DISCUSSION
While high rates of physical morbidity from Covid-19 amongst HCWs have
been demonstrated, examining the psychological effects of Covid-19 of
HCWs is critical.
Significant proportions of staff are experiencing a deterioration in
their mental health due to Covid-19, with over 20% having moderate to
severe depression and 20% with moderate to severe anxiety.
Subgroup analysis revealed variations in psychological distress. A&D
scores were higher among administrative staff when compared with
front-line medical staff, with higher anxieties scores in female HCWs.
Despite younger people having better prognosis than their older
counterparts, scores were significantly higher in younger HCWs. Older
colleagues may have more matured coping mechanisms or younger HCWs may
be worrying about their older relatives, as this group saw in a similar
study on pregnant women2. Increased levels of A&D in
administrative staff compared to front line health care providers may
represent a rationalization of risk in doctors and nurses/midwives as
part of their professional training.
While HCWs care for patients during this crisis, we must recognize that
HCWs are not immune to significant psychological distress. As the
pandemic progresses, the psychological burden is likely to worsen.
Recognizing this can aid healthcare leaders to support HCWs, prevent
burnout and retain their confidence as we deal with the ongoing
pandemic.