Emergency Related Mental Health Challenges Among Frontline Health Workers in Khyber Pakhtunkhwa, Pakistan: A Cross-Sectional Study.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Asif Rehman, Farhad Ali Khattak, Khalid Rehman, Urooj Ashfaq, Ihtesham Ul Haq, Zohaib Khan, Muhammad Irfan, Jalil Khan, Zeeshan Kibria
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Abstract

Objective: To determine the prevalence and severity of anxiety and depression among health care professionals in Khyber Pakhtunkhwa and the impact of gender and professional roles on mental health outcomes.

Methodology: A cross-sectional study was conducted between March and November 2023 using stratified random sampling among health care professionals, including doctors, nurses, paramedics, and emergency staff, across multiple hospitals. The Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) were used to assess anxiety and depression. Data were analyzed using R/RStudio, employing descriptive statistics, chi-square tests, independent t-tests, Mann-Whitney U tests, and Pearson's correlation coefficient.

Results: Among 651 participants, 65% were male. Anxiety prevalence was significant, with 42% experiencing minimal anxiety, 35% mild, 16% moderate, and 7.7% severe. Depression prevalence included 10% with no depression with 7.8% moderately severe and 5.9% severe depression. Nurses (40%) and doctors (34%) had the highest depression rates. Females exhibited significantly higher anxiety and depression scores. Anxiety prevalence varied across hospitals (P = 0.024). A strong positive correlation was observed between GAD-7 and PHQ-9 scores.

Conclusion: Mental health challenges among frontline health care workers in Khyber Pakhtunkhwa are substantial, with anxiety and depression particularly prevalent among nurses and doctors. Female workers experience greater psychological distress. We recommend implementation of hospital-based mental health support systems, prioritizing interventions for female staff and high-burden departments. Policies ensuring regular psychological screening and peer support mechanisms are urgently needed.

巴基斯坦开伯尔-普赫图赫瓦省一线卫生工作者面临的紧急心理健康挑战:一项横断面研究。
目的:确定开伯尔-普赫图赫瓦省卫生保健专业人员中焦虑和抑郁的患病率和严重程度,以及性别和职业角色对心理健康结果的影响。方法:在2023年3月至11月期间,对多家医院的医疗保健专业人员(包括医生、护士、护理人员和急救人员)进行了分层随机抽样的横断面研究。采用广泛性焦虑障碍-7 (GAD-7)和患者健康问卷-9 (PHQ-9)评估焦虑和抑郁。数据分析采用R/RStudio,采用描述性统计、卡方检验、独立t检验、Mann-Whitney U检验和Pearson相关系数。结果:651名参与者中,65%为男性。焦虑患病率显著,42%经历轻度焦虑,35%轻度焦虑,16%中度焦虑,7.7%重度焦虑。抑郁症患病率中,10%为无抑郁症,7.8%为中度重度抑郁症,5.9%为重度抑郁症。护士(40%)和医生(34%)的抑郁率最高。女性表现出更高的焦虑和抑郁得分。不同医院的焦虑患病率存在差异(P = 0.024)。GAD-7与PHQ-9评分呈正相关。结论:开伯尔-普赫图赫瓦省一线卫生保健工作者面临着巨大的心理健康挑战,焦虑和抑郁在护士和医生中尤为普遍。女性员工的心理压力更大。我们建议实施以医院为基础的心理健康支持系统,优先为女性员工和高负担部门进行干预。迫切需要确保定期心理筛查和同伴支持机制的政策。
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来源期刊
Disaster Medicine and Public Health Preparedness
Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
7.40%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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