Association of loneliness and social isolation with mental disorders among medical residents during the COVID-19 pandemic: A multi-center cross-sectional study

Wei, Yuqian; Tang, Jun; Zhao, Jing; Liang, J; Li, Zhiyuan; Bai, Shan

doi:10.1016/j.psychres.2023.115233

Cited by 3 publications

(2 citation statements)

References 65 publications

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“…In Heideggerian terms, it can be said that Dasein, in its impersonal everyday mode, is in a situation of serenity because things happen as they are supposed to happen. Events such as the COVID-19 pandemic abruptly altered this connection with the impersonal [34], causing participants to have "days of sadness, boredom, and frustration" more frequently than "in normal life." In other words, "anxiety breaks everyday impersonal identificationswhat was familiar becomes uncanny.…”

Section: Discussionmentioning

confidence: 99%

Facing the Unknown: An Inductive Analysis of the Lived Experience of Medical Residents during the COVID-19 Pandemic

Guimarães-Fernandes,

Benoit,

de Oliveira

et al. 2024

Psychopathology

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Introduction: The COVID-19 pandemic had significant repercussions for the everyday life and public health of society. Healthcare professionals were particularly vulnerable. Here, we interviewed medical residents about their lived experiences during the pandemic to offer a phenomenological analysis. To this end, we discuss their pandemic experiences considering Jaspers’ “limit situation” concept – that is, a radical shift from their everyday experiences, to one causing them to question the basis of their very existence. Methods: We interviewed 33 medical residents from psychiatry and other specialties from the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP) who either (a) worked directly with COVID-19 patients or (b) provided psychiatric care to other healthcare professionals. Semi-structured interviews were developed using the Inductive Process to Analyze the Structure of lived Experience (IPSE). Results: The descriptions of the lived experiences of medical residents during the pandemic were organized into four content themes: (a) existential defense, (b) limit situations during the COVID-19 pandemic, (c) changes in lived experience, and (d) new world meanings through lived experience. Conclusion: During the COVID-19 pandemic, medical residents experienced what can be thought of as a “limit situation,” as they encountered the healthcare delivery challenges coupled with the social isolation imposed by the COVID-19 pandemic. These challenges included fear of infection and potential death, uncertainty about the future, and the emotional overload caused by the sharp increase in patient deaths. That said, after facing such a limit situation, residents reported feeling strengthened by this experience. This is consistent with the notion that when confronted with limit situations, we draw on our resources to overcome adversity and, in turn, reap existential gains. Health care providers might use these experiences to energize their own professional approach.

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Section: Discussionmentioning

confidence: 99%

Facing the Unknown: An Inductive Analysis of the Lived Experience of Medical Residents during the COVID-19 Pandemic

Guimarães-Fernandes,

Benoit,

de Oliveira

et al. 2024

Psychopathology

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“…In the context of the epidemic, single clinical therapists were more likely to experience more anxiety, which was not in line with the findings of some previous studies. These studies suggested a higher incidence of depression and stress in single or divorced individuals, as they could not draw support from their family (49) and experienced more loneliness (50,51). It is argued that the potential professional advantages that allow them to be better equipped to cope with negative emotions played an important part among clinical therapists (45).…”

Section: Socio-demographics Characteristics and Depression Anxiety An...mentioning

confidence: 99%

Prevalence and associated factors of depression, anxiety and stress among clinical therapists in China in the context of early COVID-19 pandemic

Tao,

Li,

Min

et al. 2024

Front. Psychiatry

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ObjectivesTo study the socio-demographic characteristics and the prevalence of depression, anxiety, and stress among clinical therapists in China during the early Coronavirus disease 2019 (COVID-19) pandemic and to identify associated factors.MethodThis cross-sectional study was part of a multicenter, nationally representative survey conducted through WeChat from January 2021 to March 2021. Data, including socio-demographics, health-related behaviors, and information on whether they participated in the frontline work of treating COVID-19, were collected anonymously. Respondents also completed the Depression Anxiety Stress Scales-21 (DASS-21).ResultsIn total, 396 clinical therapists in the selected hospitals completed the questionnaires, with a response rate of 89.0%. Respondents were predominantly female (77.3%). About 6.6% of the participants were current tobacco users, and 20.7% had participated in the frontline work of treating COVID-19. Overall, 22.0%, 17.9%, and 8.8% of participants were classified as having clinically meaningful depression, anxiety, and stress, respectively, based on DASS-21 scores. Multiple logistic regression in Model 1 and Model 2 showed that depression, anxiety, and stress were associated with regular physical activity and frequent insomnia (all, p < 0.05). In anxiety model 2, the associated factors for anxiety during the pandemic were identified as education (master’s degree or more, OR=0.520; 95% CI=0.283-0.955), marital status (single, OR=2.064; 95% CI=1.022-4.168), tobacco use (OR=4.265; 95% CI=1.352-13.454), regular physical activity (OR=0.357; 95% CI=0.192-0.663), frequent insomnia (OR=6.298; 95% CI =2.522-15.729), and participation in the frontline work of treating COVID-19 (OR=3.179; 95% CI=1.697-5.954). The COVID-19 epidemic did not significantly increase the depression and stress levels among clinical therapists, but it did significantly increase anxiety levels.ConclusionDuring the COVID-19 pandemic, depression, anxiety and stress were relatively common among clinical therapists in China. Regular physical activity and good sleep were important protective factors against emotional problems. Therefore, encouraging regular physical activity and actively addressing clinical therapists’ sleep problems is beneficial to improving the ability to cope with negative emotions. The COVID-19 epidemic significantly increased anxiety, and awareness and interventions should be recommended to reduce anxiety among clinical therapists during the COVID-19 pandemic.

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A digital self-help tool to promote mental well-being for Ukrainians affected by war - Assessing predictors of stress

Lahutina,

Frankova,

Gruen

et al. 2024

Neuroscience Applied

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Association of loneliness and social isolation with mental disorders among medical residents during the COVID-19 pandemic: A multi-center cross-sectional study

Cited by 3 publications

References 65 publications

Facing the Unknown: An Inductive Analysis of the Lived Experience of Medical Residents during the COVID-19 Pandemic

Facing the Unknown: An Inductive Analysis of the Lived Experience of Medical Residents during the COVID-19 Pandemic

Prevalence and associated factors of depression, anxiety and stress among clinical therapists in China in the context of early COVID-19 pandemic

A digital self-help tool to promote mental well-being for Ukrainians affected by war - Assessing predictors of stress

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