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Factors Associated with Mental Health Outcomes and the Level of Work Engagement Among Health Care Workers Exposed to Coronavirus Disease 2019 in Tunisia

Published online by Cambridge University Press:  01 September 2022

I. Betbout ,
B. Amemou ,
A. Ben Haouala ,
Y. Touati ,
M. Benzarti ,
F. Zaafrane ,
A. Mhalla  and
L. Gaha
I. Betbout*
Affiliation:
fattouma bourguiba hospital, Psychiatry, Psychiatry Research Laboratory Lr05es10 “vulnerability To Psychoses” Faculty Of Medicine Of Monastir, University Of Monastir, monastir, Tunisia
B. Amemou
Affiliation:
fattouma bourguiba hospital, Psychiatry, Psychiatry Research Laboratory Lr05es10 “vulnerability To Psychoses” Faculty Of Medicine Of Monastir, University Of Monastir, monastir, Tunisia
A. Ben Haouala
Affiliation:
fattouma bourguiba hospital, Psychiatry, Psychiatry Research Laboratory Lr05es10 “vulnerability To Psychoses” Faculty Of Medicine Of Monastir, University Of Monastir, monastir, Tunisia
Y. Touati
Affiliation:
University Hospital of Sahloul and Farhat Hached, Emergency, sousse, Tunisia
M. Benzarti
Affiliation:
fattouma bourguiba hospital, Psychiatry, Psychiatry Research Laboratory Lr05es10 “vulnerability To Psychoses” Faculty Of Medicine Of Monastir, University Of Monastir, monastir, Tunisia
F. Zaafrane
Affiliation:
fattouma bourguiba hospital, Psychiatry, Psychiatry Research Laboratory Lr05es10 “vulnerability To Psychoses” Faculty Of Medicine Of Monastir, University Of Monastir, monastir, Tunisia
A. Mhalla
Affiliation:
fattouma bourguiba hospital, Psychiatry, Psychiatry Research Laboratory Lr05es10 “vulnerability To Psychoses” Faculty Of Medicine Of Monastir, University Of Monastir, monastir, Tunisia
L. Gaha
Affiliation:
fattouma bourguiba hospital, Psychiatry, Psychiatry Research Laboratory Lr05es10 “vulnerability To Psychoses” Faculty Of Medicine Of Monastir, University Of Monastir, monastir, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Heath workers especiallyin the emergency rooms and emergency medical services are exposed to sustained stress which had increased due to the Pandemic situation

Objectives

To search for factors associated with mental disorders among health workers during the Covid 19 pandemic

Methods

Data were collected through a questionnaire,with demographic variables anddifferentscales to evaluate the degree of symptoms of depression, anxiety, insomnia, distress, and the level of work engagement(PHQ-9,GAD-7,ISI,IES-R,UWES-9).

Results

Of the 217 participants, 46% were physicians, 42% were nurses and 12% were emergency medical technicians. We also found a femalepredominance of 66%, 55% were single and a total of 155 participants of whom 71% were frontline health workers. In our study, 54.8% of the HCWs had symptoms of depression, 68.2% had symptoms of anxiety and insomnia and 71.4% had symptoms of distress. Binarylogisticregressionanalysisshowedthat being married was associated with depression, anxiety, and insomnia, and being a frontlineworkerappeared to be a risk factor for depression and insomnia. Psychiatric support was an independentrisk factor for all psychiatric symptoms.In addition, living in a rural area was associated with depression, and age 31 or older was associated with anxiety. In addition, having a history of psychiatric illness was a risk factor for insomnia. Being a nurse was identified as a risk factor for psychiatric distress. We also found a moderatelevel of professional commitment to be a protective factor.

Conclusions

Protecting healthcare workers is a crucial part of the public health response to the COVID-19 outbreak.

Disclosure

No significant relationships.

Keywords

Covid19 pandemic-mental health-health care workers-depressioninsomnia-distress-anxiety-work engagem
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S512 - S513
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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