Open AccessPsychological impact of managing COVID-19 patients among doctors: A pre- and post-survey study
Author(s) -
Amber Tahir,
Anwer Bugti,
Ayes Sarwat,
A. K. Dhiloo,
Mohsin Shaikh
Publication year - 2021
Publication title -
journal of emergency management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.345
H-Index - 10
eISSN - 2374-8702
pISSN - 1543-5865
DOI - 10.5055/jem.0610
Subject(s) - anxiety , depression (economics) , mental health , dass , medicine , covid-19 , psychiatry , psychological distress , distress , health care , isolation (microbiology) , clinical psychology , family medicine , psychology , disease , biology , infectious disease (medical specialty) , microbiology and biotechnology , economics , macroeconomics , economic growth
Objective: In any struggling healthcare system, it is always the frontline workers—doctors, nurses, and paramedical staff – that are affected first. This study aimed to assess the psychological impact—anxiety, stress, depression, and post-traumatic stress disorder (PTSD) —among doctors working in COVID-19 wards and the underlying triggers in a public hospital in Karachi. Methods: Pre- and post-survey methodologies were adopted. Post-graduate trainees working in COVID-19 isolation facilities from April till September 2020 were interviewed before starting their one-month rotation and after completing it. The psychological impact was assessed using two standard instruments—Depression Anxiety and Stress 21 (DASS-21) and the Impact of Event Scale-Revised (IES-R). Data were entered and analyzed through SPSS version 22.0. Results: For 100 doctors, the mean score for stress, anxiety, stress, and depression on DASS-21 and PTSD on IES-R significantly increased after the rotation (p 0.01). The mean score of depression and IES-R was higher in younger (28 years) doctors (p ≤ 0.05). Married doctors scored higher on anxiety and IES-R (p ≤ 0.05). Doctors who were not willfully performing their duties scored worse on all measures of DASS-21 and IES-R (p 0.01). Doctors facing family resistance scored significantly higher on stress, anxiety, and IES-R (p 0.01). Conclusion: Working in COVID-19 facilities is imparting a negative impact on the psychological health of doctors. Healthcare administration should be aware of this psychological distress and should introduce mental health aid at administrative levels to prevent a mental health epidemic among care providers.