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Yilmaz A, Unal M, Yilmaz H, Tasdemir G, Ulutürk M, Kemanci A, Senol H, Altan B, Ozen M, Seyit M, Oskay A, Erkaleli M, Turkcuer I. Impact of COVID-19 on Sleep, Anxiety, and Depression Among Medical Call Center Staff: Insights from a January 2021 Study. Med Sci Monit 2024; 30:e945327. [PMID: 39228111 PMCID: PMC11382617 DOI: 10.12659/msm.945327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/05/2024] Open
Abstract
BACKGROUND The COVID-19 outbreak emerged as a dual threat, effecting both the physical and mental well-being of healthcare staff. This study aimed to evaluate sleep quality using the Pittsburgh Sleep Quality Index (PSQI), levels of anxiety and depression using the Hospital Anxiety Depression Scale (HADS), and the significant influencing factors during COVID-19 pandemic in 284 workers in a medical call center in January 2021. MATERIAL AND METHODS Out of 443 pre-hospital care providers, 284 consented to participate. Data collection was done using an introductory information form, the PSQI for sleep quality, and the HADS for anxiety (HADS-A) and depression (HADS-D). Surveys were hosted on an online survey website and distributed via WhatsApp, with completed forms retrieved from the website. RESULTS Male sex (P=0.0001) and extended working hours in current workplace (P=0.017) were associated with higher HADS-A scores. Health problems, increased need for mental support, and poor job satisfaction correlated with lower HADS-D scores (P=0.025, P=0.005, P=0.0001, respectively) and higher PSQI scores (P=0.008, P=0.009, P=0.008, respectively). A moderately significant positive correlation was found between overall sleep quality and HADS-A (P=0.001, r=0.538) and HADS-D scores (P=0.001, r=0.493). CONCLUSIONS The pandemic significantly impacted the mental health and sleep quality of frontline healthcare personnel, necessitating the identification and mitigation of adverse psychosocial factors. Implementing and evaluating psychoeducational programs and establishing multidisciplinary mental health teams can provide for essential support and counseling, promoting the well-being of healthcare staff and ensuring effective emergency care.
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Affiliation(s)
- Atakan Yilmaz
- Department of Emergency Medicine, Medical Faculty, Pamukkale University, Denizli, Turkey
| | - Medine Unal
- Department of Emergency Medicine, Elazıg Fethi Sekin City Hospital, Elazıg, Turkey
| | - Halis Yilmaz
- Department of Psychiatry, Pamukkale University Hospital, Denizli, Turkey
| | - Gulay Tasdemir
- Department of Psychiatric Nursing, Faculty of Health Science, Pamukkale University, Denizli, Turkey
| | - Mehmet Ulutürk
- Department of Emergency Medicine, Burdur State Hospital, Burdur, Turkey
| | - Aykut Kemanci
- Department of Emergency Medicine, Kütahya Tavşanlı State Hospital, Kütahya, Turkey
| | - Hande Senol
- Department of Biostatistics, Medical Faculty, Pamukkale University, Denizli, Turkey
| | - Burak Altan
- Health Services Department, Provincial Health Directorate, Denizli, Turkey
| | - Mert Ozen
- Department of Emergency Medicine, Medical Faculty, Pamukkale University, Denizli, Turkey
| | - Murat Seyit
- Department of Emergency Medicine, Medical Faculty, Pamukkale University, Denizli, Turkey
| | - Alten Oskay
- Department of Emergency Medicine, Medical Faculty, Pamukkale University, Denizli, Turkey
| | | | - Ibrahim Turkcuer
- Department of Emergency Medicine, Medical Faculty, Pamukkale University, Denizli, Turkey
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Roncero C, Díaz-Trejo S, Álvarez-Lamas E, García-Ullán LL, Bersabé-Pérez M, Benito-Sánchez JA, González-Sánchez A. Follow-up of telemedicine mental health interventions amid COVID-19 pandemic. Sci Rep 2024; 14:14921. [PMID: 38942891 PMCID: PMC11213890 DOI: 10.1038/s41598-024-65382-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 06/19/2024] [Indexed: 06/30/2024] Open
Abstract
The initiation of the program Mental Health Support Program for Coronavirus Infection addressed the increased demand for mental health services in the province of Salamanca, resulting from the COVID-19 pandemic. The psychiatry service provided care for COVID-19 patients, their families, and healthcare workers who treated them, as these groups were identified as being at risk. This study aims to describe the assistance provided, including personnel and resources utilized, types of interventions carried out, and to assess the demand for mental health care and predominant symptoms and emotions experienced by patients. Billboards and the complex's intranet publicized the program. Specific clinical approach using telemedicine were provide from March 2020 to December 2021 to COVID-19 patients, their relatives, and healthcare workers. 216 patients were included with a mean age of 53.2 years, with women comprising 77.3% of this group. All the groups received treatment in similar proportions. Over a period of 730 h, a total of 1376 interventions were performed, with an average duration of 31.8 min per intervention. The program could treat 79.6% of these patients without requiring referrals to other services. When the program concluded, only 21 participants (9.7%) were discharged to the local mental health network to continue their mental health treatment. The program effectively reduced the burden on regular mental health services due to its ability to treat most patients without requiring referrals. The program was able to attend to most mental health requests with minimal involvement of the regular mental health service.
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Affiliation(s)
- Carlos Roncero
- Psychiatric Unit, School of Medicine, University of Salamanca (Spain), Campus Miguel de Unamuno, Calle Alfonso X El Sabio s/n, 37007, Salamanca, Spain.
- Instituto de Investigación Biomédica de Salamanca (IBSAL), Hospital Virgen de la Vega, 10ª Planta, Paseo de San Vicente, 58-182, 37007, Salamanca, Spain.
| | - Sara Díaz-Trejo
- Psychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007, Salamanca, Spain
| | - Esther Álvarez-Lamas
- Instituto de Investigación Biomédica de Salamanca (IBSAL), Hospital Virgen de la Vega, 10ª Planta, Paseo de San Vicente, 58-182, 37007, Salamanca, Spain
- Psychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007, Salamanca, Spain
| | - LLanyra García-Ullán
- Psychiatric Unit, School of Medicine, University of Salamanca (Spain), Campus Miguel de Unamuno, Calle Alfonso X El Sabio s/n, 37007, Salamanca, Spain
- Instituto de Investigación Biomédica de Salamanca (IBSAL), Hospital Virgen de la Vega, 10ª Planta, Paseo de San Vicente, 58-182, 37007, Salamanca, Spain
- Psychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007, Salamanca, Spain
| | - Miriam Bersabé-Pérez
- Psiquiatric Service, Hospital Infantil Universitario Niño Jesús, Av. de Menéndez Pelayo, 65, Retiro, 28009, Madrid, Spain
| | - José Antonio Benito-Sánchez
- Psychiatric Unit, School of Medicine, University of Salamanca (Spain), Campus Miguel de Unamuno, Calle Alfonso X El Sabio s/n, 37007, Salamanca, Spain
- Instituto de Investigación Biomédica de Salamanca (IBSAL), Hospital Virgen de la Vega, 10ª Planta, Paseo de San Vicente, 58-182, 37007, Salamanca, Spain
- Psychiatry Service, University of Salamanca Health Care Complex, Paseo de San Vicente 58-182, 37007, Salamanca, Spain
| | - Armando González-Sánchez
- Psychiatric Unit, School of Medicine, University of Salamanca (Spain), Campus Miguel de Unamuno, Calle Alfonso X El Sabio s/n, 37007, Salamanca, Spain
- Instituto de Investigación Biomédica de Salamanca (IBSAL), Hospital Virgen de la Vega, 10ª Planta, Paseo de San Vicente, 58-182, 37007, Salamanca, Spain
- Facultad de Psicología, Universidad Pontificia de Salamanca (UPSA), C/ Compañía, 5, 37002, Salamanca, Spain
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Yang C, Wang X, Zhang X, Liu W, Wang C. Burnout and associative emotional status and coping style of healthcare workers in COVID-19 epidemic control: A cross-sectional study. Front Public Health 2023; 11:1079383. [PMID: 36969660 PMCID: PMC10034002 DOI: 10.3389/fpubh.2023.1079383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 02/13/2023] [Indexed: 03/11/2023] Open
Abstract
ObjectiveThe aim of this study was to evaluate the prevalence of burnout, clinical anxiety, depression, and insomnia and to estimate the associations of adverse emotional status, coping style, and level of self-efficacy with burnout of healthcare workers in the Shenzhen Longgang District Frontline District Headquarters of COVID-19 epidemic control, China.MethodsIn this cross-sectional study, 173 staff completed the anonymous questionnaires of the Maslach Burnout Inventory, Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder 7-item Scale (GAD-7), Insomnia Severity Index (ISI), General Self-efficacy Scale, and Simplified Coping Style Questionnaire electronically (https://www.wjx.cn/) in June 2022. Hierarchical logistic regression was used to explore the associated factors of burnout in this study.ResultsThe prevalence of burnout in our participants (defined as high emotional exhaustion or high depersonalization) was 47.40%, and reduced personal accomplishment was 92.49%. The prevalence of clinically significant depression (the cutoff score of ≥15), anxiety (the cutoff score of ≥10), and insomnia (the cutoff score of ≥15) was 11.56, 19.08, and 19.08%, respectively. There was a degree of overlap between burnout and other measures of adverse mental status, most notably for anxiety (odds ratio, 27.049; 95% CI, 6.125–117.732; p < 0.001). Hierarchical logistic regression demonstrated that burnout was strongly associated with anxiety (OR = 23.889; 95% CI, 5.216–109.414; p < 0.001) and negative coping style (OR = 1.869; 95% CI, 1.278–2.921; p < 0.01) independently.ConclusionMedical staff involved in COVID-19 epidemic control in the post-epidemic era were at high risk of burnout, and most of them were in low personal accomplishment. Reducing anxiety and improving coping style by medical management institutions from the system level may be effective in alleviating burnout in healthcare workers.
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Buch-Vicente B, Acosta-Rodriguez JM, Sanchez-Sanchez ME, González-García N, Garcia-Ullan LL, de la Iglesia-Larrad JI, Montejo ÁL, Roncero C. Coping strategies used by health-care workers during the SARS-COV2 crisis. A real-world analysis. Psychiatry Res 2022; 317:114915. [PMID: 37732860 PMCID: PMC9575550 DOI: 10.1016/j.psychres.2022.114915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 10/13/2022] [Accepted: 10/16/2022] [Indexed: 10/31/2022]
Abstract
The aim of this paper is to analyze the main coping strategies used by frontline teams during the first days of the COVID pandemic confinement in Spain. This information could be necessary in order to carry out training programs that allow a better handling of future emergency situations, as well as acting more effectively and with less negative emotional impact. A questionnaire was used to identify different psychological profiles for coping, and in turn, other relevant variables were analyzed. The most used strategies by health professionals were problem solving, desiderative thinking and social support. Emotional expression and social support were used more by women. Significantly different behaviors were found in desiderative thinking (lower in people of 35-50 years old, and social support, higher in people 35 years old). The symptoms most commonly experienced by medical personnel were: sleep disorders, anxiety, tension, depressive symptoms, gastrointestinal symptoms and general somatic muscular symptoms. A relationship could be determined between the age/gender of the workers and the participants' overall assessment of their ability to cope with the COVID-19 stress situation they had experienced (men 50 years old and women between 35 and 50 years old, who felt able or very able to cope with the stress caused by the health emergency. However, women <35 years old and >50 years old believed they were able to cope poorly with the circumstances. The advantage of specific training plans in order to help with some stress symptoms could be suggested, aimed at the acquisition of tools based on problem solving, and emotional management in stressful and emergency situations.
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Affiliation(s)
- Bárbara Buch-Vicente
- Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Avda Portugal 83, Salamanca 37001, Spain; School of Psychology, University of Salamanca, Spain
| | - José María Acosta-Rodriguez
- Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Avda Portugal 83, Salamanca 37001, Spain.
| | - María Elena Sanchez-Sanchez
- Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Avda Portugal 83, Salamanca 37001, Spain
| | - Nerea González-García
- Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Avda Portugal 83, Salamanca 37001, Spain; Department of Statistics, University of Salamanca, Spain
| | - LLanira Garcia-Ullan
- Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Avda Portugal 83, Salamanca 37001, Spain; Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain; Psychiatric Unit, School of Medicine, University of Salamanca, Spain
| | - Javier Ignacio de la Iglesia-Larrad
- Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Avda Portugal 83, Salamanca 37001, Spain; Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain; Psychiatric Unit, School of Medicine, University of Salamanca, Spain
| | - Ángel Luis Montejo
- Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Avda Portugal 83, Salamanca 37001, Spain; Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain; School of Nursing, University of Salamanca, Spain
| | - Carlos Roncero
- Institute of Biomedicine of Salamanca (IBSAL), University of Salamanca, Avda Portugal 83, Salamanca 37001, Spain; Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain
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Chen Y, Wang J, Geng Y, Fang Z, Zhu L, Chen Y, Yao Y. Meta-analysis of the prevalence of anxiety and depression among frontline healthcare workers during the COVID-19 pandemic. Front Public Health 2022; 10:984630. [PMID: 36176525 PMCID: PMC9513468 DOI: 10.3389/fpubh.2022.984630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 08/15/2022] [Indexed: 01/25/2023] Open
Abstract
Objective To systematically review the prevalence of anxiety and depression among frontline healthcare workers during the coronavirus disease 2019 (COVID-19) pandemic. Methods Computers were used to search CNKI, VIP, WanFang Data, PubMed, and other Chinese and English databases. The search period was limited to December 2019 to April 2022. Cross-sectional studies collected data on the prevalence of anxiety and depression among frontline healthcare workers since the onset of COVID-19. The STATA 15.1 software was used for the meta-analysis of the included literature. Results A total of 30 studies were included, with a sample size of 18,382 people. The meta-analysis results showed that during the COVID-19 pandemic, the total prevalence of anxiety among frontline healthcare workers was 43.00%, with a 95% confidence interval (CI) of 0.36-0.50, and the total prevalence of depression was 45.00%, with a 95% CI of 0.37-0.52. The results of the subgroup analysis showed that prevalence of anxiety and depression in women, married individuals, those with children, and nurses was relatively high. Frontline healthcare workers with a bachelor's degree or lower had a higher prevalence of anxiety. The prevalence of depression was higher among frontline healthcare workers with intermediate or higher professional titles. Conclusion During the COVID-19 pandemic, the prevalence of anxiety and depression among frontline healthcare workers was high. In the context of public health emergencies, the mental health status of frontline healthcare workers should be given full attention, screening should be actively carried out, and targeted measures should be taken to reduce the risk of COVID-19 infection among frontline healthcare workers. Systematic review registration http://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42022344706.
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Affiliation(s)
- Yu Chen
- School of Public Health, Wannan Medical College, Wuhu, China
| | - Jing Wang
- School of Public Health, Wannan Medical College, Wuhu, China
| | - Yujie Geng
- Department of Clinical Medicine, Anhui College of Traditional Chinese Medicine, Wuhu, China
| | - Zhengmei Fang
- School of Public Health, Wannan Medical College, Wuhu, China
| | - Lijun Zhu
- School of Public Health, Wannan Medical College, Wuhu, China
| | - Yan Chen
- School of Public Health, Wannan Medical College, Wuhu, China
| | - Yingshui Yao
- School of Public Health, Wannan Medical College, Wuhu, China
- Department of Clinical Medicine, Anhui College of Traditional Chinese Medicine, Wuhu, China
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Roncero C, Remon-Gallo D, Casado-Espada N, Aguilar L, Gamonal-Limcaoco S, Gallego MT, Bote B, Montejo AL, Buch-Vicent B. Healthcare professionals' perception and satisfaction with mental health tele-medicine during the COVID-19 outbreak: A real-world experience in telepsychiatry. Front Psychiatry 2022; 13:981346. [PMID: 36405902 PMCID: PMC9673754 DOI: 10.3389/fpsyt.2022.981346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 09/28/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND The use of telemedicine is increasingly being implemented, showing numerous benefits over other methods. A good example of this is the use of telemedicine following the breakdown caused by the COVID-19 pandemic. Previous experiences with telemedicine (TM) have not been significantly explored in relation to the professionals' own perspectives. OBJECTIVE Identify and explore the perceptions and interests of mental health professionals who have performed TM during the period of pandemia. METHODS A questionnaire on mental health professionals' perceptions of and satisfaction of TM, the Font Roja Work Satisfaction Questionnaire, was adapted and used. Data collected included 112 Psychiatric Service professionals who conducted TM in March 2020, after the country had been under lockdown for 10 weeks. Over 12.000 medical consultations were carried out by the phone, showing an overwhelming response to this method. RESULTS High levels of satisfaction were recorded amongst professionals. TM would function as a complement to the traditional system of face-to-face visits (n-112, f-109, 96.5%). Only 9.7% (f-11) believed that digital or virtual interventions would completely replace face-to-face visits. 60.8% did not consider this monotonous work. The older the health workers were, the more satisfied they felt during their follow-up telephone consultation. The greater the previous experience, the more satisfaction was shown. There were gender differences: female mental health workers reported a greater level of comfort. CONCLUSION TM can be implemented with less effort, but it requires time, methods, and resources to be managed. Satisfaction among professionals is high, especially among those with more clinical experience. Patient satisfaction must be contrasted against this.
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Affiliation(s)
- Carlos Roncero
- Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain.,Salamanca Institute of Biomedicine, University of Salamanca, Salamanca, Spain.,Psychiatric Unit, School of Medicine, University of Salamanca, Salamanca, Spain
| | - Diego Remon-Gallo
- Salamanca Institute of Biomedicine, University of Salamanca, Salamanca, Spain.,Psychiatric Unit, School of Medicine, University of Salamanca, Salamanca, Spain
| | - Nerea Casado-Espada
- Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain.,Salamanca Institute of Biomedicine, University of Salamanca, Salamanca, Spain.,Psychiatric Unit, School of Medicine, University of Salamanca, Salamanca, Spain
| | - Lourdes Aguilar
- Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain.,Salamanca Institute of Biomedicine, University of Salamanca, Salamanca, Spain.,Psychiatric Unit, School of Medicine, University of Salamanca, Salamanca, Spain
| | - Sinta Gamonal-Limcaoco
- Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain.,Salamanca Institute of Biomedicine, University of Salamanca, Salamanca, Spain
| | - María Teresa Gallego
- Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain
| | - Berta Bote
- Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain.,Psychiatric Unit, School of Medicine, University of Salamanca, Salamanca, Spain
| | - Angel Luis Montejo
- Psychiatric Service, University of Salamanca Health Care Complex, Salamanca, Spain.,Salamanca Institute of Biomedicine, University of Salamanca, Salamanca, Spain.,School of Nursing, University of Salamanca, Salamanca, Spain
| | - Barbara Buch-Vicent
- Salamanca Institute of Biomedicine, University of Salamanca, Salamanca, Spain.,Faculty of Psychology, University of Salamanca, Salamanca, Spain
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