Citation Information :
Bhatia R, Ganesh R, Singh Y, Patel N, Kumar S, Aggarwal R, Trikha A. Coping Strategies among Healthcare Workers Directly Involved in Coronavirus Disease-2019 Care in a Tertiary Care Hospital in India. Ind J Priv Psychiatry 2023; 17 (1):4-9.
Background: The pandemic of coronavirus disease-2019 (COVID-19) has put healthcare workers (HCWs) under the immense pressure of providing care to a large number of patients with the risk of getting infected. This has resulted in the rise of severe mental health issues in them and coping with such deep stress needs certain strategies.
Aim: A study was used to evaluate the coping techniques adopted by the HCWs to deal with COVID-19-related stress.
Methods: A 28-item Brief-coping orientation to problems experienced (COPE) questionnaire-based cross-sectional survey was used with the HCWs directly involved in the care of COVID-19 patients in September 2020 during the peak of the first COVID-19 wave and coping strategies were analyzed as continuous variables.
Result: A total of 221 HCWs completed the questionnaire of which 166 (75%) were doctors. The mean scores for adaptive strategies and maladaptive strategies were 41.56 (9.04) and 21.41 (5.6), respectively. The most employed coping strategy was acceptance (6.35 ± 1.6) and the least was substance abuse (2.33 ± 0.9).
Conclusion: Of all the coping strategies, adaptive strategies were the most employed. However, females and young ones employed maladaptive strategies, indicating the need for necessary attention in them.
Sarailoo M, Matin S, Vosoughi M, et al. Investigating the relationship between occupation and SARS-CoV-2. Work 2021;68(1):27–32. DOI: 10.3233/WOR-205066.
Huang J, Liu F, Teng Z, et al. Care for the psychological status of frontline medical staff fighting against coronavirus disease 2019 (COVID-19). Clin Infect Dis 2020;71(12):3268–3269. DOI: 10.1093/cid/ciaa385.
Sani G, Janiri D, Nicola MD, et al. Mental health during and after the COVID-19 emergency in Italy. Psychiatry Clin Neurosci 2020;74(6):372. DOI: 10.1111/pcn.13004.
West CP, Dyrbye LN, Shanafelt TD. Physician burnout: Contributors, consequences, and solutions. J Intern Med 2018;283(6):516–529. DOI: 10.1111/joim.12752.
Ayanian JZ. Mental health needs of health care workers providing frontline COVID-19 care. In: JAMA Health Forum; 2020;1(4). pp. 200397–200397. American Medical Association.
Chung JP, Yeung WS. Staff mental health self-assessment during the COVID-19 outbreak. East Asian Arch Psychiatry 2020;30(1):34. DOI: 10.12809/eaap2014.
Tella MD, Romeo A, Benfante A, et al. Mental health of healthcare workers during the COVID-19 pandemic in Italy. J Eval Clin Pract 2020;26(6):1583–1587. DOI: 10.1111/jep.13444.
World Health Organization. COVID-19 Public Health Emergency of International Concern (PHEIC). Global research and innovation forum: Towards a research roadmap. https://www.who.int/emergencies/diseases/novel-coronavirus-2019?adgroupsurvey. Accessed on: 20 July 2021.
Taylor DM, Pallant JF, Crook HD, et al. The psychological health of emergency physicians in Australasia. Emerg Med 2004;16(1):21–27. DOI: 10.1111/j.1742-6723.2004.00532.x.
Kasi PM, Naqvi HA, Afghan AK, et al. Coping styles in patients with anxiety and depression. ISRN psychiatry 2012;2012:128672. DOI: 10.5402/2012/128672.
Taft TH, Keefer L, Keswani RN. Friends, alcohol, and a higher power: an analysis of adaptive and maladaptive coping strategies among gastroenterologists. J Clin Gastroenterol 2011;45(8):76–81. DOI: 10.1097/MCG.0b013e318207f3e3.
Deary IJ, Blenkin H, Agius RM, et al. Models of job-related stress and personal achievement among consultant doctors. Br J Psychol 1996;87(Pt 1):3–29. DOI: 10.1111/j.2044-8295.1996.tb02574.x.
Al-Rowais NA. Assessment of stress and coping levels among physicians at King Khalid University Hospital. Saudi Med J 1996;17(2):235–244. DOI: 10.5144/0256-4947.2018.214.
Brown SP, Westbrook RA, Challagalla G. Good cope, bad cope: Adaptive and maladaptive coping strategies following a critical negative work event. J Appl Psychol 2005;90(4):792–798. DOI: 10.1037/0021-9010.90.4.792.
Spiliopoulos K, Gansera L, Weiland HC, et al. Chronic stress and coping among cardiac surgeons: A single center study. Rev Bras Cir Cardiovasc 2014;29(3):308–315. DOI: 10.5935/1678-9741.20140083.
Blake H, Bermingham F, Johnson G, et al. Mitigating the psychological impact of COVID-19 on healthcare workers: A digital learning package. Int J Environ Res Public Health 2020;17(9):2997. DOI: 10.3390/ijerph17092997.
Tavakoli Z, Montazeri A, Farshad AA, et al. Sources of stress and coping strategies among Iranian physicians. Glob J Health Sci 2016;9(1):120–129. DOI: 10.5539/gjhs.v9n1p120.
Mathieson K, Leafman J, Rice–Spearman L. Level of stress and common coping strategies among physician assistant students. Scand J Work Environ Health 2009;35(2):145–152. DOI: 10.5271/sjweh.1313.
Willert MV, Thulstrup AM, Hertz J. Changes in stress and coping from a randomized controlled trial of a three-month stress management intervention. Scand J Work Environ Health 2009;35(2):145–152. DOI: 10.5271/sjweh.1313.
Alosaimi FD, Almufleh A, Kazim S, et al. Stress–coping strategies among medical residents in Saudi Arabia: A cross-sectional national study. Pak J Med Sci 2015;31(3):504–509. DOI: 10.12669/pjms.313.7490.
Carver CS. You want to measure coping but your protocol's too long: Consider the Brief-COPE. Int J Behav Med 1997;4(1):92–100. DOI: 10.1207/s15327558ijbm0401_6.
Zandian H, Sarailoo M, Dargahi S, et al. Evaluation of knowledge and health behavior of university of medical sciences students about the prevention of COVID-19. Work 2021;68(3):543–549. DOI: 10.3233/WOR-203395.
Pappa S, Ntella V, Giannakas T, et al. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun 2020;88:901–907. DOI: 10.1016/j.bbi.2020.05.026.
Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. AMA Netw Open 2020;3(3):e203976. DOI: 10.1001/jamanetworkopen.2020.3976.
Sharma A, Sharp DM, Walker LG, et al. Stress and burnout among colorectal surgeons and colorectal nurse specialists working in the National Health Service. Colorectal Dis 2008;10(4):397–406. DOI: 10.1111/j.1463-1318.2007.01338.x.
Deary IJ, Agius RM, Sadler A. Personality and stress in consultant psychiatrists. Int J Soc Psychiatry 1996;42(2):112–123. DOI: 10.1177/002076409604200205.
Alosaimi FD, Alawad HS, Alamri AK, et al. Stress and coping among consultant physicians working in Saudi Arabia. Ann Saudi Med 2018;38(3):214–224. DOI: 10.5144/0256-4947.2018.214.
Babore A, Lombardi L, Viceconti ML, et al. Psychological effects of the COVID-2019 pandemic: Perceived stress and coping strategies among healthcare professionals. Psychiatry Res 2020;293:113366. DOI: 10.1016/j.psychres.2020.113366.
Shechter A, Diaz F, Moise N, et al. Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. Gen Hosp Psychiatry 2020;66:1–8. DOI: 10.1016/j.genhosppsych.2020.06.007.
Conversano C, Rotondo A, Lensi E, et al. Optimism and its impact on mental and physical well-being. Clin Pract Epidemiol Ment Health 2010;6:25–29. DOI: 10.2174/1745017901006010025.
Munawar K, Choudhry FR. Exploring stress coping strategies of frontline emergency health workers dealing COVID-19 in Pakistan: A qualitative inquiry. American journal of infection control. Am J Infect Control 2021;49(3):286–292. DOI: 10.1016/j.ajic.2020.06.214.
James PB, Wardle J, Steel A, et al. Post-Ebola psychosocial experiences and coping mechanisms among Ebola survivors: A systematic review. Trop Med Int Health 2019;24(6):671–691. DOI: 10.1111/tmi.13226.
Cano A, Mayo A, Ventimiglia M. Coping, pain severity, interference, and disability: The potential mediating and moderating roles of race and education. J Pain 2006;7(7):459–468. DOI: 10.1016/j.jpain.2006.01.445.
Ly DP, Jena AB. Sex differences in time spent on household activities and care of children among US physicians, 2003–2016. Mayo Clin Proc 2018;93(10):1484–1487. DOI: 10.1016/j.mayocp.2018.02.018.
Brubaker L. Women physicians and the COVID-19 pandemic. JAMA 2020;324(9):835–836. DOI: 10.1001/jama.2020.14797.
Huang JZ, Han MF, Luo TD, et al. Mental health survey of 230 medical staff in a tertiary infectious disease hospital for COVID-19. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2020;38(3):192–195. DOI: 10.3760/cma.j.cn121094-20200219-00063.
Buddeberg–Fischer B, Stamm M, Buddeberg C, et al. Work stress, health and satisfaction of life in young doctors. Results of a longitudinal study in Switzerland. Dtsch Med Wochenschr 2008;133(47):2441–2447. DOI: 10.1055/s-0028-1100936.