Volume 10, Issue 3 (2022)                   Health Educ Health Promot 2022, 10(3): 443-449 | Back to browse issues page

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Hosseini F, Ghobadi K, Ghaffari M, Rakhshanderou S. Post-Traumatic Stress Disorder in Iranian Healthcare Workers Dealing with COVID-19 Pandemic. Health Educ Health Promot 2022; 10 (3) :443-449
URL: http://hehp.modares.ac.ir/article-5-59195-en.html
1- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract:   (1484 Views)
Aims: Post-Traumatic Stress Disorder is a psychological disorder affecting a person directly or indirectly that may appear as a threat to physical security, death or death threat, natural disasters, war, etc. The purpose of this study was to assess post-traumatic stress disorder in Iranian healthcare workers dealing with COVID-19.
Instrument & Methods: The present study was conducted cross-sectional and online, from 5 May to 23 August 2020, on 418 Iranian healthcare workers, including (physicians, nurse & laboratory technicians, health workers, administrative staff, and radiologists). Data were collected using an electronic questionnaire through the Porsline site by convenience sampling method. Data were analyzed using descriptive statistics, t-test, and ANOVA in SPSS 16 software.
Findings: Most participants in the study (40.4%) were in the age group of 30 to 39 years. Out of 286 individuals who had reported post-traumatic stress disorder symptoms, the majority were women (73.1%) and married (71.3%). Among the healthcare workers with post-traumatic stress disorder, 16% had mild, 14.8% had moderate, 37.6% had severe symptoms, and 31.6% were asymptomatic. Post-traumatic stress disorder had a statistically significant relationship to gender, type of employment, smoking, a history of specific diseases, the probability of coronavirus exposure, and a history of contact with a COVID-19 patient (p<0.05).
Conclusion: Two-thirds of healthcare workers had some degree of post-traumatic stress disorder. Due to the professional and vital importance and role of this group in health systems and communities, providing appropriate psychological solutions and techniques and tailored interventions to promote the physical and mental health of healthcare workers must be considered in priority.
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Article Type: Descriptive & Survey | Subject: Health Promotion Setting
Received: 2022/02/1 | Accepted: 2022/04/9 | Published: 2022/07/3
* Corresponding Author Address: School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran (s_rakhshanderou@yahoo.com)

References
1. Vizheh M, Qorbani M, Arzaghi SM, Muhidin S, Javanmard Z, Esmaeili M. The mental health of healthcare workers in the COVID-19 pandemic: A systematic review. J Diabetes Metab Disord. 2020;19(2):1967-78. [Persian] [Link] [DOI:10.1007/s40200-020-00643-9]
2. Velavan TP, Meyer CG. The COVID‐19 epidemic. Trop Med Int Health. 2020;25(3):278-80. [Link] [DOI:10.1111/tmi.13383]
3. Rodríguez BO, Sánchez TL. The psychosocial impact of COVID-19 on health care workers. Int Braz J Urol. 2020;46(Suppl 1):195-200. [Portuguese] [Link] [DOI:10.1590/s1677-5538.ibju.2020.s124]
4. Baud D, Qi X, Nielsen-Saines K, Musso D, Pomar L, Favre G. Real estimates of mortality following COVID-19 infection. Lancet Infect Dis. 2020;20(7):773. [Link] [DOI:10.1016/S1473-3099(20)30195-X]
5. Forte G, Favieri F, Tambelli R, Casagrande M. COVID-19 pandemic in the Italian population: Validation of a post-traumatic stress disorder questionnaire and prevalence of PTSD symptomatology. Int J Environ Res Public Health. 2020;17(11):4151. [Link] [DOI:10.3390/ijerph17114151]
6. d'Ettorre G, Ceccarelli G, Santinelli L, Vassalini P, Innocenti GP, Alessandri F, et al. Post-traumatic stress symptoms in healthcare workers dealing with the COVID-19 pandemic: A systematic review. Int J Environ Res Public Health. 2021;18(2):601. [Link] [DOI:10.3390/ijerph18020601]
7. Garzaro G, Clari M, Ciocan C, Grillo E, Mansour I, Godono A, et al. COVID-19 infection and diffusion among the healthcare workforce in a large university-hospital in northwest Italy. La Med Lav. 2020;111(3):184-94. [Link] [DOI:10.2139/ssrn.3578806]
8. Ying Y, Ruan L, Kong F, Zhu B, Ji Y, Lou Z. Mental health status among family members of health care workers in Ningbo, China, during the coronavirus disease 2019 (COVID-19) outbreak: A cross-sectional study. BMC Psychiatry. 2020;20(1):379. [Link] [DOI:10.1186/s12888-020-02784-w]
9. Peters L, Slade T, Andrews G. A comparison of ICD10 and DSM‐IV criteria for posttraumatic stress disorder. J Trauma Stress. 1999;12(2):335-43. [Link] [DOI:10.1023/A:1024732727414]
10. Cabarkapa S, Nadjidai SE, Murgier J, Ng CH. The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review. Brain Behav Immun Health. 2020;8:100-44. [Link] [DOI:10.1016/j.bbih.2020.100144]
11. Dutheil F, Mondillon L, Navel V. PTSD as the second tsunami of the SARS-Cov-2 pandemic. Psychol Med. 2021;51(10):1773-4. [Link] [DOI:10.1017/S0033291720001336]
12. Fischer II WA, Hynes NA, Perl TM. Protecting health care workers from Ebola: Personal protective equipment is critical but is not enough. Ann Intern Med. 2014;161(10):753-4. [Link] [DOI:10.7326/M14-1953]
13. Ornell F, Halpern SC, Kessler FHP, Narvaez JCdM. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cadernos de Saude Publica. 2020;36:e00063520. [Link] [DOI:10.1590/0102-311x00063520]
14. Wu KK, Chan KS. The development of the Chinese version of impact of event scale--revised (CIES-R). Soc Psychiatry Psychiatr Epidemiol. 2003;38(2):94-8. [Link] [DOI:10.1007/s00127-003-0611-x]
15. Brunet A, St-Hilaire A, Jehel L, King S. Validation of a French version of the impact of event scale-revised. Can J Psychiatry. 2003;48(1):56-61. [Link] [DOI:10.1177/070674370304800111]
16. Creamer M, Bell R, Failla S. Psychometric properties of the impact of event scale-revised. Behav Res Ther. 2003;41(12):1489-96. [Link] [DOI:10.1016/j.brat.2003.07.010]
17. Panaghi L, Hakim Shooshtari M, Atari Mogadam J. Persian version validation in impact of event scale-revised. Tehran Univ Med J. 2006;64(3):52-60. [Persian] [Link]
18. Sheikhbardsiri H, Tirgari B, Iranmanesh S. Post-traumatic stress disorder among hospital emergency personnel in south-east of Iran. World J Emerg Med. 2013;4(1):26-31. [Persian] [Link] [DOI:10.5847/wjem.j.issn.1920-8642.2013.01.005]
19. Si MY, Su XY, Jiang Y, Wang WJ, Gu XF, Ma L, et al. Psychological impact of COVID-19 on medical care workers in China. Infect Dis Poverty. 2020;9(1):1-13. [Link] [DOI:10.1186/s40249-020-00724-0]
20. Wang Y-X, Guo H-T, Du X-W, Song W, Lu C, Hao W-N. Factors associated with post-traumatic stress disorder of nurses exposed to corona virus disease 2019 in China. Medicine. 2020;99(26):e20965. [Link] [DOI:10.1097/MD.0000000000020965]
21. Lai J, Ma S, Wang Y, Cai Z, Hu J, et al. Factors associated with mental health outcomes among health care workers exposed to Coronavirus disease 2019. JAMA. 2020;3(3):e203976-e. [Link] [DOI:10.1001/jamanetworkopen.2020.3976]
22. Wu KK, Chan SK, Ma TM. Posttraumatic stress after SARS. Emerg Infect Dis. 2005;11(8):1297-300. [Link] [DOI:10.3201/eid1108.041083]
23. Lowe SR, Ratanatharathorn A, Lai BS, van der Mei W, Barbano AC, Bryant RA, et al. Posttraumatic stress disorder symptom trajectories within the first year following emergency department admissions: pooled results from the international consortium to predict PTSD. Psychol Med. 2021;51(7):1129-39. [Link] [DOI:10.1017/S0033291719004008]
24. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;6(17):1729. [Link] [DOI:10.3390/ijerph17051729]
25. Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: Effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Med. 2020;75:12-20. [Link] [DOI:10.1016/j.sleep.2020.05.011]
26. Tang L, Pan L, Yuan L, Zha L. Prevalence and related factors of post-traumatic stress disorder among medical staff members exposed to H7N9 patients. Int J Nurs Sci. 2016;4(1):63-7. [Link] [DOI:10.1016/j.ijnss.2016.12.002]
27. Tolin DF, Foa EB. Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychol Bull. 2006;132(6):959-92. [Link] [DOI:10.1037/0033-2909.132.6.959]
28. Zhang LP, Zhao Q, Luo ZC, Lei YX, Wang Y, Wang PX. Prevalence and risk factors of posttraumatic stress disorder among survivors five years after the "Wenchuan" earthquake in China. Health Qual Life Outcomes. 2015;13(1):1-7. [Link] [DOI:10.1186/s12955-015-0247-z]
29. Shi L, Wang L, Jia X, Li Z, Mu H, Liu X, et al. Prevalence and correlates of symptoms of post-traumatic stress disorder among Chinese healthcare workers exposed to physical violence: A cross-sectional study. BMJ Open. 2017;7(7):e016810. [Link] [DOI:10.1136/bmjopen-2017-016810]
30. Freedman SA, Gluck N, Tuval-Mashiach R, Brandes D, Peri T, Shalev AY. Gender differences in responses to traumatic events: A prospective study. J Trauma Stress. 2002;15(5):407-13. [Link] [DOI:10.1023/A:1020189425935]

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