scholarly journals Healthcare workers' anxieties and coping strategies during the COVID‐19 pandemic in Turkey

Author(s):  
Damla Özçevik Subaşi ◽  
Aylin Akça Sümengen ◽  
Enes Şimşek ◽  
Ayşe Ferda Ocakçı
2021 ◽  
Vol 10 (5) ◽  
pp. 178
Author(s):  
Monia Vagni ◽  
Tiziana Maiorano ◽  
Valeria Giostra ◽  
Daniela Pajardi

Working as healthcare workers (HCWs) and emergency workers (EWs) during the first wave of COVID-19 has been associated with high levels of stress and burnout, while hardiness, coping strategies and resilience have emerged as protective factors. No studies have so far investigated these psychological factors during the second wave. We aimed to verify the trend of stress levels, burnout, coping strategies and resilience during the pandemic in Italian healthcare and emergency workers by comparing a first sample recruited from the first COVID-19 wave (N = 240) with a second sample relating to the second wave (N = 260). Through an online platform we administered questionnaires to measure stress, burnout, resilience, hardiness and coping strategies. The results showed that in the two waves the total stress levels of HCWs and EWs did not differ, while the physical stress and hardiness scores in the second wave were greater. No differences were found in the coping strategies used. An analysis of burnout levels in the second wave sample found that stress showed a high predictive power in the emotional exhaustion and depersonalization scales. Hardiness and resilience emerged as protective factors in reducing stress. The implications for the need to provide support and to improve hardiness for HCWs and EWs are discussed.


2021 ◽  
Vol Volume 14 ◽  
pp. 4281-4291
Author(s):  
Truc Thanh Thai ◽  
Thinh Huu Nguyen ◽  
Phuong Thu Thi Pham ◽  
Han Hy Thi Bui ◽  
Tam Ngoc Minh Bui

2020 ◽  
Author(s):  
Argyroula Kalaitzaki

Background: Despite the indisputable negative psychosocial consequences of the COVID-19 pandemic (e.g., posttraumatic stress disorder), positive ones (i.e., posttraumatic growth) are also possible. Although resilience and coping strategies have been assumed to contribute to these outcomes, findings are still scarce and inconclusive. Aim: The study aimed to examine the role of resilience and coping strategies in the positive and negative posttraumatic outcomes of the COVID-19 lockdown among the Greek general public (GP) and healthcare workers (HCWs). Materials and Methods: A sample of 1661 participants (986 GP and 673 HCWs), coming from Greece were recruited. A google-forms questionnaire was distributed during April 5-30, 2000 through social networking sites, webpages, and personal contacts of the author amid the lockdown (March 23-May 03). Sociodemographic data were collected. Measures of posttraumatic stress symptoms, posttraumatic growth, resilience, and coping strategies were also administered. Results. Regression analyses demonstrated that resilience and coping strategies were differentially associated with post-trauma outcomes. Resilience and mostly maladaptive coping strategies predicted PTSD and STS. A mixture of adaptive and maladaptive coping strategies predicted PTG for both subgroups. PTSD for the GP and resilience for the HCWs also predicted PTG. Conclusions and implications. The findings contribute to a more comprehensive understanding of the coping strategies used by different population subgroups in dealing with the COVID-19 lockdown in Greece. Enhancing internal resources through supportive services will ameliorate populations’ ability to withstand, recover, and thrive with benefits in their psychological health and well-being.


Author(s):  
Muhammad Salman ◽  
Muhammad Hussnain Raza ◽  
Zia Ul Mustafa ◽  
Tahir Mehmood Khan ◽  
Noman Asif ◽  
...  

Background: High level stress is expected when crises starts affecting people's lives and communities which is witnessed in the past epidemics. Infectious diseases outbreaks like the ongoing COVID19 pandemic have negative impact on healthcare workers' (HCWs) mental health, which needs to be investigated. Therefore, we aimed to assess the psychological impact of COVID-19 on frontline HCWs and their coping strategies. Methods: A web-based, cross-sectional study was conducted among HCWs of the Punjab province of Pakistan. The generalized anxiety scale (GAD-7), patient health questionnaire (PHQ-9) and Brief-COPE were used to assess anxiety, depression and coping strategies of the respondents. Results: The mean age of respondents (N = 398) was 28.67 ± 4.15 years, with majority of medical doctors (52%). The prevalence of anxiety and depression were 21.4% and 21.9%, respectively. There was no significant difference of anxiety and depression scores among doctors, nurses and pharmacists. Females had significantly higher anxiety (p = 0.003) and depression (p = 0.001) scores than males. Moreover, HCWs performing duties in COVID-19 ICU had significantly higher anxiety score than those from isolation wards (p = 0.020) and other departments (p = 0.014). Depression, not anxiety, score were higher among those who did not receive the infection prevention training. Most frequently adopted coping strategy was religious coping (5.98 ± 1.73) followed by acceptance (5.59 ± 1.55) and coping planning (4.91 ± 1.85). Conclusion: A considerable proportion of HCWs are having generalized anxiety and depression during the ongoing COVID-19 pandemic. Our findings call for interventions to mitigate mental health risks in HCWs.


Psychiatriki ◽  
2021 ◽  
Author(s):  
Argyroula Kalaitzaki ◽  
Michael Rovithis

Despite the indisputable negative psychosocial consequences of the COVID-19 pandemic, positive consequences are also possible. Resilience and coping strategies have been assumed to contribute to these outcomes. However, findings are still scarce and inconclusive. The study aimed to examine the role of resilience and coping strategies in the secondary stress for the Greek healthcare workers (HCWs) and in the posttraumatic growth following the COVID-19 lockdown in Greece. A sample of 673 HCWs coming from Greece were recruited. A convenience and snowball mixed sampling procedure were used. A questionnaire was distributed through social networking sites, webpages, and personal contacts of the author. Participants were asked to distribute it to their own contacts. Recruitment occurred during April 5 - 30, 2000, amid the lockdown (March 23-May 03), when people were asked to follow the stringent lockdown constraint enforced by the Greek government. Sociodemographic data were collected. The Secondary Traumatic Stress Scale measured secondary traumatic stress (STS) for the HCWs. The Post-Traumatic Growth Inventory, the Brief Resilience Scale, and the Coping Orientation to Problems Experienced Inventory measured posttraumatic growth, resilience, and coping strategies, respectively. Regression analyses demonstrated that resilience and coping strategies were differentially associated with positive and negative (stress/growth) lockdown outcomes. Resilience and mostly maladaptive coping strategies predicted STS. A mixture of adaptive and maladaptive coping strategies predicted PTG. The so-called “second wave” of the outbreak that started in August 2020 indicates that the study of the psychosocial impact of the COVID-19 pandemic and lockdown and of the internal resources (resilience and coping) to deal with, is necessary. The findings contribute to a more comprehensive understanding of the coping strategies used by population subgroups (e.g., HCWs) in dealing with the COVID-19 lockdown in Greece. Enhancing internal resources through supportive services will ameliorate HCWs ability to withstand, recover, and thrive with benefits in their psychological health and well-being. Despite the indisputable negative psychosocial consequences of the COVID-19 pandemic, positive consequences are also possible. Resilience and coping strategies have been assumed to contribute to these outcomes. However, findings are still scarce and inconclusive. The study aimed to examine the role of resilience and coping strategies in the secondary stress for the Greek healthcare workers (HCWs) and in the posttraumatic growth following the COVID-19 lockdown in Greece. A sample of 673 HCWs coming from Greece were recruited. A convenience and snowball mixed sampling procedure were used. A questionnaire was distributed through social networking sites, webpages, and personal contacts of the author. Participants were asked to distribute it to their own contacts. Recruitment occurred during April 5 - 30, 2000, amid the lockdown (March 23-May 03), when people were asked to follow the stringent lockdown constraint enforced by the Greek government. Sociodemographic data were collected. The Secondary Traumatic Stress Scale measured secondary traumatic stress (STS) for the HCWs. The Post-Traumatic Growth Inventory, the Brief Resilience Scale, and the Coping Orientation to Problems Experienced Inventory measured posttraumatic growth, resilience, and coping strategies, respectively. Regression analyses demonstrated that resilience and coping strategies were differentially associated with positive and negative (stress/growth) lockdown outcomes. Resilience and mostly maladaptive coping strategies predicted STS. A mixture of adaptive and maladaptive coping strategies predicted PTG. The so-called “second wave” of the outbreak that started in August 2020 indicates that the study of the psychosocial impact of the COVID-19 pandemic and lockdown and of the internal resources (resilience and coping) to deal with, is necessary. The findings contribute to a more comprehensive understanding of the coping strategies used by population subgroups (e.g., HCWs) in dealing with the COVID-19 lockdown in Greece. Enhancing internal resources through supportive services will ameliorate HCWs ability to withstand, recover, and thrive with benefits in their psychological health and well-being.


2021 ◽  
Vol 12 ◽  
Author(s):  
Alexis Vancappel ◽  
Eline Jansen ◽  
Nawal Ouhmad ◽  
Thomas Desmidt ◽  
Bruno Etain ◽  
...  

Background: COVID-19 sanitary crisis is associated with emotional difficulties such as depression, anxiety and reactional post-traumatic symptoms among healthcare workers. Indeed, healthcare workers were particularly exposed to COVID-19 sanitary crisis. This study aimed to investigate the effects of exposure to COVID-19 sanitary crisis on affective symptoms (anxiety, post-traumatic stress, burnout) among French healthcare workers and the mediating role of cognitive emotion regulation strategies (positive re-evaluation and set in perspective) and coping strategies (active coping, planning, instrumental support, emotional support, emotional expression, positive reappraisal, acceptance, denial, blame, humor, religion, distraction, substance use, behavioral disengagement).Method: This cross-sectional survey-based study collected demographic data and mental health measurements from 1,010 volunteers (838 women) who consented online to participate, from March 24 to June 28, 2020, in France. Participants filled out online questionnaires and visual analogic scales that evaluate affective symptoms related to the COVID-19 sanitary crisis, namely symptoms of post-traumatic stress, burnout, emotion regulation abilities, and coping abilities.Results: The majority (57.8%) of the participants presented post-traumatic symptoms. Depending on the sub-dimensions evaluated, a proportion of participants reported moderate (25.9–31.2%) to severe (17.2–40.7%) burnout symptoms. We found a significant effect of the level of exposure to COVID-19 on affective symptoms. Being a woman, having a lower job position and having less experience were associated with higher level of affective symptoms. Moreover, coping strategies had a mediating effect on the relation between stress and burnout, supporting the coping reserve model.Conclusion: Post-traumatic and burnout symptoms were highly prevalent among French healthcare workers at the beginning of the COVID-19 crisis. Exposure to COVID-19 is a determining factor. We can thus promote both coping training and a good environment to limit the emotional consequences of exposure to COVID-19.


2020 ◽  
Author(s):  
Maria Laura Bettinsoli ◽  
Daniela Di Riso ◽  
Jaime Napier ◽  
Lorenzo Moretti ◽  
Pierfrancesco Bettinsoli ◽  
...  

Background–The pandemic of COVID-19 in Italy represents a unique threat in terms of psychological distress, especially among healthcare professionals. This study represents a first attempt to investigate both the psychological states and coping strategies of Italian healthcare professionals during the COVID-19 outbreak. Importantly, we assessed psychological distress and coping strategies regarding two phases, pre-COVID (asking participants to retrospectively recall their state in December 2019) and during the time of survey, which was in the midst of the COVID emergency outbreak (March-April 2020).Methods–Self-administered questionnaires were distributed online to healthcare professionals of different Italian regions from March 26 to April 9, 2020. The questionnaire included three main sections measuring changes in psychological states, coping strategies and demographic variables. Two linear regression models were run to analyze variations in both general health and infection-risk perception depending on changes in psychological states, coping strategies, personality trait, and demographic variables.Results– Altogether, the direct exposure to the virus and a negative impact of the COVID-19 emergency outbreak on contextual psychological functioning contribute to the deterioration of physical and mental health, which may lead to severe future consequences for Italian healthcare workers, if not provided immediately with an effective support program. Conclusions– Both immediate and long-term monitoring psychological assistance services for healthcare workers should be implemented by local and national institutions to reestablish psychological well-being and enhance self-confidence and resilience of Italian hospital personnel. These intervention programs should especially target women, and professionals at their first steps into the hospital job.


2021 ◽  
Vol 11 ◽  
Author(s):  
Carla Canestrari ◽  
Ramona Bongelli ◽  
Alessandra Fermani ◽  
Ilaria Riccioni ◽  
Alessia Bertolazzi ◽  
...  

The study aimed to understand how coping strategies in general and humor-based coping strategies in particular modulate the perception of pandemic-related stress in a sample of Italian healthcare workers during the coronavirus disease (COVID-19) outbreak in Italy. A total of 625 healthcare workers anonymously and voluntarily completed a 10-min questionnaire, which included psychometrically valid measurements preceded by a set of questions aimed at determining workers’ exposure to COVID-19. The Perceived Stress Scale was used to measure healthcare workers’ stress levels, and the Brief COPE Scale and Coping Humor Scale were used to assess participants’ avoidant or approach coping style and verify the degree to which they relied on humor to cope with stress. The results show that (1) levels of perceived stress were higher in healthcare workers who were more exposed to COVID-19 (i.e., who came into contact with COVID-19 patients or worked in wards dedicated to COVID-19) in comparison to less-exposed workers; (2) participants who reported a higher use of avoidant coping strategies perceived the situation as more stressful than those who used them less; and (3) healthcare workers who reported higher use of humor-based coping strategies perceived the situation as less stressful in comparison with those who reported less use of coping humor. Such findings expanded other research studies by including coping humor as a potential factor to mitigate the perceived stress related to COVID-19. The paper concludes with a discussion of implications for future research and limitations of the study.


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