Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers

Narita, Zui; Okubo, Ryo; Sasaki, Yohei; Takeda, Kazuyoshi; Ohmagari, Norio; Yamaguchi, Koushi; Morisaki, Naho; Sampei, Makiko; Ishitsuka, Kazue; Kojima, Masayo; Nishimura, Kunihiro; Inoue, Manami; Yamamoto, Shohei; Konishi, Maki; Miyo, Kengo; Mizoue, Tetsuya

doi:10.1016/j.jpsychires.2023.01.025

Cited by 14 publications

(16 citation statements)

References 41 publications

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“…In another survey, frontline workers had increased odds of COVID-19-related discrimination, which was associated with PTSD symptoms and psychological distress, compared with second-line workers ( 19 ). According to a multi-center collaborative survey, COVID-19-related discrimination was significantly associated with subsequent depression and suicidal ideation among HCWs ( 20 ). However, the reasons for the differences in mental health among occupations in HCWs during the COVID-19 pandemic remain unclear.…”

Section: Introductionmentioning

confidence: 99%

Association of fear of COVID-19 and resilience with psychological distress among health care workers in hospitals responding to COVID-19: analysis of a cross-sectional study

Midorikawa¹,

Tachikawa²,

Kushibiki³

et al. 2023

Front. Psychiatry

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BackgroundIt remains unclear how fear of COVID-19 and resilience are related to psychological distress based on occupations among healthcare workers (HCWs) in hospitals treating patients with COVID-19. We conducted a survey on the mental health of HCWs during the COVID-19 pandemic to determine the relationship between factors such as fear of COVID-19 and resilience as well as mental distress in each occupation of HCWs.MethodsWe conducted a web-based survey among HCWs at seven hospitals treating COVID-19 patients in Japan from December 24, 2020 to March 31, 2021. A total of 634 participants were analyzed, and information regarding their socio-demographic characteristics and employment status was collected. Several psychometric measures were used, including the Kessler’s Psychological Distress Scale (K6), the fear of COVID-19 Scale (FCV-19S), and the Resilience Scale (RS14). Factors related to psychological distress were identified by logistic regression analysis. The association between job title and psychological scales was examined by one-way ANOVA, and t-tests were conducted to examine the association between the FCV-19S and hospital initiatives.ResultsIt was found that nurses and clerical workers were associated with psychological distress without considering FCV-19S or RS14; in a model that included FCV-19S, FCV-19S was associated with psychological distress, but job title was not; when RS14 was considered, resilience was protective. In terms of occupation, FCV-19S was lower among physicians and higher among nurses and clerical workers, while RS14 was higher among physicians and lower among other occupations. Having access to in-hospital consultation regarding infection control as well as to psychological and emotional support was associated with lower FCV-19S.ConclusionBased on our findings, we can conclude that the level of mental distress differed by occupation and the differences in the fear of COVID-19 and resilience were important factors. In order to provide mental healthcare for HCWs during a pandemic, it is important to create consultation services that enable employees to discuss their concerns. In addition, it is important to take steps to strengthen the resilience of HCWs in preparation for future disasters.

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Section: Introductionmentioning

confidence: 99%

Association of fear of COVID-19 and resilience with psychological distress among health care workers in hospitals responding to COVID-19: analysis of a cross-sectional study

Midorikawa¹,

Tachikawa²,

Kushibiki³

et al. 2023

Front. Psychiatry

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“…COVID-19-related discrimination (exposure) COVID-19-related discrimination was assessed by asking participants two questions with a yes/no answer option, previously used in other studies [13,14,17]: (1) "Have you or your family ever experienced verbal discrimination related to COVID-19?" and (2) "Have you ever perceived discrimination related to COVID-19?".…”

Section: Study Populationmentioning

confidence: 99%

Psychological distress mediates the association between COVID-19-related discrimination and subsequent PTSD symptom severity in healthcare workers: a two-year follow-up study

Narita,

Okubo,

Sasaki

et al. 2024

Preprint

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Background Past research has suggested a cross-sectional association between COVID-19-related discrimination and PTSD symptom severity. However, no cohort study has examined the longitudinal association that allows causal interpretation. Also, even if such an association genuinely exists, the mechanism remains unclear. Methods We conducted a two-year follow-up study, obtaining data from healthcare workers in a hospital setting. We first evaluated how COVID-19-related discrimination in 2021 was associated with subsequent PTSD symptom severity in 2023. Thereafter, we conducted causal mediation analysis to examine how this association was mediated by psychological distress in 2022, accounting for exposure-mediator interaction. Missing data were handled using random forest imputation. Results A total of 660 hospital staff were included. The fully adjusted model showed greater PTSD symptom severity in individuals who experienced any COVID-19-related discrimination compared with those without such experiences (β, 0.44; 95% CI, 0.04–0.90). Regarding each type of discrimination, perceived discrimination was associated with greater PTSD symptom severity (β, 0.52; 95% CI, 0.08–0.96), whereas verbal discrimination did not reach statistical significance. Psychological distress consistently mediated 28.1–38.8% of the observed associations. Conclusions COVID-19-related discrimination is associated with subsequent PTSD symptom severity in healthcare workers. Psychological distress may serve as an important mediator, underscoring the potential need for interventions targeting this factor.

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“…Associations of self-isolation, social support and coping strategies with depression and suicidal ideation in U.S. young adults during the COVID-19 pandemic Zui Narita 1 | Jordan Devylder 2,3 | Melissa Bessaha 4 | Lisa Fedina 5 have a detrimental impact on mental health during the pandemic, such as economic decline, unemployment, stigma, self-isolation and social distancing measures and a general decrease in socialization and access to support from others (Narita et al, 2022(Narita et al, , 2023Panchal et al, 2021;Robinson et al, 2022;Samji et al, 2022). Such stressors and how individuals respond to them might moderate the detrimental effect of the COVID-19 pandemic on mental health.…”

Section: O R I G I N a L A R T I C L Ementioning

confidence: 99%

“…Evidence also suggests that the pandemic has harmed mental health in the general population (Xiong et al, 2020). Multiple factors are suggested to have a detrimental impact on mental health during the pandemic, such as economic decline, unemployment, stigma, self‐isolation and social distancing measures and a general decrease in socialization and access to support from others (Narita et al, 2022, 2023; Panchal et al, 2021; Robinson et al, 2022; Samji et al, 2022). Such stressors and how individuals respond to them might moderate the detrimental effect of the COVID‐19 pandemic on mental health.…”

Section: Introductionmentioning

confidence: 99%

Associations of self‐isolation, social support and coping strategies with depression and suicidal ideation in U.S. young adults during the COVID‐19 pandemic

Narita

DeVylder

Bessaha

et al. 2023

Int J Mental Health Nurs

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There have been concerns about the psychological impact of COVID-19-related stressors on young adults. However, there remains limited information regarding how psychosocial factors and coping strategies correlate with suicidal ideation in young adults during the pandemic. We studied a cross-sectional, observational online survey using a probability-based, nationally representative sample of U.S. young adults aged 18 to 29 (N = 1077). We performed weighted logistic regression to evaluate how self-isolation, social support and coping strategies (exposures) were associated with depression and suicidal ideation (outcomes), adjusting for age, gender, race, educational level and sexual orientation. The method of multiple imputations for addressing missing data was executed through chained equations. A total of 296 participants had depression, while 323 had suicidal ideation. Individuals who consistently self-isolated exhibited nearly threefold higher odds of depression compared to those without self-isolation. Social support was consistently protective against depression and suicidal ideation. Coping through positive reframing was protective against depression and suicidal ideation, whereas substance use, self-blame and behavioural disengagement had the opposite impact. Providing social support may help prevent suicidal ideation among young adults during the pandemic. Interventions that focus on developing young adults' coping strategies, such as through positive reframing, are recommended to develop positive and healthy relationships. Healthcare providers should advise against substance use, self-blame and behavioural disengagement.

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Association of COVID-19-related discrimination with subsequent depression and suicidal ideation in healthcare workers

Cited by 14 publications

References 41 publications

Association of fear of COVID-19 and resilience with psychological distress among health care workers in hospitals responding to COVID-19: analysis of a cross-sectional study

Association of fear of COVID-19 and resilience with psychological distress among health care workers in hospitals responding to COVID-19: analysis of a cross-sectional study

Psychological distress mediates the association between COVID-19-related discrimination and subsequent PTSD symptom severity in healthcare workers: a two-year follow-up study

Associations of self‐isolation, social support and coping strategies with depression and suicidal ideation in U.S. young adults during the COVID‐19 pandemic

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