The COVID-19 pandemic and mental health outcomes – A cross-sectional study among health care workers in Coastal South India [version 4; peer review: 2 approved]

Background: Frontline health care workers (HCWs) are at increased risk of developing unfavourable mental health outcomes and burnout, especially during the COVID-19 pandemic. Recognizing the early warning signs of mental distress is very important to ensure the provision of quality patient care. Met...

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Main Authors: Rekha T, Darshan Bhagawan, Kausthubh Hegde, Bhaskaran Unnikrishnan, Prasanna Mithra, Nithin Kumar, Ramesh Holla
Format: Article
Language:English
Published: F1000 Research Ltd 2023-02-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/11-676/v4
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author Rekha T
Darshan Bhagawan
Kausthubh Hegde
Bhaskaran Unnikrishnan
Prasanna Mithra
Nithin Kumar
Ramesh Holla
author_facet Rekha T
Darshan Bhagawan
Kausthubh Hegde
Bhaskaran Unnikrishnan
Prasanna Mithra
Nithin Kumar
Ramesh Holla
author_sort Rekha T
collection DOAJ
description Background: Frontline health care workers (HCWs) are at increased risk of developing unfavourable mental health outcomes and burnout, especially during the COVID-19 pandemic. Recognizing the early warning signs of mental distress is very important to ensure the provision of quality patient care. Methods: In this facility-based cross-sectional study, HCWs of the teaching hospitals affiliated to Kasturba Medical College, Mangalore were assessed regarding their mental health status using a semi-structured questionnaire. All doctors and nurses who were willing to participate from these teaching hospitals were included in the study. Data was collected over a period of four months (1st March -30th June 2021) till the required sample size was reached and analysed using IBM SPSS and expressed using mean (standard deviation), median (interquartile range), and proportions. Univariate analysis was done to identify the factors associated with mental health outcomes among the HCWs and the corresponding unadjusted odds ratio and 95% confidence interval were reported. Results: A total of 245 HCWs [52.2% (n=128) doctors and 47.8% (n=117) nurses] were included in our study. The proportion of participants with depressive symptoms, anxiety, and insomnia assessed using PHQ-9, GAD-7, and ISI-7 scales were 49% (n=119), 38% (n=93), and 42% (n=102) respectively. Depression, anxiety, and insomnia were more likely to be experienced by HCWs aged > 27 years, females, and involved in COVID-19 patient care. (p>0.05) Conclusions:  Our findings that 38% of the examined HCWs had clinically relevant anxiety symptoms and 49% had clinically relevant depression symptoms draws attention to the importance of systematically tracking the mental health of HCWs during this ongoing pandemic. HCWs should monitor their stress reactions and seek appropriate help both on a personal and professional level. Appropriate workplace interventions including psychological support should be provided to HCWs, to ensure provision of uncompromised quality patient care.
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spelling doaj.art-1621787de9ea4c4e982637880ac9ea722023-05-16T00:00:01ZengF1000 Research LtdF1000Research2046-14022023-02-0111144474The COVID-19 pandemic and mental health outcomes – A cross-sectional study among health care workers in Coastal South India [version 4; peer review: 2 approved]Rekha T0https://orcid.org/0000-0003-2278-1445Darshan Bhagawan1https://orcid.org/0000-0003-2365-7534Kausthubh Hegde2Bhaskaran Unnikrishnan3https://orcid.org/0000-0003-0892-8551Prasanna Mithra4https://orcid.org/0000-0002-7153-411XNithin Kumar5https://orcid.org/0000-0003-4665-9401Ramesh Holla6https://orcid.org/0000-0002-2296-3719Department of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaDepartment of Community Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, IndiaBackground: Frontline health care workers (HCWs) are at increased risk of developing unfavourable mental health outcomes and burnout, especially during the COVID-19 pandemic. Recognizing the early warning signs of mental distress is very important to ensure the provision of quality patient care. Methods: In this facility-based cross-sectional study, HCWs of the teaching hospitals affiliated to Kasturba Medical College, Mangalore were assessed regarding their mental health status using a semi-structured questionnaire. All doctors and nurses who were willing to participate from these teaching hospitals were included in the study. Data was collected over a period of four months (1st March -30th June 2021) till the required sample size was reached and analysed using IBM SPSS and expressed using mean (standard deviation), median (interquartile range), and proportions. Univariate analysis was done to identify the factors associated with mental health outcomes among the HCWs and the corresponding unadjusted odds ratio and 95% confidence interval were reported. Results: A total of 245 HCWs [52.2% (n=128) doctors and 47.8% (n=117) nurses] were included in our study. The proportion of participants with depressive symptoms, anxiety, and insomnia assessed using PHQ-9, GAD-7, and ISI-7 scales were 49% (n=119), 38% (n=93), and 42% (n=102) respectively. Depression, anxiety, and insomnia were more likely to be experienced by HCWs aged > 27 years, females, and involved in COVID-19 patient care. (p>0.05) Conclusions:  Our findings that 38% of the examined HCWs had clinically relevant anxiety symptoms and 49% had clinically relevant depression symptoms draws attention to the importance of systematically tracking the mental health of HCWs during this ongoing pandemic. HCWs should monitor their stress reactions and seek appropriate help both on a personal and professional level. Appropriate workplace interventions including psychological support should be provided to HCWs, to ensure provision of uncompromised quality patient care.https://f1000research.com/articles/11-676/v4Mental Health Pandemic Health personnel Depression Patient Health Questionnaire anxietyeng
spellingShingle Rekha T
Darshan Bhagawan
Kausthubh Hegde
Bhaskaran Unnikrishnan
Prasanna Mithra
Nithin Kumar
Ramesh Holla
The COVID-19 pandemic and mental health outcomes – A cross-sectional study among health care workers in Coastal South India [version 4; peer review: 2 approved]
F1000Research
Mental Health
Pandemic
Health personnel
Depression
Patient Health Questionnaire
anxiety
eng
title The COVID-19 pandemic and mental health outcomes – A cross-sectional study among health care workers in Coastal South India [version 4; peer review: 2 approved]
title_full The COVID-19 pandemic and mental health outcomes – A cross-sectional study among health care workers in Coastal South India [version 4; peer review: 2 approved]
title_fullStr The COVID-19 pandemic and mental health outcomes – A cross-sectional study among health care workers in Coastal South India [version 4; peer review: 2 approved]
title_full_unstemmed The COVID-19 pandemic and mental health outcomes – A cross-sectional study among health care workers in Coastal South India [version 4; peer review: 2 approved]
title_short The COVID-19 pandemic and mental health outcomes – A cross-sectional study among health care workers in Coastal South India [version 4; peer review: 2 approved]
title_sort covid 19 pandemic and mental health outcomes a cross sectional study among health care workers in coastal south india version 4 peer review 2 approved
topic Mental Health
Pandemic
Health personnel
Depression
Patient Health Questionnaire
anxiety
eng
url https://f1000research.com/articles/11-676/v4
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