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      Assessing mental health status among Iranian healthcare workers in times of the COVID‐19 pandemic: A web‐based cross‐sectional study

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          Abstract

          Objectives

          The present study was conducted to assess 3(HCWs) during the COVID‐19 pandemic.

          Methods

          A total number of 7626 HCWs were included in this web‐based cross‐sectional study, via the convenience sampling technique. To collect the required data, the sociodemographic characteristics information form, the Depression Anxiety Stress Scale‐21 (DASS‐21), and the Corona Disease Anxiety Scale (CDAS) were also employed. In addition, data analysis was performed using the SPSS Statistics software (ver. 24), as well as descriptive statistics, Chi‐square test ( χ 2 ), and univariate/multivariate logistic regression models.

          Results

          The CDAS results revealed that 47.9% and 70.5% of the HCWs had experienced moderate levels of physical and psychological anxiety, respectively. Based on the DASS results, 44.8%, 43%, and 34.8% of the HCWs had been subjected to depression, anxiety, and stress symptoms during the COVID‐19 pandemic, respectively. The logistic regression models correspondingly showed that depression among the HCWs was significantly correlated with risk factors, such as the age groups of 20–30 years ( p = .001), 31–40 years ( p = .006), female HCWs ( p> .001), history of physical illnesses ( p = .004), and history of psychiatric disorders ( p> .001). Moreover, factors including the age groups of 20–30 years ( p < .001), 31–40 years ( p < .001), 41–50 years ( p < .001), female HCWs ( p> .001), history of physical illnesses ( p < .001), and history of psychiatric disorders ( p>.001) were assumed as significant predictors of anxiety in these individuals. Besides, factors such as the age groups of 20–30 years ( p = .002), 31–40 years ( p = .004), female HCWs ( p>.001), occupation ( p = .016), history of physical illnesses ( p < .001), and history of psychiatric disorders ( p> .001) could significantly predict the prevalence rate of stress in the HCWs in times of this crisis.

          Conclusion

          Given the importance of mental health status among HCWs during the COVID‐19 pandemic, health administrators and policymakers of the Ministry of Health and Medical Education in Iran are suggested to provide psychological screening and supportive care programs for HCWs with the aim of enhancing their mental health and successful coping with critical circumstances.

          Abstract

          The CDAS results revealed that 47.9% and 70.5% of the HCWs had experienced moderate levels of physical and psychological anxiety, respectively. Based on the DASS results, 44.8%, 43%, and 34.8% of the HCWs had been subjected to depression, anxiety, and stress symptoms during the COVID‐19 pandemic, respectively.

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          Most cited references38

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          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            COVID-19 pandemic and mental health consequences: systematic review of the current evidence

            Highlights • COVID-19 patients displayed high levels of PTSS and increased levels of depression. • Patients with preexisting psychiatric disorders reported worsening of psychiatric symptoms. • Higher levels of psychiatric symptoms were found among health care workers. • A decrease in psychological well-being was observed in the general public. • However, well conducted large-scale studies are highly needed.
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              The short-form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample.

              To test the construct validity of the short-form version of the Depression anxiety and stress scale (DASS-21), and in particular, to assess whether stress as indexed by this measure is synonymous with negative affectivity (NA) or whether it represents a related, but distinct, construct. To provide normative data for the general adult population. Cross-sectional, correlational and confirmatory factor analysis (CFA). The DASS-21 was administered to a non-clinical sample, broadly representative of the general adult UK population (N = 1,794). Competing models of the latent structure of the DASS-21 were evaluated using CFA. The model with optimal fit (RCFI = 0.94) had a quadripartite structure, and consisted of a general factor of psychological distress plus orthogonal specific factors of depression, anxiety, and stress. This model was a significantly better fit than a competing model that tested the possibility that the Stress scale simply measures NA. The DASS-21 subscales can validly be used to measure the dimensions of depression, anxiety, and stress. However, each of these subscales also taps a more general dimension of psychological distress or NA. The utility of the measure is enhanced by the provision of normative data based on a large sample.
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                Author and article information

                Contributors
                forouzan.elyasi@gmail.com , F.elyasi@mazums.ac.ir
                Journal
                Brain Behav
                Brain Behav
                10.1002/(ISSN)2157-9032
                BRB3
                Brain and Behavior
                John Wiley and Sons Inc. (Hoboken )
                2162-3279
                01 August 2021
                August 2021
                : 11
                : 8 ( doiID: 10.1002/brb3.v11.8 )
                : e2304
                Affiliations
                [ 1 ] Department of Reproductive Health and Midwifery School of Nursing and Midwifery Tehran University of Medical Sciences Tehran Iran
                [ 2 ] Pediatric Infectious Diseases Research Center Communicable Diseases Institute Mazandaran University of Medical Sciences Sari Iran
                [ 3 ] Gastrointestinal Cancer Research Center Non‐communicable Diseases Institute Mazandaran University of Medical Sciences Sari Iran
                [ 4 ] Health Sciences Research Center Addiction Institute Mazandaran University of Medical Sciences Sari Iran
                [ 5 ] Department of Family Medicine School of Medicine Mazandaran University of Medical Sciences Sari Iran
                [ 6 ] Antimicrobial Resistance Research Center Department of Infectious Diseases Mazandaran University of Medical Sciences Sari Iran
                [ 7 ] Research Ethics Committee Imam khomeini Hospital, Mazandaran University of Medical Sciences Sari Iran
                [ 8 ] Psychiatry and Behavioral Sciences Research Center Sexual and Reproductive Health Research Center Imam Khomeini General Hospital Addiction Institute Mazandaran University of Medical Sciences Sari Iran
                Author notes
                [*] [* ] Correspondence

                Forouzan Elyasi, Psychosomatic Ward, Imam Khomeini General Hospital, Razi Ave., Sari, Mazandaran, IR 48157‐33971, Iran.

                Email: forouzan.elyasi@ 123456gmail.com , F.elyasi@ 123456mazums.ac.ir

                Author information
                https://orcid.org/0000-0002-0835-3201
                https://orcid.org/0000-0002-6872-481X
                Article
                BRB32304
                10.1002/brb3.2304
                8413818
                34333852
                1bf9a5bd-292e-4f52-b7e1-18c49cf1410f
                © 2021 The Authors. Brain and Behavior published by Wiley Periodicals LLC

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 02 July 2021
                : 09 May 2021
                : 12 July 2021
                Page count
                Figures: 1, Tables: 5, Pages: 13, Words: 8931
                Funding
                Funded by: Mazandaran University of Medical Sciences , doi 10.13039/501100004160;
                Award ID: 7574
                Categories
                Original Research
                Original Research
                Custom metadata
                2.0
                August 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.6 mode:remove_FC converted:03.09.2021

                Neurosciences
                anxiety,covid‐19,depression,healthcare workers,stress
                Neurosciences
                anxiety, covid‐19, depression, healthcare workers, stress

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