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Eur J Gen Pract ; 27(1): 184-190, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1334099


BACKGROUND: Healthcare professionals (HCPs) in family medicine (FM) in Croatia work in a demanding environment caused by the SARS-CoV-2 pandemic. Besides particular circumstances in healthcare, an unknown virus, social distancing, and homeschooling, the capital was hit with the earthquake during the lockdown. OBJECTIVES: To assess the prevalence of stress, anxiety, depression, posttraumatic stress disorder (PTSD) and the influence of demographic characteristics, professional differences, medical history, and specific stressors on the psychological outcomes. METHODS: A cross-sectional study with the online questionnaire containing the Depression, Anxiety and Stress Scale (DASS-21) and the Impact of Event Scale-Revised (IES-R) was conducted from 1st to 15 May 2020 in FM. RESULTS: HCPs (534, 35% response rate), predominantly female (84.5%), participated in the research. High prevalence of stress (30.9%), anxiety (33.1%), depression (30.7%), and PTSD (33.0%) were found. Female participants had higher results in the anxiety subscale of DASS-21 and IES-R scores. Pre-existing conditions were associated with higher levels of stress, anxiety, depression, and PTSD. The IES-R score for PTSD showed borderline correlation (p = 0.053) with working in regions with the highest incidence of COVID-19. Having schoolchildren made a difference on a stress subscale in DASS-21 (p < 0.043), but the earthquake did not have an impact. CONCLUSION: Family physicians and nurses in FM in Croatia are under a great mental load during the COVID-19 outbreak. Results suggest that HCPs of the female sex, with pre-existing chronic conditions, work in regions with a high incidence of SARS-CoV-2 or have schoolchildren at greater risk of the poor psychological outcome.

Anxiety/etiology , COVID-19/psychology , Depression/etiology , Nurses/psychology , Occupational Stress/etiology , Physicians, Family/psychology , Stress Disorders, Post-Traumatic/etiology , Adolescent , Adult , Anxiety/diagnosis , Anxiety/epidemiology , COVID-19/epidemiology , COVID-19/prevention & control , Croatia/epidemiology , Cross-Sectional Studies , Depression/diagnosis , Depression/epidemiology , Disasters , Disease Outbreaks/prevention & control , Earthquakes , Female , Health Surveys , Humans , Logistic Models , Male , Middle Aged , Occupational Stress/diagnosis , Occupational Stress/epidemiology , Prevalence , Psychological Tests , Risk Factors , Stress Disorders, Post-Traumatic/diagnosis , Stress Disorders, Post-Traumatic/epidemiology , Young Adult