Depression and Anxiety · 2020 · 215 citations · 30 references
NursingHealth SciencesInternal MedicineBehavioral HealthDisaster MedicineHealth PsychologyAnxiety AssessmentAnxiety ReductionAnxiety SymptomsEmotional ResiliencePandemic PreparednessPsychological ResilienceAnxiety Symptom BurdenPatient Outcomes MeasurementSelf-report Anxiety QuestionnairesSelf-report MeasurementSelf-report QuestionnairesSelf-report ScalesWorkload
BACKGROUND: Physicians play a crucial frontline role in the COVID-19 pandemic, which may involve high levels of anxiety. We aimed to investigate the association between pandemic-related stress factors (PRSF) and anxiety and to evaluate the potential effect of resilience on anxiety among physicians. METHODS: A self-report digital survey was completed by 1106 Israeli physicians (564 males and 542 females) during the COVID-19 outbreak. Anxiety was measured by the 8-item version of the Patient-Reported Outcomes Measurement Information System. Resilience was evaluated by the 10-item Connor-Davidson Resilience Scale. Stress was assessed using a PRSF inventory. RESULTS: Physicians reported high levels of anxiety with a mean score of 59.20 ± 7.95. We found an inverse association between resilience and anxiety. Four salient PRSF (mental exhaustion, anxiety about being infected, anxiety infecting family members, and sleep difficulties) positively associated with anxiety scores. CONCLUSIONS: Our study identified specific PRSF including workload burden and fear of infection that are associated with increased anxiety and resilience that is associated with reduced anxiety among physicians.
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Cuiyan Wang, Xiaoyang Wan, Yilin Tan et al. · International Journal of Environmental Research and Public Health · 2020 · 10.3K citations · Full text
David Fletcher, Mustafa Sarkar · European Psychologist · 2013 · 2.4K citations · Full text