Addressing mental health in patients and providers during the COVID-19 pandemic

Werner, Elizabeth; Aloisio, Cara E.; Butler, Ashlie D.; D’Antonio, Kristina; Kenny, Jennifer M.; Mitchell, Anika; Ona, Samsiya; Monk, Catherine

doi:10.1016/j.semperi.2020.151279

Cited by 55 publications

(67 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There has been limited data, however, measuring the mental health impact of the COVID-19 pandemic on health providers. A recent study on obstetricians and gynecologists in the US highlighted the compassion fatigue and shared trauma experienced by providers as a result of their proximity to the suffering of patients during the COVID-19 pandemic [ 26 ]. In China, a high proportion of providers treating patients with COVID-19 reported symptoms of depression, anxiety, insomnia, and distress [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Mental health among outpatient reproductive health care providers during the US COVID-19 epidemic

et al. 2021

View full text Add to dashboard Cite

Introduction Both inpatient and outpatient providers may be at increased risk of stress, anxiety and depression from their roles as health providers during the COVID-19 epidemic. This study explores how the US COVID-19 epidemic has increased feelings of stress, anxiety and depression among outpatient reproductive health providers. Methods We conducted a survey with open-ended responses among outpatient reproductive health providers across the U.S. engaged in contraceptive care to collect data on their experiences with stress, anxiety and depression during the COVID-19 epidemic. The study population included physicians, nurses, social workers, and other health professions [n = 288]. Data were collected from April 21st–June 24th 2020. We used content analysis of free text responses among providers reporting increased stress, anxiety or depression. Results Two-thirds (184) of providers reported increased stress and one-third (96) reported increased anxiety or depression related to care provision during the COVID-19 epidemic. The major sources of stress, anxiety and depression were due to patient care, worry about becoming infected or infecting family members, work- and home-related concerns, experiencing provider burnout, and fear of the unknown. Concerns about quality of patient care, providers’ changing responsibilities, lack of personal protective equipment, and difficulty coping with co-worker illness and absence all contributed to provider stress and anxiety. Worries about unemployment and childcare responsibilities were also highlighted. Providers attributed their stress, anxiety or depression to feeling overwhelmed, being unable to focus, lacking sleep, and worrying about the unknown. Conclusions US outpatient providers are experiencing significant stress, anxiety, and depression during the US COVID-19 epidemic. Policy and programmatic responses are urgently needed to address the widespread adverse mental health consequences of this epidemic on outpatient providers, including reproductive health providers, across the US. Plan English summary Both inpatient and outpatient providers may be at increased risk of stress, anxiety and depression from their roles as health providers during the COVID-19 epidemic. This study explores how the US COVID-19 epidemic has increased feelings of stress, anxiety and depression among outpatient reproductive health providers across the US. We conducted a survey from April 21st to June 24th, 2020 among outpatient reproductive health providers, including physicians, nurses, social workers and other health professions. We asked open-ended questions to understand why providers reported increased stress, anxiety and/or depression. Two-thirds (184) of providers reported increased stress and one-third (96) reported increased anxiety or depression from care provision during the COVID-19 epidemic. Major sources of stress, anxiety and depression were due to patient care, worry about becoming infected or infecting family members, work- and home-related concerns, experiencing provider burnout, and fear of the unknown. Concerns about quality of patient care, providers’ changing responsibilities, lack of personal protective equipment, and difficulty coping with co-worker illness and absence all contributed to provider stress and anxiety. Worries about unemployment and childcare responsibilities were also highlighted. Providers attributed their stress, anxiety or depression to feeling overwhelmed, being unable to focus, lacking sleep, and worrying about the unknown. This study highlights that US outpatient reproductive health providers are experiencing significant stress, anxiety, and depression during the US COVID-19 epidemic. Policy and programmatic responses are urgently needed to address the widespread adverse mental health consequences of this epidemic on outpatient providers, including reproductive health providers, across the US.

show abstract

Section: Introductionmentioning

confidence: 99%

Mental health among outpatient reproductive health care providers during the US COVID-19 epidemic

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Our results are in line with these studies. According to Werner et al (2020), the use of new and diverse models of prenatal care by health care providers can reduce the anxiety of pregnant women in crises such as COVID-19 pandemic (22).…”

Section: Discussionmentioning

confidence: 99%

Health anxiety and related factors among pregnant women during the COVID-19 pandemic: A cross-sectional study from Iran

Saadati

Afshari

Boostani

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods: In this cross-sectional study, 300 pregnant women in different trimesters (n=100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of <27, 27-34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results: Mean (SD) total anxiety scores were 22.3±9.5, 24.6±9.3 and 25.4±10.6 in the first, second and third trimesters of pregnancy, respectively. 9%, 13% and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p=0.045). Conclusion: At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.

show abstract

“…Our results are in line with these studies. According to Werner et al, the use of new and diverse models of prenatal care by health care providers can reduce the anxiety of pregnant women in crises such as COVID-19 pandemic (22).…”

Section: Discussionmentioning

confidence: 99%

Health anxiety and related factors among pregnant women during the COVID-19 pandemic: A cross-sectional study from Iran

Saadati

Afshari

Boostani

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: The pandemic of COVID-19 affected many countries around the world and Iran was no exception. The aim of this study was to evaluate the health anxiety of the Iranian pregnant women during the pandemic of the COVID-19. Methods: In this cross-sectional study, 300 pregnant women in different trimesters (n=100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety questionnaire were used to collect the data. The total score < 27 of means low health anxiety, scores between 27-34 mean moderate health anxiety, and scores more than 35 means high health anxiety. Due to nationwide restrictions, data were collected through social media groups. The chi-square, ANOVA and multiple linear regression were used to analyze the data. Results: The total score of anxiety was 22.3±9.5, 24.6±9.3 and 25.4±10.6 in the first, second and third trimester of pregnancy, respectively. Particularly, 9%, 13% and 21% of the women had severe anxiety or scores≥35 in the first, second and third trimester of pregnancy respectively. Pregnant women in the third trimester had significantly higher health anxiety score and higher scores of “total health anxiety” than did those in the first trimester (p=0.045). Conclusion: At the time of the pandemic of COVID-19, women in the second and third trimester of pregnancy were more worried about consequences of disease, but the total score of health anxiety was significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as Corona pandemic.

show abstract

Addressing mental health in patients and providers during the COVID-19 pandemic

Cited by 55 publications

References 58 publications

Mental health among outpatient reproductive health care providers during the US COVID-19 epidemic

Mental health among outpatient reproductive health care providers during the US COVID-19 epidemic

Health anxiety and related factors among pregnant women during the COVID-19 pandemic: A cross-sectional study from Iran

Health anxiety and related factors among pregnant women during the COVID-19 pandemic: A cross-sectional study from Iran

Contact Info

Product

Resources

About