The impact of COVID-19 pandemic on mental health of health care workers

Bener A., ATAK M., Kurtuluş D., Koyuncu O., BARIŞIK C. C., Bhugra D., ...More

Minerva Psychiatry, vol.63, no.4, pp.339-346, 2022 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 63 Issue: 4
  • Publication Date: 2022
  • Doi Number: 10.23736/s2724-6612.21.02230-2
  • Journal Name: Minerva Psychiatry
  • Journal Indexes: Scopus
  • Page Numbers: pp.339-346
  • Keywords: Anxiety, Burnout, professional, COViD-19, Depression, Fear, Public health
  • Istanbul Medipol University Affiliated: Yes


Background: this study investigated the impact of cOViD-19 on professional (hcWs) health care workers’ mental health and the prevalence of depression, anxiety, fear and stress related to their workload. METHODS: This is a cross-sectional survey including 1,554 male and female participants aged 20-65 years in Turkey who completed the 21-item Depression, anxiety, stress scale (Dass-21), Burnout and Fear of cOViD-19 scale (FcV-19s). Bivariate and multivariate regression analyses were performed. RESULTS: Significant differences were found between two groups defined as HCWs-frontline and non-frontline, in the following characteristics: (P=0.013), gender (P<0.001), education (P<0.001), occupational status (P<.001), income (P=0.003), working-years experience (P<0.001), number hospital rooms assigned (P=0.024), number of persons living with (P=0.024), and smoking habits (P=0.018). The findings showed that the prevalence of depression anxiety and stress was significantly higher among the frontline workers when compared to non-frontline ones (all P≤0.018). They also reported significantly higher scores of fear of COVID-19 for all items (P<0.001). The mean scores of burnout items were significantly higher among frontline-HCWs as well as all items regarding the COVID-19 (P<0.001). The multivariate stepwise regression analysis confirmed Predictors for depression were: feeling the burnout (physical / mental exhaustion), feeling emotionally exhausted from work, clammy hand, number of years of work experience, fear of family members catching infection, can’t sleep because the risk of getting cOViD-19. Meanwhile, hardworking, number of years at work, feeling depressed and burnout (physical / mental exhaustion) form current COVID-19 work, were all considered main risk factors for anxiety. CONCLUSIONS: The findings of this study determined that fear and burnout related COVID-19 were significantly associated with high scores of depression, anxiety, and stress among frontline-hcWs, which requires immediate action and support.