Evaluation of the effect ofCOVID-19 pandemic on anxiety severity of physicians working in the internal medicine department of a tertiary care hospital: a cross-sectional survey


UYAROĞLU O. A., ÇALIK BAŞARAN N., ÖZIŞIK L., KARAHAN S., DURUSU TANRIÖVER M., SAİN GÜVEN G., ...More

INTERNAL MEDICINE JOURNAL, vol.50, no.11, pp.1350-1358, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 50 Issue: 11
  • Publication Date: 2020
  • Doi Number: 10.1111/imj.14981
  • Journal Name: INTERNAL MEDICINE JOURNAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Abstracts in Social Gerontology, CAB Abstracts, CINAHL, EMBASE, International Pharmaceutical Abstracts, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.1350-1358
  • Keywords: anxiety, COVID-19, female, internal medicine, internist, ACUTE-RESPIRATORY-SYNDROME, HEALTH-CARE, PSYCHOLOGICAL IMPACT, WORKERS, SARS, OUTBREAK, NURSES, DEPRESSION, STRESS, RISK
  • Hacettepe University Affiliated: Yes

Abstract

Background Internists who have an important role in the global response to the COVID-19 pandemic are under both physical and psychological pressures. Aims To assess the anxiety among physicians working in the internal medicine department of a tertiary care hospital who are on the frontline of the COVID-19 pandemic. Methods This single-centre, non-intervention, cross-sectional descriptive study was conducted using an online survey questionnaire from 1 April to 14 April 2020. Physicians of the Department of Internal Medicine were invited to participate with a self-administered questionnaire. The degree of symptoms of anxiety was assessed by the Turkish versions of the 7-item Generalised Anxiety Disorder scale and Beck Anxiety Inventory, respectively. Results A total of 113 participants consented for the study and completed the questionnaire. The median age was 29 (IQR = 5) years and 53.1% were male. A total of 72 internists (63.7%) worked as 'frontline' healthcare workers directly engaged in diagnosing, treating or caring for patients with or suspected to have COVID-19. Female gender was significantly associated with high scores and levels in all scales compared to the male gender (P< 0.005). Having family members over 65 years old and with chronic diseases were significantly associated with high anxiety scores and levels (P< 0.005). Conclusions In this survey of internists in a university hospital equipped with clinics, wards and intensive care unit for patients with COVID-19, female gender and having family members over 65 years old and with chronic diseases were associated with increased anxiety levels.