Stress reactions in a tertiary oto-rhino-laryngological department during the first wave of the COVID-19 pandemic in the Danish Capital region

Acta Otolaryngol. 2021 Aug;141(8):791-795. doi: 10.1080/00016489.2021.1947525. Epub 2021 Aug 3.

Abstract

Background: Health care workers (HCW) at otorhinolaryngological departments have an increased risk of contracting COVID-19, due to aerosol-inducing diagnostic and surgical procedures in the airways. The ongoing exposure to physical and psychological stressors could impact the mental health of HCW.

Aim/objective: To investigate the impact on mental health in an otorhinolaryngological department during the COVID-19 pandemic.

Materials/method: Cross-sectional questionnaire study, assessing symptoms of depression (PHQ-9) and anxiety (GAD-10). Physicians, nurses, and secretaries were included at a tertiary department of otorhinolaryngology in the Capital Region of Denmark during the COVID-19 lockdown in spring 2020.

Results: Positive screenings for stress reactions were found in 22% for depressive symptoms and 15.5% anxiety. 27% feared becoming infected, 47% feared infecting their families in relation to work. 27% felt others were distancing from them, and 38% isolated themselves from others because of their work. Women had an odds ratio of 9.18 (CI 1.49-179) for depressive stress reactions.

Conclusion: HCW were primarily concerned with transmitting COVID-19 to their relatives. Secondarily, there was a concern about becoming infected despite feeling adequately protected by personal protective equipment. Women were at higher risk of more severe depressive symptoms when corrected for professions.

Keywords: COVID-19; anxiety; depression; health care worker; mental health; pandemic.

MeSH terms

  • Adult
  • COVID-19 / epidemiology*
  • COVID-19 / prevention & control
  • COVID-19 / psychology
  • Communicable Disease Control / organization & administration*
  • Cross-Sectional Studies
  • Denmark
  • Female
  • Hospital Departments
  • Humans
  • Male
  • Middle Aged
  • Occupational Stress / epidemiology*
  • Otolaryngology*
  • Personnel, Hospital / psychology*
  • Prevalence
  • Surveys and Questionnaires
  • Tertiary Care Centers