Mental Health of Hospital Staff During COVID-19: A Comparative Longitudinal Study
Abstract
Background: Staff burnout was a major challenge for healthcare systems globally during the COVID‑19 pandemic. In this regard, this study aimed to examine the mental health status of employees in two hospitals: one that admitted patients with COVID‑19 (COVID‑19 hospital) and another that did not admit such patients (non‑COVID‑19 hospital). Materials and Methods: This multistage case‑control study was conducted on 1241 participants who were selected using the census sampling method. The participants completed the Symptom Checklist 25 and a demographic checklist, along with the assessment of other relevant variables. Data collection occurred at 3 (June 2020), 6 (September 2020), and 9 (December 2020) months following the COVID‑19 outbreak. The data were analyzed in using the Kruskal–Wallis and Mann–Whitney tests for statistical analysis. Results: Among the 300 staff members at the COVID‑19 hospital, 187 (62%), 73 (24%), and 40 (13%) members were medical, nonmedical, and administrative staff, respectively. At the non‑COVID‑19 hospital, out of 300 staff members, 235 (78%), 53 (18%), and 12 (4%) members were medical, nonmedical, and administrative staff, respectively. The staff at the COVID‑19 hospital showed higher total SCL‑25 scores, compared to those at the non‑COVID‑19 hospital. Despite an overall upward trend in psychiatric disorders in both groups, significant differences were observed at 6 months (p = 0.02) and 9 months (p < 0.001) following the outbreak. Conclusions: The staff at the COVID‑19 hospital were at a higher risk of developing mental health disorders. The mental health status of employees at both hospitals evolved over time.
Keywords
Full Text:
PDFReferences
Nishiura H, Jung S, Linton NM, Kinoshita R, Yang Y, Hayashi K, et al. The extent of transmission of novel coronavirus in Wuhan, China, 2020. J Clin Med 2020;9:330 1.
Zhu H, Wei L, Niu P. The novel coronavirus outbreak in Wuhan, China. Glob Health Res Policy 2020;5:6.
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet 2020;395:507 13.
Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020;7:228 9.
WHO Director General’s opening remarks at the media briefing on COVID 19–March 11. World Health Organization. Available from: www.who.org.
Liu X, Na RS, Bi ZQ. Challenges to Prevent and Control the Outbreak of Covid 19. Zhonghua liu xing bing xue za zhi=Zhonghua liuxingbingxue zazhi 2020;41:994 97.
Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country based mitigation measures influence the course of the COVID 19 epidemic? Lancet 2020;395:931 4.
Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019 nCoV epidemic: Address mental health care to empower society. Lancet 2020;395:e37 8.
Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID 19 outbreak. Lancet Psychiatry 2020;7:e15 6.
Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID 19 pandemic. JAMA 2020;323:2133 4.
Ma R, Nguyen R, Oakman JM. Dissemination strategies and usage of psychological assistance hotlines during the COVID-19 outbreak in China. Frontiers in Communication. 2020;5:60.
Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C, Sham PC, et al. Stress and psychological distress among SARS Survivors 1 year after the outbreak. Can J Psychiatry 2007;52:233 40.
Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: Exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry 2009;54:302 11.
Liu X, Kakade M, Fuller CJ, Fan B, Fang Y, Kong J, et al. Depression after exposure to stressful events: Lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry 2012;53:15 23.
Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during COVID 19 pandemic. BMJ 2020;368:m1211.
Liu C Y, Yang Y Z, Zhang X M, Xu X, Dou QL, Zhang W W. The prevalence and influencing factors for anxiety in medical workers fighting COVID 19 in China: A cross sectional survey. Can J Psychiatry 2020;54:302 11.
Zarocostas J. How to fight an infodemic. Lancet 2020;395:676 82.
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3:203976 83.
Chen NH, Wang PC, Hsieh MJ, Huang C, Kao KC, Chen YH, et al. Impact of severe acute respiratory syndrome care on the general health status of health personnels in Taiwan. Health Personnels 2007;28:75 9.
Robertson E, Hershenfield K, Grace SL, Stewart DE. The psychosocial effects of being quarantined following exposure to SARS: A qualitative study of Toronto health care workers. Can J Psychiatry 2004;49:403 7.
Wu KK, Chan SK, Ma TM. Posttraumatic Stress after SARS. Emerg Infect Dis 2005;11:1297 300.
Kanter J, Manbeck K. Covid 19 can lead to an epidemic of clinical depression. Lancet 2020;395:912 20.
deVries MW, Wilkerson B. Stress, work and mental health: A global perspective. Acta Neuropsychiatr 2003;15:44 53.
Strand BH, Dalgard OS, Tambs K, Rognerud M. Measuring the mental health status of the Norwegian population: A comparison of the instruments SCL 25, SCL 10, SCL 5 and MHI 5 (SF 36). Nordic J Psychiatry 2003;57:113 8.
Najarian B, Davodi I. [Development and reliability of SCL-25; short form of SCL-90]. Journal of psychology 2001;18:136-49.
Rehman U, Shahnawaz MG, Khan NH. Depression, anxiety and stress among Indians in Times of COVID 19 lockdown. Community Ment Health J 2021;57:42 8.
Banitalebi S, Mohammadi K, Marjanian Z, Rabiei L, Masoudi R. The effect of COVID 19 epidemic on the mental health of nurses’ family members. J Educ Health Promot 2021;10:368.
Kisely S, Warren N, McMahon L, Dalais C, Henry I, Siskind D. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: Rapid review and meta analysis. BMJ 2020;369:m1642.
Hines SE, Chin KH, Glick DR, Wickwire EM. Trends in moral injury, distress, and resilience factors among health personnels at the beginning of the COVID 19 pandemic. Int J Environ Res Public Health 2021;18:488.
Rehman U, Yıldırım M, Shahnawaz MG. A longitudinal study of depression, anxiety, and stress among Indians during COVID 19 pandemic. Psychol Health Med 2023;28:60 8.
Nguyen PT, Nguyen TB, Pham AG, Duong KN, Gloria MA, Vo TV, et al. Psychological stress risk factors, concerns and mental health support among health care workers in Vietnam during the coronavirus disease 2019 (COVID 19) outbreak. Front Public Health 2021;9:628341.
Tang S, Xiang M, Cheung T, Xiang YT. Mental health and its correlates among children and adolescents during COVID 19 school closure: The importance of parent child discussion. J Affect Disord 2021;279:353 60.
Sirois FM, Owens J. Factors associated with psychological distress in health care workers during an infectious disease outbreak: A rapid systematic review of the evidence. Front Psychiatry 2021;11:589545.
Refbacks
- There are currently no refbacks.

