Evidence map›Paper›PMID 33040019›Full record

ArticleBMJ open2020

Factors associated with mental health outcomes across healthcare settings in Oman during COVID-19: frontline versus non-frontline healthcare workers.

Muna Alshekaili, Walid Hassan, Nazik Al Said, Fatima Al Sulaimani, Sathish Kumar Jayapal, Adhra Al-Mawali, Moon Fai Chan, Sangeetha Mahadevan, Samir Al-Adawi

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 11 pooled it
–field-weighted citation impact
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

89 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  4. Anxiety Linked to COVID-19: A Systematic Review Comparing Anxiety Rates in Different Populations.International journal of environmental research and public health · 2022
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  8. 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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  11. Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis.International journal of environmental research and public health · 2020
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29 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

9 authors.

Muna AlshekailiAl Masarra Hospital, Ministry of Health, Muscat, Oman.
Walid HassanAl Masarra Hospital, Ministry of Health, Muscat, Oman.
Nazik Al SaidAl Masarra Hospital, Ministry of Health, Muscat, Oman.
Fatima Al SulaimaniAl Masarra Hospital, Ministry of Health, Muscat, Oman.
Sathish Kumar JayapalCentre of Studies & Research, Directorate General Planning, and studies, Ministry of Health, Muscat, Oman.
Adhra Al-MawaliCentre of Studies & Research, Directorate General Planning, and studies, Ministry of Health, Muscat, Oman.
Moon Fai ChanFamily Medicine & Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Sangeetha MahadevanDepartment of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Samir Al-AdawiDepartment of Behavioral Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman samir.al-adawi@fulbrightmail.org.ORCID 0000-0002-9858-5582

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to assess and compare demographic and psychological factors and sleep status of frontline healthcare workers (HCWs) in relation to non-frontline HCWs. DESIGN, SETTINGS, PARTICIPANTS AND OUTCOMES: This cross-sectional study was conducted from 8 April 2020 to 17 April 2020 using an online survey across varied healthcare settings in Oman accruing 1139 HCWs.The primary and secondary outcomes were mental health status and sociodemographic data, respectively. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), and insomnia was evaluated by the Insomnia Severity Index. Samples were categorised into the frontline and non-frontline groups. χ

resultsThis study included 1139 HCWs working in Oman. While working during the pandemic period, a total of 368 (32.3%), 388 (34.1%), 271 (23.8%) and 211 (18.5%) respondents were reported to have depression, anxiety, stress and insomnia, respectively. HCWs in the frontline group were 1.5 times more likely to report anxiety (OR=1.557, p=0.004), stress (OR=1.506, p=0.016) and insomnia (OR=1.586, p=0.013) as compared with those in the non-frontline group. No significant differences in depression status were found between the frontline and non-frontline groups (p=0.201).

conclusionsTo our knowledge, this is the first study to explore the differential impacts of the COVID-19 pandemic on different grades of HCWs. This study suggests that frontline HCWs are disproportionally affected compared to non-frontline HCWs, with managing sleep-wake cycles and anxiety symptoms being highly endorsed among frontline HCWs. As psychosocial interventions are likely to be constrained owing to the pandemic, mental healthcare must first be directed to frontline HCWs.

Indexed as

Coronavirus InfectionsPandemicsPneumonia, ViralAdultAnxietyAnxiety DisordersBetacoronavirusCOVID-19Cross-Sectional StudiesDepressionFemaleHealth PersonnelHealth StatusHumansMaleMental Healthanxiety disordersdepression & mood disorderspublic healthquality in health care

Identifiers

PMID33040019
PMCPMC7549438

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.