Predicting the severity of COVID-19 anxiety based on sleep quality and mental health in healthcare workers

Document Type : Original Article

Authors

1 Department of Educational Psychology, Faculty of Education Sciences and Psychology, Alzahra University, Tehran, Iran

2 Department of Physiology and Medical Physics, School of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran

3 Neuroscience Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

Abstract

Background: One of the social groups whose psychological assessment is important during the COVID-19 outbreak is healthcare workers.
Objective: This study aimed to predict the severity of COVID-19 anxiety in healthcare workers based on sleep quality and mental health.
Methods: This correlational study was conducted on 180 healthcare workers (129 females and 51 males). Participants completed the researcher-created demographic information questionnaire, the Pittsburgh Sleep Quality Index (PSQI), the General Health Questionnaire (GHQ-12), and the COVID-19 Anxiety Scale (CDAS).
Results: The results showed that 23.3% of healthcare workers reported COVID-19 anxiety. The severity of COVID-19 anxiety varied among different work shifts and educational degrees of healthcare workers, with those on morning shifts and those with master's degrees showing low levels of COVID-19 anxiety. Additionally, there was a significant relationship between COVID-19 anxiety and mental health. Furthermore, there was a significant relationship between all dimensions of sleep quality except sleep efficiency and COVID-19 anxiety (P<0.05). Finally, the results of logistic regression analysis showed that low sleep quality in individuals increased the chance of emerging intense anxiety due to COVID-19 by 3.11 times (OR=3.11).
Conclusion: These results showed that the most important contributing factor to COVID-19 anxiety in healthcare workers is the sleep quality of individuals. Therefore, providing screening and interventional programs is needed to improve the sleep quality of healthcare workers during the COVID-19 pandemic.

Keywords

References

  1. Zhu H, Wei L, Niu P. The novel coronavirus outbreak in Wuhan, China. Glob Health Res Policy. 2020;5(1):1-3. doi:10.1186/s41256-020-00135-6 PMid:32226823 PMCid:PMC7050114
  2. Khalili R. Prevalence of various psychological disorders during the COVID-19 pandemic: Systematic review. J Mil Med. 2020; 22(6): 648-62.
  3. Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H. Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. Health Psychol. 2020;8(32):163-75.
  4. Wheaton MG, Abramowitz JS, Berman NC, Fabricant LE, Olatunji BO. Psychological predictors of anxiety in response to the H1N1 (swine flu) pandemic. Cognit Ther Res. 2012;36(3):210-8. doi:10.1007/s10608-011-9353-3
  5. Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic? Lancet. 2020; 395(10228):931-4. doi:10.1016/S0140-6736(20)30567-5
  6. Yao H, Chen J-H, Xu Y-F. Patients with mental health disorders in the COVID-19 epidemic. Lancet Psychiatr. 2020;7(4):e21. doi:10.1016/S2215-0366(20)30090-0
  7. Burke HM, Davis MC, Otte C, Mohr DC. Depression and cortisol responses to psychological stress: a meta-analysis. Psychoneuroendocrinology. 2005;30(9):846-56. doi:10.1016/j.psyneuen.2005.02.010 PMid:15961250
  8. Miller GE, Cohen S, Ritchey AK. Chronic psychological stress and the regulation of pro-inflammatory cytokines: a glucocorticoid-resistance model. Health Psychol. 2002; 21(6):531. doi:10.1037/0278-6133.21.6.531 PMid:12433005
  9. Xiao H, Zhang Y, Kong D, Li S, Yang N. Social capital and sleep quality in individuals who self-isolated for 14 days during the coronavirus disease 2019 (COVID-19) outbreak in January 2020 in China. Med Sci Monit: Int Med J Exp Clin Res. 2020;26: e923921-1. doi:10.12659/MSM.923921
  10. Mohammadi MT, Shahyad S. Health Anxiety during Viral Contagious Diseases and COVID-19 Outbreak: Narrative Review. J Mil Med. 2020;22(6):623-31.
  11. Liu C-Y, Yang Y-z, Zhang X-M, Xu X, Dou Q-L, Zhang W-W, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect. 2020:1-17. doi:10.1101/2020.03.05.20032003
  12. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020; 3 (3): e203976-e. doi:10.1001/jamanetworkopen.2020.3976 PMid:32202646 PMCid:PMC7090843
  13. Green SB. How many subjects does it take to do a regression analysis. Multivariate Behav Res. 1991;26(3):499-510. doi:10.1207/s15327906mbr2603_7 PMid:26776715
  14. Ağargün MY, Kara H, Anlar Ö. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg. 1996; 7(2):107-15.
  15. Goldberg D, Williams P. General health questionnaire. Granada Learning Group; 1988.
  16. Montazeri A, Harirchi AM, Shariati M, Garmaroudi G, Ebadi M, Fateh A. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1(1):66. doi:10.1186/1477-7525-1-19
  17. Schnyder U, Moergeli H, Trentz O, Klaghofer R, Buddeberg C. Prediction of psychiatric morbidity in severely injured accident victims at one-year follow-up. Am J Respir Crit Care Med. 2001; 164 (4): 653-6. doi:10.1164/ajrccm.164.4.2008087 PMid:11520732
  18. Walker WH, Walton JC, DeVries AC, Nelson RJ. Circadian rhythm disruption and mental health. Transl Psychiatry. 2020;10 (1):1-13. doi:10.1038/s41398-020-0694-0 PMid:32066704 PMCid:PMC7026420
  19. Brown JP, Martin D, Nagaria Z, Verceles AC, Jobe SL, Wickwire EM. Mental health consequences of shift work: An updated review. Curr Psychiatry Rep. 2020;22(2):7. doi:10.1007/s11920-020-1131-z PMid:31955278
  20. Vogel M, Braungardt T, Meyer W, Schneider W. The effects of shift work on physical and mental health. J Neural Transm. 2012; 119(10):1121-32. doi:10.1007/s00702-012-0800-4 PMid:22488445
  21. Potter P, Perry A, Stockert P, Hall A. Fundamentals of nursing (9 th Editi). Elsevier Mosby; 2017.
  22. Gupta AK, Mehra A, Niraula A, Kafle K, Deo SP, Singh B, et al. Prevalence of anxiety and depression among the healthcare workers in Nepal during the COVID-19 pandemic. Asian J Psychiatry. 2020. doi:10.1016/j.ajp.2020.102260 PMid:32599546 PMCid:PMC7313505
  23. Saberi HR, Moravveji SAR, Ghoraishi F, Heidari Z. Post-traumatic stress disorder in Kashan and Arak emergency medicine departments' staffs during 2009. Feyz Med Sci J. 2009;12(5):1-6.
  24. Zandifar A, Badrfam R, Khonsari NM, Mohammadi MR, Asayesh H, Qorbani M. Prevalence and associated factors of posttraumatic stress symptoms and stigma among health care workers in contact with COVID-19 patients. Iran J Psychiatry. 2020;15(4):340. doi:10.18502/ijps.v15i4.4303 PMid:33240384 PMCid:PMC7610075
  25. Davidson JR, Hughes D, Blazer DG, George LK. Post-traumatic stress disorder in the community: an epidemiological study. Psychol Med. 1991;21(3):713-21. doi:10.1017/S0033291700022352 PMid:1946860
  26. Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students' mental health in the United States: Interview survey study. J Med Internet Res. 2020; 22 (9): e21279. doi:10.2196/21279 PMid:32805704 PMCid:PMC7473764
  27. Çalık M. Determining The anxiety and anxiety levels of university students in the COVID 19 outbreak. Int J Med Sci Clin Invent. 2020;7(07). doi:10.18535/ijmsci/v7i07.07
  28. Heron-Delaney M, Kenardy J, Charlton E, Matsuoka Y. A systematic review of predictors of posttraumatic stress disorder (PTSD) for adult road traffic crash survivors. Injury. 2013; 44 (11):1413-22. doi:10.1016/j.injury.2013.07.011 PMid:23916902
  29. Johnson SU, Ebrahimi OV, Hoffart A. PTSD symptoms among health workers and public service providers during the COVID-19 outbreak. PloS one. 2020;15(10):e0241032. doi:10.1371/journal.pone.0241032 PMid:33085716 PMCid:PMC7577493
  30. Robinson OJ, Vytal K, Cornwell BR, Grillon C. The impact of anxiety upon cognition: perspectives from human threat of shock studies. Front Hum Neurosci. 2013;7:203. doi:10.3389/fnhum.2013.00203 PMid:23730279 PMCid:PMC3656338
  31. Zhang F, Shang Z, Ma H, Jia Y, Sun L, Guo X, et al. High risk of infection caused posttraumatic stress symptoms in individuals with poor sleep quality: A study on influence of coronavirus disease (COVID-19) in China. medRxiv. 2020. doi:10.1101/2020.03.22.20034504
  32. Klumpp H, Roberts J, Kapella MC, Kennedy AE, Kumar A, Phan KL. Subjective and objective sleep quality modulate emotion regulatory brain function in anxiety and depression. Depress Anxiety. 2017;34(7):651-60. doi:10.1002/da.22622 PMid:28419607 PMCid:PMC5503154
  33. Dahlgren A, Kecklund G, Åkerstedt T. Different levels of work-related stress and the effects on sleep, fatigue and cortisol. Scand J Work Environ Health. 2005:277-85. doi:10.5271/sjweh.883 PMid:16161710
  34. Li D-J, Ko N-Y, Chen Y-L, Wang P-W, Chang Y-P, Yen C-F, et al. COVID-19-related factors associated with sleep disturbance and suicidal thoughts among the Taiwanese public: A Facebook survey. Int J Environ Res Public Health. 2020;17(12):4479. doi:10.3390/ijerph17124479 PMid:32580433 PMCid:PMC7345275
  35. Ibarra-Coronado EG, Pantaleón-Martínez AM, Velazquéz-Moctezuma J, Prospéro-García O, Méndez-Díaz M, Pérez-Tapia M, et al. The bidirectional relationship between sleep and immunity against infections. J Immunol Res. 2015;2015. doi:10.1155/2015/678164 PMid:26417606 PMCid:PMC4568388
Journal of Preventive and Complementary Medicine
Volume 1, Issue 4 - Serial Number 4
August 2022
Pages 184-191

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History

  • Receive Date: 24 May 2022
  • Revise Date: 04 July 2022
  • Accept Date: 09 July 2022

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