Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait City 12037, Kuwait.
Department of Pharmaceutical Sciences and Clinical Pharmacy, Isra University, Amman 33, Jordan.
Int J Environ Res Public Health. 2021 Feb 23;18(4):2203. doi: 10.3390/ijerph18042203.
OBJECTIVES: This study aimed to assess the impact of the COVID-19 pandemic on the mental health status of healthcare professionals (HCPs) and undergraduate students in the health sciences center (HSCUs). In addition, it explored the factors associated with the increased levels of mental health burden among the study population. METHODS: A cross-sectional study was performed using two online-administered questionnaires: the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder 7-item (GAD-7), which were distributed in parallel to HCPs and HSCUs in Kuwait. These instruments are validated assessment scales to assess mental health status: depression (PHQ-9) and anxiety (GAD-7). Statistical analyses were carried out using SPSS- version 25. RESULTS: A total of 857 individuals (559 HCPs and 298 HSCUs) participated in this study. The prevalence of moderately severe depression or severe depression (PHQ-9 total score of ≥15) among respondents was 66.6%. The median (interquartile range, IQR) PHQ-9 score was significantly higher among HSCUs (20 {11.5}) compared to HCPs (17 {8}). The prevalence of severe anxiety (GAD-7 total score of ≥15) among respondents was 36.7%. There were no significant differences between the median (IQR) GAD-7 scores among the HCPs (14 {7}) and HSCUs (13 {8}). Binary logistic regression analysis revealed that three variables were significantly and independently associated with severe depression among HCPs. The prevalence of severe depression was found to be greater among females compared to males. In addition, it was significantly lower among those who were aged ≥50 years, and those who reported that they were not in direct contact with COVID-19 patients. Among HSCUs, females showed greater depression than males. In contrast, those aged >29 years and who had no history of chronic disease showed lower depression compared to their counterparts in the 18-29 years age group and who had a chronic disease history. CONCLUSIONS: The COVID-19 pandemic had a significant negative impact on the mental health of HCPs and HSCUs in Kuwait. This highlights the need for proactive efforts to support their mental health and well-being through educational campaigns and psychological support programs.
目的：本研究旨在评估 COVID-19 大流行对医疗保健专业人员（HCPs）和健康科学中心（HSCUs）大学生心理健康状况的影响。此外，还探讨了与研究人群心理健康负担增加相关的因素。
方法：采用横断面研究，使用两种在线管理的问卷：患者健康问卷（PHQ-9）和广泛性焦虑症 7 项（GAD-7），同时向科威特的 HCPs 和 HSCUs 分发。这些工具是经过验证的评估量表，用于评估心理健康状况：抑郁（PHQ-9）和焦虑（GAD-7）。使用 SPSS-版本 25 进行统计分析。
结果：共有 857 人（559 名 HCPs 和 298 名 HSCUs）参加了这项研究。受访者中中度至重度抑郁或重度抑郁（PHQ-9 总分≥15）的患病率为 66.6%。HSCUs 的 PHQ-9 中位数（四分位距，IQR）得分明显高于 HCPs（20{11.5}比 17{8}）。受访者中严重焦虑（GAD-7 总分≥15）的患病率为 36.7%。HCPs（14{7}）和 HSCUs（13{8}）的 GAD-7 中位数（IQR）得分无显著差异。二元逻辑回归分析显示，有三个变量与 HCPs 的重度抑郁显著相关。女性的重度抑郁患病率高于男性。此外，年龄≥50 岁且未直接接触 COVID-19 患者的患者患病率显著降低。在 HSCUs 中，女性比男性抑郁程度更高。相反，年龄>29 岁且无慢性病史的人比年龄在 18-29 岁的人且有慢性病史的人抑郁程度更低。
结论：COVID-19 大流行对科威特 HCPs 和 HSCUs 的心理健康产生了重大负面影响。这凸显了需要通过教育宣传和心理支持计划积极努力支持他们的心理健康和福祉。
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