DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20211568

Assessment of physical and mental health status of doctors working in COVID-19 pandemic

Dimple Sahni, Rajwant Kaur, Girish Sahni, Sanjeev Bhagat, Pawan Kumar, Niraj Mittal

Abstract


Background: The objective of this study was to assess physical and mental health hazards among doctors working in COVID-19 pandemic.

Methods: Online questionnaire sent to approximately 2500 doctors across India, 1214 responded back. Questionnaires comprised demographic variables, marital status, any associated comorbidities, educational level, geographic area according to red, green and orange zone; workplace characteristics (frontline or second-line), place of posting, change in appetite or sleep, whether sampled for COVID-19, and if positive kind of symptoms. Mental health was assessed using four scales like, 7 item insomnia severity index, 7 items generalized anxiety disorder, 9-item patient health questionnaire, and 22 items impact of event scale-revised, to evaluate severity of symptoms anxiety, depression, insomnia, and distress, respectively. Data analysed using IBM SPSS statistical software version 22. Four scale taken as interquartile and median. Kruskal-Wallis test and person chi square were used for comparison. Multinomial logistic regression model used.

Results: 1214 respondents 25% had headache, 8% anosmia, 7% throat pain or cough, and skin allergy 5%, overall anxiety, depression, insomnia and distress found 38%, 36%, 27%, and 18% respectively.

Conclusions: Study evaluated that doctors working in pandemic are under physical and mental stress. 


Keywords


Corona virus, Frontline worker, COVID-19, Anxiety, Depression, Containment zones

Full Text:

PDF

References


India Today. Kerala confirmed first novel coronavirus case in India, 2020. Available at: ndiatoday.in/india/story/kerala-reports-first confirmed-novel-coronavirus-case-in-india-1641593-2020-01-30. Accessed on 12 January 2021.

The Indian Express. Coronavirus Live Updates: India’s death toll crosses 1.03 lakh mark, cases reach 6,685,082, 2020. Available at: https://indianexpress. com/article/india/coronavirus-india-world-news-today-live-updates-covid-19-cases-vaccine-tracker-india-delhi-odisha-west-bengal-bihar-6702478/. Accessed on 12 January 2021.

Ny Times. Buckley China’s doctors, Fighting the Coronavirus, Beg for masks, 2020. Available at: https//www.nytimes.com/2020/02/14/world/asia/chaina-coronavirus-doctors.html. Accessed on 12 January 2021.

The Hindu. Coronavirus COIVD-19 claims the lives of 104 doctors across the country, 2020. Available at: https://www.thehindu.com/news/national/coronavirus-covid-19-claims-the-lives-of-104-doctors-across-the-country/article32142311.ece. Accessed on 12 January 2021.

Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7.

Morin CM, Belleville G, Bélanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601-8.

Asukai N, Kato H. Reliability and validity of the Japanese-language version of the Impact of event scale-revised (IES-R-J). Journal of Nervous and Mental Disease. 2002;190(3):175-82.

Creamer M, Bell R, Falilla S. Psychometric properties of the Impact of Event ScaleRevised. Behaviour Research and Therapy. 2002;41:1489-96.

Kawamura N, Yoshiharu K, Nozomu A. Suppression of Cellular Immunity in Men with a Past History of Post Traumatic Stress Disorder. American Journal of Psychiatry. 2001;158:484-6.

Covid-19: 130 red zones, 284 orange zones, 319 green zones in new govt list. Hindustan Times. 2020.

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 network open. 2020;3(3):e2039763.

Rossi R, Socci V, Pacitti F, DiLorenzo G, DiMarco 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 network open. 2020;3(5):e2010185.

Ribeiro JD, Pease JL, Gutierrez PM, Silva C, Bernert RA, et al. Sleep problems outperform depression and hopelessness as cross-sectional and longitudinal predictors of suicidal ideation and behavior in young adults in the military. Journal of Affective Disorders. 2020;136:743-50.

L Seungjae, K Tark, L Eunjung, L Cheolgu, K Hojung, R Heejeong et al. Clinical Course and Molecular Viral Shedding Among Asymptomatic and Symptomatic Patients With SARS-CoV-2 Infection in a Community Center in the Republic of Korea. JAMA Intern Med. 2020;180(11):144752.

NT Prakash. COVID-19: Impact on health of people & wealth of nations. Indian J Med Res. 2020;151(2):121-3.

Wong TW, Yau JK, Chan CL. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency department sand how they cope. Eur J Emerg Med. 2005;12(1):13-8.

Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID 19) in Hubei, China. Med Sci Monit. 2019;26:e924171.