Prevalence of Depression among Doctors in General Hospitals of Basrah City Center During the COVID-19 Pandemic
Main Article Content
Keywords
depression, , COVID-19,, Iraqi doctors
Abstract
Background: Depression is the most common mental disorder in community settings and a major cause of disability worldwide. In 1999, it was the fourth most common cause of disability globally, and by 2020, it is projected to become the second most common cause. Doctors, as the primary workforce in hospitals, endure significant emotional and physical stress, which may have been exacerbated by the COVID-19 pandemic. Aim: This study aimed to estimate the prevalence of depression among doctors during the COVID-19 pandemic and its risk factors. Methods: This descriptive cross-sectional study was conducted from February 1 to June 1, 2021. The study population comprised 327 doctors working in seven general hospitals in Basra city center. An online questionnaire was utilized, and the responses were analyzed using SPSS program version 26. Results: The study included 48.9% males and 51.1% females, with participants aged between 24 and 67 years. Most participants were married (70.6%), and nearly half had children, with years of service being less than five. A total of 73% of doctors exhibited depressive symptoms, with mild depressive episode was the most common (36.4%), occurring more frequently in females (75.4%) than in males (70.6%). The most significant risk factors identified were exposure to violence and the presence of comorbid physical conditions. Conclusions: The high prevalence of depression was particularly noted among doctors who work in AL-Basra Teaching Hospital for Maternity and Children, with pediatricians being the most affected specialty.
References
2. Tolentino JC, Schmidt SL. DSM-5 criteria and depression severity: implications for clinical practice. Front Psychiatry. 2018;9:450.
3. Lewinsohn PM, Solomon A, Seeley JR, Zeiss A. Clinical implications of subthreshold depressive symptoms. J Abnorm Psychol. 2000;109(2):345–51.
4. Cassano P, Fava M. Depression and public health: an overview. J Psychosom Res. 2002;53(4):849–57.
5. Sotelo JL, Musselman D, Nemeroff C. The biology of depression in cancer and the relationship between depression and cancer progression. Int Rev Psychiatry. 2014;26(1):16–30.
6. DeJean D, Giacomini M, Vanstone M, Brundisini F. Patient experiences of depression and anxiety with chronic disease: a systematic review and qualitative meta-synthesis. Ont Health Technol Assess Ser. 2013;13(16):1–33.
7. Rogers D, Pies R. General medical conditions and antidepressant drug interactions. Psychiatry (Edgmont). 2008;5(12):28–41.
8. Brown GW, Harris T. Social origins of depression: a study of psychiatric disorder in women. London: Routledge; 2012.
9. Serby M, Yu M. Overview: depression in the elderly. Mt Sinai J Med. 2003;70(1):38–44.
10. Weissman MM, Berry OO, Warner V, Gameroff MJ, Skipper J, Talati A, et al. A 30-year study of three generations at high and low risk for depression. JAMA Psychiatry. 2016;73(9):970–7.
11. Hammen C. Risk factors for depression: an autobiographical review. Annu Rev Clin Psychol. 2018;14:1–28.
12. Rahman J, Muralidharan A, Quazi SJ, Saleem H, Khan S. Neurological and psychological effects of coronavirus (COVID-19): an overview of the current era pandemic. Cureus. 2020;12(6):e8460.
13. Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;113(5):311–2.
14. Katz ED, Sharp L, Ferguson E. Depression among emergency medicine residents over an academic year. Acad Emerg Med. 2006;13(3):284–7.
15. Shete AN, Garkal KD. A study of stress, anxiety, and depression among postgraduate medical students. Chrismed J Health Res. 2015;2(2):119–23.
16. Wang JN, Sun W, Chi TS, Wu H, Wang L. Prevalence and associated factors of depressive symptoms among Chinese doctors: a cross-sectional survey. Int Arch Occup Environ Health. 2010;83:905–11.
17. Lafta R, Dhiaa S, Tawfeeq W, Al-Shawi A. Association of violence with anxiety and depression among Iraqi junior doctors. Int J Appl Psychol. 2016;6(6):163–70.
18. Ayad Z, Al Tabbah S, Hazimeh B, Sinno L. Depression, anxiety, and stress associated with the COVID-19 pandemic among healthcare professionals in Lebanon and Iraq. World Soc Psychiatry. 2021;3(1):36–44.
19. Ford J, Thomas F, Byng R, McCabe R. Use of the Patient Health Questionnaire (PHQ-9) in practice: interactions between patients and physicians. Qual Health Res. 2020;30(13):2146–59.
20. Galbraith N, Boyda D, McFeeters D, Hassan T. The mental health of doctors during the COVID-19 pandemic. BJPsych Bull. 2021;45(2):93–7.
21. Alserehi HA, Alqunaibet AM, Al-Tawfiq JA, Alharbi NK, Alshukairi AN, Alanazi KH, et al. Seroprevalence of SARS-CoV-2 among healthcare workers in Saudi Arabia: comparing case and control hospitals. Diagn Microbiol Infect Dis. 2021;99(3):115273.
22. Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors during COVID-19 pandemics. Psychiatry Res. 2020;290:113130.
23. Que J, Shi L, Deng J, Liu J, Zhang L, Wu S, et al. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr. 2020;33(3):e100259.
24. Elamin MM, Hamza SB, Abdalla YA, Mustafa AAM, Altayeb MA, Mohammed MA, et al. Psychological impact of the COVID-19 pandemic on health professionals in Sudan. Sudan J Med Sci. 2020;15(2):54–70.
25. Hossain MM, Rahman M, Trisha NF, Tasnim S, Nuzhath T, Hasan NT, et al. Prevalence of anxiety and depression in South Asia during COVID-19: a systematic review and meta-analysis. Heliyon. 2021;7(4):e06677.
26. Elhadi M, Msherghi A, Elgzairi M, Alhashimi A, Bouhuwaish A, Biala M, et al. Psychological status of healthcare workers during the civil war and COVID-19 pandemic: a cross-sectional study. J Psychosom Res. 2020;137:110221.
