STRESS LEVELS AMONG COVID-19 PATIENTS, DOCTORS, AND PATIENT ATTENDANTS DURING THE PANDEMIC IN PAKISTAN

Main Article Content

Dr Fazeelat Hajra Karim
Dr Shandana Wazir
Dr Ameena Palwasha
Dr Muhammad Mansoor Tariq

Keywords

COVID-19, stress, doctor, attendant, patient, BMI’

Abstract

Background: The COVID-19 pandemic has seriously increased stress levels in the general public of Pakistan, which is intensely affecting the mental and physical health of people. To investigate the correlation between Body Mass Index, physical activity, and stress levels during the pandemic among COVID-19-infected individuals, healthcare providers, and patient caregivers in Pakistan.


Methods: This study was conducted at Khyber Teaching Hospital and Rehman Medical Hospital in Peshawar, Pakistan A ‘cross-sectional survey’ of confirmed corona-positive patients, doctors, and attendants. We used the ‘Perceived Stress Scale (PSS-14)’ to determine the perceived stress level among participants. The ‘Chi-square test, Spearman's correlation, and multivariate regression’ were used to establish an association between variables. Stress scores among groups were compared using the Mann–Whitney test.


Results: This study found that 95% of the doctors, ‘COVID-19 patients, and 85% of attendants had moderate stress’. ‘The mean perceived stress scores among the groups were significantly different’ (31.12±5.54 for doctors, 29.65±4.9 for COVID-19 patients, and 26.74±6.8 for attendants). Physical exercise highly significantly affected the PSS stress scores (p = 0.027) for the lower stress levels in people with physical activity than those without it. On the other hand, the overall stress scores were inversely related to BMI.


Conclusion: Most of the study subjects expressed moderate stress, whereas physical exercise-related low-stress status was seen; higher stress levels were positively associated with the increment of age. It is indeed very important to recognize and address the symptoms ‘of stress among COVID-19 patients, doctors, and attendants’.

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References

1. Alam, B.F., et al., General public awareness, knowledge and attitude toward COVID-19 infection and prevention: A cross-sectional study from Pakistan. F1000Research, 2021. 10: p. 946.
2. Zu, Z.Y., et al., Coronavirus disease 2019 (COVID-19): a perspective from China. Radiology, 2020. 296(2): p. E15-E25.
3. Akhtar, H., et al., Pakistan’s response to COVID-19: overcoming national and international hypes to fight the pandemic. JMIR public health and surveillance, 2021. 7(5): p. e28517.
4. Pearl, R.L., Weight stigma and the “Quarantine‐15”. Obesity (Silver Spring, Md.), 2020. 28(7): p. 1180.
5. Carlson, S.A., et al., Peer reviewed: Percentage of deaths associated with inadequate physical activity in the United States. Preventing chronic disease, 2018. 15.
6. Laddu, D.R., et al., Physical activity for immunity protection: Inoculating populations with healthy living medicine in preparation for the next pandemic. Progress in cardiovascular diseases, 2021. 64: p. 102.
7. Robinson, E., et al., Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults. Appetite, 2021. 156: p. 104853.
8. Lakhdir, M.P.A., et al., Burden and factors associated with perceived stress amidst COVID-19: a population web-based study in Pakistan. BMJ open, 2022. 12(6): p. e058234.
9. Katsarou, A.L., F. Triposkiadis, and D. Panagiotakos, Perceived stress and vascular disease: where are we now? Angiology, 2013. 64(7): p. 529-534.
10. Rossi, R., et al., COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in psychiatry, 2020: p. 790.
11. Torales, J., et al., Self-perceived stress during the quarantine of COVID-19 pandemic in Paraguay: an exploratory survey. Frontiers in psychiatry, 2020. 11: p. 558691.
12. Mak, I.W.C., et al., Long-term psychiatric morbidities among SARS survivors. General hospital psychiatry, 2009. 31(4): p. 318-326.
13. Verma, S., et al., Post-SARS psychological morbidity and stigma among general practitioners and traditional Chinese medicine practitioners in Singapore. Ann Acad Med Singapore, 2004. 33(6): p. 743-8.
14. Balicer, R.D., et al., Local public health workers' perceptions toward responding to an influenza pandemic. BMC Public Health, 2006. 6(1): p. 1-8.
15. Kang, L., et al., The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet. Psychiatry, 2020. 7(3): p. e14.
16. Matsumoto, Y., et al., Factors affecting mental illness and social stress in hospital workers treating COVID-19: Paradoxical distress during pandemic era. Journal of psychiatric research, 2021. 137: p. 298-302.
17. Chirico, F., G. Nucera, and N. Magnavita, Protecting the mental health of healthcare workers during the COVID-19 emergency. BJPsych International, 2021. 18(1).
18. Mohindra, R., et al., Issues relevant to mental health promotion in frontline health care providers managing quarantined/isolated COVID19 patients. Asian J Psychiatr, 2020. 51(3): p. 102084.
19. Huang, J.Z., et al., Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua lao dong wei sheng zhi ye bing za zhi, 2020: p. 192-195.
20. Freedman, A. and J. Nicolle, Social isolation and loneliness: The new geriatric giants: Approach for primary care. Canadian Family Physician, 2020. 66(3): p. 176-182.
21. Booth, C.M. and T.E. Stewart, Communication in the Toronto critical care community: important lessons learned during SARS. Critical Care, 2003. 7: p. 1-2.
22. Moldofsky, H. and J. Patcai, Chronic widespread musculoskeletal pain, fatigue, depression and disordered sleep in chronic post-SARS syndrome; a case-controlled study. BMC neurology, 2011. 11(1): p. 1-7.
23. Cohen, S., T. Kamarck, and R. Mermelstein, A global measure of perceived stress. Journal of health and social behavior, 1983: p. 385-396.
24. Şanlıtürk, D., Perceived and sources of occupational stress in intensive care nurses during the COVID-19 pandemic. Intensive and Critical Care Nursing, 2021. 67: p. 103107.
25. Ali, S., et al., Psychological impact of the COVID-19 pandemic on students, assistants, and faculty of a dental institute of Saudi Arabia. International Journal of Environmental Research and Public Health, 2021. 18(24): p. 13366.
26. Almadi, T., et al., An Arabic version of the Perceived Stress Scale: Translation and validation study. International journal of nursing studies, 2012. 49(1): p. 84-89.
27. She, Z., et al., Three versions of the perceived stress scale: psychometric evaluation in a nationally representative sample of Chinese adults during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 2021. 18(16): p. 8312.
28. Amin, F., et al., COVID-19 pandemic-knowledge, perception, anxiety and depression among frontline doctors of Pakistan. BMC psychiatry, 2020. 20(1): p. 1-9.
29. Cohen, S., Perceived stress in a probability sample of the United States. 1988.
30. Chua, S.E., et al., Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. The Canadian Journal of Psychiatry, 2004. 49(6): p. 391-393.
31. Tinelli, G., et al., Screening of distress in hospitalized patients: the experience of medical oncology department. Annals of Oncology, 2017. 28: p. vi86-vi87.
32. Suzuki, K., et al., Impact of the COVID-19 pandemic on the quality of life of patients with Parkinson’s disease and their caregivers: a single-center survey in tochigi prefecture. Journal of Parkinson's disease, 2021. 11(3): p. 1047-1056.
33. Parchani, A., et al., Fear, anxiety, stress, and depression of novel coronavirus (COVID-19) pandemic among patients and their healthcare workers–A descriptive study. Psychology research and behavior management, 2021: p. 1737-1746.
34. Salari, N., et al., Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Globalization and health, 2020. 16(1): p. 1-11.
35. Dyrbye, L.N., et al., Burnout among US medical students, residents, and early career physicians relative to the general US population. Academic medicine, 2014. 89(3): p. 443-451.
36. Aatir H, R., S. Ali Raza, and P. Kainat Ali, Hospital induced psychological distress among patient attendants at Liaquat University Hospital, Jamshoro. 2015.
37. Komachi, M. and K. Kamibeppu, Acute stress symptoms in families of patients admitted to the intensive care unit during the first 24 hours following admission in Japan. Open Journal of Nursing, 2015. 5(04): p. 325.
38. Nguyen-Rodriguez, S.T., et al., BMI as a moderator of perceived stress and emotional eating in adolescents. Eating behaviors, 2008. 9(2): p. 238-246.
39. Kouvonen, A., et al., Relationship between work stress and body mass index among 45,810 female and male employees. Psychosomatic medicine, 2005. 67(4): p. 577-583.
40. Roberts, C., et al., The effects of stress on body weight: biological and psychological predictors of change in BMI. Obesity, 2007. 15(12): p. 3045-3055.
41. Shariat, A., J.A. Cleland, and A. Hakakzadeh, Home-based exercises during the COVID-19 quarantine situation for office workers: A commentary. Work, 2020. 66(2): p. 381-382.
42. Burdorf, A., F. Porru, and R. Rugulies, The COVID-19 (coronavirus) pandemic. Scandinavian journal of work, environment & health, 2020. 46(3): p. 229-230.

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