PRESENT NEW CORONAVIRUS INFECTION AND ITS IMPACT ON PSYCHOLOGICAL WELL-BEING STAFF OF MEDICAL INSTITUTIONS AND UNIVERSITIES
Abstract
Objective was to analyze the psychological well-being of employees of medical scientific and educational institutions of higher education and to identify the impact of earlier COVID-19.
Material and methods. A one-time online study was conducted (the online questionnaire was posted on the ancetolog.ru platform) during the COVID-19 pandemic (the period of circulation of the delta variant of the virus) from January to March 2022. To assess psychological well-being, the following were used: an online questionnaire; Perceived Stress Scale-10 (PSS); Generalized Anxiety Disorder scale (GAD-2); Patient Health Questionnaire (PHQ-4). The analysis was carried out on 3918 respondents: 1708 (13.6%) of which indicated that they had suffered from COVID-19 and 2210 (56.4%) noted they hadn’t.
Results. Medical providers who had recovered from COVID-19 were statistically significantly more likely to have high PHQ-2 scores, indicating probable depression (17.2% versus 10.2% for those who were not ill, p < 0.001) and high GAD-2 scores, indicating probable presence of anxiety (11% vs. 6.7%, p < 0.001). Earlier COVID-19 increased the chance of depression OR 1.828 (95% CI 1.500-2.227 χ2=36.554; p < 0.001) and anxiety OR 1.721 (95% CI 1.349-2.172 χ2=19.951; p < 0.001).
Conclusion. The study showed a high level of emotional and psychological stress (the presence of anxiety and depression) among medical staff, which was significantly more pronounced in COVID-19 survivors. In this regard, an important task for the administration of medical scientific organizations and educational institutions of higher education should be the development of measures aimed at correcting identified disorders and searching for indicators, influencing which will ensure the most effective positive changes.
About the Authors
E. A. MedvedevaRussian Federation
G. G. Maryin
Russian Federation
K. A. Zykov
Russian Federation
O. A. Svitich
Russian Federation
A. A. Ploskireva
Russian Federation
D. A. Nazarov
Russian Federation
V. A. Loginov
Russian Federation
T. S. Saltykova
Russian Federation
References
1. Botha E., Gwin T.; Purpora C. The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database of Systematic Reviews and Implementation Reports. 2015;13(10): 21-29 (In Engl).
2. Brook J, Duguid B, Miller N. Symptoms of post-traumatic stress disorder in early career nurses during the COVID-19 pandemic: A longitudinal survey study. J Clin Nurs. 2023 Dec;32(23-24):8063-8077. (In Engl).
3. Lulli, L. G., Giorgi, G., Pandolfi, C., Foti, G., Finstad, G. L., Arcangeli, G., & Mucci, N. (). Identifying psychosocial risks and protective measures for workers’ mental wellbeing at the Time of COVID-19: A Narrative Review. Sustainability. 2021;13(24):13869. 10.3390/su13241386 (In Engl).
4. Lertchaisataporn K, Boonsathorn W. Factors affecting the work passion of physicians during the COVID-19 pandemic: a qualitative study in Thailand. Int J Qual Stud Health Well-being. 2023 Dec;18(1):2235126. (In Engl).
5. Marvaldi M, Mallet J, Dubertret C, Moro MR, Guessoum SB. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Neurosci Biobehav Rev. 2021 Jul;126:252-264. (In Engl).
6. Scott HR, Stevelink SAM, Gafoor R, Lamb D, Carr E, Bakolis I, Bhundia R, Docherty MJ, Dorrington S, Gnanapragasam S, Hegarty S, Hotopf M, Madan I, McManus S, Moran P, Souliou E, Raine R, Razavi R, Weston D, Greenberg N, Wessely S. Prevalence of posttraumatic stress disorder and common mental disorders in health-care workers in England during the COVID-19 pandemic: a two-phase cross-sectional study. Lancet Psychiatry. 2023 Jan;10(1):40-49. (In Engl).
7. Akarachkova E. S., Klimov L. V., Kotova O. V. 21st CENTURY: From the COVID-19 pandemic to new psychosocial stresses. Clinical Guide. Moskva: Pero Publishing House. 2022:36 (In Russ).
8. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983;24:385–96. (In Engl).
9. Ababkov V.A., Baryshnikova K., Vorontsova-Venger O.V. [et al.] Validation of the Russian version of the questionnaire «Perceived Stress Scale-10». Bulletin of St. Petersburg State University. Episode 16: Psychology. Pedagogy. 2016.; 2:6-15. (In Russ).
10. Renovanz M, Soebianto S, Tsakmaklis H, Keric N, Nadji-Ohl M, Beutel M, Ringel F, Wollschläger D, Hickmann AK. Evaluation of the psychological burden during the early disease trajectory in patients with intracranial tumors by the ultra-brief Patient Health Questionnaire for Depression and Anxiety (PHQ-4). Support Care Cancer. 2019 Dec;27(12):4469-4477. doi: 10.1007/s00520-019-04718-z. (In Engl).
11. Konstantakopoulos G, Sofianopoulou E, Touloumi G, Ploumpidis D. Ultra-short questionnaires for the detection of depression and anxiety. Psychiatriki. 2013 Oct-Dec;24(4):288-97. (In Engl).
12. Pogosova N.V., Dovzhenko T.V., Babin A.G., Kursakov A.A., Vygodin V.A. Russian version of PHQ-2 and 9 questionnaires: sensitivity and specificity in detection of depression in outpatient general medical practice Cardiovascular therapy and prevention. 2014;13(3):18-24. https://doi.org/10.15829/1728-8800-2014-3-18-24 (In Russ).
13. García-Campayo, J., Zamorano, E., Ruiz, M.A. [et al.] The assessment of generalized anxiety disorder: psychometric validation of the Spanish version of the self-administered GAD-2 scale in daily medical practice. Health Qual Life Outcomes 10, 114 (2012). https://doi.org/10.1186/1477-7525-10-114. (In Engl).
14. Choi EY, Jang MH. The Moderating Role of COVID-19 Perceived Risk between Health Concern and Psychological Well-Being of Active Senior Campers Using PROCESS Macro Model. Int J Environ Res Public Health. 2022 Sep 10;19(18):11405. doi: 10.3390/ijerph191811405. (In Engl).
15. Krishnamoorthy Y, Nagarajan R, Saya GK, Menon V. Prevalence of psychological morbidities among general population, healthcare workers and COVID-19 patients amidst the COVID-19 pandemic: A systematic review and meta-analysis. PsychiatryRes. 2020 Nov;293:113382. doi: 10.1016/j.psychres.2020.113382. Epub 2020 Aug 11. (In Engl).
16. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res. 2020 Sep;291:113190. doi: 10.1016/j.psychres.2020.113190. Epub 2020 Jun 7. (In Engl).
17. Andreasen AJ, Johnson MK, Tranel D. Stability of Psychological Well-being Following a Neurological Event and in the Face of a Global Pandemic. Rehabil Couns Bull. 2022 Dec 21:00343552221139878. doi: 10.1177/00343552221139878. (In Engl).
18. Mazza MG, Palladini M, Poletti S, Benedetti F. Post-COVID-19 Depressive Symptoms: Epidemiology, Pathophysiology, and Pharmacological Treatment. CNS Drugs. 2022 Jul;36(7):681-702. doi: 10.1007/s40263-022-00931-3. (In Engl).
19. Hill C. Psychological health, wellbeing and COVID-19: Comparing previously infected and non-infected South African employees. Front Psychol. 2022 Nov 3;13:1013377. doi: 10.3389/fpsyg.2022.1013377. (In Engl).
20. Xu X, Manzoor F, Jiang S, Mumtaz A. Unpacking the Mental Health of Nurses during COVID-19: Evidence from Pakistan. J Clin Med. 2021 Aug 12; 10 (16):3546. doi: 10.3390/jcm10163546. (In Engl).
21. Vlasova AV, Vetluzhskaya MV, Lutokhina YuA, Haritonova PA. Cross-Sectional Online Study of the Psychological Status of Russian Doctors during the COVID-19 Pandemic. Annals of the Russian Academy of Medical Sciences. 2021;76(6):635–641. doi: https://doi.org/10.15690/vramn1568 (In Russ).
22. Chew N.W.S., Lee G.K.H., Tan B.Y.Q. [et al.] A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak // Brain Behav. Immun. 2020 ; 88:559–565. (In Engl).
23. Tabeeva G.R. Anxiety and depressive disorders during COVID-19 // Behavioral Neurology. 2021; 2: 24–32. DOI 10.46393/2712-9675_2021_2_24_32 (In Russ).
24. Zhu J, Sun L, Zhang L, Wang H, Fan A, Yang B, Li W, Xiao S. Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against COVID-19 in Gansu. Front Psychiatry. 2020 Apr 29;11:386. doi: 10.3389/fpsyt.2020.00386. Erratum in: Front Psychiatry. 2021 Mar 24;12:653709. (In Engl).
25. Evstifeeva S.E., Shalnova S.A., Makarova Yu.K., Yarovaya E.B., Balanova Yu.A., Imaeva A.E., Kapustina A.V., Muromtseva G.A., Maksimov S.A., Karamnova N.S., Artamonova G.V., Belova O.A., Grinshtein Yu.I., Petrova М.M., Duplyakov D.V., Efanov A.Yu., Kulakova N.V., Libis R.A., Chernykh T.M., Rotar O.P., Trubacheva I.A., Shabunova A.A., Konradi A.O., Boytsov S.A., Drapkina O.M. Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study. Cardiovascular Therapy and Prevention. 2021;20(5):3009 https://doi.org/10.15829/1728-8800-2021-3009(In Russ).
Review
For citations:
Medvedeva E.A., Maryin G.G., Zykov K.A., Svitich O.A., Ploskireva A.A., Nazarov D.A., Loginov V.A., Saltykova T.S. PRESENT NEW CORONAVIRUS INFECTION AND ITS IMPACT ON PSYCHOLOGICAL WELL-BEING STAFF OF MEDICAL INSTITUTIONS AND UNIVERSITIES. Bashkortostan Medical Journal. 2023;18(6):24-30. (In Russ.)