Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-29T14:32:39.463Z Has data issue: false hasContentIssue false

Psychological Effects of COVID-19 Among Health Care Workers, and How They Are Coping: A Web-Based, Cross-Sectional Study During the First Wave of COVID-19 in Pakistan

Published online by Cambridge University Press:  10 January 2022

Muhammad Salman*
Affiliation:
Faculty of Pharmacy, The University of Lahore, Lahore, Pakistan
Zia Ul Mustafa
Affiliation:
Department of Pharmacy Services, District Headquarter Hospital, Pakpattan, Pakistan
Muhammad Husnnain Raza
Affiliation:
Faisalabad Institute of Cardiology, Faisalabad, Pakistan
Tahir Mehmood Khan
Affiliation:
Institute of Pharmaceutical Science, University of Veterinary and Animal Sciences, Lahore, Pakistan School of Pharmacy, Monash University, Bandar Sunway, Selangor, Malaysia
Noman Asif
Affiliation:
Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
Humera Tahir
Affiliation:
Ruth Pfau College of Nutrition Sciences, Lahore Medical and Dental College, Lahore, Pakistan
Naureen Shehzadi
Affiliation:
Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
Tauqeer Hussain Mallhi
Affiliation:
Department of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka, Al-Jouf, Kingdom of Saudi Arabia
Yusra Habib Khan
Affiliation:
Department of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka, Al-Jouf, Kingdom of Saudi Arabia
Kishwar Sultana
Affiliation:
Faculty of Pharmacy, The University of Lahore, Lahore, Pakistan
Fahad Saleem
Affiliation:
Faculty of Pharmacy and Health Sciences, University of Balochistan, Quetta, Pakistan
Khalid Hussain
Affiliation:
Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
*
Corresponding author: Muhammad Salman, Emails: msk5012@gmail.com or muhammad.salman@pharm.uol.edu.pk

Abstract

Objective:

The aim of this study is to ascertain the psychological impacts of coronavirus disease (COVID-19) among the Pakistani health care workers (HCWs) and their coping strategies.

Methods:

This web-based, cross-sectional study was conducted among HCWs (N = 398) from Punjab Province of Pakistan. The generalized anxiety scale (GAD-7), patient health questionnaire (PHQ-9), and Brief-COPE were used to assess anxiety, depression, and coping strategies, respectively.

Results:

The average age of respondents was 28.67 years (SD = 4.15), with the majority being medical doctors (52%). Prevalences of anxiety and depression were 21.4% and 21.9%, respectively. There was no significant difference in anxiety and depression scores among doctors, nurses, and pharmacists. Females had significantly higher anxiety (P = 0.003) and depression (P = 0.001) scores than males. Moreover, frontline HCWs had significantly higher depression scores (P = 0.010) than others. The depression, not anxiety, score was significantly higher among those who did not receive the infection prevention training (P = 0.004). The most frequently adopted coping strategies were religious coping (M = 5.98, SD = 1.73), acceptance (M = 5.59, SD = 1.55), and coping planning (M = 4.91, SD = 1.85).

Conclusion:

A considerable proportion of HCWs are having generalized anxiety and depression during the ongoing COVID-19 pandemic. Our findings call for interventions to mitigate mental health risks in HCWs.

Type
Brief Report
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Salman, M, Mustafa, Z, Asif, N, et al. Knowledge, attitude and preventive practices related to COVID-19 among health professionals of Punjab province of Pakistan. J Infect Dev Ctries. 2020;14(7):707-712.CrossRefGoogle ScholarPubMed
Death Toll of Healthcare Workers in Pakistan Due to COVID-19 Reaches 100. ANI. Published 2020. Accessed April 28, 2020. https://www.aninews.in/news/world/asia/death-toll-of-healthcare-workers-in-pakistan-due-to-covid-19-reaches-10020201201185445/ Google Scholar
Pappa, S, Ntella, V, Giannakas, T, et al. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-907. https://doi.org/10.1016/j.bbi.2020.05.026 CrossRefGoogle ScholarPubMed
Eisenberg, SA, Shen, BJ, Schwarz, ER, Mallon, S. Avoidant coping moderates the association between anxiety and patient-rated physical functioning in heart failure patients. J Behav Med. 2012;35(3):253-261. https://doi.org/10.1007/s10865-011-9358-0 CrossRefGoogle ScholarPubMed
Daniel, WW, Ed. Biostatistics: a foundation for analysis in the health sciences. 7th ed. John Wiley & Sons; 1999.Google Scholar
Salman, M, Mustafa, ZU, Asif, N, et al. Knowledge, attitude and preventive practices related to COVID-19: a cross-sectional study in two Pakistani university populations. Drugs Ther Perspect. 2020;36(7):319-325.CrossRefGoogle ScholarPubMed
Salman, M, Mustafa, ZU, Rao, AZ, et al. Serious inadequacies in high alert medication-related knowledge among Pakistani nurses: findings of a large, multicenter, cross-sectional survey. Front Pharmacol. 2020;11:1026.CrossRefGoogle ScholarPubMed
Spitzer, RL, Kroenke, K, Williams, JB. Generalized anxiety disorder 7-item (GAD-7) scale. Arch Intern Med. 2006;166:1092-1097.CrossRefGoogle Scholar
Kroenke, K, Spitzer, RL, Williams, JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x CrossRefGoogle ScholarPubMed
Carver, CS. You want to measure coping but your protocol’ too long: consider the brief cope. Int J Behav Med. 1997;4(1): 92-100. https://doi.org/10.1207/s15327558ijbm0401_6 CrossRefGoogle ScholarPubMed
IBM SPSS Statistics for Windows, Version 22.0. IBM Corp; 2013.Google Scholar
Petry, NM. A comparison of young, middle-aged, and older adult treatment-seeking pathological gamblers. Gerontologist. 2002;42(1):92-99 CrossRefGoogle ScholarPubMed
Rossi, R, Socci, V, Pacitti, F, et al. Mental health outcomes among frontline and second-line health care workers during the coronavirus disease 2019 (COVID-19) pandemic in Italy. JAMA. 2020;3(5):e2010185.Google ScholarPubMed
Holmes, EA, O’Connor, RC, Perry, VH, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547-560. https://doi.org/10.1016/S2215-0366(20)30168-1 CrossRefGoogle Scholar
Li, Y, Scherer, N, Felix, L, Kuper, H. Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: a systematic review and meta-analysis. PLoS One. 2021;16(3):e0246454.CrossRefGoogle ScholarPubMed
Danet, AD. Psychological impact of COVID-19 pandemic in Western frontline healthcare professionals. A systematic review. Med Clín. 2021;156:449-458.Google Scholar
Lai, J, Ma, S, Wang, Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA. 2020;3(3):e203976.Google ScholarPubMed
Hayat, K, Arshed, M, Fiaz, I, et al. Impact of COVID-19 on the mental health of healthcare workers: a cross-sectional study from Pakistan. Public Health Front. 2021;9:410.CrossRefGoogle ScholarPubMed
Elbay, RY, Kurtulmuş, A, Arpacıoğlu, S, Karadere, E. Depression, anxiety, stress levels of physicians and associated factors in COVID-19 pandemics. Psychiatry Res. 2020;290:113130.CrossRefGoogle ScholarPubMed
Meyer, B. Coping with severe mental illness: relations of the Brief COPE with symptoms, functioning, and well-being. J Psychopathol Behav Assess. 2001;23(4):265-277. https://doi.org/10.1023/A:1012731520781 CrossRefGoogle Scholar
Salman, M, Asif, N, Mustafa, ZU, et al. Psychological impairment and coping strategies during the COVID-19 pandemic among students in Pakistan: a cross-sectional analysis. Disaster Med Public Health Prep. Published online October 22, 2020. Accessed October 23, 2020. https://doi.org/10.1017/dmp.2020.397 CrossRefGoogle Scholar
Eysenbach, G. Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34.CrossRefGoogle ScholarPubMed
Salman, M, Raza, MH, Mustafa, ZU, et al. The psychological effects of COVID-19 on frontline healthcare workers and how they are coping: a web-based, cross-sectional study from Pakistan. medRxiv. Preprint posted online June 5, 2020. Accessed June 5, 2020. https://doi.org/10.1101/2020.06.03.20119867 CrossRefGoogle Scholar
Supplementary material: File

Salman et al. supplementary material

Salman et al. supplementary material

Download Salman et al. supplementary material(File)
File 25.5 KB