Psychological impact of COVID-19 pandemic on postgraduate trainees: a cross-sectional survey

Imran, Nazish; Masood, Hafiz Muhammad Umar; Ayub, Maryam; Gondal, Khalid Masood

doi:10.1136/postgradmedj-2020-138364

Cited by 58 publications

(80 citation statements)

References 21 publications

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“…All 79 cross-sectional studies [41, 42, 44-50, 52-54, 56-63, 65-74, 77-122, 124-126] met four or more quality criteria, with 38 studies meeting all eight [41, 44, 48, 50, 54, 57, 59, 60, 63, 65-67, 74, 78-80, 83, 87-89, 91, 93, 96, 99-102, 104, 105, 107-109, 113, 119-121, 124, 126]. Most of the studies clearly defined criteria for inclusion in the sample, described study subjects and setting in detail, measured the exposure in a valid, reliable way, and used objective standard criteria for measurement of condition and appropriate statistical analysis.…”

Section: Resultsmentioning

confidence: 99%

“…More than two-thirds of the studies ( n = 60) [41-45, 47, 48, 50, 51, 53-55, 57, 59, 60, 62-68, 71, 72, 74, 75, 78-80, 83, 87-93, 99-105, 107-109, 111-117, 119-122, 124, 126] compared psychological and psychosomatic symptoms between frontline staff and other groups of participants (e.g., non-frontline healthcare providers, general public).…”

Section: Resultsmentioning

confidence: 99%

“…We retrieved 1,640 records from the electronic databases (after removal of duplicates) and 355 from the additional searches. After screening of title and/or abstract, we assessed 417 full texts for eligibility, of which 331 were excluded for a variety of reasons (e.g., mismatch with inclusion criteria, mixed population, wrong focus), and 86 [ 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers

Busch

Moretti

Mazzi

et al. 2021

Psychother Psychosom

146

143

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In light of the current coronavirus disease 2019 (COVID-19) pandemic and potential future infectious disease outbreaks, a comprehensive understanding of the negative effects of epidemics and pandemics on healthcare workers’ mental health could inform appropriate support interventions. Thus, we aimed to synthesize and quantify the psychological and psychosomatic symptoms among frontline medical staff. We searched four databases up to March 19, 2020 and additional literature, with daily search alerts set up until October 26, 2020. Studies reporting psychological and/or psychosomatic symptoms of healthcare workers caring for patients with severe acute respiratory syndrome, H1N1, Ebola, Middle East respiratory syndrome, or COVID-19 were eligible for inclusion. Two reviewers independently conducted the search, study selection, quality appraisal, data extraction, and synthesis and involved a third reviewer in case of disagreement. We used random effects modeling to estimate the overall prevalence rates of psychological/psychosomatic symptoms and the <i>I</i><sup>2</sup> statistic. We included 86 studies, reporting data from 75,991 participants. Frontline staff showed a wide range of symptoms, including concern about transmitting the virus to the family (60.39%, 95% CI 42.53–76.96), perceived stress (56.77%, 95% CI 34.21–77.95), concerns about own health (45.97%, 95% CI 31.08–61.23), sleeping difficulties (39.88%, 95% CI 27.70–52.72), burnout (31.81%, 95% CI 13.32–53.89), symptoms of depression (25.72%, 95% CI 18.34–33.86), symptoms of anxiety (25.36%, 95% CI 17.90–33.64), symptoms of posttraumatic stress disorder (24.51%, 95% CI 18.16–31.46), mental health issues (23.11%, 95% CI 15.98–31.10), and symptoms of somatization (14.68%, 95% CI 10.67–19.18). We found consistent evidence for the pervasive and profound impact of large-scale outbreaks on the mental health of frontline healthcare workers. As the COVID-19 crisis continues to unfold, guaranteeing easy access to support structures for the entire healthcare workforce is vitally important.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers

Busch

Moretti

Mazzi

et al. 2021

Psychother Psychosom

146

143

View full text Add to dashboard Cite

show abstract

“…Pooled prevalence of anxietyA total of 31 studies reported the prevalence of anxiety during COVID-19 in different samples from South Asian countries[46][47][48][49][50][51][52][53][54][55][56]58,59,[61][62][63][64][65][66]68,69,[71][72][73][74][75][76][77][78][79][80] . These studies used different scales to measureanxiety in respective samples, including the Generalized Anxiety Disorder 7-item (GAD-7) scale (n = 16), Depression, Anxiety and Stress Scale -21 Items (DASS-21) scales (n = 9), Hospital Anxiety and Depression Scale (HADS) (n = 4), Patient Health Questionnaire-4 (PHQ-4) (n = 1), and Self Reporting Questionnaire 20-items (SRQ-20) scale (n = 1).…”

mentioning

confidence: 99%

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

Hossain¹,

Rahman²,

Trisha³

et al. 2020

Preprint

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Introduction: The COVID-19 pandemic has impacted biopsychosocial health and wellbeing globally. Pre-pandemic studies suggest a high prevalence of common mental disorders, including anxiety and depression in South Asian countries, which may aggravate during this pandemic. This systematic meta-analytic review was conducted to estimate the pooled prevalence of anxiety and depression in South Asian countries during the COVID-19 pandemic. Method: We systematically searched for cross-sectional studies on eight major bibliographic databases and additional sources up to October 12, 2020, that reported the prevalence of anxiety or depression in any of the eight South Asian countries. A random-effects model was used to calculate the pooled proportion of anxiety and depression. Results: A total of 35 studies representing 41,402 participants were included in this review. The pooled prevalence of anxiety in 31 studies with a pooled sample of 28,877 was 41.3% (95% confidence interval [CI]: 34.7-48.1, I2 = 99.18%). Moreover, the pooled prevalence of depression was 34.1% (95% CI: 28.9-39.4, I2 = 99%) among 37,437 participants in 28 studies. Among the South Asian countries, India had a higher number of studies, whereas Bangladesh and Pakistan had a higher pooled prevalence of anxiety and depression. No studies were identified from Afghanistan, Bhutan, and Maldives. Studies in this review had high heterogeneity and varying prevalence across sub-groups. Conclusion: South Asian countries have high prevalence rates of anxiety and depression, suggesting a heavy psychosocial burden during this pandemic. Clinical and public mental health interventions should be prioritized alongside improving the social determinants of mental health in these countries. Lastly, a low number of studies with high heterogeneity requires further research exploring the psychosocial epidemiology during COVID-19, which may inform better mental health policymaking and practice in South Asia.

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“…The prevalence of depressive symptoms, generalised anxiety disorder and acute stress disorder were significantly high in postgraduate trainees in this pandemic. 24 , 25 …”

Section: Covid-19 Pandemic and Cardiovascular Trainingmentioning

confidence: 99%

COVID 19 pandemic: Its impact on cardiovascular training and care

Guha¹,

Karak²,

Choudhury³

et al. 2020

Indian Heart Journal

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Psychological impact of COVID-19 pandemic on postgraduate trainees: a cross-sectional survey

Cited by 58 publications

References 21 publications

What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers

What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers

Prevalence of anxiety and depression in South Asia during COVID-19: A systematic review and meta-analysis

COVID 19 pandemic: Its impact on cardiovascular training and care

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