Depression among Medical Staff during the Coronavirus Disease-19 Pandemic in Egypt: A Comparative Web-Based Cross-Sectional Study

Authors

  • Noha M. Elghazally Department of Public Health and Community Medicine, Faculty of Medicine, Tanta University, Tanta, EgyptDepartment of Public Health and Community Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt
  • Doaa Abdeldaim Department of Public Health and Community Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt

DOI:

https://doi.org/10.3889/oamjms.2021.7791

Keywords:

COVID-19, Depression, Medical staff, Egypt

Abstract

BACKGROUND: The coronavirus disease (COVID-19) outbreak had created several challenges for health care workers and public worldwide. That pandemic also leads to a significant mental health crisis across the globe.

AIM: The study aimed to determine depression levels of physicians who work in isolation hospitals that treat patients with COVID-19 and those with other health facilities in Egypt during COVID-19 pandemic. Risk factors for depression were determined and interpreted to provide further psychological interventions for health care workers.

MATERIALS AND METHODS: It was a cross-sectional web-based study among Egyptian physicians. The participants were divided into two groups based on their workplace; 1177 of whom worked in front line hospitals (group II) and the remaining 1154 physicians (group I) in other health facilities (second line). Depression was assessed using the Patient Health Questionnaire-9.

RESULTS: In group I and II, nearly one-third had mild depressive symptoms whereas 5.1% in group I and 14.6% in group II had severe ones with a significant difference between both groups (p = 0.001). Females, younger age groups, divorced or widowed, frontline physicians, 1–5 years of work experience, specialty jobs and contact with patients with COVID-19 were more affected than others.

CONCLUSIONS: Depressive symptoms are common among medical staff especially frontline health care workers. Regular evaluation of medical personnel involved in treatment and diagnosis of patients with COVID-19 must assess their stress, depression, and anxiety.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

World Health Organization. Available from: https://www.who.int/docs/default-source/coronaviruse/situationreports/20200427-sitrep-98-covid-19.pdf?sfvrsn=90323472_4 [Last accessed on 2020 Apr 27].

Wikipedia Contributors. List of Wars by Death Toll. Wikipedia. Available from: https://en.wikipedia.org/wiki/List_of_wars_by_death_toll [Last accessed on 2020 Mar 26].

Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683-90. https://doi.org/10.1001/jamaneurol.2020.1127 PMid:32275288 DOI: https://doi.org/10.1001/jamaneurol.2020.1127

Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729. https://doi.org/10.3390/ijerph17051729 PMid:32155789 DOI: https://doi.org/10.3390/ijerph17051729

Yao H, Chen JH, Xu YF. Patients with mental health disorders in the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):e21. https://doi.org/10.1016/S2215-0366(20)30090-0 PMid:32199510 DOI: https://doi.org/10.1016/S2215-0366(20)30090-0

Khosravi M. Candidate Psychotropics against SARS–CoV–2: A Narrative Review. Pharmacopsychiatry. 2021. https://doi.org/10.1055/a-1551-3756 PMid:34399430 DOI: https://doi.org/10.1055/a-1551-3756

Greenberg N. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020;368:m1211. https://doi.org/10.1136/bmj.m1211 PMid:32217624 DOI: https://doi.org/10.1136/bmj.m1211

Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7(3):e14. https://doi.org/10.1016/S2215-0366(20)30047-X PMid:32035030 DOI: https://doi.org/10.1016/S2215-0366(20)30047-X

Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020;9(3):241-7. https://doi.org/10.1177/2048872620922795 PMid:32342698 DOI: https://doi.org/10.1177/2048872620922795

Khosravi M. Stress Reduction Model of COVID-19 Pandemic. Iran J Psychiatry Behav Sci. 2020;14(2):e103865. https://doi.org/10.5812/ijpbs.103865 DOI: https://doi.org/10.5812/ijpbs.103865

Khosravi M. Worden’s task-based model for treating persistent complex bereavement disorder during the coronavirus disease-19 pandemic: A narrative review. Open Access Maced J Med Sci. 2020;8(T1):553-9. https://doi.org/10.3889/oamjms.2020.5502 DOI: https://doi.org/10.3889/oamjms.2020.5502

Khosravi M. Worden’s task-based approach for supporting people bereaved by COVID-19. Curr Psychol. 2021;1-2. https://doi.org/10.1007/s12144-020-01292-0 PMid:33424200 DOI: https://doi.org/10.1007/s12144-020-01292-0

World Health Organization. Mental Health and psychological consideration during the COVID-19 Outbreak. Geneva: World Health Organization; 2021. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-MentalHealth-2020.1 [Last accessed on 2020 Mar 18].

Huang J, Liu F, Teng Z, Chen J, Zhao J, Wang X, Wu R. Care for the psychological status of frontline medical staff fighting against Coronavirus Disease 2019 (COVID-19). Clin Infect Dis. 2020;71(12):3268-9. https://doi.org/10.1093/cid/ciaa385 PMid:32246142 DOI: https://doi.org/10.1093/cid/ciaa385

Khosravi M. COVID-19 quarantine: Two-way interaction between physical activity and mental health. Eur J Transl Myol. 2021;30(4):9509. https://doi.org/10.4081/ejtm.2020.9509 PMid:33520149 DOI: https://doi.org/10.4081/ejtm.2020.9509

Egypt-Ministry of Health and Population (MOHP): COVID-19 (Corona virus Information). Available from: https://socialprotection.org/connect/stakeholders/egypt-mohp-ministry-health-and-population [Last accessed on 2020 Apr 01].

Kroenke K, Spitzer RL, Williams JB. The PHQ‐9: Validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13. https://doi.org/10.1046/j.1525-1497.2001.016009606.x PMid:11556941 DOI: https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Douglas AM, Marco AR. Prevalence of depression and depressive symptoms among resident physicians: A systematic review and meta-analysis. JAMA. 2015;314(22):2373-83. https://doi.org/10.1001/jama.2015.15845 PMid:26647259 DOI: https://doi.org/10.1001/jama.2015.15845

Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC, et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry. 2004;185:127-33. https://doi.org/10.1192/bjp.185.2.127 PMid:15286063 DOI: https://doi.org/10.1192/bjp.185.2.127

McMahon SA, Ho LS, Brown H, Miller L, Ansumana R, Kennedy CE. Healthcare providers on the frontlines: a qualitative investigation of the social and emotional impact of delivering health services during Sierra Leone’s Ebola epidemic. Health Policy Plan. 2016;31(9):1232-9. https://doi.org/10.1093/heapol/czw055 PMid:27277598 DOI: https://doi.org/10.1093/heapol/czw055

Kang L, Ma S, Chen M, Yang J, Wang Y, Li R, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain Behav Immun. 2020;87:11-7. https://doi.org/10.1016/j.bbi.2020.03.028 PMid:32240764 DOI: https://doi.org/10.1016/j.bbi.2020.03.028

Du J, Dong L, Wang T, Yuan C, Fu R, Zhang L, et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry. 2020;67:144-5. https://doi.org/10.1016/j.genhosppsych.2020.03.011 PMid:32381270 DOI: https://doi.org/10.1016/j.genhosppsych.2020.03.011

Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom. 2020;89(4):242-50. https://doi.org/10.1159/000507639 PMid:32272480 DOI: https://doi.org/10.1159/000507639

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976 PMid:32202646 DOI: https://doi.org/10.1001/jamanetworkopen.2020.3976

Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun. 2020;88:916-9. https://doi.org/10.1016/j.bbi.2020.03.007 PMid:32169498 DOI: https://doi.org/10.1016/j.bbi.2020.03.007

Liang Y, Chen M, Zheng X, Liu J. Screening for Chinese medical staff mental health by SDS and SAS during the outbreak of COVID-19. J Psychosom Res. 2020;133:110102. https://doi.org/10.1016/j.jpsychores.2020.110102 PMid:32224344 DOI: https://doi.org/10.1016/j.jpsychores.2020.110102

Rossi R, Socci V, Pacitti F, Di Lorenzo G, Di Marco A, Siracusano A, et al. Mental health outcomes among frontline and second-line health care workers during the coronavirus disease 2019 (COVID-19) pandemic in Italy. JAMA Netw Open. 2020;3(5):e2010185. https://doi.org/10.1001/jamanetworkopen.2020.10185 PMid:32463467 DOI: https://doi.org/10.1001/jamanetworkopen.2020.10185

Maunder RG, Lancee WJ, Rourke S, Hunter JJ, Goldbloom D, Balderson K, et al. Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto. Psychosom Med. 2004;66(6):938-42. https://doi.org/10.1097/01.psy.0000145673.84698.18 PMid:15564361 DOI: https://doi.org/10.1097/01.psy.0000145673.84698.18

Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51(1):8-19. https://doi.org/10.1001/archpsyc.1994.03950010008002 PMid:8279933 DOI: https://doi.org/10.1001/archpsyc.1994.03950010008002

Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry. 1995;52(12):1048-60. https://doi.org/10.1001/archpsyc.1995.03950240066012 PMid:7492257 DOI: https://doi.org/10.1001/archpsyc.1995.03950240066012

Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):617-27. https://doi.org/10.1001/archpsyc.62.6.617 PMid:15939839 DOI: https://doi.org/10.1001/archpsyc.62.6.617

Serrano-Ripoll MJ, Meneses-Echavez JF, Ricci-Cabello I, Fraile- Navarro D, Fiol-deRoque MA, Pastor-Moreno G, et al. Impact of viral epidemic outbreaks on mental health of healthcare workers: A rapid systematic review and meta-analysis. J Affect Disord. 2020;277:347-57. https://doi.org/10.1016/j.jad.2020.08.034 PMid:32861835 DOI: https://doi.org/10.1016/j.jad.2020.08.034

Khosravi M. Neuroticism as a marker of vulnerability to COVID-19 Infection. Psychiatry Investig. 2020;17(7):710-1. https://doi.org/10.30773/pi.2020.0199 PMid:32654438 DOI: https://doi.org/10.30773/pi.2020.0199

Downloads

Published

2021-12-23

How to Cite

1.
Elghazally NM, Abdeldaim D. Depression among Medical Staff during the Coronavirus Disease-19 Pandemic in Egypt: A Comparative Web-Based Cross-Sectional Study. Open Access Maced J Med Sci [Internet]. 2021 Dec. 23 [cited 2024 Nov. 25];9(E):1578-85. Available from: https://oamjms.eu/index.php/mjms/article/view/7791

Issue

Section

Public Health Epidemiology

Categories