Prevalence and risk factors associated with mental health symptoms among anesthetists in Saudi Arabia during the COVID-19 pandemic

El-Tallawy, Salah N.; Titi, Maher A.; Ejaz, Abdulaziz A.; Abdulmomen, Ahmed; Elmorshedy, Hala; Aldammas, Fatma; Baaj, Jumana; Alharbi, Mohamed; Alqatari, Ahmad

doi:10.1080/00207411.2022.2035905

Cited by 3 publications

(17 citation statements)

References 52 publications

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“…Of 1254 articles initially returned, we included 20 articles that studied 8680 anaesthetists (Fig. 1 ) [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ]. Studies sampled anaesthetists from 14 countries: Canada (n = 55) [ 26 ]; Egypt (n = 330) [ 32 , 41 ]; France (n = 46) [ 36 ]; India (n = 512) [ 24 ]; Italy (n = 195) [ 28 , 34 ]; Malaysia (n = 85) [ 23 ]; Pakistan (n = 8) [ 31 ]; Saudi Arabia (n = 241) [ 30 ]; Singapore (n = 115) [ 42 ]; Spain (n = 776) [ 39 ]; South Africa (n = 391) [ 33 ]; Turkey (n = 34) [ 40 ]; UK and Ireland (n = 1143) [ 27 , 37 , 38 ]; and the USA (n = 4759) [ 25 , 29 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eighteen of the 20 studies used validated outcome measures to assess mental health and well‐being constructs (see online Supporting Information, Table S2 ), including: burnout [ 23 , 25 , 26 , 29 , 32 , 34 ]; stress [ 25 , 28 , 32 , 34 , 39 , 41 ]; anxiety [ 23 , 24 , 25 , 28 , 30 , 34 , 35 , 40 , 42 ]; depression [ 23 , 24 , 25 , 28 , 30 , 34 , 35 , 40 , 42 ]; post‐traumatic stress [ 30 , 33 , 37 , 38 ]; psychological distress [ 37 , 38 ]; insomnia and sleep concerns [ 24 , 26 , 28 , 34 , 40 , 42 ]; resilience [ 36 ]; happiness [ 34 ] and well‐being [ 25 , 27 ]. Two studies did not specify validated outcome measures: one was a conference proceeding that only noted that a survey was used [ 27 ], and the other used qualitative interview techniques [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…From an organisational perspective, recommendations included: regulation of work hours to alleviate fatigue [ 24 , 28 , 32 ]; provision of a safe and well‐designed workplace [ 24 , 28 , 31 , 32 ]; education and training [ 28 , 30 , 41 ]; provision of adequate PPE [ 26 ]; clear communication about treatment protocols [ 26 , 30 ]; financial support [ 23 , 24 ]; and accommodation for those on COVID‐19 duties [ 23 , 24 ]. In particular, two studies highlighted the importance of organisations taking steps to identify and monitor psychological distress on an ongoing basis [ 23 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

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Mental health and well‐being of anaesthetists during the COVID‐19 pandemic: a scoping review

Paterson

Ferris

2022

Anaesthesia

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The COVID-19 pandemic has imposed substantial burdens on clinicians and there is a need to better understand the impact on mental health and well-being. This scoping review investigates the prevalence of mental health concerns in anaesthetists, risk and protective factors for mental well-being, and anaesthetists' pandemic-related concerns and support. We searched online databases for articles published between January 2020 and May 2022, using search terms related to: anaesthesia; burnout, well-being, mental health or stress; and COVID-19. We identified 20 articles comprising 19 different populations of anaesthetists (n = 8680) from 14 countries. Studies identified the prevalence of the following condition in anaesthetists: burnout (14-59%); stress (50-71%); anxiety (11-74%); depression (12-67%); post-traumatic stress (17-25%); psychological distress (52%); and insomnia (17-61%). Significant risk factors for poorer mental health included: direct COVID-19-related issues (fear of self and family exposure to infection; requirement for quarantine); practitioner health factors (insomnia; comorbidities); psychosocial factors (loneliness; isolation; perceived lack of support at home and work); demographic factors (female gender; non-white ethnicity; LGBTQIA+); and workplace factors (redeployment outside area of clinical practice; increased work effort; personal protective equipment shortages). Protective factors identified included: job satisfaction; perceived organisational justice; older age; and male sex. Anaesthetists' self-reported concerns related to: personal protective equipment; resource allocation; fear of infection; fear of financial loss; increased workload; and effective communication of protocols for patient treatment. Support from family, colleagues and hospital management was identified as an important coping mechanism. Findings from this review may support the design of interventions to enhance anaesthetists' psychological health during pandemic conditions and beyond. Future research should include consistent psychological outcome measures and rigorous experimental design beyond cross-sectional studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Mental health and well‐being of anaesthetists during the COVID‐19 pandemic: a scoping review

Paterson

Ferris

2022

Anaesthesia

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“… Closure or overloaded rehabilitation services due to the pandemic. Patient-related factors: [ 18 , 24 , 25 ] Failure to provide education or advice. Limited access to the health care facilities.…”

Section: Definitionsmentioning

confidence: 99%

“… Possible immune suppression, fatigue, weakness, and associated comorbidities. Mental health problems : [ 24 , 25 ]. Onset of new or exacerbation of mental health concerns, including anxiety, stress, depression, and post-traumatic stress disorder, have become significant concerns.…”

Section: Definitionsmentioning

confidence: 99%