Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients

Int J Environ Res Public Health. 2020 Aug 12;17(16):5849. doi: 10.3390/ijerph17165849.

Abstract

It seems that the medical personnel in contact with patients infected with SARS-CoV-2 are at an especially high risk of adverse psychological effects. Therefore, the aim of this study was to assess the mental health factors among healthcare workers by quantifying the severity of anxiety, depression, and sleep disorders during the current SARS-CoV-2 pandemic, while taking into account coexisting diseases. The study involved 441 healthcare professionals including 206 healthcare workers at emergency wards, infectious wards, and intensive care units. The control group consisted of 235 healthcare workers working in wards other than those where individuals from the study group worked. Regression adjusted by age, gender, the occurrence of hypertension, diabetes mellitus, dyslipidemia, asthma, autoimmune diseases, and cigarette smoking showed the elevated risk of anxiety on the Generalized Anxiety Disorder (GAD-7) scale (OR = 1.934; p < 0.001), depression on the Patient Health Questionnaire (PHQ-9) scale (OR = 2.623; p < 0.001), and sleep disorders on the Insomnia Severity Index (ISI) scale (OR = 3.078; p < 0.001). Our study showed that healthcare workers who are exposed to SARS-CoV-2-infected patients at emergency wards, infectious wards, and intensive care units are at a much higher risk of showing symptoms of anxiety, depression, and sleep disorders than healthcare workers working in other wards.

Keywords: COVID-19; Generalized Anxiety Disorder scale (GAD-7), Patient Health Questionnaire (PHQ), Insomnia Severity Index (ISI); SARS-CoV-2.

MeSH terms

  • Adult
  • Age Factors
  • Anxiety / epidemiology
  • Betacoronavirus
  • COVID-19
  • Comorbidity
  • Coronavirus Infections / epidemiology*
  • Cross-Sectional Studies
  • Depression / epidemiology
  • Female
  • Health Personnel / psychology*
  • Health Status
  • Humans
  • Male
  • Mental Health*
  • Middle Aged
  • Pandemics
  • Pneumonia, Viral / epidemiology*
  • Poland / epidemiology
  • Risk Factors
  • SARS-CoV-2
  • Severity of Illness Index
  • Sex Factors
  • Sleep Wake Disorders / epidemiology