Hasan M Tasdik, Hossain Sahadat, Safa Farhana, Anjum Afifa, Khan Abid Hasan, Koly Kamrun Nahar, Alam Syeda Fatema, Rafi Md Abdur, Podder Vivek, Trisa Tonima Islam, Nodi Rhedeya Nury, Azad Dewan Tasnia, Ashraf Fatema, Akther S M Quamrul, Ahmed Helal Uddin, Rosenbaum Simon, Thornicroft Graham
Public Health Foundation, Bangladesh (PHF, BD), Dhaka, Bangladesh.
Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Glob Ment Health (Camb). 2022 May 24;9:285-297. doi: 10.1017/gmh.2022.30. eCollection 2022.
In addition to risking their physical well-being, frontline physicians are enduring significant emotional burden both at work and home during the coronavirus disease 2019 (COVID-19) pandemic. This study aims to investigate the levels of anxiety and depressive symptoms and to identify associated factors among Bangladeshi physicians during the COVID-19 outbreak.
A cross-sectional study using an online survey following a convenience sampling technique was conducted between April 21 and May 10, 2020. Outcomes assessed included demographic questions, COVID-19 related questions, and the Hospital Anxiety and Depression Scale (HADS).
The survey was completed by 412 Bangladeshi physicians. The findings revealed that, in terms of standardized HADS cut-off points, the prevalence of anxiety and depressive symptoms among physicians was 67.72% and 48.5% respectively. Risk factors for higher rates of anxiety or depressive symptoms were: being female, physicians who had experienced COVID-19 like symptoms during the pandemic, those who had not received incentives, those who used self-funded personal protective equipment (PPE), not received adequate training, lacking perceived self-efficacy to manage COVID-19 positive patients, greater perceived stress of being infected, fear of getting assaulted/humiliated, being more connected with social media, having lower income levels to support the family, feeling more agitated, less than 2 h of leisure activity per day and short sleep duration. All these factors were found to be positively associated with anxiety and depression in unadjusted and adjusted statistical models.
This study identifies a real concern about the prevalence of anxiety and depressive symptoms among Bangladeshi physicians and identifies several associated factors during the COVID-19 pandemic. Given the vulnerability of the physicians in this extraordinary period whilst they are putting their own lives at risk to help people infected by COVID-19, health authorities should address the psychological needs of medical staff and formulate effective strategies to support vital frontline health workers.
在2019冠状病毒病（COVID-19）大流行期间，一线医生除了身体面临风险外，在工作和家庭中都承受着巨大的情感负担。本研究旨在调查孟加拉国医生在COVID-19疫情期间的焦虑和抑郁症状水平，并确定相关因素。
采用便利抽样技术，于2020年4月21日至5月10日进行了一项在线横断面研究。评估的结果包括人口统计学问题、与COVID-19相关的问题以及医院焦虑抑郁量表（HADS）。
412名孟加拉国医生完成了调查。结果显示，按照HADS标准化的临界值，医生中焦虑和抑郁症状的患病率分别为67.72%和48.5%。焦虑或抑郁症状发生率较高的危险因素包括：女性、在疫情期间出现过类似COVID-19症状的医生、未获得激励的医生、使用自费个人防护装备（PPE）的医生、未接受充分培训的医生、对管理COVID-19阳性患者缺乏自我效能感的医生、感知到的感染压力更大、担心受到攻击/羞辱、与社交媒体联系更紧密、家庭收入水平较低、感觉更烦躁、每天休闲活动少于2小时以及睡眠时间短。在未调整和调整后的统计模型中，所有这些因素均与焦虑和抑郁呈正相关。
本研究确定了对孟加拉国医生中焦虑和抑郁症状患病率的实际担忧，并确定了COVID-19大流行期间的几个相关因素。鉴于在这一特殊时期医生们冒着生命危险帮助COVID-19感染者，卫生当局应关注医务人员的心理需求，并制定有效策略来支持至关重要的一线医护人员。
