Department of Noncommunicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka, Mirpur, 1216, Bangladesh.
School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada.
F1000Res. 2020 Nov 6;9:1304. doi: 10.12688/f1000research.27189.3. eCollection 2020.
Frontline doctors are the most vulnerable and high-risk population to get the novel coronavirus disease 2019 (COVID-19) infection. Hence, we aimed to evaluate the anxiety, depression, sleep disturbance and fear of COVID-19 among frontline doctors of Bangladesh during the pandemic, and the associated factors for these psychological symptoms. In total, 370 frontline doctors who were involved in the treatment of suspected or confirmed COVID-19 patients during the pandemic took part in an online cross-sectional study. Recruitment was completed using convenience sampling and the data were collected after the start of community transmission of COVID-19 in the country. Anxiety and depression, sleep disturbance, and fear of COVID-19 were assessed by the Patient Health Questionnaire-4, two-item version of the Sleep Condition Indicator, and the Fear of Coronavirus-19 scale, respectively. Socio-demographic information, health service-related information, co-morbidity, and smoking history were collected for evaluating risk factors. The proportion of psychological symptoms were presented using descriptive statistics and the associated factors were identified using multinomial logistic regression analysis. Of the doctors, 36.5% had anxiety, 38.4% had depression, 18.6% had insomnia, and 31.9% had fear of COVID-19. In multinomial logistic regression, inadequate resources in the workplace were found as the single most significant predictor for all psychological outcomes: anxiety and/or depression (severe, OR 3.0, p=0.01; moderate, OR 5.3, p=0.000; mild, OR 2.3, p=0.003), sleep disturbance (moderate, OR 1.9, p=0.02), and fear of COVID-19 (severe, OR 1.9, p=0.03; moderate, OR 1.8, p=0.03). The study demonstrated a high burden of psychological symptoms among frontline doctors of Bangladesh during the COVID-19 pandemic situation. Inadequate resources are contributing to the poor mental health of Bangladeshi doctors. The supply of sufficient resources in workplaces and mental health counseling may help to mitigate the burden of the psychological symptoms identified among the respondents..
一线医生是感染 2019 年新型冠状病毒病（COVID-19）的最脆弱和高风险人群。因此，我们旨在评估孟加拉国一线医生在大流行期间的焦虑、抑郁、睡眠障碍和对 COVID-19 的恐惧，并评估这些心理症状的相关因素。共有 370 名参与治疗疑似或确诊 COVID-19 患者的一线医生参加了这项在线横断面研究。通过方便抽样招募参与者，在该国 COVID-19 社区传播开始后收集数据。通过患者健康问卷-4、睡眠状况指标的两项版本和对冠状病毒-19 的恐惧量表评估焦虑和抑郁、睡眠障碍和对 COVID-19 的恐惧。收集社会人口统计学信息、卫生服务相关信息、合并症和吸烟史，以评估危险因素。使用描述性统计数据呈现心理症状的比例，并使用多项逻辑回归分析确定相关因素。在这些医生中，36.5%有焦虑，38.4%有抑郁，18.6%有失眠，31.9%有对 COVID-19 的恐惧。在多项逻辑回归中，工作场所资源不足被发现是所有心理结果的唯一最重要预测因素：焦虑和/或抑郁（严重，OR3.0，p=0.01；中度，OR5.3，p=0.000；轻度，OR2.3，p=0.003），睡眠障碍（中度，OR1.9，p=0.02），以及对 COVID-19 的恐惧（严重，OR1.9，p=0.03；中度，OR1.8，p=0.03）。研究表明，孟加拉国 COVID-19 大流行期间一线医生的心理症状负担沉重。资源不足导致孟加拉国医生的心理健康状况不佳。在工作场所提供充足的资源和心理健康咨询可能有助于减轻受访者的心理症状负担。
