You are on page 1of 25

PMID- 33382859

OWN - NLM
STAT- MEDLINE
DCOM- 20210111
LR - 20210112
IS - 1932-6203 (Electronic)
IS - 1932-6203 (Linking)
VI - 15
IP - 12
DP - 2020
TI - Impact of COVID-19 pandemic on mental health: An international study.
PG - e0244809
LID - 10.1371/journal.pone.0244809 [doi]
LID - e0244809
AB - BACKGROUND: The COVID-19 pandemic triggered vast governmental lockdowns. The
impact
of these lockdowns on mental health is inadequately understood. On the one
hand such
drastic changes in daily routines could be detrimental to mental health. On
the
other hand, it might not be experienced negatively, especially because the
entire
population was affected. METHODS: The aim of this study was to determine
mental
health outcomes during pandemic induced lockdowns and to examine known
predictors of
mental health outcomes. We therefore surveyed n = 9,565 people from 78
countries and
18 languages. Outcomes assessed were stress, depression, affect, and
wellbeing.
Predictors included country, sociodemographic factors, lockdown
characteristics,
social factors, and psychological factors. RESULTS: Results indicated that on
average about 10% of the sample was languishing from low levels of mental
health and
about 50% had only moderate mental health. Importantly, three consistent
predictors
of mental health emerged: social support, education level, and
psychologically
flexible (vs. rigid) responding. Poorer outcomes were most strongly predicted
by a
worsening of finances and not having access to basic supplies. CONCLUSIONS:
These
results suggest that on whole, respondents were moderately mentally healthy
at the
time of a population-wide lockdown. The highest level of mental health
difficulties
were found in approximately 10% of the population. Findings suggest that
public
health initiatives should target people without social support and those
whose
finances worsen as a result of the lockdown. Interventions that promote
psychological flexibility may mitigate the impact of the pandemic.
FAU - Gloster, Andrew T
AU - Gloster AT
AUID- ORCID: 0000-0002-3751-0878
AD - Division of Clinical Psychology & Intervention Science, Department of
Psychology,
University of Basel, Basel, Switzerland.
FAU - Lamnisos, Demetris
AU - Lamnisos D
AD - Department of Health Sciences, European University Cyprus, Nicosia, Cyprus.
FAU - Lubenko, Jelena
AU - Lubenko J
AUID- ORCID: 0000-0002-1814-1325
AD - Psychological Laboratory, Faculty of Public Health and Social Welfare, Riga
Stradiņš
University, Riga, Latvia.
FAU - Presti, Giovambattista
AU - Presti G
AUID- ORCID: 0000-0002-0891-4558
AD - Kore University Behavioral Lab (KUBeLab), Faculty of Human and Social
Sciences, Kore
University of Enna, Enna, Italy.
FAU - Squatrito, Valeria
AU - Squatrito V
AUID- ORCID: 0000-0002-0796-2187
AD - Kore University Behavioral Lab (KUBeLab), Faculty of Human and Social
Sciences, Kore
University of Enna, Enna, Italy.
FAU - Constantinou, Marios
AU - Constantinou M
AD - Department of Social Sciences, School of Humanities and Social Sciences,
University
of Nicosia, Nicosia, Cyprus.
FAU - Nicolaou, Christiana
AU - Nicolaou C
AD - Department of Nursing, Cyprus University of Technology, Limassol, Cyprus.
FAU - Papacostas, Savvas
AU - Papacostas S
AD - Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.
FAU - Aydın, Gökçen
AU - Aydın G
AD - Department of Psychological Counseling and Guidance, Faculty of Education,
Hasan
Kalyoncu University, Gaziantep, Turkey.
FAU - Chong, Yuen Yu
AU - Chong YY
AUID- ORCID: 0000-0001-5664-2051
AD - The Nethersole School of Nursing, Faculty of Medicine, The Chinese University
of
Hong Kong, Hong Kong.
FAU - Chien, Wai Tong
AU - Chien WT
AD - The Nethersole School of Nursing, Faculty of Medicine, The Chinese University
of
Hong Kong, Hong Kong.
FAU - Cheng, Ho Yu
AU - Cheng HY
AD - The Nethersole School of Nursing, Faculty of Medicine, The Chinese University
of
Hong Kong, Hong Kong.
FAU - Ruiz, Francisco J
AU - Ruiz FJ
AD - Department of Psychology, Fundación Universitaria Konrad Lorenz, Bogotà,
Columbia.
FAU - Garcia-Martin, Maria B
AU - Garcia-Martin MB
AD - Faculty of Psychology, University of La Sabana, Chía, Columbia.
FAU - Obando-Posada, Diana P
AU - Obando-Posada DP
AD - Faculty of Psychology, University of La Sabana, Chía, Columbia.
FAU - Segura-Vargas, Miguel A
AU - Segura-Vargas MA
AD - Department of Psychology, Fundación Universitaria Konrad Lorenz, Bogotà,
Columbia.
FAU - Vasiliou, Vasilis S
AU - Vasiliou VS
AD - School of Applied Psychology, University College Cork, Cork, Ireland.
FAU - McHugh, Louise
AU - McHugh L
AD - School of Psychology, University College Dublin, Dublin, Ireland.
FAU - Höfer, Stefan
AU - Höfer S
AD - Medical University Innsbruck, Innsbruck, Austria.
FAU - Baban, Adriana
AU - Baban A
AD - Department of Psychology, Babeş-Bolyai University (UBB), Cluj-Napoca,
Romania.
FAU - Dias Neto, David
AU - Dias Neto D
AD - Instituto Superior de Psicologia Aplicada (ISPA), Instituto Universitário;
APPsyCI-Applied Psychology Research Center Capabilities & Inclusion, Lisboa,
Portugal.
FAU - Nunes da Silva, Ana
AU - Nunes da Silva A
AD - Faculdade de Psicologia, Alameda da Universidade, Universidade de Lisboa,
Lisboa,
Portugal.
FAU - Monestès, Jean-Louis
AU - Monestès JL
AD - LIP/PC2S, Université Grenoble Alpes, Grenoble, France.
FAU - Alvarez-Galvez, Javier
AU - Alvarez-Galvez J
AD - Department of Biomedicine, Biotechnology and Public Health, University of
Cadiz,
Cadiz, Spain.
FAU - Paez-Blarrina, Marisa
AU - Paez-Blarrina M
AD - Instituto ACT, Madrid, Spain.
FAU - Montesinos, Francisco
AU - Montesinos F
AD - Department of Psychology, European University of Madrid, Madrid, Spain.
FAU - Valdivia-Salas, Sonsoles
AU - Valdivia-Salas S
AD - Department of Psychology and Sociology, University of Zaragoza, Zaragoza,
Spain.
FAU - Ori, Dorottya
AU - Ori D
AUID- ORCID: 0000-0003-0878-165X
AD - Vadaskert Child and Adolescent Psychiatric Hospital, Budapest, Hungary.
FAU - Kleszcz, Bartosz
AU - Kleszcz B
AD - Private Pratice, Poland.
FAU - Lappalainen, Raimo
AU - Lappalainen R
AD - Department of Psychology, University of Jyväskylä, Jyväskylä, Finland.
FAU - Ivanović, Iva
AU - Ivanović I
AD - Clinic for Psychiatry, Clinical Center of Montenegro, Podgorica, Montenegro.
FAU - Gosar, David
AU - Gosar D
AUID- ORCID: 0000-0002-5289-3459
AD - Ljubljana University Medical Centre, Ljubljana, Slovania.
FAU - Dionne, Frederick
AU - Dionne F
AD - Département de Psychologie, Université du Québec à Trois-Rivières, Trois-
Rivières,
Canada.
FAU - Merwin, Rhonda M
AU - Merwin RM
AD - Department of Psychiatry and Behavioral Science, Duke University, Durham,
North
Carolina, United States of America.
FAU - Kassianos, Angelos P
AU - Kassianos AP
AUID- ORCID: 0000-0001-6428-2623
AD - Department of Psychology, University of Cyprus, Nicosia, Cyprus.
FAU - Karekla, Maria
AU - Karekla M
AUID- ORCID: 0000-0001-7021-7908
AD - Department of Psychology, University of Cyprus, Nicosia, Cyprus.
LA - eng
PT - Clinical Trial
PT - Journal Article
PT - Multicenter Study
PT - Research Support, Non-U.S. Gov't
DEP - 20201231
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - COVID-19/*epidemiology/*psychology
MH - Cross-Sectional Studies
MH - Female
MH - Humans
MH - Male
MH - *Mental Health
MH - Middle Aged
MH - *Pandemics
MH - *SARS-CoV-2
MH - Socioeconomic Factors
PMC - PMC7774914
COIS- One of the authors is employed by a commercial affiliation: Private Pratice,
Poland.
This affiliation provided support in the form of salaries for author BK, but
did not
have any additional role in the study design, data collection and analysis,
decision
to publish, or preparation of the manuscript. This does not alter our
adherence to
PLOS ONE policies on sharing data and materials. No other authors have
competing
interests to declare.
EDAT- 2021/01/01 06:00
MHDA- 2021/01/12 06:00
CRDT- 2020/12/31 17:10
PHST- 2020/10/03 00:00 [received]
PHST- 2020/12/16 00:00 [accepted]
PHST- 2020/12/31 17:10 [entrez]
PHST- 2021/01/01 06:00 [pubmed]
PHST- 2021/01/12 06:00 [medline]
AID - PONE-D-20-31120 [pii]
AID - 10.1371/journal.pone.0244809 [doi]
PST - epublish
SO - PLoS One. 2020 Dec 31;15(12):e0244809. doi: 10.1371/journal.pone.0244809.
eCollection 2020.

PMID- 33087178
OWN - NLM
STAT- MEDLINE
DCOM- 20201103
LR - 20201218
IS - 1745-6215 (Electronic)
IS - 1745-6215 (Linking)
VI - 21
IP - 1
DP - 2020 Oct 21
TI - Efficacy of an online cognitive behavioral therapy program developed for
healthcare
workers during the COVID-19 pandemic: the REduction of STress (REST) study
protocol
for a randomized controlled trial.
PG - 870
LID - 10.1186/s13063-020-04772-7 [doi]
LID - 870
AB - BACKGROUND: The acknowledgment of the mental health toll of the COVID-19
epidemic in
healthcare workers has increased considerably as the disease evolved into a
pandemic
status. Indeed, high prevalence rates of depression, sleep disorders, and
post-traumatic stress disorder (PTSD) have been reported in Chinese
healthcare
workers during the epidemic peak. Symptoms of psychological distress are
expected to
be long-lasting and have a systemic impact on healthcare systems, warranting
the
need for evidence-based psychological treatments aiming at relieving
immediate
stress and preventing the onset of psychological disorders in this
population. In
the current COVID-19 context, internet-based interventions have the potential
to
circumvent the pitfalls of face-to-face formats and provide the flexibility
required
to facilitate accessibility to healthcare workers. Online cognitive
behavioral
therapy (CBT) in particular has proved to be effective in treating and
preventing a
number of stress-related disorders in populations other than healthcare
workers. The
aim of our randomized controlled trial study protocol is to evaluate the
efficacy of
the 'My Health too' CBT program-a program we have developed for healthcare
workers
facing the pandemic-on immediate perceived stress and on the emergence of
psychiatric disorders at 3- and 6-month follow-up compared to an active
control
group (i.e., bibliotherapy). METHODS: Powered for superiority testing, this
six-site
open trial involves the random assignment of 120 healthcare workers with
stress
levels > 16 on the Perceived Stress Scale (PSS-10) to either the 7-session
online
CBT program or bibliotherapy. The primary outcome is the decrease of PSS-10
scores
at 8 weeks. Secondary outcomes include depression, insomnia, and PTSD
symptoms;
self-reported resilience and rumination; and credibility and satisfaction.
Assessments are scheduled at pretreatment, mid-treatment (at 4 weeks), end of
active
treatment (at 8 weeks), and at 3-month and 6-month follow-up. DISCUSSION:
This is
the first study assessing the efficacy and the acceptability of a brief
online CBT
program specifically developed for healthcare workers. Given the potential
short-
and long-term consequences of the COVID-19 pandemic on healthcare workers'
mental
health, but also on healthcare systems, our findings can significantly impact
clinical practice and management of the ongoing, and probably long-lasting,
health
crisis. TRIAL REGISTRATION: ClinicalTrials.gov NCT04362358 , registered on
April 24,
2020.
FAU - Weiner, Luisa
AU - Weiner L
AD - Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires
de
Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France.
weiner.l@gmail.com.
AD - Laboratoire de Psychologie des Cognitions, Université de Strasbourg, 12 rue
goethe,
67000, Strasbourg, France. weiner.l@gmail.com.
FAU - Berna, Fabrice
AU - Berna F
AD - Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires
de
Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France.
AD - INSERM U1114 Neuropsychologie Cognitive et Physiopathologie de la
Schizophrénie,
Strasbourg, France.
AD - Faculté de Médecine, Université de Strasbourg, Strasbourg, France.
FAU - Nourry, Nathalie
AU - Nourry N
AD - Faculté de Médecine, Université de Strasbourg, Strasbourg, France.
AD - Service de Pathologies Professionnelles et Médecine du Travail, Hôpitaux
Universitaires de Strasbourg, Strasbourg, France.
FAU - Severac, François
AU - Severac F
AD - Département de Santé Publique, GMRC, Hôpitaux Universitaires de Strasbourg,
Strasbourg, France.
AD - Laboratoire de Biostatistique et Informatique Médicale, iCUBE UMR 7357,
Université
de Strasbourg, Illkirch, France.
FAU - Vidailhet, Pierre
AU - Vidailhet P
AD - Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires
de
Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France.
AD - INSERM U1114 Neuropsychologie Cognitive et Physiopathologie de la
Schizophrénie,
Strasbourg, France.
AD - Faculté de Médecine, Université de Strasbourg, Strasbourg, France.
AD - Centre Régional Psychotraumatisme Grand Est, Strasbourg, France.
FAU - Mengin, Amaury C
AU - Mengin AC
AD - Pôle de Psychiatrie, Santé Mentale et Addictologie, Hôpitaux Universitaires
de
Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France.
AD - INSERM U1114 Neuropsychologie Cognitive et Physiopathologie de la
Schizophrénie,
Strasbourg, France.
AD - Centre Régional Psychotraumatisme Grand Est, Strasbourg, France.
LA - eng
SI - ClinicalTrials.gov/NCT04362358
GR - PHRC-I-Covid-19/GIRCI (French Government)/
PT - Journal Article
PT - Randomized Controlled Trial
DEP - 20201021
TA - Trials
JT - Trials
JID - 101263253
SB - IM
MH - Adult
MH - Aged
MH - Betacoronavirus/*genetics
MH - Bibliotherapy/methods
MH - COVID-19
MH - Case-Control Studies
MH - Cognitive Behavioral Therapy/*methods/statistics & numerical data
MH - Coronavirus Infections/epidemiology/psychology/*therapy/virology
MH - Delivery of Health Care/statistics & numerical data
MH - Depression/epidemiology/prevention & control
MH - Female
MH - France/epidemiology
MH - Health Personnel/*psychology
MH - Humans
MH - Internet-Based Intervention/*statistics & numerical data
MH - Male
MH - Mental Health/standards
MH - Middle Aged
MH - Pandemics
MH - Pneumonia, Viral/epidemiology/psychology/*therapy/virology
MH - Prevalence
MH - Prospective Studies
MH - Resilience, Psychological
MH - SARS-CoV-2
MH - Sleep Wake Disorders/epidemiology/prevention & control
MH - Stress Disorders, Post-Traumatic/epidemiology/prevention & control
MH - Treatment Outcome
PMC - PMC7576984
OTO - NOTNLM
OT - COVID-19
OT - Depression
OT - Healthcare workers
OT - Online CBT
OT - PTSD
OT - Protocol
OT - Randomized controlled trial
OT - Resilience
OT - Stress
COIS- The authors have no competing interests. They have no financial disclosure to
make.
They have no financial gain or loss from the publication of the manuscript.
They
received no support from any pharmaceutical company or other industry.
EDAT- 2020/10/23 06:00
MHDA- 2020/11/04 06:00
CRDT- 2020/10/22 05:27
PHST- 2020/06/23 00:00 [received]
PHST- 2020/09/24 00:00 [accepted]
PHST- 2020/10/22 05:27 [entrez]
PHST- 2020/10/23 06:00 [pubmed]
PHST- 2020/11/04 06:00 [medline]
AID - 10.1186/s13063-020-04772-7 [pii]
AID - 4772 [pii]
AID - 10.1186/s13063-020-04772-7 [doi]
PST - epublish
SO - Trials. 2020 Oct 21;21(1):870. doi: 10.1186/s13063-020-04772-7.

PMID- 33909587
OWN - NLM
STAT- MEDLINE
DCOM- 20210521
LR - 20210525
IS - 2291-5222 (Electronic)
IS - 2291-5222 (Linking)
VI - 9
IP - 5
DP - 2021 May 18
TI - A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health
Care
Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled
Trial.
PG - e27039
LID - 10.2196/27039 [doi]
LID - e27039
AB - BACKGROUND: The global health emergency generated by the COVID-19 pandemic is
posing
an unprecedented challenge to health care workers, who are facing heavy
workloads
under psychologically difficult situations. Mental mobile Health (mHealth)
interventions are now being widely deployed due to their attractive
implementation
features, despite the lack of evidence about their efficacy in this specific
population and context. OBJECTIVE: The aim of this trial is to evaluate the
effectiveness of a psychoeducational, mindfulness-based mHealth intervention
to
reduce mental health problems in health care workers during the COVID-19
pandemic.
METHODS: We conducted a blinded, parallel-group, controlled trial in Spain.
Health
care workers providing face-to-face health care to patients with COVID-19
were
randomly assigned (1:1) to receive the PsyCovidApp intervention (an app
targeting
emotional skills, healthy lifestyle behavior, burnout, and social support) or
a
control app (general recommendations about mental health care) for 2 weeks.
The
participants were blinded to their group allocation. Data were collected
telephonically at baseline and after 2 weeks by trained health psychologists.
The
primary outcome was a composite of depression, anxiety, and stress (overall
score on
the Depression Anxiety Stress Scale-21 [DASS-21]). Secondary outcomes were
insomnia
(Insomnia Severity Index), burnout (Maslach Burnout Inventory Human Services
Survey), posttraumatic stress (Davidson Trauma Scale), self-efficacy (General
Self-Efficacy Scale), and DASS-21 individual scale scores. Differences
between
groups were analyzed using general linear modeling according to an
intention-to-treat protocol. Additionally, we measured the usability of the
PsyCovidApp (System Usability Scale). The outcome data collectors and trial
statisticians were unaware of the treatment allocation. RESULTS: Between May
14 and
July 25, 2020, 482 health care workers were recruited and randomly assigned
to
PsyCovidApp (n=248) or the control app (n=234). At 2 weeks, complete outcome
data
were available for 436/482 participants (90.5%). No significant differences
were
observed between the groups at 2 weeks in the primary outcome (standardized
mean
difference -0.04; 95% CI -0.11 to 0.04; P=.15) or in the other outcomes. In
our
prespecified subgroup analyses, we observed significant improvements among
health
care workers consuming psychotropic medications (n=79) in the primary outcome
(-0.29; 95% CI -0.48 to -0.09; P=.004), and in posttraumatic stress,
insomnia,
anxiety, and stress. Similarly, among health care workers receiving
psychotherapy
(n=43), we observed improvements in the primary outcome (-0.25; 95% CI -0.49
to
-0.02; P=.02), and in insomnia, anxiety, and stress. The mean usability score
of
PsyCovidApp was high (87.21/100, SD 12.65). After the trial, 208/221
participants in
the intervention group (94.1%) asked to regain access to PsyCovidApp,
indicating
high acceptability. CONCLUSIONS: In health care workers assisting patients
with
COVID-19 in Spain, PsyCovidApp, compared with a control app, reduced mental
health
problems at 2 weeks only among health care workers receiving psychotherapy or
psychotropic medications. TRIAL REGISTRATION: ClinicalTrials.gov NCT04393818;
https://clinicaltrials.gov/ct2/show/NCT04393818.
CI - ©Maria Antònia Fiol-DeRoque, Maria Jesús Serrano-Ripoll, Rafael Jiménez,
Rocío
Zamanillo-Campos, Aina María Yáñez-Juan, Miquel Bennasar-Veny, Alfonso Leiva,
Elena
Gervilla, M Esther García-Buades, Mauro García-Toro, Pablo Alonso-Coello,
Guadalupe
Pastor-Moreno, Isabel Ruiz-Pérez, Carolina Sitges, Javier García-Campayo,
Joan
Llobera-Cánaves, Ignacio Ricci-Cabello. Originally published in JMIR mHealth
and
uHealth (https://mhealth.jmir.org), 18.05.2021.
FAU - Fiol-DeRoque, Maria Antònia
AU - Fiol-DeRoque MA
AUID- ORCID: 0000-0001-8566-0929
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Primary Care Research Unit of Mallorca, Balearic Islands Health Services,
Palma de
Mallorca, Spain.
FAU - Serrano-Ripoll, Maria Jesús
AU - Serrano-Ripoll MJ
AUID- ORCID: 0000-0002-1869-1132
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Primary Care Research Unit of Mallorca, Balearic Islands Health Services,
Palma de
Mallorca, Spain.
AD - Department of Psychology, University of the Balearic Islands (UIB), Palma de
Mallorca, Spain.
FAU - Jiménez, Rafael
AU - Jiménez R
AUID- ORCID: 0000-0002-1181-3221
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Department of Psychology, University of the Balearic Islands (UIB), Palma de
Mallorca, Spain.
FAU - Zamanillo-Campos, Rocío
AU - Zamanillo-Campos R
AUID- ORCID: 0000-0001-7162-0889
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Primary Care Research Unit of Mallorca, Balearic Islands Health Services,
Palma de
Mallorca, Spain.
AD - Department of Health, Valencian International University (VIU), Valencia,
Spain.
FAU - Yáñez-Juan, Aina María
AU - Yáñez-Juan AM
AUID- ORCID: 0000-0001-8527-3937
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Research Group on Global Health & Human Development, University of the
Balearic
Islands, Palma de Mallorca, Spain.
FAU - Bennasar-Veny, Miquel
AU - Bennasar-Veny M
AUID- ORCID: 0000-0003-1668-2141
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Department of Nursing and Physiotherapy, University of the Balearic Islands,
Palma
de Mallorca, Spain.
FAU - Leiva, Alfonso
AU - Leiva A
AUID- ORCID: 0000-0001-5306-8533
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Primary Care Research Unit of Mallorca, Balearic Islands Health Services,
Palma de
Mallorca, Spain.
AD - Primary Care Prevention and Health Promotion Research Network, Madrid, Spain.
FAU - Gervilla, Elena
AU - Gervilla E
AUID- ORCID: 0000-0003-3194-5499
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Department of Psychology, University of the Balearic Islands (UIB), Palma de
Mallorca, Spain.
FAU - García-Buades, M Esther
AU - García-Buades ME
AUID- ORCID: 0000-0001-8596-1481
AD - Department of Psychology, University of the Balearic Islands (UIB), Palma de
Mallorca, Spain.
FAU - García-Toro, Mauro
AU - García-Toro M
AUID- ORCID: 0000-0002-2251-1368
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
FAU - Alonso-Coello, Pablo
AU - Alonso-Coello P
AUID- ORCID: 0000-0002-8001-8504
AD - CIBER de Epidemiología y Salud Pública, Madrid, Spain.
AD - Department of Clinical Epidemiology and Public Health, Biomedical Research
Institute
Sant Pau, Iberoamerican Cochrane Centre, Barcelona, Spain.
FAU - Pastor-Moreno, Guadalupe
AU - Pastor-Moreno G
AUID- ORCID: 0000-0002-3930-922X
AD - CIBER de Epidemiología y Salud Pública, Madrid, Spain.
AD - Andalusian School of Public Health, Granada, Spain.
FAU - Ruiz-Pérez, Isabel
AU - Ruiz-Pérez I
AUID- ORCID: 0000-0002-9565-0502
AD - CIBER de Epidemiología y Salud Pública, Madrid, Spain.
AD - Andalusian School of Public Health, Granada, Spain.
FAU - Sitges, Carolina
AU - Sitges C
AUID- ORCID: 0000-0003-3830-2859
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Department of Psychology, University of the Balearic Islands (UIB), Palma de
Mallorca, Spain.
AD - Department of Psychology, Research Institute of Health Sciences, Palma de
Mallorca,
Spain.
FAU - García-Campayo, Javier
AU - García-Campayo J
AUID- ORCID: 0000-0002-3797-4218
AD - Primary Care Prevention and Health Promotion Research Network, Madrid, Spain.
AD - Aragon Institute for Health Research, Miguel Servet University Hospital,
Zaragoza,
Spain.
FAU - Llobera-Cánaves, Joan
AU - Llobera-Cánaves J
AUID- ORCID: 0000-0003-4113-4251
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Primary Care Research Unit of Mallorca, Balearic Islands Health Services,
Palma de
Mallorca, Spain.
AD - Primary Care Prevention and Health Promotion Research Network, Madrid, Spain.
FAU - Ricci-Cabello, Ignacio
AU - Ricci-Cabello I
AUID- ORCID: 0000-0002-4725-8274
AD - Health Research Institute of the Balearic Islands, Palma de Mallorca, Spain.
AD - Primary Care Research Unit of Mallorca, Balearic Islands Health Services,
Palma de
Mallorca, Spain.
AD - CIBER de Epidemiología y Salud Pública, Madrid, Spain.
LA - eng
SI - ClinicalTrials.gov/NCT04393818
PT - Journal Article
PT - Randomized Controlled Trial
DEP - 20210518
TA - JMIR Mhealth Uhealth
JT - JMIR mHealth and uHealth
JID - 101624439
SB - IM
MH - *COVID-19
MH - *Cell Phone
MH - Health Personnel
MH - Humans
MH - Mental Health
MH - Pandemics/prevention & control
MH - SARS-CoV-2
MH - Spain
PMC - PMC8133164
OTO - NOTNLM
OT - *COVID-19
OT - *app
OT - *health care workers
OT - *mHealth
OT - *mental health
OT - *randomized controlled trial
COIS- Conflicts of Interest: MJSR, AMYJ, MBV, MEGB, MGT, CS, RJ, EG, and JGC
developed the
contents of the intervention. All other authors have no conflicts to declare.
EDAT- 2021/04/29 06:00
MHDA- 2021/05/22 06:00
CRDT- 2021/04/28 17:28
PHST- 2021/01/11 00:00 [received]
PHST- 2021/03/31 00:00 [accepted]
PHST- 2021/03/08 00:00 [revised]
PHST- 2021/04/29 06:00 [pubmed]
PHST- 2021/05/22 06:00 [medline]
PHST- 2021/04/28 17:28 [entrez]
AID - v9i5e27039 [pii]
AID - 10.2196/27039 [doi]
PST - epublish
SO - JMIR Mhealth Uhealth. 2021 May 18;9(5):e27039. doi: 10.2196/27039.

PMID- 34679110
OWN - NLM
STAT- MEDLINE
DCOM- 20211102
LR - 20211102
IS - 1932-6203 (Electronic)
IS - 1932-6203 (Linking)
VI - 16
IP - 10
DP - 2021
TI - Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in
Singapore: A 6-month multi-centre prospective study.
PG - e0258866
LID - 10.1371/journal.pone.0258866 [doi]
LID - e0258866
AB - AIM: The long-term stress, anxiety and job burnout experienced by healthcare
workers
(HCWs) are important to consider as the novel coronavirus disease (COVID-19)
pandemic stresses healthcare systems globally. The primary objective was to
examine
the changes in the proportion of HCWs reporting stress, anxiety, and job
burnout
over six months during the peak of the pandemic in Singapore. The secondary
objective was to examine the extent that objective job characteristics,
HCW-perceived job factors, and HCW personal resources were associated with
stress,
anxiety, and job burnout. METHOD: A sample of HCWs (doctors, nurses, allied
health
professionals, administrative and operations staff; N = 2744) was recruited
via
invitation to participate in an online survey from four tertiary hospitals.
Data
were gathered between March-August 2020, which included a 2-month lockdown
period.
HCWs completed monthly web-based self-reported assessments of stress
(Perceived
Stress Scale-4), anxiety (Generalized Anxiety Disorder-7), and job burnout
(Physician Work Life Scale). RESULTS: The majority of the sample consisted of
female
HCWs (81%) and nurses (60%). Using random-intercept logistic regression
models,
elevated perceived stress, anxiety and job burnout were reported by 33%, 13%,
and
24% of the overall sample at baseline respectively. The proportion of HCWs
reporting
stress and job burnout increased by approximately 1·0% and 1·2% respectively
per
month. Anxiety did not significantly increase. Working long hours was
associated
with higher odds, while teamwork and feeling appreciated at work were
associated
with lower odds, of stress, anxiety, and job burnout. CONCLUSIONS: Perceived
stress
and job burnout showed a mild increase over six months, even after exiting
the
lockdown. Teamwork and feeling appreciated at work were protective and are
targets
for developing organizational interventions to mitigate expected poor
outcomes among
frontline HCWs.
FAU - Teo, Irene
AU - Teo I
AUID- ORCID: 0000-0002-1720-4718
AD - Programme in Health Services & Systems Research, Duke-NUS Medical School,
Singapore,
Singapore.
AD - Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore,
Singapore.
AD - Department of Psychosocial Oncology, National Cancer Centre Singapore,
Singapore,
Singapore.
FAU - Chay, Junxing
AU - Chay J
AD - Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore,
Singapore.
FAU - Cheung, Yin Bun
AU - Cheung YB
AD - Programme in Health Services & Systems Research, Duke-NUS Medical School,
Singapore,
Singapore.
AD - Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore,
Singapore.
AD - Centre for Child Health Research, Tampere University, Tampere, Finland.
FAU - Sung, Sharon C
AU - Sung SC
AD - Programme in Health Services & Systems Research, Duke-NUS Medical School,
Singapore,
Singapore.
AD - Department of Developmental Psychiatry, Institute of Mental Health,
Singapore,
Singapore.
FAU - Tewani, Komal G
AU - Tewani KG
AD - Department of Gynaecological Oncology, KK Women's and Children's Hospital,
Singapore, Singapore.
FAU - Yeo, Li Fang
AU - Yeo LF
AD - Department of Internal Medicine, Changi General Hospital, Singapore,
Singapore.
FAU - Yang, Grace Meijuan
AU - Yang GM
AD - Division of Supportive and Palliative Care, National Cancer Centre Singapore,
Singapore, Singapore.
FAU - Pan, Fang Ting
AU - Pan FT
AD - Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore,
Singapore.
FAU - Ng, Jin Ying
AU - Ng JY
AD - Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore,
Singapore.
FAU - Abu Bakar Aloweni, Fazila
AU - Abu Bakar Aloweni F
AD - Division of Nursing, Singapore General Hospital, Singapore, Singapore.
FAU - Ang, Hui Gek
AU - Ang HG
AD - Division of Allied Health, Singapore General Hospital, Singapore, Singapore.
FAU - Ayre, Tracy Carol
AU - Ayre TC
AD - Division of Nursing, Singapore General Hospital, Singapore, Singapore.
FAU - Chai-Lim, Crystal
AU - Chai-Lim C
AD - Medical Social Services, Singapore General Hospital, Singapore, Singapore.
FAU - Chen, Robert Chun
AU - Chen RC
AD - Division of Radiological Sciences, Singapore General Hospital, Singapore,
Singapore.
FAU - Heng, Ai Ling
AU - Heng AL
AD - Division of Radiological Sciences, Singapore General Hospital, Singapore,
Singapore.
FAU - Nadarajan, Gayathri Devi
AU - Nadarajan GD
AD - Department of Emergency Medicine, Singapore General Hospital, Singapore,
Singapore.
FAU - Ong, Marcus Eng Hock
AU - Ong MEH
AUID- ORCID: 0000-0001-7874-7612
AD - Programme in Health Services & Systems Research, Duke-NUS Medical School,
Singapore,
Singapore.
AD - Department of Emergency Medicine, Singapore General Hospital, Singapore,
Singapore.
FAU - See, Brian
AU - See B
AD - Occupational Health Service, Changi General Hospital, Singapore, Singapore.
FAU - Soh, Chai Rick
AU - Soh CR
AD - Department of Anaesthesiology, Singapore General Hospital, Singapore,
Singapore.
FAU - Tan, Boon Kiat Kenneth
AU - Tan BKK
AD - Department of Emergency Medicine, Singapore General Hospital, Singapore,
Singapore.
FAU - Tan, Bien Soo
AU - Tan BS
AD - Division of Radiological Sciences, Singapore General Hospital, Singapore,
Singapore.
FAU - Tay, Kenny Xian Khing
AU - Tay KXK
AD - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore,
Singapore.
FAU - Wijaya, Limin
AU - Wijaya L
AD - Department of Infectious Disease, Singapore General Hospital, Singapore,
Singapore.
FAU - Tan, Hiang Khoon
AU - Tan HK
AD - Division of Surgery and Surgical Oncology, Singapore General Hospital and
National
Cancer Centre Singapore, Singapore, Singapore.
AD - SingHealth Duke-NUS Global Health Institute, Singapore, Singapore.
LA - eng
PT - Clinical Trial
PT - Journal Article
PT - Multicenter Study
PT - Research Support, Non-U.S. Gov't
DEP - 20211022
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - Aged
MH - *Anxiety/epidemiology/psychology
MH - *Burnout, Professional/epidemiology/etiology
MH - *COVID-19/epidemiology/psychology
MH - Female
MH - Health Personnel/*psychology
MH - Humans
MH - Male
MH - Middle Aged
MH - *Pandemics
MH - Prospective Studies
MH - *SARS-CoV-2
MH - Singapore/epidemiology
PMC - PMC8535445
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/10/23 06:00
MHDA- 2021/11/03 06:00
CRDT- 2021/10/22 21:05
PHST- 2021/07/23 00:00 [received]
PHST- 2021/10/06 00:00 [accepted]
PHST- 2021/10/22 21:05 [entrez]
PHST- 2021/10/23 06:00 [pubmed]
PHST- 2021/11/03 06:00 [medline]
AID - PONE-D-21-23901 [pii]
AID - 10.1371/journal.pone.0258866 [doi]
PST - epublish
SO - PLoS One. 2021 Oct 22;16(10):e0258866. doi: 10.1371/journal.pone.0258866.
eCollection 2021.

PMID- 34758047
OWN - NLM
STAT- MEDLINE
DCOM- 20211124
LR - 20211124
IS - 1932-6203 (Electronic)
IS - 1932-6203 (Linking)
VI - 16
IP - 11
DP - 2021
TI - Surviving SARS and living through COVID-19: Healthcare worker mental health
outcomes
and insights for coping.
PG - e0258893
LID - 10.1371/journal.pone.0258893 [doi]
LID - e0258893
AB - OBJECTIVE: Explore how previous work during the 2003 Severe Acute Respiratory
Syndrome (SARS) outbreak affects the psychological response of clinical and
non-clinical healthcare workers (HCWs) to the current COVID-19 pandemic.
METHODS: A
cross-sectional, multi-centered hospital online survey of HCWs in the Greater
Toronto Area, Canada. Mental health outcomes of HCWs who worked during the
COVID-19
pandemic and the SARS outbreak were assessed using Impact of Events-Revised
scale
(IES-R), Generalized Anxiety Disorder scale (GAD-7), and Patient Health
Questionnaire (PHQ-9). RESULTS: Among 3852 participants, moderate/severe
scores for
symptoms of post- traumatic stress disorder (PTSD) (50.2%), anxiety (24.6%),
and
depression (31.5%) were observed among HCWs. Work during the 2003 SARS
outbreak was
reported by 1116 respondents (29.1%), who had lower scores for symptoms of
PTSD (P =
.002), anxiety (P < .001), and depression (P < .001) compared to those who
had not
worked during the SARS outbreak. Multivariable logistic regression analysis
showed
non-clinical HCWs during this pandemic were at higher risk of anxiety (OR,
1.68; 95%
CI, 1.19-2.15, P = .01) and depressive symptoms (OR, 2.03; 95% CI, 1.34-3.07,
P <
.001). HCWs using sedatives (OR, 2.55; 95% CI, 1.61-4.03, P < .001), those
who cared
for only 2-5 patients with COVID-19 (OR, 1.59; 95% CI, 1.06-2.38, P = .01),
and
those who had been in isolation for COVID-19 (OR, 1.36; 95% CI, 0.96-1.93, P
= .05),
were at higher risk of moderate/severe symptoms of PTSD. In addition,
deterioration
in sleep was associated with symptoms of PTSD (OR, 4.68, 95% CI, 3.74-6.30, P
<
.001), anxiety (OR, 3.09, 95% CI, 2.11-4.53, P < .001), and depression (OR
5.07, 95%
CI, 3.48-7.39, P < .001). CONCLUSION: Psychological distress was observed in
both
clinical and non-clinical HCWs, with no impact from previous SARS work
experience.
As the pandemic continues, increasing psychological and team support may
decrease
the mental health impacts.
FAU - Styra, Rima
AU - Styra R
AUID- ORCID: 0000-0001-5250-6650
AD - Centre for Mental Health, University Health Network, Toronto, Ontario,
Canada.
FAU - Hawryluck, Laura
AU - Hawryluck L
AD - Intensive Care Medicine, University Health Network, Toronto, Ontario, Canada.
FAU - Mc Geer, Allison
AU - Mc Geer A
AD - Division of Infectious Diseases, Sinai Health System & University Health
Network,
Toronto, Ontario, Canada.
FAU - Dimas, Michelle
AU - Dimas M
AD - Department of Research, William Osler Health System, Brampton, Ontario,
Canada.
FAU - Sheen, Jack
AU - Sheen J
AD - Institute of Medical Science, University of Toronto, Toronto, Ontario,
Canada.
FAU - Giacobbe, Peter
AU - Giacobbe P
AD - Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto,
Ontario,
Canada.
FAU - Dattani, Neil
AU - Dattani N
AD - Department of Emergency Medicine, William Osler Health System, Etobicoke,
Ontario,
Canada.
FAU - Lorello, Gianni
AU - Lorello G
AUID- ORCID: 0000-0003-1387-1748
AD - Department of Anesthesia, University Health Network, Toronto, Ontario,
Canada.
FAU - Rac, Valeria E
AU - Rac VE
AD - Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario,
Canada.
AD - Toronto Health Economics and Technology Assessment (THETA) Collaborative,
University
of Toronto, Toronto, Ontario, Canada.
FAU - Francis, Troy
AU - Francis T
AD - Toronto Health Economics and Technology Assessment (THETA) Collaborative,
University
of Toronto, Toronto, Ontario, Canada.
FAU - Wu, Peter E
AU - Wu PE
AD - Division of General Internal Medicine, University Health Network, Toronto,
Ontario,
Canada.
FAU - Luk, Wing-Si
AU - Luk WS
AD - Patient Safety & Quality Improvement, University Health Network, Toronto,
Ontario,
Canada.
FAU - Ng, Enoch
AU - Ng E
AD - Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto,
Ontario,
Canada.
FAU - Nadarajah, Jeya
AU - Nadarajah J
AD - Infectious Disease, Markham Stouffville Hospital, Markham, Ontario, Canada.
FAU - Wingrove, Kaila
AU - Wingrove K
AD - Intensive Care Medicine, University Health Network, Toronto, Ontario, Canada.
FAU - Gold, Wayne L
AU - Gold WL
AD - Division of Infectious Diseases, Sinai Health System & University Health
Network,
Toronto, Ontario, Canada.
AD - Division of General Internal Medicine, University Health Network, Toronto,
Ontario,
Canada.
LA - eng
PT - Clinical Trial
PT - Journal Article
PT - Multicenter Study
PT - Research Support, Non-U.S. Gov't
DEP - 20211110
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adaptation, Psychological/physiology
MH - Adolescent
MH - Adult
MH - Allied Health Personnel
MH - Anxiety/psychology/virology
MH - Anxiety Disorders/psychology/virology
MH - COVID-19/*epidemiology/*psychology/virology
MH - Canada
MH - Cross-Sectional Studies
MH - Depression/psychology/virology
MH - Disease Outbreaks
MH - Female
MH - Health Personnel/*psychology
MH - Humans
MH - Male
MH - Mental Health
MH - Middle Aged
MH - Outcome Assessment, Health Care
MH - Pandemics/statistics & numerical data
MH - Patient Health Questionnaire
MH - Psychological Distress
MH - SARS-CoV-2/pathogenicity
MH - Severe Acute Respiratory Syndrome/*epidemiology/*psychology/virology
MH - Stress Disorders, Post-Traumatic/psychology/virology
MH - Surveys and Questionnaires
MH - Young Adult
PMC - PMC8580217
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/11/11 06:00
MHDA- 2021/11/25 06:00
CRDT- 2021/11/10 18:02
PHST- 2021/04/06 00:00 [received]
PHST- 2021/10/07 00:00 [accepted]
PHST- 2021/11/10 18:02 [entrez]
PHST- 2021/11/11 06:00 [pubmed]
PHST- 2021/11/25 06:00 [medline]
AID - PONE-D-21-11331 [pii]
AID - 10.1371/journal.pone.0258893 [doi]
PST - epublish
SO - PLoS One. 2021 Nov 10;16(11):e0258893. doi: 10.1371/journal.pone.0258893.
eCollection 2021.

PMID- 33836013
OWN - NLM
STAT- MEDLINE
DCOM- 20210419
LR - 20210419
IS - 1932-6203 (Electronic)
IS - 1932-6203 (Linking)
VI - 16
IP - 4
DP - 2021
TI - Knowledge, preventive behaviors and risk perception of the COVID-19 pandemic:
A
cross-sectional study in Turkish health care workers.
PG - e0250017
LID - 10.1371/journal.pone.0250017 [doi]
LID - e0250017
AB - The coronavirus disease 2019 (COVID-19) outbreak spread to over 100 countries
with a
total of 100,000 cases during the first week of March 2020. Health care
workers, as
those on the frontline of the COVID-19 pandemic, are more susceptible to
infection.
Inadequate related knowledge and preventive behaviors among health care
workers
might lead to delayed treatment and result in the rapid spread of the
infection.
Therefore, this study evaluated the knowledge of health care workers with
regard to
COVID-19. A cross-sectional study was conducted from June 10-18, 2020.
Participants
were general practitioners, specialists, and nurses working at the forefront
of the
pandemic. Their knowledge, preventive behaviors, and risk perceptions
concerning
COVID-19 were evaluated using an online questionnaire created by our medical
specialists. The questionnaire consisted of 29, 5, and 4 items about COVID-19
knowledge, preventive behaviors, and risk perceptions, respectively. A total
of 251
health care workers completed the questionnaire. The mean age of the
participants
was 33.88±8.72 years old, and the sample consisted of 68 males (27.08%) and
183
females (72.91%). While there was no difference between the percentage of
correct
answers given by female and male participants to knowledge-based questions
(p>0.05),
the percentage of correct answers to the questions on preventive behaviors
was
significantly higher in female participants than in males (p<0.001). The
overall
average percentages of correct responses were 91.66% for knowledge-based
questions
and 85.96% for preventive behavior questions. The scores for knowledge-based
questions were higher for medical specialists, whereas nurses scored higher
on
preventive behavior questions. Government hospital staff showed a significant
difference in preventive behaviors compared to that of university hospitals
(p<0.05). In addition, there was a positive correlation between knowledge
scores and
preventive behaviors. Although all the participants (100%) knew that
contracting
COVID-19 can lead to death, only 66.93% of them were willing to get
vaccinated
themselves. The knowledge level of health care workers concerning COVID-19
was above
90%, but the level of competence in terms of preventive behaviors was found
to be
low, especially in males.
FAU - Arslanca, Tufan
AU - Arslanca T
AUID- ORCID: 0000-0001-9686-1603
AD - Department of Obstetrics and Gynecology, Ufuk University, Ankara, Turkey.
FAU - Fidan, Cihan
AU - Fidan C
AUID- ORCID: 0000-0002-9093-1524
AD - Department of Family Medicine, Başkent University, Ankara, Turkey.
FAU - Daggez, Mine
AU - Daggez M
AUID- ORCID: 0000-0001-5266-9652
AD - Gynecologic Oncology Division, Department of Obstetrics and Gynecology,
Erciyes
University, Kayseri, Turkey.
FAU - Dursun, Polat
AU - Dursun P
AUID- ORCID: 0000-0001-5139-364X
AD - Private Gynecologic Oncology Clinic, Ankara, Turkey.
LA - eng
PT - Clinical Trial
PT - Journal Article
PT - Multicenter Study
DEP - 20210409
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - *COVID-19/epidemiology/prevention & control
MH - Cross-Sectional Studies
MH - Female
MH - *Health Behavior
MH - *Health Knowledge, Attitudes, Practice
MH - *Health Personnel
MH - Humans
MH - Male
MH - Middle Aged
MH - Pandemics/*prevention & control
MH - *SARS-CoV-2
MH - Turkey/epidemiology
PMC - PMC8034719
COIS- The authors have read the journal’s policy and the authors have the following
competing interests: PD does not have any commercial or institutional
affiliation,
but does operate a private gynecologic oncology practice. This does not alter
our
adherence to PLOS ONE policies on sharing data and materials. There are no
patents,
products in development or marketed products associated with this research to
declare.
EDAT- 2021/04/10 06:00
MHDA- 2021/04/20 06:00
CRDT- 2021/04/09 17:16
PHST- 2020/07/28 00:00 [received]
PHST- 2021/03/29 00:00 [accepted]
PHST- 2021/04/09 17:16 [entrez]
PHST- 2021/04/10 06:00 [pubmed]
PHST- 2021/04/20 06:00 [medline]
AID - PONE-D-20-23431 [pii]
AID - 10.1371/journal.pone.0250017 [doi]
PST - epublish
SO - PLoS One. 2021 Apr 9;16(4):e0250017. doi: 10.1371/journal.pone.0250017.
eCollection
2021.

PMID- 34618851
OWN - NLM
STAT- MEDLINE
DCOM- 20211018
LR - 20211018
IS - 1932-6203 (Electronic)
IS - 1932-6203 (Linking)
VI - 16
IP - 10
DP - 2021
TI - Stress and turnover intention among healthcare workers in Saudi Arabia during
the
time of COVID-19: Can social support play a role?
PG - e0258101
LID - 10.1371/journal.pone.0258101 [doi]
LID - e0258101
AB - The turnover intention of healthcare workers is a threat to the competence of
health
services, especially during COVID-19 time. This study aimed to investigate
the
association between stress and turnover intention among healthcare workers in
Saudi
Arabia and whether social support could affect this association. In this
cross-sectional study, healthcare workers in primary healthcare centers in
Saudi
Arabia responded to an online questionnaire assessing their sociodemographic
and
occupational history, stress levels using the Perceived Stress Scale-10 (PSS-
10),
social support using the Multidimensional Scale of Perceived Social Support
(MSPSS),
and turnover intention within the next few months. Path analysis was
conducted to
assess the mediating effect of social support on the association between
stress and
turnover intention. A total of 1101 healthcare workers (242 physicians, 340
nurses,
310 paramedics, and 209 administrative workers) participated in this study.
The path
between stress and support had a significant standardized regression weight
(-.34, p
< .05). The path between support and turnover had a significant standardized
regression weight (.08, p < .05). The standardized total effect of stress on
turnover without the impact of support was significant (-.39, p < .05). The
direct
effect of stress on turnover with the presence of support was significant
(-.36, p <
.05). The indirect effect of stress on turnover with the presence of support
was
significant (-.03, p < .05). Thus, there is evidence to show that support
mediates
the relationship between stress and support. Stress is associated with
turnover
intention among healthcare workers in Saudi Arabia. Social support had a
mitigating
effect on the relationship between stress and turnover intention.
FAU - Al-Mansour, Khalid
AU - Al-Mansour K
AUID- ORCID: 0000-0003-2329-9802
AD - Department of Social Studies, College of Arts, King Saud University, Riyadh,
Saudi
Arabia.
AD - General Administration for Primary Health Centers, Ministry of Health,
Riyadh, Saudi
Arabia.
LA - eng
PT - Clinical Trial
PT - Journal Article
DEP - 20211007
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - *COVID-19/epidemiology/psychology/therapy
MH - Cross-Sectional Studies
MH - Female
MH - Health Personnel/*psychology
MH - Humans
MH - *Intention
MH - Male
MH - Middle Aged
MH - *Personnel Turnover
MH - Primary Health Care
MH - *SARS-CoV-2
MH - Saudi Arabia
MH - *Social Support
MH - *Stress, Psychological/epidemiology/psychology
PMC - PMC8496805
COIS- NO author have competing interests.
EDAT- 2021/10/08 06:00
MHDA- 2021/10/21 06:00
CRDT- 2021/10/07 17:24
PHST- 2021/02/23 00:00 [received]
PHST- 2021/09/20 00:00 [accepted]
PHST- 2021/10/07 17:24 [entrez]
PHST- 2021/10/08 06:00 [pubmed]
PHST- 2021/10/21 06:00 [medline]
AID - PONE-D-21-06031 [pii]
AID - 10.1371/journal.pone.0258101 [doi]
PST - epublish
SO - PLoS One. 2021 Oct 7;16(10):e0258101. doi: 10.1371/journal.pone.0258101.
eCollection
2021.

PMID- 34170910
OWN - NLM
STAT- MEDLINE
DCOM- 20210705
LR - 20210708
IS - 1932-6203 (Electronic)
IS - 1932-6203 (Linking)
VI - 16
IP - 6
DP - 2021
TI - Risk perceptions and preventive practices of COVID-19 among healthcare
professionals
in public hospitals in Addis Ababa, Ethiopia.
PG - e0242471
LID - 10.1371/journal.pone.0242471 [doi]
LID - e0242471
AB - Healthcare professionals are at higher risk of contracting the new
coronavirus
disease 2019 (COVID-19). Although appropriate preventive measures are the
most
important interventions to prevent coronavirus infection among healthcare
workers,
they are also highly concerned about the consequences of the pandemic. The
aim of
this cross-sectional study was to assess preventive practices, perceived risk
and
worry about COVID-19 crisis among healthcare professionals at six public
hospitals
in Addis Ababa, Ethiopia. A systematic random sampling technique was used to
select
1,134 respondents (52.6% females). Data were collected between 9th and 20th
June
2020 using self-administered questionnaires. Descriptive statistics were used
to
summarize the data. A multiple linear regression analysis was performed to
identify
factors associated with worry about COVID-19 crisis. The highest percentage
of
respondents were nurses (39.3%) and physicians (22.2%), followed by interns
(10.8%)
and midwives (10.3%). Wearing facemask (93%) and frequent hand washing (93%)
were
the commonly reported preventive practices. Perceived risk of becoming
infected with
coronavirus (88%) and the potential risk of infection to their family (91%)
were
very high. The mean (median) worry score about COVID-19 crisis was 2.37
(3.0), on 1
to 3 scale, with 1 (not worried) and 3 (highly worried). The majority worried
a lot
about the health system being overwhelmed by COVID-19 patients (92%), the
health of
their loved ones (90%) and losing someone due to COVID-19 (89%). Respondents
who had
previously provided clinical care to Ebola, SARS and cholera patients had
significantly lower levels of worry about COVID-19 crisis than participants
who had
not (β = -1.38, P<0.001). Our findings reveal respondents' widespread
practice of
preventive measures, highest levels of perceived risk and worry about the
COVID-19
crisis. Increased perceived risk and worry about COVID-19 might enable
healthcare
workers to adopt appropriate preventive measures more effectively against the
disease.
FAU - Deressa, Wakgari
AU - Deressa W
AUID- ORCID: 0000-0002-9712-2375
AD - Department of Preventive Medicine, School of Public Health, College of Health
Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
FAU - Worku, Alemayehu
AU - Worku A
AD - Department of Preventive Medicine, School of Public Health, College of Health
Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
FAU - Abebe, Workeabeba
AU - Abebe W
AD - Department of Pediatrics and Child Health, School of Medicine, College of
Health
Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
FAU - Gizaw, Muluken
AU - Gizaw M
AD - Department of Preventive Medicine, School of Public Health, College of Health
Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
FAU - Amogne, Wondwossen
AU - Amogne W
AD - Department of Internal Medicine, School of Medicine, College of Health
Sciences,
Addis Ababa University, Addis Ababa, Ethiopia.
LA - eng
PT - Journal Article
PT - Randomized Controlled Trial
PT - Research Support, Non-U.S. Gov't
DEP - 20210625
TA - PLoS One
JT - PloS one
JID - 101285081
SB - IM
MH - Adult
MH - *COVID-19/epidemiology/prevention & control
MH - Cross-Sectional Studies
MH - Ethiopia
MH - Female
MH - *Health Knowledge, Attitudes, Practice
MH - *Health Personnel
MH - *Hospitals, Public
MH - Humans
MH - Male
MH - *Pandemics
MH - *SARS-CoV-2
MH - *Surveys and Questionnaires
PMC - PMC8232450
COIS- The authors declare no competing interests.
EDAT- 2021/06/26 06:00
MHDA- 2021/07/06 06:00
CRDT- 2021/06/25 17:17
PHST- 2020/10/27 00:00 [received]
PHST- 2021/06/15 00:00 [accepted]
PHST- 2021/06/25 17:17 [entrez]
PHST- 2021/06/26 06:00 [pubmed]
PHST- 2021/07/06 06:00 [medline]
AID - PONE-D-20-33821 [pii]
AID - 10.1371/journal.pone.0242471 [doi]
PST - epublish
SO - PLoS One. 2021 Jun 25;16(6):e0242471. doi: 10.1371/journal.pone.0242471.
eCollection
2021.

You might also like