Evidence map›Paper›PMID 32977818›Full record

ArticleGlobalization and health2020

Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal.

Pratik Khanal, Navin Devkota, Minakshi Dahal, Kiran Paudel, Devavrat Joshi

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Globalization and health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 162 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
162citing papers in PubMed, 19 pooled it
24.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

162 citing papers in PubMed, 19 syntheses or guidelines pooled it, 320 citations in OpenAlex.

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  5. The Association of Moral Injury and Healthcare Clinicians' Wellbeing: A Systematic Review.International journal of environmental research and public health · 2023
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  12. The Psychological Impact of COVID-19 on Front Line Nurses: A Synthesis of Qualitative Evidence.International journal of environmental research and public health · 2021
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  14. Prevalence of Psychological Impacts on Healthcare Providers during COVID-19 Pandemic in Asia.International journal of environmental research and public health · 2021
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  16. Stigmatization from Work-Related COVID-19 Exposure: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2021
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102 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Pratik KhanalInstitute of Medicine, Tribhuvan University, Kathmandu, Nepal. pratikkhanal@iom.edu.np.ORCID 0000-0002-1057-5700
Navin DevkotaNational Academy for Medical Sciences, Kathmandu, Nepal.
Minakshi DahalCenter for Research on Environment, Health and Population Activities (CREHPA), Kathmandu, Nepal.
Kiran PaudelInstitute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Devavrat JoshiNational Academy for Medical Sciences, Kathmandu, Nepal.
National Academy of Medical Sciences · NPTribhuvan University · NPMinistry of Health and Population · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care workers exposed to COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health workers involved in COVID-19 response in Nepal.

methodsThis was a cross-sectional web-based survey conducted between April 26 and May 12, 2020. A total of 475 health workers participated in the study. Anxiety and depression were measured using a 14-item Hospital Anxiety and Depression Scale (HADS: 0-21) and insomnia was measured by using a 7-item Insomnia Severity Index (ISI: 0-28). Multivariable logistic regression analysis was done to determine the risk factors of mental health outcomes.

resultsOverall, 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia. Stigma faced by health workers was significantly associated with higher odds of experiencing symptoms of anxiety (AOR: 2.47; 95% CI: 1.62-3.76), depression (AOR: 2.05; 95% CI: 1.34-3.11) and insomnia (AOR: 2.37; 95% CI: 1.46-3.84). History of medication for mental health problems was significantly associated with a higher likelihood of experiencing symptoms of anxiety (AOR: 3.40; 95% CI:1.31-8.81), depression (AOR: 3.83; 95% CI: 1.45-10.14) and insomnia (AOR: 3.82; 95% CI: 1.52-9.62) while inadequate precautionary measures in the workplace was significantly associated with higher odds of exhibiting symptoms of anxiety (AOR: 1.89; 95% CI: 1.12-3.19) and depression (AOR: 1.97; 95% CI: 1.16-3.37). Nurses (AOR: 2.33; 95% CI: 1.21-4.47) were significantly more likely to experience anxiety symptoms than other health workers.

conclusionThe study findings revealed a considerate proportion of anxiety, depression and insomnia symptoms among health workers during the early phase of the pandemic in Nepal. Health workers facing stigma, those with history of medication for mental health problems, and those reporting inadequate precautionary measures in their workplace were more at risk of developing mental health outcomes. A focus on improving mental wellbeing of health workers should be immediately initiated with attention to reduction of stigma, ensuring an adequate support system such as personal protective equipments, and family support for those with history of mental health problems.

Indexed as

AdultAnxietyCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDepressionFemaleHealth PersonnelHumansMaleMiddle AgedNepalPandemicsPneumonia, ViralRisk FactorsSleep Initiation and Maintenance DisordersAnxietyCOVID-19DepressionHealth workersInsomniaMental healthNepal

Identifiers

PMID32977818
PMCPMC7517059
OpenAlexW3088851894

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.