ABSTRACT
Background: COVID-19 is a significant health crisis affecting the world and at its heart are the HCWs treating the patients. However, only a few studies in India have addressed the potential effect on the mental health of HCWs. Thus, we decided to find the prevalence of Perceived Stress, Depression, and Anxiety of the Paramedical (PHCW) and Medical (MHCW) Healthcare Workers doing Covid Duty and correlate it with the duty related parameters. Methodology: In a Tertiary Care Covid Hospital, we conducted a cross-sectional study of 203 HCWs (PHCWs & MHCWs) assessed socio-demographic & duty-related variables, stress by PSS, Depression by PHQ-9, and Anxiety by HAM-A after obtaining informed consent. Results: Amongst the 203 HCWs,75.3% have significant perceived stress. 34% have mild to severe depression which is 3-4 times more than the general population. 7.88% of HCWs have anxiety. PHCWs have significantly more anxiety (11.88%) as compared to MHCWs (3.92%) doing COVID duty. In duty related parameters, PHCWs working >=6 weeks have high stress (45.54%) and depression (24.75%) as compared to MHCWs. Despite doing duty in a stable ward, PHCWs have significantly high stress (39.60%) and depression (19.8%) as compared to MHCWs. MHCWs have significantly high Stress (48.03%) and depression (16.67%) while doing duty in both (ICU and ward) as compared to PHCWs. Conclusion: Both PHCWs and MHCWs have a high prevalence of perceived stress and depression, with a significant difference due to duty-related Parameters - long duration and place of duty.
ABSTRACT
Background: Due to the COVID-19, there is an increase in psychological complaints. Healthcare and non- healthcare persons have had differential complaints like anxiety, depression, stress. Such complaints have also seen in the general public but more so in recovered patients from COVID-19. With this background, we conducted this study find out the stressful impact of COVID-19, prevalence of stress, anxiety and depression between healthcare workers and non-healthcare people. Methodology: A cross-sectional study was done in the tertiary-care COVID hospital in Ahmedabad. 50 healthcare workers (HCWs) and 50 non-healthcare people (NHCPs) who had recovered from COVID-19 were included (age 18-65 years) in the study after they consented for the same. They are assessed with a clinical socio-demographic proforma, clinical variables, Impact Of Event Scale-Revised (IES-R), Patient Health Questionnaire-9 (PHQ-9) and Anxiety-Self Rating Scale (ASRS). The results were then statistically analysed. Results: Distress by stressful life events and anxiety were not significant (14% and 32%), (14% and 30%) in HCWs and NHCPs respectively. Depression was more prevalent (44% and 38%) in HCWs and NHCPs respectively. Medical illness was more in NHCPs (50%) compared to HCWs (4%) and associated with depression (52.63%) in NHCPs as compared to HCW (4.5%). Clinical variables, O2 requirement was also more in NHCPs (20%) as compared to HCWs (4%) and also significantly associated with anxiety (40% and 12.5%) and depression (36.84% and 4.5%) in NHCPs and HCWs respectively. Conclusions: The prevalence of depression was much higher amongst HCWs and suggests more attention would be required for improving the mental health among HCWs and NHCPs and overall mental health needs attention in patients that are recovering from COVID-19.