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Psychological outcomes amongst family medicine healthcare professionals during COVID-19 outbreak: A cross-sectional study in Croatia.
Vlah Tomicevic, Suncana; Lang, Valerija Bralic.
  • Vlah Tomicevic S; Health Centre Zagreb - East, Zagreb, Croatia.
  • Lang VB; Private Family Physician Office, Department of Family Medicine, Zagreb University School of Medicine, School of Public Health 'Andrija Stampar', Zagreb, Croatia.
Eur J Gen Pract ; 27(1): 184-190, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1334099
ABSTRACT

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.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Anxiety / Physicians, Family / Stress Disorders, Post-Traumatic / Depression / Occupational Stress / COVID-19 / Nurses Subject: Anxiety / Physicians, Family / Stress Disorders, Post-Traumatic / Depression / Occupational Stress / COVID-19 / Nurses Type of study: Diagnostic study / Etiology study / Prevalence study / Prognostic study / Risk factors Language: English Journal: Eur J Gen Pract Clinical aspect: Etiology Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Anxiety / Physicians, Family / Stress Disorders, Post-Traumatic / Depression / Occupational Stress / COVID-19 / Nurses Subject: Anxiety / Physicians, Family / Stress Disorders, Post-Traumatic / Depression / Occupational Stress / COVID-19 / Nurses Type of study: Diagnostic study / Etiology study / Prevalence study / Prognostic study / Risk factors Language: English Journal: Eur J Gen Pract Clinical aspect: Etiology Year: 2021
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