Doctors; A Neglected Clientele When It Comes to Screening, Diagnosis and Management of Mental Health Issues Like Anxiety and Depression

Atif, Khaula; Khan, Habib Ullah; Ullah, Muhammad Zia; Shah, Farrukh Saleem; Latif, Abdul

doi:10.12669/pjms.322.8731

Cited by 31 publications

(26 citation statements)

References 8 publications

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“…One of the study findings shows that role insufficiency among doctors had the strongest association with depressive symptoms [ 21 ]. This was supported by a study reported on the years of services that are shown to has a significant association with depression [ 22 ]. Meanwhile, anxiety among doctors was associated with the inappropriate judgment made by the doctors due to emotional exhaustion and reduce sleep quality [ 23 ].…”

Section: Introductionmentioning

confidence: 52%

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fauzi

Yusoff

Robat

et al. 2020

IJERPH

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The COVID-19 pandemic potentially increases doctors’ work demands and limits their recovery opportunity; this consequently puts them at a high risk of adverse mental health impacts. This study aims to estimate the level of doctors’ fatigue, recovery, depression, anxiety, and stress, and exploring their association with work demands and recovery experiences. This was a cross-sectional study among all medical doctors working at all government health facilities in Selangor, Malaysia. Data were collected in May 2020 immediately following the COVID-19 contagion peak in Malaysia by using self-reported questionnaires through an online medium. The total participants were 1050 doctors. The majority of participants were non-resident non-specialist medical officers (55.7%) and work in the hospital setting (76.3%). The highest magnitude of work demands was mental demand (M = 7.54, SD = 1.998) while the lowest magnitude of recovery experiences was detachment (M = 9.22, SD = 5.043). Participants reported a higher acute fatigue level (M = 63.33, SD = 19.025) than chronic fatigue (M = 49.37, SD = 24.473) and intershift recovery (M = 49.97, SD = 19.480). The majority of them had no depression (69.0%), no anxiety (70.3%), and no stress (76.5%). Higher work demands and lower recovery experiences were generally associated with adverse mental health. For instance, emotional demands were positively associated with acute fatigue (adj. b = 2.73), chronic fatigue (adj. b = 3.64), depression (adj. b = 0.57), anxiety (adj. b = 0.47), and stress (adj. b = 0.64), while relaxation experiences were negatively associated with acute fatigue (adj. b = −0.53), chronic fatigue (adj. b = −0.53), depression (adj. b = −0.14), anxiety (adj. b = −0.11), and stress (adj. b = −0.15). However, higher detachment experience was associated with multiple mental health parameters in the opposite of the expected direction such as higher level of chronic fatigue (adj. b = 0.74), depression (adj. b = 0.15), anxiety (adj. b = 0.11), and stress (adj. b = 0.11), and lower level of intershift recovery (adj. b = −0.21). In conclusion, work demands generally worsen, while recovery experiences protect mental health during the COVID-19 pandemic with the caveat of the role of detachment experiences.

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Section: Introductionmentioning

confidence: 52%

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fauzi

Yusoff

Robat

et al. 2020

IJERPH

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“…Though data assessing the effect of the recent pandemic on mental health of doctors is sparse especially in the developing countries, but a previous survey in 2016 among doctors working in a tertiary care hospital in Pakistan reported an association of female gender and more service years with anxiety and depression [ 12 ]. Even among the general population depression and anxiety related disorders are found to be more common among females [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, patients were encouraged to stay at home if symptoms are not severe, hence frontline doctors may have less duties to attend. It is already known that social network structure and function are strongly intertwined with anxiety and depressive symptoms [ 12 ], therefore it is possible that doctors who are working less than 20 h a week are more likely to be distressed due to unusually less work and less social interaction. This may be compounded by feelings of guilt of leaving colleagues to work instead of them [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Physicians and other healthcare workers being considered as the heroes of this pandemic situation are the main force on which foundation of any healthcare system rests; hence it is of utmost importance that their mental and physical wellbeing must be taken care of so that they can perform their duties in the most efficient manner. Scarce data indicates one third of the physicians suffering from anxiety and depression in Pakistan even before the pandemic [ 12 ]. Yet, because of the novelty and rapid evolution of this crisis situation there are no researches available, especially in developing countries to determine the impact of these hypothesized factors on the mental health of frontline physicians.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 pandemic- knowledge, perception, anxiety and depression among frontline doctors of Pakistan

et al. 2020

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Background COVID-19 is a global pandemic and has become a major public health burden worldwide. With already fragile healthcare systems it can have long lasting effects in developing countries. Outbreaks especially a pandemic situation evokes fear related behaviors among healthcare professionals and there is always an increased risk of mental health disorders. Therefore, this study aims to determine knowledge and perception about this pandemic, prevalence and factors associated with anxiety/depression among frontline physicians of Pakistan. Methods Data were collected through an online survey released in the last week of March-2020. 389 frontline physicians from all four provinces and 65 cities of Pakistan participated. Survey questionnaire consisted of 4 parts including informed consent section, demographic section, knowledge and perception about COVID-19 pandemic and assessment of depression through World Health Organization Self-reporting questionnaire (SRQ-20). A score of 8 or above on SRQ-20 was used as cut-off to label the participant as depressed. Data was analyzed using SPSS version22. Results A 43% prevalence of anxiety/depression among frontline physicians of Pakistan was reported. Almost all the doctors had moderate to high knowledge score. Majority of participants marked N-95 mask as “essential” during aerosol generating procedures, assessing patients with respiratory symptoms, in COVID patient-care area, ER triage and direct care of COVID-19 patient. Only 12% of the doctors were fully satisfied with the provision of PPEs and almost 94% felt unprotected. In multivariable model, assessing more than five COVID suspects/day (aOR = 2.73, 95% CI: 1.65–4.52), working 20 h/week or less (aOR = 2.11, 1.27–3.49), having children among household members (aOR = 1.58, 95% CI: 1.00–2.50) and moderate to low knowledge of the infection (aOR = 2.69, 95% CI: 1.68–4.31) were found to be independent predictors of anxiety/depression among physicians. Conclusion Anxiety/depression among more than a third of frontline doctors of Pakistan warrants the need to address mental health of doctors caring for patients during this pandemic; control modifiable factors associated with it and explore the effectiveness of interventions to promote psychological well-being of physicians.

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“…17 However, other studies from Pakistan reported relatively higher level of anxiety symptoms among; women in a lower middle class semi-urban community, women with infertility, women with polycystic ovary syndrome, patients suffering from tuberculosis, and doctors serving in a tertiary care hospital. 20 - 24 …”

Section: Discussionmentioning

confidence: 99%

Symptoms of Depression and Anxiety among Women attending Primary Health Care in Gilgit-Baltistan (GB), Pakistan

et al. 2017

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Objective:To assess symptoms of anxiety and depression among women reporting to primary health care (PHC women) in Gilgit Baltistan (GB), Pakistan.Methods:This was a cross-sectional study conducted on PHC women belonging GB including other three provinces of Pakistan. PHQ-9 and GAD-7 were used to assess anxiety and depression. Descriptive and inferential statistical techniques were applied to analyze the collected data.Results:PHC women from GB reported higher level of depressive symptoms (t=7.58, p=0.00) and lower level of anxiety symptoms (t=8.3, p=0.00) when compared with cut-off score. Insignificant differences were found in depressive (t=1.5, p>.05) and anxiety (t=1.2, p>.05) scores between GB women and women from rest of Pakistan. However, inter-province differences in depressive (F=5.78, p= 00) and anxiety (F=4.5, p=0.00) symptoms were significant. Increasing age and lack of education were found significant risk factors for GB PHC women’s depressive and anxiety symptoms.Conclusions:PHC women from GB have higher level of depressive and lower level of anxiety symptoms like women from other provinces of Pakistan. Their demographics should be considered while addressing their emotional problems.

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Doctors; A Neglected Clientele When It Comes to Screening, Diagnosis and Management of Mental Health Issues Like Anxiety and Depression

Cited by 31 publications

References 8 publications

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

COVID-19 pandemic- knowledge, perception, anxiety and depression among frontline doctors of Pakistan

Symptoms of Depression and Anxiety among Women attending Primary Health Care in Gilgit-Baltistan (GB), Pakistan

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