Evidence map›Paper›PMID 41881529›Full record

ArticleBMJ open2026

Prevalence of anxiety, depression and stress symptoms among doctors in COVID-19 treatment units: a cross-sectional study in Anuradhapura, Sri Lanka.

Gamunu Rambukwella, Dileepa Senajith Ediriweera, Amila Isuru

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Article in BMJ open, 2026. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Gamunu RambukwellaTeaching Hospital Anuradhapura, Anuradhapura, Sri Lanka gemunu.rambukwella@gmail.com.
Dileepa Senajith EdiriweeraCentre for Health Informatics, Biostatistics and Epidemiology, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.ORCID http://orcid.org/0000-0001-5679-2893
Amila IsuruDepartment of Psychiatry, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka.ORCID http://orcid.org/0000-0003-3113-1209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to estimate the prevalence and associated factors of anxiety, depression and stress symptoms among doctors working in hospitals with COVID-19 treatment units in the Anuradhapura district, Sri Lanka.

designCross-sectional descriptive study. STUDY

settingHospitals with COVID-19 treatment units in Anuradhapura district, Sri Lanka. METHODOLOGY: This study was conducted during the third wave of the pandemic in Sri Lanka in 2021. The study included all the doctors working in hospitals with COVID-19 treatment units in Anuradhapura. The Depression Anxiety and Stress Scale-21 was used to assess the prevalence of anxiety, depression and stress. Logistic regression analysis was performed to identify factors associated with anxiety, depression and stress symptoms.

participantsDoctors working in hospitals with COVID treatment units in Anuradhapura, Sri Lanka.

interventionsNone.

main outcome measuresAnxiety, depression and stress symptoms.

resultsAmong the 385 participants, 52% (n=201) were male, with a mean age of 36.1 years (SD 7.2). The majority were married (76%, n=291). Nearly 50% had less than 5 years of work experience. Prevalence of anxiety, depression and stress was 38% (95% CI 32.8% to 42.7%), 34% (95% CI 30.1% to 39.8%) and 21% (95% CI 16.6% to 24.9%), respectively. Lack of professional fulfilment, excessive workload, lack of psychological support, being a junior staff member, inadequate guidance, lack of occupational safety equipment, working in a COVID unit, having young children, being quarantined during the pandemic and having a history of psychiatric illness were associated with anxiety, depression and stress symptoms.

conclusionsThis study revealed that nearly half of doctors working in hospitals with COVID-19 treatment units experienced symptoms of anxiety, depression or stress, which may have a negative impact on healthcare service delivery, particularly during crises such as the COVID-19 pandemic.

Indexed as

AnxietyCOVID-19DepressionPhysiciansStress, PsychologicalAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceSARS-CoV-2Sri LankaAnxiety disordersCOVID-19Depression & mood disordersPrevalencePsychological StressStress, Psychological

Identifiers

PMID41881529
PMCPMC13034285

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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.