Study of Anxiety and Depression in Post Graduate Residents during Active Phase of COVID-19 Duty in a Tertiary Care Hospital: A Pilot Study
Abstract
Objective: Study of Depression and Anxiety in Post Graduate Residents during active COVID-19 duties.
Materials and Methods: The participants were selected from various specialties, from different Residency years 1st, 2nd, 3rd posted in ASCOMS and Hospital’s COVID-19 Wards and a comparative analysis was done based on number of duties and number of working hours. The scales used for the assessment were GAD -7(general anxiety disorder) and PHQ-9 (patient health questionnaire).
Results: Out of 28 participants 57.14% were males, 42.86% were females. According to these scales taken, the total number of PG residents facing Mild Depression were 50% (n=14), which was of significant concern followed by Minimum Depression in 18% (n=5) and Moderate Depression 18% (n=5) followed by Moderately Severe Depression in 7% (n=2) and Severe Depression in 7% (n=2).
Similarly in Anxiety using GAD-7 scale, 32% (n=9) were facing and dealing with Moderate Anxiety, followed by Mild Anxiety in 28% (n=8), Moderately Severe Anxiety in 25% (n=7) and Severe Anxiety in 14% (n=4).
Conclusion: This survey was conducted during the active duties of COVID-19. The survey was done on post graduate residents of various specialties. Anxiety and depression were found to be significant in number of Residents involved in active COVID-19 duties. This data was collected in 3–4 months of subsequent duties during the peak of COVID -9 wave. This further helps us in assessing the psychiatric morbidity among the frontline workers like doctors, nurses, and paramedical staff, which played a pivotal role in COVID-19 pandemic.
Downloads
References
www.mohfw.gov.in, statistic analysis of number of covid cases and deaths.
Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord [Internet]. 2020 Dec 1[cited 2021 April 20] ;277:55-64. Available From: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7413844/
DOI: 10.1016/j.jad.2020.08.001. PMID: 32799105; PMCID: PMC7413844.
Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health [Internet]. 2020 Jul 6[cited 2021 April 20];16(1):57. Available From: https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-020-00589-w DOI: 10.1186/s12992-020-00589-w. PMID: 32631403; PMCID: PMC7338126.
Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. [Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Mar 20[cited 2021 April 25];38(3):192-195. Chinese. Available From: https://pubmed.ncbi.nlm.nih.gov/32131151/
DOI: 10.3760/cma.j.cn121094-20200219-00063. PMID: 32131151.
Ying Y, Ruan L, Kong F, Zhu B, Ji Y, Lou Z. Mental health status among family members of health care workers in Ningbo, China, during the coronavirus disease 2019 (COVID-19) outbreak: a cross-sectional study. BMC Psychiatry [Internet]. 2020 Jul 17[cited 2021 April 26]; 20(1):379. Available From: https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-02784-w DOI: 10.1186/s12888-020-02784-w. PMID: 32680478; PMCID: PMC7366518.
Agarwal A, Agarwal S, Motiani P. Difficulties Encountered While Using PPE Kits and How to Overcome Them: An Indian Perspective. Cureus [Internet]. 2020 November 23[cited 2021 May 2]; 12(11): e11652. Available From: https://www.cureus.com/articles/45409-difficulties-encountered-while-using-ppe-kits-and-how-to-overcome-them-an-indian-perspective DOI:10.7759/cureus.11652.
7.Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel Coronavirus. Lancet Psychiatry [Internet]. 2020 Mar[cited 2021 May 5]; 7(3):e14. Available From: https://pubmed.ncbi.nlm.nih.gov/32035030/ DOI: 10.1016/S2215-0366(20)30047-X. PMID: 32035030; PMCID: PMC7129673.
8.Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. 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 [Internet]. 2020 Apr 15[cited 2021 May 7]; 26:e924171. Available From: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177038/ DOI: 10.12659/MSM.924171. PMID: 32291383; PMCID: PMC7177038.
9. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open [Internet]. 2020 Mar 2[cited 2021 May 8]; 3(3):e203976. Available From: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2763229 DOI: 10.1001/jamanetworkopen.2020.3976. PMID: 32202646; PMCID: PMC7090843.
10. Kevin P.Y., Kolcz D.L Sullivan D.O., Ferrand J, Fried J Robinson K. Health care workers mental health and quality of life during COVID 19 : results from mid-pandemic , national survey . Psychiatric service [Internet]. 2021 February[cited 2021 May 9]; 72:2. Available From: https://pubmed.ncbi.nlm.nih.gov/33267652/ DOI: 10.1176/appi.ps.202000424. PMID: 33267652.
Hua D, Kongb Y, Lic W , Qiuying H, Zhange X , Zhuf LX. Frontline nurses burnout and anxiety , depression and associated factors during COVID 19 outbreak. E-clinical Medicine [Internet]. 2020 June 27[cited 2021 May 19]; 24: 100424. Available From: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(20)30168-1/fulltext DOI: https://doi.org/10.1016/j.eclinm.2020.100424.
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 [Internet]. 2020 May 15[cited 2021 June 2]; 62:257-65. Available From: https://indianjpsychiatry.org/article.asp?issn=0019-5545;year=2020;volume=62;issue=3;spage=257;epage=265;aulast=Chatterjee.
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 [Internet]. 2020 Mar 5[cited 2021 June 12]; 26:e923549. Available From: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075079/ DOI: 10.12659/MSM.923549. PMID: 32132521; PMCID: PMC7075079.
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 COVID-19 control. Brain Behav Immun [Internet]. 2020 Aug[cited 2021 June 15]; 88:916-919. Available From: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102670/ DOI: 10.1016/j.bbi.2020.03.007. PMID: 32169498; PMCID: PMC7102670.
Zhou T, Guan R, Sun L. Perceived organizational support and PTSD symptoms of frontline healthcare workers in the outbreak of COVID-19 in Wuhan: The mediating effects of self-efficacy and coping strategies. Appl Psychol Health Well Being [Internet]. 2021 Mar 20[cited 2021 June 17]. Available From: https://pubmed.ncbi.nlm.nih.gov/33742781/ DOI: 10.1111/aphw.12267. PMID: 33742781.
Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr [Internet]. 2020 Sep-Oct[cited 2021 June 20]; 14(5):779-788. Available From: https://pubmed.ncbi.nlm.nih.gov/32526627/ DOI: 10.1016/j.dsx.2020.05.035. PMID: 32526627; PMCID: PMC7255207.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Dr.Manmeet Singh
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
