Anxiety Level in Pediatrics Residents in COVID-19 Outbreak Days
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Original Article
P: 9-13
April 2021

Anxiety Level in Pediatrics Residents in COVID-19 Outbreak Days

1. İzmir Katip Çelebi Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, İzmir Tepecik Eğitim Araştırma Hastanesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Kliniği, İzmir, Türkiye
2. Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Bolu, Türkiye
3. İzmir Tepecik Eğitim Araştırma Hastanesi, Pediatri Kliniği, İzmir, Türkiye
4. İzmir Katip Çelebi Üniversitesi Tıp Fakültesi, Ruh Sağlığı ve Hastalıkları Anabilim Dalı, İzmir, Türkiye
5. İstanbul Medeniyet Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, İstanbul, Türkiye
6. Dokuz Eylül Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, İzmir, Türkiye
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Received Date: 30.06.2020
Accepted Date: 07.10.2020
Publish Date: 28.04.2021
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ABSTRACT

Objectives:

The aim of this study is to reveal how pediatrics residents’ anxiety levels and their approaches to children have been shaped during unexpected experience of COVID-19 outbreak and to evaluate the effects of working in pandemic clinics on anxiety.

Materials and Methods:

This study was planned as a cross-sectional study. Pediatrics residents working in Izmir Tepecik Training and Research Hospital Pediatrics Education Clinic were contacted and asked whether they wanted to fill the prepared electronic questionnaire. The information including informed volunteer consent form and questionnaires was sent to the acceptors via e-mail/Whatsapp. The sociodemographic data form and Spielberger State and Trait Anxiety Inventory (STAI-S and STAI-T) were sent to the participants.

Results:

Sixty four pediatrics residents participated. The average age of the participants in our study was 27.98±2.62 years. Of them, 79.7%(n=51) were female, while 20.3% (n=13) were male. While 7.8% (n=5) had a history of suffering from mental illness before COVID-19, there was no history of mental illness in 92.2% (n=59). 67.2% (n=43) of the pediatrics residents included in the study worked in the pandemic service and outpatient clinics. We found that pediatrics residents included in the study showed clinically significant anxiety symptoms at the rate of 89.1% (n=57) in terms of the Spielberger state anxiety scale and at the rate of 65.6% (n=42) in terms of the Spielberger trait anxiety scale. Considering whether the residents included in the study worked or did not work in the pandemic outpatient clinic/inpatient clinic, no statistically significant difference was found in terms of STAI scores (p>0.05).

Conclusion:

Our study is the first study to evaluate the anxiety levels associated with the COVID-19 outbreak among pediatrics residents in our country. In our study, both the state anxiety level and the trait anxiety level were found to be higher in pediatrics residents, with a higher level of state anxiety. The results of our study suggest the necessity of interventions for the concerns of all healthcare professionals, especially pediatrics residents.

References

1
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z, Yu T, Xia J, Wei Y, Wu W, Xie X, Yin W, Li H, Liu M, Xiao Y, Gao H, Guo L, Xie J, Wang G, Jiang R, Gao Z, Jin Q, Wang J, Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497-506.
2
Wang L, Wang Y, Ye D, Liu Q. A review of the 2019 Novel Coronavirus (COVID-19) based on current evidence. Int JAntimicrob Agents. 2020:105948.
3
Dong Y, Mo X, HuY, Qi X,Jiang F, Jiang Z, Tong S. Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. Pediatrics. 2020.
4
CDC COVID-19 Response Team. Coronavirus Disease 2019 in Children - United States, February 12-April 2, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:422-426.
5
Brumariu LE, Kerns KA. Parent-child attachment and internalizing symptoms in childhood and adolescence: a review of empirical findings and future directions. Dev Psychopathol. 2010;22:177-203.
6
Hudson JL, Rapee RM. Parent-child interactions and anxiety disorders: An observational study. Behav Res Ther. 2001;39:1411-1427.
7
Pynoos RS, Steinberg AM, Piacentini JC. A developmental psychopathology model of childhood traumatic stress and intersection with anxiety disorders. Biol Psychiatry. 1999;46:1542-1554.
8
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int J Environ Res Public Health. 2020;17:1729.
9
McAlonan GM, Lee AM, Cheung V, Cheung C, Tsang KW, Sham PC, Chua SE, Wong JG. Immediate and sustained psychological impact of emerging infectious disease outbreak on health care workers. Can J Psychiatry. 2007;52:241-247.
10
Li L, Wan C, Ding R, Liu Y, Chen J, Wu Z, Liang C, He Z, Li C. Mental distress among Liberian medical staff working at the China Ebola Treatment Unit: a cross sectional study. Health Qual Life Outcomes. 2015;13:156.
11
Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, Liu X, Fuller CJ, Susser E, Lu J, Hoven CW. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry. 2009;54:302-311.
12
Lin CY, Peng YC, Wu YH, Chang J, Chan CH, Yang DY. The psychological effect of severe acute respiratory syndrome on emergency department staff. Emerg Med J. 2007;24:12-17.
13
Koh D, Lim MK, Chia SE, Ko SM, Qian F, Ng V, Tan BH, Wong KS, Chew WM, Tang HK, Ng W, Muttakin Z, Emmanuel S, Fong NP, Koh G, Kwa CT, Tan KB, Fones C. Risk perception and impact of SARS on work and personal lives of healthcare workers in Singapore: what can we learn? Med Care. 2005;43:676-682.
14
Poon E, Liu KS, Cheong DL, Lee CK, Yam LY, Tang WN. Impact of severe respiratory syndrome on anxiety levels of front-line health care workers. Hong Kong Med J. 2004;10:325-330.
15
Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann Acad Med Singap. 2020;49:155-160.
16
Spielberger CD, Gorsuch RL, Lushene RE, Vagg PR, Jacobs GA. Manual for the state-trait anxiety inventory. Palo Alto CA: Consulting Psychologists; 1983.
17
Öner N, Le Compte A. Durumluk sürekli kaygı envanteri. İstanbul; Boğaziçi Üniversitesi Yayınları; 1983.
18
Julian LJ. Measures of anxiety: state-trait anxiety inventory (STAI), beck anxiety inventory (BAI), and hospital anxiety and depression scale-anxiety (HADS-A). Arthritis Care Res (Hoboken). 2011;63:467-472.
19
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H, Kang L, Yao L, Huang M, Wang H, Wang G, Liu Z, Hu S. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3:e203976.
20
Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, Cheng ASK. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect. 2020;148:e98.
21
Leung GM, Ho LM, Chan SK, Ho SY, Bacon-Shone J, Choy RY, Hedley AJ, Lam TH, Fielding R. Longitudinal assessment of community psychobehavioral responses during and after the 2003 outbreak of severe acute respiratory syndrome in Hong Kong. Clin Infect Dis. 2005;40:1713-1720.
22
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, Wang Y, Hu J, Lai J, Ma X, Chen J, Guan L, Wang G, Ma H, Liu Z. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7:e14.