The prevalence and associated factors of depression, anxiety, and PTSD among Moroccan medical doctors in the COVID-19 pandemic: a national study

被引:5
作者
Touhami, Youssef Ouazzani Housni [1 ,2 ]
Maiouak, Moncef [3 ,4 ]
Ouraghene, Amal [1 ,2 ]
Hammani, Zakaria [5 ]
Abdi, Cheikh Mommed Fadel [1 ,2 ]
Benhammou, Imane [1 ,2 ]
Tahiri, Sophia [1 ]
Rabhi, Samira [2 ,6 ]
Bennani, Bahia [7 ]
Bout, Amine [1 ,2 ]
Aarab, Chadya [1 ,2 ]
Boujraf, Said [2 ]
El Fakir, Samira [3 ,4 ]
Aalouane, Rachid [1 ,2 ]
机构
[1] Hassan II Univ Hosp, Psychiat Dept, Fes, Morocco
[2] Sidi Mohamed Ben Abdellah Univ USMBA, Fac Med Pharm & Dent Med Fez, Clin Neurosci Lab, Fes, Morocco
[3] Sidi Mohammed Ben Abdellah Univ USMBA, Fac Med Pharm & Dent Med Fez, Epidemiol Dept, Fes, Morocco
[4] Sidi Mohammed Ben Abdellah Univ USMBA, Fac Med Pharm & Dent Med Fez, Lab Epidemiol Community Hlth & Clin Res, Fes, Morocco
[5] Moulay Ismail Mil Univ Hosp, Psychiat Dept, Meknes, Morocco
[6] Hassan II Univ Hosp, Internal Med Dept, Fes, Morocco
[7] Sidi Mohammed Ben Abdellah Univ USMBA, Lab Human Pathol Biomed & Environm, Fac Med Pharm & Dent Med Fez, URL CNRST N15, Fes, Morocco
关键词
COVID-19; pandemic; depression; anxiety; PTSD; medical doctors; ACUTE RESPIRATORY SYNDROME; HEALTH-CARE WORKERS; POSTTRAUMATIC-STRESS-DISORDER; PSYCHOLOGICAL IMPACT; HOSPITAL WORKERS; MENTAL-HEALTH; SARS; OUTBREAK; NURSES; MORBIDITY;
D O I
10.1080/13548506.2022.2067574
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
COVID-19 pandemic is facing healthcare professionals with unprecedented challenges, which might alter their mental health. We targeted assessing depression, generalized anxiety, and post-traumatic stress disorder (PTSD) of Moroccan medical doctors during the COVID-19 pandemic; this would allow identifying the associated factors. A cross-sectional national study was carried out on 1267 exposed and unexposed public health medical doctors to COVID-19 patients. The study was conducted between May 15 and 15 June 2020. An anonymous self-administered questionnaire was completed online voluntarily and randomly. We used the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder (GAD-7), and the PTSD Checklist for DSM-5 (PCL-5) to assess depression, generalized anxiety, and PTSD, respectively. The respondents' rate was 63.3%. The mean age was 30.97 +/- 6.65 years old, and 59.3% (N = 751) were females with a sex ratio M/F of 0.68. The sample included 43.0% (N = 545) of COVID-19 frontline doctors. Among all participants, 31.5% (N = 400) had depression, 29.2% (N = 370) had generalized anxiety, and 21.7% (N = 276) had PTSD. The average scores of the PHQ-9, the GAD-7, and the PCL-5 were 7.79 (+/- 5.54), 6.12 (+/- 5.72), and 18.58 (+/- 17.62), respectively. The multivariate logistic regression showed that working in primary and secondary hospitals, moderate and high-stress perceptions, a chronic physical illness, and a family history of psychiatric disorder were independently associated factors of depression, generalized anxiety, and PTSD. The females expressed significantly more anxiety. Doctors living in a family consisting of member with chronic disease showed a significantly higher risk of PTSD. The security sense of contamination risk and low threat perception of COVID-19 were significantly protective factors of depression, anxiety, and PTSD. Moroccan medical doctors are in psychological distress. It is essential to preserve medical doctors' mental well-being health for a better fight against the COVID-19 pandemic through effective and targeted health policies.
引用
收藏
页码:211 / 224
页数:14
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