Public Health and Community Medicine Department, Faculty of Medicine, Occupational Health and Industrial Medicine, Mansoura University, Mansoura, Egypt.
Egyptian Forensic Medicine Authority, Ministry of Justice, Cairo, Egypt.
Int Arch Occup Environ Health. 2021 May;94(4):731-740. doi: 10.1007/s00420-020-01624-4. Epub 2021 Jan 4.
The current study's main objective was to measure the prevalence of psychological distress and its associated factors among Egyptian physicians during the COVID-19 pandemic. Perceived stressors and coping strategies were also explored.
A cross-sectional study on 714 physicians was carried out using an online administered questionnaire. The questionnaire included sociodemographic and occupational data, data related to the current pandemic, Kessler psychological distress scale, and the brief resilient coping scale. Multivariable logistic regression analysis was performed to identify significant predictors.
About 50% of physicians had severe psychological distress. Among studied physicians, the significant predictors were being female, having a pre-existing illness, having an elderly family member, and being in close contact with a case (AOR 1.6, 1.6, 1.4 and 1.7, respectively). Meanwhile, significant occupational predictors were less experienced and frontline physicians (AOR 2.0 and 1.8, respectively). The most distressful concern was fear for families and personal health and safety, while religious coping was the most effective coping strategy.
During the current pandemic, Egyptian physicians have a high prevalence of psychological distress. Frontline, low-experienced, female, previously ill physicians are more likely to have severe psychological distress. Therefore, psychological preparedness and psychological support services should be implemented and made easily accessible during pandemics.
本研究的主要目的是衡量 COVID-19 大流行期间埃及医生的心理困扰发生率及其相关因素。还探讨了感知压力源和应对策略。
使用在线管理问卷对 714 名医生进行了横断面研究。问卷包括社会人口统计学和职业数据、与当前大流行相关的数据、凯斯勒心理困扰量表和简要韧性应对量表。进行多变量逻辑回归分析以确定显著预测因素。
约 50%的医生有严重的心理困扰。在研究的医生中,有显著预测作用的因素是女性、有既往疾病、有老年家庭成员和与病例密切接触(OR 分别为 1.6、1.6、1.4 和 1.7)。同时,显著的职业预测因素是经验较少和一线医生(OR 分别为 2.0 和 1.8)。最困扰的问题是对家庭和个人健康与安全的担忧,而宗教应对是最有效的应对策略。
在当前大流行期间,埃及医生的心理困扰发生率较高。一线、经验较少、女性、患有既往疾病的医生更有可能出现严重的心理困扰。因此,应在大流行期间实施心理准备和心理支持服务,并使其易于获得。