Evidence map›Paper›PMID 40144977›Full record

Observational studyFrontiers in public health2025

Mental health of general practitioners and family medicine specialists 2 years into the COVID-19 pandemic.

Marija Zafirovska, Jelena Danilenko, Aleksandar Zafirovski, Kristien Coteur, Heidrun Lingner, Cristián Andrés Frigolett, Milena Cojić, Mustafa Kürşat Şahin, Carmen Iliana Busneag, Nicola Buono and 9 more

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Marija Zafirovska *Association of General Practice/Family Medicine of South-East Europe (AGP/FM SEE), Skopje, North Macedonia.
Jelena Danilenko *Department of Family Medicine, Rīga Stradiņš University, Riga, Latvia.
Aleksandar Zafirovski *Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Kristien Coteur *Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Heidrun LingnerDepartment of Medical Psychology OE 5430, Center for Public Health and Healthcare, Hannover Medical School, Hannover, Germany.
Cristián Andrés FrigolettLeuven Biostats, Biomedical Sciences, KU Leuven, Leuven, Belgium.
Milena CojićDepartment of Family Medicine, Faculty of Medicine, University of Montenegro, Podgorica, Montenegro.
Mustafa Kürşat ŞahinDepartment of Family Medicine, School of Medicine, Ondokuz Mayıs University, Samsun, Türkiye.
Carmen Iliana BusneagDepartment of Kinetic Therapy and Special Motricity, "Spiru Haret" University, Bucharest, Romania.
Nicola BuonoNational Society of Medical Education in General Practice (SNAMID), Caserta, Italy.
Aleksander StepanovićDepartment of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Christine BrüttingInstitute for General Medicine, Faculty of Medicine, University of Halle-Wittenberg, Halle (Saale), Germany.
Lyubomir Kirilov KirovAssociation of General Practice/Family Medicine of South-East Europe (AGP/FM SEE), Skopje, North Macedonia.
Zaim JatićPublic Institution Health Centre of Sarajevo Canton, Sarajevo, Bosnia and Herzegovina.
Liljana RamasacoNursing Department, Faculty of Technical Medical Sciences, University "Aleksander Xhuvani", Elbasan, Albania.
Monika BrovčNational Institute of Public Health (NIJZ), Ljubljana, Slovenia.
Vanja LazićAssociation of Teachers in General Practice/Family Medicine, Zagreb, Croatia.
Erjona AbazajDepartment of National Reference Laboratories, Institute of Public Health, Tirana, Albania.
Ljubin ŠukrievAssociation of General Practice/Family Medicine of South-East Europe (AGP/FM SEE), Skopje, North Macedonia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The COVID-19 pandemic has significantly impacted general medical practice by altering work structures and increasing teamwork while also adversely affecting the mental health of general practitioners and family medicine specialists. This study assesses depression, anxiety, and fear levels among general practitioners and family medicine specialists in Europe 2 years after the COVID-19 pandemic's onset, and it explores influencing factors. Methods: This observational cross-sectional study included participants from 13 European countries. Data was collected from May to August 2022 with an anonymous online survey incorporating validated questionnaires for depression (PHQ-9), anxiety (GAD-7), and fear of COVID-19 (FCV-19S). Data analysis involved descriptive statistics, correlation tests, and linear regression. Results: A total of 1,723 participants completed the survey. Findings indicated an overall mild to moderate levels of anxiety (GAD-7: 5.4 ± 4.76) and depression (PHQ-9: 6.33 ± 5.43), and moderate fear of COVID-19 (FCV-19: 12.84 ± 5.29). Key determinants of anxiety, fear, and depression included country, at-risk status, patient non-compliance, and mental health history. Sex influenced anxiety and fear, losing co-workers to COVID-19 influenced anxiety and depression, while losing relatives or friends influenced fear. Conclusion: Two years into the pandemic, European general practitioners and family medicine specialists showed mild to moderate levels of anxiety, depression, and fear. Country, at-risk status, mental health history, and work-related challenges significantly affected mental health. Crucial interventions are needed to support healthcare workers during pandemics, focusing on protective measures, stable work environments, and coping strategies for anxiety and depression.

Indexed as

AnxietyCOVID-19DepressionFamily PracticeGeneral PractitionersMental HealthAdultCross-Sectional StudiesEuropeFearFemaleHumansMaleMiddle AgedPandemicsSARS-CoV-2anxietyCOVID-19depressionfamily practicefear of COVID-19general practicemental health

Identifiers

PMID40144977
PMCPMC11936947

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Registered trials

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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.