Survey of Insomnia and Related Social Psychological Factors Among Medical Staffs Involved with the 2019 Novel Coronavirus Disease Outbreak

Zhang, Chenxi; Liu, Shuai; Ma, Simeng; Wang, Ying; Cai, Zhongxiang; Du, Hui; Li, Ruiting; Kang, Lijun; Su, Meilei; Zhang, Jihui; Liu, Zhongchun; Zhang, Bin

doi:10.2139/ssrn.3542175

Cited by 25 publications

(38 citation statements)

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“…A recent study conducted on Chinese HCWs shows 44.6% with anxiety symptoms and 50.4% with depressive symptoms. 7 However, this study was conducted during the acute phase of the COVID-19 pandemic, which could account for the increase in anxiety and depressive symptoms in the population. A similar study reported a prevalence of 25.3% of psychological morbidity among HCWs at a screening centre during the H1N1 pandemic in Singapore.…”

Section: Discussionmentioning

confidence: 99%

“…A recent Chinese study reported symptoms of depression (50.4%) and anxiety (44.6%) among HCWs during the COVID-19 pandemic. 7 Studies on mental health outcomes among HCWs involved in the SARS crisis showed the importance of specialised preparedness, working in “high-risk” environment, job-related stress and being quarantined as a staff member, all of which appeared to have a negative psychological impact. 8 Almost everyone experiences health-related anxiety to some degree during epidemics, and high levels of health anxiety can be detrimental.…”

Section: Introductionmentioning

confidence: 99%

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Survey of prevalence of anxiety and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India

Gupta

Prasad

Dixit

et al. 2021

Medical Journal Armed Forces India

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Background A prospective study was conducted during the second phase of the coronavirus disease 2019 (COVID-19) pandemic in India to assess the prevalence of anxiety and depressive symptoms among healthcare workers (HCWs) and factors that influence the outcome. Methods A self-administered questionnaire was completed by 1124 HCWs during the COVID-19 pandemic (March 30, 2020, to April 2, 2020). Demographic data, questions on COVID-19 and scores of the Hospital Anxiety and Depression Scale were analysed using the chi-square test (Bonferroni correction) and binary logistic regression. Results The study consists of 1124 HCWs, including 749 doctors, 207 nurses, 135 paramedics, 23 administrators and ten supporting staff members. The prevalence of anxiety and depressive symptoms were reported as 37.2% and 31.4%, respectively. The risk factors for anxiety were female gender (30.6% vs 45.5%), age group (20–35 years) (50.4% vs 61.2%), unmarried (21.2% vs 30.6%) and job profile (nurse) (14.7% vs 26.4%). The protective factor was having service of more than 20 years (23.4% vs 14.8%). The risk factors for depression were age group (20-35 years) (51.3% vs 61.3%) and employed at a primary care hospital (16.2% vs 23.4%). The protective factors were job profile (doctor) (69.9% vs 59.6%) and having service of more than 20 years (22.3% vs 15.5%). Conclusion Approximately one-third of the HCWs reported anxiety and depressive symptoms. The risk factors for anxiety symptoms were female gender, younger age and job profile (nurse) and for depressive symptoms were younger age and working at a primary care hospital. Future research studies should identify strategies for providing a safer and supportive work environment for HCWs to face epidemics/pandemics.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Survey of prevalence of anxiety and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India

Gupta

Prasad

Dixit

et al. 2021

Medical Journal Armed Forces India

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“…How prevalent are sleep problems during this pandemic? Surveys of healthcare workers since the rise of COVID-19 have shown very high rates of insomnia (34-36%), as well as anxiety (45%) and depressive symptoms (50%), and those symptoms are especially prominent among frontline workers directly involved with patients diagnosed or at risk for COVID-19 (Lai et al 2020;Zhang et al 2020). Data from the general population also indicate that insomnia, sleep loss, and poor sleep quality are widespread complaints (Cellini et al 2020), with rates similar to those associated with other major crises involving, for example, natural disasters such as earthquakes, floods, or wildfires (Belleville et al 2019).…”

Section: Résumémentioning

confidence: 99%

Sleep and circadian rhythm in response to the COVID-19 pandemic

Morin

Carrier

Bastien

et al. 2020

Can J Public Health

196

174

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This commentary highlights the critical role of sleep as a public health issue, particularly during a stressful life period such as the COVID-19 pandemic, and provides evidence-based practical guidelines to manage sleep disturbances during this crisis. The COVID-19 pandemic and the imposed social confinement have produced significant stress, anxiety, and worries about health and the fear of being infected, jobs and financial problems, and uncertainty about the future. The incidence of sleep disturbances has also increased dramatically during this period. Aside from stress and anxiety, two other factors are likely to contribute to increased sleep disturbances during this crisis. First, alterations of our daily routines such as arising at a specific time, showing up at work, eating, exercising, and engaging in social and leisure activities at relatively fixed times are all important timekeepers for our sleep-wake cycles to remain synchronized with the day (light) and night (dark) cycles. Alterations of these timekeepers, combined with reduced daylight exposure, also essential to keep our biological clock synchronized, are likely to disrupt sleep and circadian rhythms. Sleep plays a fundamental role for mental and physical health, and adequate sleep duration and quality are essential for coping with major life events such as the COVID-19 pandemic. Public health education is warranted to keep the population well informed about the importance of sleep and healthy sleep practices in order to cope with the pandemic and prevent or minimize long-term adverse outcomes.

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“…Based upon a previous study on psychological health in doctors in China during SARS outbreak in 2003 and a COVID-19 study from China, the prevalence of psychological comorbidities was estimated to be around 37%. 6 , 7 Based on the above formula, the sample size was estimated to be a minimum of 358.…”

Section: Methodsmentioning

confidence: 99%

“…Recently, a study from China during COVID-19 pandemic on insomnia and related factors revealed the prevalence of symptoms of stress, anxiety, and depression amongst healthcare workers to be 73.4%, 44.7%, and 50.7%, respectively. 7 A study from China estimated that the prevalence of symptoms of anxiety, depression, and both among doctors were 25.67%, 28.13%, and 19.01%, respectively, during non-COVID days in 2014. 5 Various factors associated with psychological distress during a pandemic among doctors are uncertainty about disease course, high mortality, inadequate infrastructure, lack of adequate protective equipment, no proven definitive drug treatment or prophylaxis, apprehension of transmitting the disease to family members, no vaccine, and high incidence among frontline healthcare workers.…”

mentioning

confidence: 99%

Psychological Health Among Armed Forces Doctors During COVID-19 Pandemic in India

Gupta

Kohli

Padmakumari

et al. 2020

Indian Journal of Psychological Medicine

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Background: A pandemic poses a significant challenge to the healthcare staff and infrastructure. We studied the prevalence of anxiety and depressive symptoms among armed forces doctors in India during the COVID-19 pandemic and the factors that contribute to these symptoms. Methods: The study was conducted from March 30, 2020, to April 2, 2020, using a self-administered questionnaire questionnaire using the hospital anxiety and depression scale (HADS), which was sent through Google Forms. Responses were received from 769 respondents. Data were analyzed for demographic details and HADS scores using the chi-square test and backward logistic regression. Results: Anxiety and depressive symptoms were seen in 35.2% and 28.2% of the doctors, respectively. In doctors with anxiety symptoms, significant associations were observed with age (20–35 years, 39.4%, P = 0.01), gender (females, 44.6%, P < 0.001), duration of service (0–10 years, 38%, P = 0.03), and clinical versus non-clinical specialties (non-clinical, 41.3%, P < 0.001) as opposed to marital status, education level, and current department of work. In doctors with depressive symptoms, significant associations were observed with age (P = 0.04), clinical versus non-clinical specialties (P < 0.001), duration of service (0–10 years, 30.1%, P = 0.03), and doctoral degree (P = 0.04) as opposed to gender, marital status, education level, and current working department. Conclusion: The study revealed a high prevalence of anxiety and depressive symptoms among armed forces doctors. The main contributing factors are female gender, young age group, non-clinical specialties, and having a doctoral degree.

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Survey of Insomnia and Related Social Psychological Factors Among Medical Staffs Involved with the 2019 Novel Coronavirus Disease Outbreak

Cited by 25 publications

References 0 publications

Survey of prevalence of anxiety and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India

Survey of prevalence of anxiety and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India

Sleep and circadian rhythm in response to the COVID-19 pandemic

Psychological Health Among Armed Forces Doctors During COVID-19 Pandemic in India

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