieve mental stress related to the on-going coronavirus outbreak. These measures have included releasing the notification of basic principles for emergency psychological crisis interventions for COVID-19 pneumonia;providing telephone-based and internet-based counselling services and platforms; and psychological guidance and services specifically tailored to healthcare workers (National Health Commission of China, 2020).Regular clinical screening of psychological distress for healthcare workers, especially those working in hospitals providing care patients diagnosed with COVID 19, is needed to identify those at high-risk and direct to treatment services. As we look back at the SARS and other biological outbreaks and disasters, bereaved individuals and their families are most vulnerable to severe mental health problems. Thus, early psychological assessments, additional medical and social support, and continued long-term interventions are extremely important for healthcare workers who have suffered bereavements of their colleagues and in their own families.Preventative interdisciplinary and competency-based disaster training programs for healthcare workers can be effective in improving readiness and mitigating the negative impacts of major incidents (Bajow et al., 2018). Stress or trauma experienced by healthcare workers during the disaster can affect cognitive and technical performance, as well as trigger more preexisting mental health disorders. Implementing psychological skills training programs in advance offers a practical and easy way to improve the performance of healthcare workers under stress (Lauria et al., 2017). Training programs that teach preventive and coping strategies regarding trauma or disaster should be developed and incorporated into regular or preliminary courses for healthcare workers' routine and continued education, especially for junior medical workers and nurses. These training programmes for healthcare

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A Systematic Review of the Impact of Disaster on the Mental Health of Medical Responders

Cited by 261 publications

References 84 publications

Depressive, Anxiety, and Burnout Symptoms on Health Care Personnel at a Month After COVID-19 Outbreak in Indonesia: A Documentary Research Using Rasch Model Analysis

Depressive, Anxiety, and Burnout Symptoms on Health Care Personnel at a Month After COVID-19 Outbreak in Indonesia: A Documentary Research Using Rasch Model Analysis

Mental health problems faced by healthcare workers due to the COVID-19 pandemic–A review

Protecting the psychological well‐being of healthcare workers affected by the COVID‐19 outbreak: Perspectives from China

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