Psychological distress among Egyptian physicians during COVID-19 pandemic

Int Arch Occup Environ Health. 2021 May;94(4):731-740. doi: 10.1007/s00420-020-01624-4. Epub 2021 Jan 4.

Abstract

Objective: The current study's main objective was to measure the prevalence of psychological distress and its associated factors among Egyptian physicians during the COVID-19 pandemic. Perceived stressors and coping strategies were also explored.

Methods: A cross-sectional study on 714 physicians was carried out using an online administered questionnaire. The questionnaire included sociodemographic and occupational data, data related to the current pandemic, Kessler psychological distress scale, and the brief resilient coping scale. Multivariable logistic regression analysis was performed to identify significant predictors.

Results: About 50% of physicians had severe psychological distress. Among studied physicians, the significant predictors were being female, having a pre-existing illness, having an elderly family member, and being in close contact with a case (AOR 1.6, 1.6, 1.4 and 1.7, respectively). Meanwhile, significant occupational predictors were less experienced and frontline physicians (AOR 2.0 and 1.8, respectively). The most distressful concern was fear for families and personal health and safety, while religious coping was the most effective coping strategy.

Conclusion: During the current pandemic, Egyptian physicians have a high prevalence of psychological distress. Frontline, low-experienced, female, previously ill physicians are more likely to have severe psychological distress. Therefore, psychological preparedness and psychological support services should be implemented and made easily accessible during pandemics.

Keywords: COVID-19; Pandemic; Physicians; Psychological distress.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • COVID-19*
  • Cross-Sectional Studies
  • Egypt / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Stress / epidemiology*
  • Occupational Stress / psychology
  • Physicians / psychology*
  • Prevalence
  • Psychological Distress*
  • SARS-CoV-2
  • Surveys and Questionnaires
  • Workplace / psychology