Psychological impact of COVID -19 pandemic on frontline health care workers in Bangladesh: A cross-sectional study

Authors

  • Mohammad Shamsul Ahsan Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Suman Ahmed Tees, Esk & Wear Valleys NHS Foundation Trust, Darlington, UK
  • Rubaiya Khan Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Md Mahbubul Hasan Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Ananya Kar Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Humayra Shahjahan Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Fahmida Ferdous Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Murin Hossain Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Md Kamrul Hossain Daffodil International University, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bsmmuj.v14i3.54677

Keywords:

COVID-19, health care workers, depression, anxiety, PTSD, insomnia

Abstract

This study aimed to estimate the prevalence of depression, anxiety, post-traumatic stress disorder, and insomnia symptoms among frontline health workers during the corona virus disease 19 (COVID-19) pandemic in Bangladesh and to compare these between medical and allied health workers. We conducted a cross-sectional survey between June and August 2020. A total of 479 health care professionals participated in the study. Anxiety and depression were measured using Patient Health Questionnaire-4 (PHQ-4), post-traumatic stress disorder (PTSD) was measured by primary care post-traumatic stress disorder score (PC-PTSD score), and insomnia was measured by Insomnia Severity Index (ISI). We performed logistic regression to assess risk factors associated with psychological symptoms. Overall, prevalence of anxiety, depression, PTSD and insomnia symptoms were 17.6%, 15.5%, 7.6% and 5.9%, respectively. Compared to allied health workers, doctors had significantly higher prevalence of symptoms of anxiety: doctor versus allied health care worker; 21.1% vs 06%, (OR= 4.19; 95% CI= 1.88-9.35; p <0.001); depression: 18% vs 6.8%, (OR= 2.99; 95% CI= 1.40-6.42; p 0.005); PTSD: 9.4% vs 1.7%, (OR= 5.96; 95% CI= 1.41-25.11; p 0.015) and insomnia: 7.4% vs 0.9%, (OR= 9.22; 95% CI= 1.24-68.4; p 0.03),respectively. The logistic regression analysis showed pre-existing medical illness as a predictor of anxiety (OR= 2.85; 95% CI= 1.71-4.76; p <0.001) and depressive symptoms (OR= 2.29; 95% CI= 1.39-3.77; p 0.001). Working more than 6(six) weeks in COVID-19 dedicated hospitals was significantly associated with PSTD symptoms (OR= 2.83; 95% CI= 1.35-5.93; p 0.006) and insomnia (OR= 2.63; 95% CI= 1.15-6.02; p 0.022). Our study demonstrated a high prevalence of symptoms of depression, anxiety, PTSD, and insomnia among Bangladeshi frontline health workers during the COVID-19 pandemic.

BSMMU J 2021; 14 (COVID -19 Supplement): 22-29

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Published

2021-07-07

How to Cite

Ahsan, M. S., Ahmed, S., Khan, R., Hasan, M. M., Kar, A., Shahjahan, H., Ferdous, F., Hossain, M., & Hossain, M. K. (2021). Psychological impact of COVID -19 pandemic on frontline health care workers in Bangladesh: A cross-sectional study. Bangabandhu Sheikh Mujib Medical University Journal, 14(3), 22–29. https://doi.org/10.3329/bsmmuj.v14i3.54677

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Original Articles