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Anxiety and depressive symptoms among physicians during the COVID-19 pandemic in Bangladesh: a cross-sectional study.
Hasan, M Tasdik; Hossain, Sahadat; Safa, Farhana; Anjum, Afifa; Khan, Abid Hasan; Koly, Kamrun Nahar; Alam, Syeda Fatema; Rafi, Md Abdur; Podder, Vivek; Trisa, Tonima Islam; Nodi, Rhedeya Nury; Azad, Dewan Tasnia; Ashraf, Fatema; Akther, S M Quamrul; Ahmed, Helal Uddin; Rosenbaum, Simon; Thornicroft, Graham.
  • Hasan MT; Public Health Foundation, Bangladesh (PHF, BD), Dhaka, Bangladesh.
  • Hossain S; Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
  • Safa F; Action Lab, Department of Human Centred Computing, Faculty of Information Technology, Monash University, Melbourne, Australia.
  • Anjum A; Department of Public Health, State University of Bangladesh, Dhaka, Bangladesh.
  • Khan AH; Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
  • Koly KN; Department of Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
  • Alam SF; Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
  • Rafi MA; Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
  • Podder V; International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
  • Trisa TI; Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh.
  • Nodi RN; Rajshahi Medical College, Rajshahi, Bangladesh.
  • Azad DT; Tairunnessa Memorial Medical College and Hospital, Gazipur, Bangladesh.
  • Ashraf F; International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
  • Akther SMQ; Public Health Foundation, Bangladesh (PHF, BD), Dhaka, Bangladesh.
  • Ahmed HU; Jashore Medical College, Jashore, Bangladesh.
  • Rosenbaum S; Public Health Foundation, Bangladesh (PHF, BD), Dhaka, Bangladesh.
  • Thornicroft G; Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh.
Glob Ment Health (Camb) ; 9: 285-297, 2022.
Article in English | MEDLINE | ID: covidwho-1882692
ABSTRACT

Objectives:

In addition to risking their physical well-being, frontline physicians are enduring significant emotional burden both at work and home during the coronavirus disease 2019 (COVID-19) pandemic. This study aims to investigate the levels of anxiety and depressive symptoms and to identify associated factors among Bangladeshi physicians during the COVID-19 outbreak. Methods and

design:

A cross-sectional study using an online survey following a convenience sampling technique was conducted between April 21 and May 10, 2020. Outcomes assessed included demographic questions, COVID-19 related questions, and the Hospital Anxiety and Depression Scale (HADS).

Results:

The survey was completed by 412 Bangladeshi physicians. The findings revealed that, in terms of standardized HADS cut-off points, the prevalence of anxiety and depressive symptoms among physicians was 67.72% and 48.5% respectively. Risk factors for higher rates of anxiety or depressive symptoms were being female, physicians who had experienced COVID-19 like symptoms during the pandemic, those who had not received incentives, those who used self-funded personal protective equipment (PPE), not received adequate training, lacking perceived self-efficacy to manage COVID-19 positive patients, greater perceived stress of being infected, fear of getting assaulted/humiliated, being more connected with social media, having lower income levels to support the family, feeling more agitated, less than 2 h of leisure activity per day and short sleep duration. All these factors were found to be positively associated with anxiety and depression in unadjusted and adjusted statistical models.

Conclusions:

This study identifies a real concern about the prevalence of anxiety and depressive symptoms among Bangladeshi physicians and identifies several associated factors during the COVID-19 pandemic. Given the vulnerability of the physicians in this extraordinary period whilst they are putting their own lives at risk to help people infected by COVID-19, health authorities should address the psychological needs of medical staff and formulate effective strategies to support vital frontline health workers.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Glob Ment Health (Camb) Year: 2022 Document Type: Article Affiliation country: Gmh.2022.30

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Glob Ment Health (Camb) Year: 2022 Document Type: Article Affiliation country: Gmh.2022.30