Document Type : Original Article
Authors
1 Department of Psychiatry, ESI PGI MSR, ESIC Medical College and ESIC Hospital and ODC (EZ), Kolkata, West Bengal, India
2 Department of Microbiology, ESI PGI MSR, ESIC Medical College and ESIC Hospital and ODC (EZ), Kolkata, West Bengal, India
Abstract
BACKGROUND: COVID‑19 pandemic has changed the life of people in many facets, economic,
social, and psychological. Frontline health‑care workers (HCWs) fighting against this pandemic faced
some psychological as well as social issues which are of major concern. The objective of the study is
to evaluate the magnitude of mental health problems, namely depression, anxiety, and stress among
frontline HCWs as well as their perception on ongoing events and surroundings.
MATERIALS AND METHODS: It was a prospective, observational study on n = 85 HCWs over
a 4‑month period. Study participants were sampled purposively in accordance with inclusion and
exclusion criteria; data were collected by online survey method. A semi‑structured scale was used:
Part A of which assessed the demography and perception of HCWs on surrounding along with ongoing
social events and Part B consisted of the Depression, Anxiety, and Stress Scale‑21 that was used
to assess mental health issues. All the associations were tested in percentages and proportions.
Statistics was calculated by using SPSS 24th version.
RESULTS: Majority of the participants were female doctors and belonged to 21–30 years’ age
group. Most of them were marginally worried of contacting infection (73%) but were substantially
apprehensive of transmitting infection to their family (56.5%) and hoped positive outcome ultimately
in the form of recovery from infection. Majority (96.4%) gathered information from authentic sources
and were confident of adequacy of their knowledge. Majority (88.3%) were satisfied about their
occupational safety and responded on scientific solution of pandemic. However, we got a mixed
result about their professional appreciation. Depression symptom score was higher than anxiety and
stress symptom score in our participants.
CONCLUSIONS: Doctors and nurses both were suffering from mental health issues, and provision
of adequate information and occupational safety may lessen these burdens.
Keywords
- Chen Q, Zheng Z, Zhang C, Zhang X, Wu H, Wang J, et al.
Clinical characteristics of 145 patients with corona virus
disease 2019 (COVID‑19) in Taizhou, Zhejiang, China. Infection
2020;48:543‑51.
2. Cucinotta D, Vanelli M. WHO declares COVID‑19 a pandemic.
Acta Biomed 2020;91:157‑60.
3. Andrews MA, Areekal B, Rajesh KR, Krishnan J, Suryakala R,
Krishnan B, et al. First confirmed case of COVID‑19 infection in
India: A case report. Indian J Med Res 2020;151:490‑2.
4. WHO Health Emergency Dashboard: WHO (COVID‑19)
Homepage. World Health Organization; 2021. Available from:
https://covid19.who.int/. [Last accessed on 2021 Apr 07].
5. COVID India. [Place Unknown] COVID‑India API; 2021.
Available from: https://www.covid19india.org/. [Last accessed
on 2021 Apr 10].
6. Erdem H, Lucey DR. Healthcare worker infections and deaths due
to COVID‑19: A survey from 37 nations and a call for WHO to post
national data on their website. Int J Infect Dis 2021;102:239‑41.
7. Gupta SK.COVID‑19: India’s private doctors and government
clash over pandemic response [published online 2020 Sep 22].
BMJ 2020;370:m3711. Available from doi: 10.1136/bmj.m3711.
8. Kapilan N. Suicides cases among nurses in India due to
COVID‑19 and possible prevention strategies. Asian J Psychiatr
2020;54:102434.
9. Roy A, Singh AK, Mishra S, Chinnadurai A, Mitra A, Bakshi O.
Mental health implications of COVID‑19 pandemic and its
response in India [published online ahead of print, 2020 Sep 1].
Int J Soc Psychiatry 2020;20764020950769 Available from doi:
10.1177/0020764020950769
10. World Health Organization. Risks to Mental Health: An Overview
of Vulnerabilities and Risk Factors. Background Paper by WHO
Secretariat for the Development of a Comprehensive Mental
Health Action Plan. Geneva: World Health Organization; 2012.
11. Beaufort IN, De Weert‑Van Oene GH, Buwalda VA, de Leeuw JR,
Goudriaan AE. The depression, anxiety and stress scale (DASS‑21)
as a screener for depression in substance use disorder inpatients:
A pilot study. Eur Addict Res 2017;23:260‑8.
12. Gonzalez‑Rivera JA, Pagan‑Torres OM, Perez‑Torres EM.
Depression, anxiety and stress scales (DASS‑21): Construct
validity problem in Hispanics. Eur J Investig Health Psychol Educ
2020;10:375‑89.
13. Garg, P, Kumar R. Study of depression, anxiety and stress among
Class IV workers in a medical college in Delhi. Indian J Soc
Psychiatry 2019;35:57‑63.
14. Thomas A, Dubey SK, Samanta MK, Alex A, Jose SP. Assessment
of psychological stressors of depression and anxiety using
DEPRESSION ANXIETY STRESS SCALE‑21 in South Indian
healthy volunteers. Int J Pharm Pharm Sci 2016;8:288‑95.
15. Ng BH, Nuratiqah NA, Faisal AH, Soo CI, Low HJ, Najma K, et al.
A descriptive study of the psychological experience of health care
workers in close contact with a person with COVID‑19. Med J
Malaysia 2020;75:485‑9.
16. Chatterjee SS, Bhattacharyya R, Bhattacharyya S, Gupta S,
Das S, Banerjee BB. Attitude, practice, behavior, and mental
health impact of COVID-19 on doctors. Indian J Psychiatry
2020;62:257‑65.
17. Dordi MD, Jethmalani K, Surendran KK, Contractor A. The effect
of the COVID‑19 pandemic on the mental health of Indian health
care workers. Int J Indian Psychol 2020;8:597‑608.
18. Manh Than H, Minh Nong V, Trung Nguyen C, Phu Dong K,
Ngo HT, Thu Doan T, et al. Mental health and health‑related
quality‑of‑life outcomes among frontline health workers during
the peak of COVID‑19 outbreak in Vietnam: A cross‑sectional
study. Risk Manag Healthc Policy 2020;13:2927‑36.
19. Deressa W, Worku A, Abebe.W, Gizaw M, Amogne W.
Availability of personal protective equipment and satisfaction
of healthcare professionals during COVID‑19 pandemic in
Ethiopia [published online ahead of print, 2020 Nov 3]. medRxiv
2020. Available from doi: https://doi.org/10.1101/2020.10
0.30.20223149
20. Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al.
Knowledge, attitude, and practice regarding COVID‑19 among
healthcare workers in Henan, China. J Hosp Infect 2020;105:183‑7.
21. Meena SP, Jhirwal M, Puranik AK, Sharma N, Rodha MS,
Lodha M, et al. Awareness and experience of health‑care workers
during coronavirus disease 2019 pandemic. J Edu Health Promot
2021;10:110.
22. Dept of Psychiatry, NIMHANS. Caring for Health Care
Warrior‑Mental Health Support during COVID 19. Bengaluru:
MoHFW, Govt of Karnataka; 2020. p. 03.
23. Lu W, Wang H, Lin Y, Li L. Psychological status of medical
workforce during the COVID‑19 pandemic: A cross‑sectional
study. Psychiatry Res 2020;288:112936.
24. Ejeh FE, Saidu AS, Owoicho S, Maurice NA, Jauro S, Madukaji L,
et al. Knowledge, attitude, and practice among healthcare workers
towards COVID‑19 outbreak in Nigeria. Heliyon 2020;6:e05557.
25. Talwar S, Dhir A, Singh D, Virk GS, Salo J. Sharing of fake news
on social media: application of the honeycomb framework
and the third‑person effect hypothesis. J Retail Consum Serv
2020;57:102197.
26. Wada H. Professional Versus Social Media: News Credibility and
Impact (November 20, 2018). RAIS Conference Proceedings – The
11th International RAIS Conference on Social Sciences; 2018.
Availablefrom: https://ssrn.com/abstract=3303500.
27. Merrill RM. Introduction to Epidemiology. 7th ed. Burlington:
Jones and Bartlett Publishers; 2013. p. 68‑71.
28. Samaddar A, Gadepalli R, Nag VL, Misra S. The enigma of low
COVID‑19 fatality rate in India. Front Genet 2020;11:854. - 29. Rani M, Sharma I, Sharma S, Sharma L, Kumar S. Exploring the
knowledge, attitude, and practice of health‑care professionals on
coronavirus (COVID‑19) pandemic infection. J Edu Health Promot
2021;10:115.
30. Arshad MS, Hussain I, Nafees M, Majeed A, Imran I, Saeed H,
et al. Assessing the impact of COVID‑19 on the mental health
of healthcare workers in three metropolitan cities of Pakistan.
Psychol Res Behav Manag 2020;13:1047‑55.
31. Liang Y, Chen M, Zheng X, Liu J. Screening for Chinese medical
staff mental health by SDS and SAS during the outbreak of
COVID‑19. J Psychosom Res 2020;133:1101‑2.
32. Sakthivel P, Rajeshwari M, Malhotra N, Ish P. Violence
against doctors: An emerging epidemic amidst COVID‑19
pandemic in India [published online ahead of print,
2020 Oct 10]. Postgrad Med J 2020. Available from: doi:
10.1136/postgradmedj‑2020‑138925
33. Singh K. Doctors, Healthcare Workers on COVID Duty to
be Felicitated with Cash, Appreciation Certificates. Times of
India; 2021 February 03. Available from: https://tinyurl.com/
p4nmm52t. [Last accessed on 2021 Apr 10]