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.