Online ISSN: 3007-0244,
Print ISSN:  2410-4280
MENTAL HEALTH OF MEDICAL WORKERS DURING COVID-19 PANDEMIC: A LITERATURE REVIEW
Background. Medical workers at hospitals who were directly involved in the diagnosis, treatment, and care of Covid-19 infected patients were at high risk of developing mental distress and other psychological health symptoms. The daily number of increased confirmed and suspected cases, stressful workload, lack of personal protection equipment and specific drugs, and adequate support led to the mental crisis of these healthcare workers. Aim. To promote and maintain the mental health of medical workers, we aimed to evaluate the psychological symptoms of healthcare workers during the Covid-19 pandemic. The research method. To analyze and evaluate the mental health of healthcare workers during the Covid-19 pandemic PubMed, Google Scholar, Web of Science, MEDLINE Complete, and Cochrane Library databases were used for the period of 2020 to 2023. Studies conducted on healthcare workers working during the COVID-19 pandemic, including physicians, paramedics, nurses, and other medical workers; cross-sectional studies, cohort studies, and case-control studies published in the English language were included for this study. Key terms used for this review include “healthcare workers” or “health care provider” or “medical workers” or “front line workers” or “professionals” or “nurses” or “doctor” and “mental health” or “mental disorder” or “mental illness” or “mental health status” or “psychiatric illness” and “Covid-19” or “coronavirus disease 2019” or “SARS-CoV-2” or “coronavirus disease”. Exclusion criteria: studies conducted with healthcare professionals outside of COVID-19, evidence-based medicine articles with clear conclusions, articles published in other languages. As a result 25 articles were selected for this review. Conclusions. Covid-19 had a negative impact on the mental status of healthcare workers, especially frontline ones. Many studies showed that healthcare workers experienced symptoms of anxiety, depression, and insomnia during the COVID-19 pandemic and a lack of psychological services. Further strategies should address special interventions for screening and promoting the mental health of medical workers exposed to Covid-19.
Nurila E. Aryntayeva1, https://orcid.org/0000-0002-4047-4687 Isabel Griffin1, https://orcid.org/0000-0003-4113-8412 Tulay Koru-Sengul1, https://orcid.org/0000-0003-0974-8405 Gulshara Е. Aimbetova2, https://orcid.org/0000-0002-9466-6297 Venera U. Baisugurova2, https://orcid.org/0000-0003-0182-7598 Fatima A. Bagiyarova2, https://orcid.org/0000-0003-0000-1321 Abzal Zhumagaliuly2, https://orcid.org/0000-0003-2968-1105 1 NCJSC «Asfendiyarov Kazakh National Medical University», Almaty, Kazakhstan; 2 «Center for Disease Control and Prevention», Atlanta, Georgia, United States of America; 3 University of Miami, Miller School of Medicine, Department of Public Health Sciences, Miami, Florida, United States of America.
1. Adams J.G., Walls R.M. Supporting the health care workforce during the COVID-19 global epidemic // Jama. 2020. 323(15):1439–1440. 2. Alharbi J., Jackson D., Usker K. The potential for COVlD-19 to contribute to compassion fatigue in critical care nurses // J. Clin. Nurs. 2020 Apr 28. doi: 10.1111/jocn.15314. 3. Almaghrabi R.H., Alfaraidi H.A., Al Hebshi W.A., Albaadani M.M. Healthcare workers experience in dealing with coronavirus (COVID-19) pandemic // Saudi Med J. 2020. 41(6):657–60. 4. Vahia V.N., Diagnostic and statistical manual of mental disorders 5: A quick glance. Indian J Psychiatry. 2013;55(3):220-223. doi:10.4103/0019-5545.117131 5. Azoulay E., Cariou A., Bruneel F., Demoule A., Kouatchet A., Reuter D., Souppart V., Combes A., Klouche K., Argaud L., Barbier F., Jourdain M., Reignier J., Papazian L., Guidet B., Géri G., Resche-Rigon M., Guisset O., Labbé V., Mégarbane B., Kentish-Barnes N. Symptoms of Anxiety, Depression, and Peritraumatic Dissociation in Critical Care Clinicians Managing Patients with COVID-19. A Cross-Sectional Study // American journal of respiratory and critical care medicine, 2020. 202(10), 1388–1398. https://doi.org/10.1164/rccm.202006-2568OC (Accessed: January 27, 2020). 6. Boyraz G., Legros D.N. Coronavirus disease (COVID-19) and traumatic stress: probable risk factors and correlates of posttraumatic stress disorder // Journal of Loss and Trauma. 2020. 25(6-7), 503–522. 7. Cai H., Tu B., Ma J., Chen L., Fu L., Jiang Y., Zhuang Q. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China // Med Sci Monit. 2020 Apr 15;26:e924171. doi: 10.12659/MSM.924171. PMID: 32291383; PMCID: PMC7177038. 8. Chan A.O.M., Huak C.Y. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup // Med. Oxf. Engl. 2004. 54:190–196. 9. Choi K.R., Skrine J.K., Logsdon C.M. Nursing and the novel coronavirus: risks and responsibilities in a global outbreak // J Adv Nurs. 2020. 76(7):486–1487. doi: 10.1111/jan.14369. 10. Danet A. Psychological impact of COVID-19 pandemic in western frontline healthcare professionals. a systematic review // Med Clin (Barc). 2021;156(9):449–58. 11. De Paiva L.C., Canário A.C.G., de Paiva China E.L.C. Burnout syndrome in health-care professionals in a university hospital // Clinics. 2017. 72(5):305–309. 12. Folkman S., Greer S. Promoting psychological well-being in the face of serious illness: when theory, research, and practice inform each other // Psychooncology. 2000. 9:11–19. 13. Galanis P., Vraka I., et al. Seroprevalence of SARS-CoV-2 antibodies and associated factors in healthcare workers: a systematic review and meta-analysis // J Hosp Infect. 2021;108:120–34. 14. Ghaffari M.E., Mortezapour A., Heidarimoghadam R. Letter to Editor: Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVlD-19 control. Brain Behav // Tmmun. 2020 Apr 7:S0889-1591(20)30450-5. doi: 10.1016/j. bbi.2020.04.006. 15. Hall R.C.W., Hall R.C.W., Chapman M.J. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics // Gen. Hosp. Psychiatry. 2008. 30:446–452. 16. Hart P.S., Chinn S., Soroka S. Politicization and polarization in COVID-19 news coverage // Sci Commun. 2020;42:679–97. 17. Ho C.S., Chee C.Y., Ho R.C. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic // Ann. Acad. Med. Singapore. 2020. 49:1–3. 18. Houghton C., Meskell P., Delaney H., Smalle M., Glenton C., Booth A., et al. Barriers and facilitators to healthcare workers’ adherence with infection prevention and control guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis // Emergencias. 2021;33(1):62–4. 19. Huang Y., Zhao N. Mental health burden for the public affected by the COVID-19 outbreak in China: Who will be the high-risk group? // Psychol Health Med. 2021;26(1):23–34. 20. Kang L., Li Y., Hu S. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus // The Lancet Psychiatry. 2020. 7(3):e14. 21. Lai J., Ma S., Wang Y. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019 // JAMA Netw open. 2020. 3(3):e203976. 22. Lee S.A., Jobe M.C., Mathis A.A. Mental health characteristics associated with dysfunctional coronavirus anxiety. Psychol Med. 2021 Jun;51(8):1403-1404. doi: 10.1017/S003329172000121X. Epub 2020 Apr 16. PMID: 32297852; PMCID: PMC7184195. 23. Lee S.M., Kang W.S., Cho A., Kim T., Park J.K. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients // Compr. Psychiatry. 2018. 87:123–127. 24. 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. 133:1101–1102. 25. Li Q., Guan X., Wu P., Wang X., Zhou L., Tong Y., et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia // N. Engl. J. Med. 2020. 382(13):1199–1207. 26. Li Z., Ge J., Yang M., Feng J., Qiao M., Jiang R., et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVlD-19 control // Brain Behav. Immun. 2020 Mar 10:S0889-1591(20)30309-3. doi: 10.1016/j.bbi.2020.03.007. 27. Li Z., Ge J., Yang M., Feng J., Liu C., Yang C. Vicarious traumatization: a psychological problem that cannot be ignored during the COVlD-19 pandemic. Brain Behav // Tmmun. 2020 Apr 20: S0889-1591(20)30613-9. doi: 10.1016/j.bbi.2020.04.047. 28. Luo Y., Chua C.R., et al. A systematic review of the impact of viral respiratory epidemics on mental health: an implication on the coronavirus disease 2019 pandemic // Front Psychiatry. 2020;11:565098. 29. Lynch J., Evans N., Ice E., Costa D.K. Ignoring nurses: media coverage during the COVID-19 pandemic // Ann Am Thorac Soc. 2021;18(8):1278–82. 30. Mahase E. Coronavirus covid-19 has killed more people than SARS and MERS combined, despite a lower case fatality rate // BMJ. 2020. 368:m641. 31. Mohindra R., R.R, Suri V., Bhalla A., Singh S.M. Issues relevant to mental health promotion in frontline health care providers managing quarantined/isolated COVID-19 patients // Asian J Psychiatr. 2020 Jun;51:102084. doi: 10.1016/j.ajp.2020.102084. Epub 2020 Apr 7. PMID: 32289728; PMCID: PMC7138416. 32. Müller N. In: Key Issues in Mental Health. Sartorius N., Holt R.I.G., Maj M., editors. S. Karger A.G.; Basel: Infectious diseases and mental health; 2014. pp. 99–113. 33. Muller A.E., Hafstad E.V., Himmels J.P.W., Smedslund G., Flottorp S., Stensland S.O., et al. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review // Psychiatry Res. 2020;293:113441. 34. National Health Commission of the People’s republic of China. The guidelines of psychological crisis intervention for COVID-19 pneumonia. Available at: http://www.nhc.gov.cn/jkj/s3577/202001/6adc08b966594253b2b791be5c3b9467. January 27, 2020. 35. Naushad V.A., Bierens J.J., Nishan K.P. et al. A systematic review of the impact of the disaster on the mental health of medical responders // Prehospital Disaster Med. 2019. 34:632–643. 36. Neto M.L.R., Almeida H.G., Esmeraldo J.D. et al. When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak // Psychiatry Res. 2020 Apr. 13 doi: 10.1016/j.psychres.2020.112972. 37. Pappa S., Ntella V., et al. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis // Brain Behav Immun. 2020;88:901–7. 38. Rana W., Mukhtar S., Mukhtar S. Mental health of medical workers in Pakistan during the pandemic COVID-19 outbreak // Asian J Psychiatr. 2020 Jun;51:102080. doi: 10.1016/j.ajp.2020.102080. Epub 2020 Apr 7. PMID: 32283512; PMCID: PMC7139243. 39. Restauri N., Sheridan A.D. Burnout and posttraumatic stress disorder in the coronavirus disease 2019 (COVID-19) pandemic: intersection, impact, and interventions // J Am Coll Radiol. 2020. 17(7):921–926. doi: 10.1016/j.jacr.2020.05.021. 40. Rimmer A. Covid-19: give NHS staff rest spaces and free parking not thank yous, says the doctor // BMJ. 2020. 368:1171. doi: 10.1136/bmj.m1171. 41. Rosenbaum L. Facing covid-19 in Italy: ethics, logistics, and therapeutics on the epidemic’s front line. Recenti Prog Med. 2020;111(4):192–7. 42. Shanafelt T.D., Boone S., Tan L. Burnout and satisfaction with work-life balance among US physicians relative to the general US population // Arch Intern Med. 2012. 172(18):1377–1385. 43. Shanafelt T.D., Hasan O., Dyrbye L.N. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014 // Mayo Clin Proc. 2015. 90(12):1600–1613. 44. Sim K., Huak, Chan Y., Chong P.N., Chua H.C., Wen, Soon S. Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease // J. Psychosom. Res. 2010. 68:195–202. 45. Styra R., Hawryluck L., Robinson S., Kasapinovic S., Fones C., Gold W.L. Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak // J. Psychosom. Res. 2008. 64:177–183. 46. Tam C.W.C., Pang E.P.F., Lam L.C.W., Chiu H.F.K. Severe acute respiratory syndrome (SARS) in Hong Kong in, 2003: stress and psychological impact among frontline healthcare workers // Psychol. Med. 2004. 34:1197–1204. 47. Tang L., Bie B., Park S.E., Zhi D. Social media and outbreaks of emerging infectious diseases: a systematic review of the literature // Am. J. Infect. Control. 2018;46:962–972. 48. World Health Organization. Statement on the Second Meeting of the International Health Regulations (2005) Emergency Committee Regarding the Outbreak of Novel Coronavirus (2019-nCoV) Published January 30, 2020. Accessed: December 6, 2022: https://www.who.int/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov) 49. Wu K.K., Chan S.K., Ma T.M. Posttraumatic stress after SARS // Emerg. Infect. Dis. 2005. 11:1297–1300. 50. Wu K.K., Chan S.K., Ma T.M. Posttraumatic stress, anxiety, and depression in survivors of the severe acute respiratory syndrome (SARS) // J. Trauma. Stress. 2005. 18:39–42. 51. World Health Organization. 2023. WHO Coronavirus (COVID-19) Dashboard. Accessed: December 6, 2022: https://covid19.who.int/ 52. Xiang Y.-T., Yang Y., Li W., Zhang L., Zhang Q., Cheung T., Ng C.H. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed // Lancet. Psychiatry. 2020. 7(3):228–229. 53. Xiao H., Zhang Y., Kong D., Li S., Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China // Med Sci Monit. Mar 5, 2020. 26:e923549. doi: 10.12659/MSM.923549. PMID: 32132521; PMCID: PMC7075079.
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Категория статей: Актуальная тема COVID-19

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Aryntayeva N.E., Griffin I., Koru-Sengul T., Aimbetova G.Е., Baisugurova V.U., Bagiyarova F.A., Zhumagaliuly A. Mental crisis of healthcare workers during COVID-19 pandemic: a literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 23-29. doi 10.34689/SH.2023.25.2.003

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