Modhurima Moitra1,2, Muhammad Rahman1, Pamela Y Collins1,3, Fatima Gohar4, Marcia Weaver1,2, John Kinuthia1,5, Wulf Rössler6, Stefan Petersen7, Jurgen Unutzer1,3, Shekhar Saxena8, Keng Yen Huang9, Joanna Lai4, Manasi Kumar1,10,11. 1. Department of Global Health, University of Washington, Seattle, WA, United States. 2. Department of Health Metrics Sciences, University of Washington, Seattle, WA, United States. 3. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States. 4. United Nations International Children's Emergency Fund (UNICEF), New York City, NY, United States. 5. Kenyatta National Hospital, Nairobi, Kenya. 6. Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry, University of Zurich, Zurich, Switzerland. 7. Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. 8. Department of Global Health and Population, Harvard T H Chan School of Public Health, Harvard University, MA, United States. 9. Department of Population Health & Child and Adolescent Psychiatry, New York University, New York City, NY, United States. 10. Department of Psychiatry, University of Nairobi, Nairobi, Kenya. 11. Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Abstract
Background: The COVID-19 pandemic has had a significant impact on the mental health of healthcare workers (HCWs) particularly in low and middle-income countries (LMICs). This scoping review provides a summary of current evidence on the mental health consequences of COVID on HCWs. Methods: A scoping review was conducted searching PubMed and Embase for articles relevant to mental health conditions among HCWs during COVID-19. Relevant articles were screened and extracted to summarize key outcomes and findings. Results: A total of fifty-one studies were included in this review. Depressive symptoms, anxiety symptoms, psychological trauma, insomnia and sleep quality, workplace burnout and fatigue, and distress were the main outcomes reviewed. Most studies found a high number of symptoms endorsed for depression, anxiety, and other conditions. We found differences in symptoms by sex, age, and HCW role, with female, younger-aged, frontline workers, and non-physician workers being affected more than other subgroups. Conclusion: This review highlights the existing burden of mental health conditions reported by HCWs during COVID-19. It also demonstrates emerging disparities among affected HCW subgroups. This scoping review emphasizes the importance of generating high quality evidence and developing informed interventions for HCW mental health with a focus on LMICs.
Background: The COVID-19 pandemic has had a significant impact on the mental health of healthcare workers (HCWs) particularly in low and middle-income countries (LMICs). This scoping review provides a summary of current evidence on the mental health consequences of COVID on HCWs. Methods: A scoping review was conducted searching PubMed and Embase for articles relevant to mental health conditions among HCWs during COVID-19. Relevant articles were screened and extracted to summarize key outcomes and findings. Results: A total of fifty-one studies were included in this review. Depressive symptoms, anxiety symptoms, psychological trauma, insomnia and sleep quality, workplace burnout and fatigue, and distress were the main outcomes reviewed. Most studies found a high number of symptoms endorsed for depression, anxiety, and other conditions. We found differences in symptoms by sex, age, and HCW role, with female, younger-aged, frontline workers, and non-physician workers being affected more than other subgroups. Conclusion: This review highlights the existing burden of mental health conditions reported by HCWs during COVID-19. It also demonstrates emerging disparities among affected HCW subgroups. This scoping review emphasizes the importance of generating high quality evidence and developing informed interventions for HCW mental health with a focus on LMICs.
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