Mental Health Issues of the Medical Workforce during COVID-19: A Review

Source:
By:Ilaria Domenicano

DOI: https://doi.org/10.30564/jpr.v2i3.2073

Abstract:

The COVID-19 pandemic is a public health emergency. As we write, the world counts more than 10 million positive cases and more than 500 thousand deaths. The difficult conditions faced by healthcare workers helping with the COVID-19 pandemic are leading to severe adverse mental health consequences. The aim of this review is to summarize and analyze the mental health issues that healthcare workers are experiencing during the COVID-19 outbreak. We conduct a systematic literature review to investigate the healthcare workforce’s mental health disorders. About 145 articles were retrieved for the period between January 1, 2020 and April 30, 2020. After screening, 27 articles were selected for full-text examination, 13 were included in the review. Of the studies included, 69% (9/13) and 61% (8/13) investigated depression and anxiety, respectively, although other mental health disorders such as insomnia, distress, stress, and fear were also assessed. Most of the healthcare workers in the studies reported high levels of stress, anxiety, and severe symptoms of depressions. Caregivers are working under high levels of pressure, in a high-risk environment, and are dealing with many physical and psychological challenges. Appropriate actions and well-timed psychological support to protect medical workers’ mental health should be considered.

References:

[1]N. Zhu, D. Zhang, W. Wang, X. Li, B. Yang, J. Song, X. Zhao, B. Huang, W. Shi, R. Lu and P. Niu, "A novel coronavirus from patients with pneumonia in China, 2019," 2020. [2] [Online]. Available: https://www.worldometers.info/coronavirus/. [Accessed 28 June 2020]. [3]Q. Li, X. Guan, P. Wu, X. Wang, L. Zhou, Y. Tong, R. Ren, K. S. Leung, E. H. Lau, J. Y. Wong and X. Xing, "Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia," 2020. [4]W. J. Guan, Z. Y. Ni, Y. Hu, W. H. Liang, C. Q. Ou, J. X. He, L. Liu, H. Shan, C. L. Lei, D. S. Hui and B. Du, "Clinical characteristics of coronavirus disease 2019 in China," vol. 382, no. 18, pp. 1708-20, 2020. [5]P. Zhou, X. L. Yang, X. Wang, B. Hu, L. Zhang, W. Zhang, H. R. Si, Y. Zhu, B. Li, C. L. Huang and H. D. Chen, "A pneumonia outbreak associated with a new coronavirus of probable bat origin," vol. 579, no. 7798, pp. 270-273, 2020. [6]E. Bayne, C. Norris and E. Timmons, "A Primer on Emergency Occupational Licensing Reforms for Combating COVID-19.," Mercatus Special Edition Policy Brief, 2020. [7]A. Harvey, "Covid-19: medical schools given powers to graduate final year students early to help NHS," 2020. [8]Q. Chen, M. Liang, Y. Li, J. Guo, D. Fei, L. Wang and L. He, "Mental health care for medical staff in China during the COVID-19 outbreak," vol. 7, no. 4, pp. e15-e16, 2020. [9]M. L. Ranney, V. Griffeth and A. K. Jha, "Critical supply shortages—the need for ventilators and personal protective equipment during the Covid-19 pandemic," 2020. [10]J. Z. Ayanian, "Mental health needs of health care workers providing frontline COVID-19 care," vol. 1, no. 4, pp. e200397-e200397, 2020. [11]Y. Bai, C. C. Lin, J. Y. Chen, C. M. Chue and P. Chou, "Survey of stress reactions among health care workers involved with the SARS outbreak," vol. 55, no. 9, pp. 1055-1057, 2004. [12]S. E. Chua, V. Cheung, C. Cheung, G. M. McAlonan, J. W. Wong, E. P. Cheung, M. T. Chan, M. M. Wong, S. W. Tang, K. M. Choy and Wong M. K., "Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers," vol. 49, no. 6, pp. 391-393, 2004. [13]S. Verma, S. Mythily, Y. H. Chan, J. P. Deslypere, E. K. Teo and S. A. Chong, "Post-SARS psychological morbidity and stigma among general practitioners and traditional Chinese medicine practitioners in Singapore," Ann Acad Med Singapore, vol. 33, no. 6, pp. 743-8, 2004. [14]R. G. Maunder, W. J. Lancee, K. E. Balderson, J. P. Bennet, B. Borgundvaag, S. Evans, C. M. Fernandes, D. S. Goldbloom, M. Gupta, J. J. Hunter and L. M. Hall, "Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak," Emerging infectious diseases, vol. 12, no. 1924, 12. [15]A. M. Lee, J. G. Wong, G. M. McAlonan, V. Cheung, P. C. Sham, P. C. Chu, P. C. Wong, K. W. Tsang and S. E. Chua, "Stress and psychological distress among SARS survivors 1 year after the outbreak," The Canadian Journal of Psychiatry, vol. 52, no. 4, pp. 233-240, 2007. [16]I. Khalid, T. J. Khalid, M. R. Qabajah, A. G. Barnard and I. A. Qushmaq, "Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak," vol. 14, no. 1, pp. 7-14, 2016. [17]S. M. Lee, W. S. Kang, A. R. Cho, T. Kim and J. K. Park, "Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients," vol. 87, pp. 123-127, 2018. [18]J. Lai, S. Ma, Y. Wang, Z. Cai, J. Hu, N. Wei, J. Wu, H. Du, T. Chen, R. Li and H. Tan, "Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019," vol. 3, no. 3, pp. e203976-e203976, 2020. [19]Y. Liang, M. Chen, X. Zheng and J. Liu, "Liang, Y., Chen, M., Zheng, X., & Liu, J. (2020). Screening for Chinese medical staff mental health by SDS and SAS during the outbreak of COVID-19.," Journal of Psychosomatic Research, vol. 133, p. 110102, 2020. [20]J. P. Chung and W. S. Yeung, " Staff mental health self-assessment during the COVID-19 outbreak," East Asian Archives of Psychiatry, vol. 1, p. 34, 2020. [21]L. Kang, S. Ma, M. Chen, J. Yang, Y. Wang, R. Li, L. Yao, H. Bai, Z. Cai, B. X. Yang and S. Hu, "Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study," Brain, behavior, and immunity, 2020. [22]Y. Mo, L. Deng, L. Zhang, Q. Lang, C. Liao, N. Wang, M. Qin and H. Huang, "Work stress among Chinese nurses to support Wuhan for fighting against the COVID‐19 epidemic," 2020. [23]N. Sun, D. Jiao, R. Song, L. Ma, H. Wang, C. Wang, Z. Wang, Y. You, S. Liu and H. Wang, "A qualitative study on the psychological experience of caregivers of COVID-19 patients," 2020. [24]Y. Chen, H. Zhou, Y. Zhou and F. Zhou, "Prevalence of self-reported depression and anxiety among pediatric medical staff members during the COVID-19 outbreak in Guiyang, China," Psychiatry Research, vol. 288, pp. 113005-113005, 2020. [25]W. R. Zhang, K. Wang, L. Yin, W. F. Zhao, Q. Xue, M. Peng, B. Q. Min, Q. Tian, H. X. Leng, J. L. Du and Chang H., "Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China," Psychotherapy and psychosomatics, pp. 1-9, 2020. [26]W. Lu, H. Wang, Y. Lin and L. Li, "Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study.," p. 112936, 2020. [27]J. Cao, J. Wei, H. Zhu, Y. Duan, W. Geng, X. Hong, J. Jiang, X. Zhao and B. Zhu, "A study of basic needs and psychological wellbeing of medical workers in the fever clinic of a tertiary general hospital in Beijing during the COVID-19 outbreak," p. 1, 2020. [28]W. Wu, Y. Zhang, P. Wang, L. Zhang, G. Wang, G. Lei, Q. Xiao, X. Cao, Y. Bian, S. Xie and F. Huang, "Psychological stress of medical staffs during outbreak of COVID‐19 and adjustment strategy.," 2020. [29]Z. Li, J. Ge, M. Yang, J. Feng, M. Qiao, R. Jiang, J. Bi, G. Zhang, X. Xu, L. Wang and Q. Zhou, "Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control," 2020. [30]J. Xu, Q. H. Xu, C. M. Wang and J. Wang, "Psychological status of surgical staff during the COVID-19 outbreak," p. 112955, 2020. [31]"ICN calls for data on healthcare worker infection rates and deaths," [Online]. Available: https://www.icn.ch/news/icn-calls-data-healthcare-worker-infection-rates-and-deaths. [Accessed 15 May 2020]. [32]"CDC estimates more than 9,200 health care workers have been infected with covid-19," [Online]. Available: https://www.cnn.com/2020/04/15/health/coronavirus-9200-health-workers-infected/index.html. [Accessed 15 May 2020]. [33]21 March 2020. [Online]. Available: https://www.washingtonpost.com/local/virginia-psychiatrist-resign-citing-inadequate-safety-protocals-in-the-face-of-covid-19/2020/03/21/bb75d118-6b83-11ea-abef-020f086a3fab_story.html. [Accessed 15 May 2020]. [34]3 March 2020. [Online]. Available: https://www.telegraph.co.uk/news/2020/03/03/coronavirus-doctors-collapse-exhaustion-virus-spreads-south/. [Accessed 15 May 2020]. [35]18 March 2020. [Online]. Available: https://www.aljazeera.com/news/2020/03/dozens-bulgarian-doctors-resign-covid-19-crisis-200318151643933.html. [Accessed 15 May 2020]. [36]21 April 2020. [Online]. Available: https://www.washingtonpost.com/local/nurses-read-names-of-colleagues-who-died-of-the-coronavirus-in-front-of-the-white-house/2020/04/21/fc93184c-83e6-11ea-878a-86477a724bdb_story.html. [Accessed 15 May 2020]. [37]13 May 2020. [Online]. Available: https://www.france24.com/en/20200513-world-s-highest-death-rate-brazil-s-nurses-protest-as-fatalities-mount. [Accessed 15 May 2020]. [38]"First Opinion," 30 April 2020. [Online]. Available: Suicides of two health care workers hint at the Covid-19 mental health crisis to come. [Accessed 15 May 2020]. [39]31 March 2020. [Online]. Available: https://www.wsws.org/en/articles/2020/03/31/trez-m31.html. [Accessed 15 May 2020]. [40]N. Montemurro, "The emotional impact of COVID-19: From medical staff to common people," 2020. [41]B. Joob and V. Wiwanitkit, "Traumatization in medical staff helping with COVID-19 control," 2020.