COVID-19 Pandemic-Related Perceived Stress, Insomnia, Depression, and Anxiety Among Rural Primary Care Health Workers: A Mediation Analysis.

Q4 Medicine

The primary care companion for CNS disorders Pub Date : 2025-01-28 DOI:10.4088/PCC.24m03723

Sai Krishna Tikka, Vikas Bhatia, Durgesh P Sahoo, Barikar C Malathesh, Suraj K Meena, S Nuthan

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引用次数: 0

Abstract

Introduction: Mental health of health care workers (HCWs) was affected during the COVID-19 pandemic due to direct handling of suspected and confirmed cases. While neurobiological mechanisms that mediate stress, depression, and anxiety are well established, psychological mechanisms are not.

Objective: To assess (1) the prevalence of anxiety, depression, insomnia, and perceived stress among accredited social health activists, multipurpose health workers, auxiliary nurse midwives, and other certified HCWs of rural areas of Telangana, India and (2) the factors that mediate stress with depression and anxiety.

Methods: A total of 300 HCWs from across 10 primary health centers across 5 districts were selected. All participants self-reported their anxiety, depression, sleep problems, and perceived stress related to the pandemic. Sociodemographic and other relevant data pertinent to the context of stress and the pandemic were also obtained. The survey used translated and validated self report instruments and was conducted during August and September 2021.

Results: The mean (SD) scores on the Insomnia Severity Index, 7-item Generalized Anxiety Disorder scale, Pandemic-Related Perceived Stress Scale of COVID-19, and 9-item Patient Health Questionnaire were 5.94 (5.6), 4.21 (4.5), 21.94 (5.8), and 3.89 (4.8), respectively. Age <35 years and family members being COVID-19 positive were significant predictors of depression and anxiety, respectively. Greater number of family members and COVID-19-positive status were significant predictors of insomnia. While the effect of stress on anxiety was indirect through the mediation of insomnia and depression, the effect of stress on depression was direct as well as through the mediation of anxiety.

Conclusion: The study results highlight the importance of measures to address sleep-related issues in individuals who are experiencing psychosocial stressors to prevent the development of depression and anxiety.

Prim Care Companion CNS Disord 2025;27(1):24m03723.

Author affiliations are listed at the end of this article.

查看原文本刊更多论文

农村初级保健卫生工作者与COVID-19大流行相关的感知压力、失眠、抑郁和焦虑：一项中介分析

导语：新冠肺炎大流行期间，医护人员直接处理疑似病例和确诊病例，影响了医护人员的心理健康。虽然调节压力、抑郁和焦虑的神经生物学机制已经确立，但心理机制还没有。目的：评估(1)印度Telangana农村地区经认证的社会卫生活动家、多用途卫生工作者、辅助护士助产士和其他经认证的卫生工作者中焦虑、抑郁、失眠和感知压力的患病率；(2)调节压力与抑郁和焦虑的因素。方法：选取5个地区10个初级卫生保健中心的300名卫生保健员。所有参与者都自我报告了他们的焦虑、抑郁、睡眠问题以及与大流行相关的感知压力。还获得了与压力和大流行病有关的社会人口和其他相关数据。该调查使用经过翻译和验证的自我报告工具，于2021年8月和9月进行。结果：失眠严重程度指数、7项广泛性焦虑障碍量表、新冠肺炎流行相关感知压力量表和9项患者健康问卷的平均（SD）得分分别为5.94（5.6）、4.21（4.5）、21.94（5.8）和3.89（4.8）分。结论：该研究结果强调了采取措施解决与睡眠相关的问题对正在经历社会心理压力的个体的重要性，以防止抑郁和焦虑的发展。中枢神经系统疾病护理伴证2025；27(1):24m03723。本文末尾列出了作者所属单位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

The primary care companion for CNS disorders Medicine-Medicine (all)

CiteScore

1.50

自引率

0.00%

发文量

300

期刊介绍： Founded in 1998, The Primary Care Companion for CNS Disorders (ISSN 2155-7780), formerly The Primary Care Companion to The Journal of Clinical Psychiatry, is an international, peer-reviewed, online-only journal, and its articles are indexed by the National Library of Medicine. PCC seeks to advance the clinical expertise of primary care physicians and other health care professionals who treat patients with mental and neurologic illnesses. PCC publishes research from disciplines such as medicine, nursing, pharmacy, and psychology, especially as it pertains to integrated delivery systems and interdisciplinary collaboration. PCC focuses on providing information of direct clinical utility and giving a voice to clinician researchers. Practice-based research from individuals and groups with clinical expertise is particularly welcome. Pertinent manuscript types include: -Original research -Systematic reviews -Meta-analyses -Case reports and series -Commenting letters to the editor Articles published in PCC typically cover attention-deficit/hyperactivity disorder, depression, bipolar disorder, anxiety, addiction, sleep disorders, pain, Alzheimer’s disease, multiple sclerosis, and Parkinson’s disease.