Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Anxiety and Depression in Physical Therapists during the COVID-19 Pandemic: A Cross-sectional Survey in Gwangju, South Korea

  • Received : 2021.03.08
  • Accepted : 2021.04.15
  • Published : 2021.05.31
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Abstract

PURPOSE: Physical therapists are at risk of becoming infected because they are in contact with or within 2 meters of the patient while treating them. The purpose of this study is to investigate the anxiety and depression of physical therapists during the coronavirus disease 2019 (COVID-19) pandemic and to identify the factors that affect anxiety and depression. METHODS: A cross-sectional survey was conducted during the pandemic. The survey were completed by 84 physical therapists in 24 local hospitals in Gwangju, South Korea. The Generalized Anxiety Disorder-7 (GAD-7) scale and the Patient Health Questionnaire-9 (PHQ-9) were used to evaluate their anxiety and depression status. Logistic regression models were used to identify the general characteristics factors related to anxiety or depression. RESULTS: It was found that 40 (47.6%) respondents had anxiety, and 37 (44%) had depression. If there was a child under the age of seven in the physical therapist's family, a high probability of anxiety (p < .05) prevailed. Physical therapists in their 30s had a higher risk of depression than those in their 40s (p < .05). The risk of anxiety and depression in physical therapists who were with patients who did not wear masks was higher than for those who were with patients who wore masks (p < .05). CONCLUSION: The anxiety and depression status of physical therapists in Gwangju, South Korea, during the pandemic of COVID-19 was poor. It is necessary to wear a mask for all people during physical therapy.

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References

  1. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. https://doi.org/10.1016/s0140-6736(20)30183-5
  2. Wiersinga WJ, Rhodes A, Cheng AC, et al. Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): a review. JAMA. 2020;324(8):782-93. https://doi.org/10.1001/jama.2020.12839
  3. COVID-19 Dashboard by the Center for Systems Science and Engineering at Johns Hopkins University. COVID-19. https://coronavirus.jhu.edu/map.html. Accessed 18 Nov 2020.
  4. Shim E, Tariq A, Choi W, et al. Transmission potential and severity of COVID-19 in South Korea. Int J Infect Dis. 2020;93:339-44. https://doi.org/10.1016/j.ijid.2020.03.031
  5. Cho SI. Academic community's efforts to guide the fight against coronavirus disease 2019 (COVID-19) epidemic in Korea. J Prev Med Public Health. 2020;53(2):65-6. https://doi.org/10.3961/jpmph.20.084
  6. Lee AM, Wong JG, McAlonan GM, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry. 2007;52(4):233-40. https://doi.org/10.1177/070674370705200405
  7. Wu P, Fang Y, Guan Z, et al. 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(5):302-11. https://doi.org/10.1177/070674370905400504
  8. Lee SM, Kang WS, Cho AR, et al. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry. 2018;87:123-7. https://doi.org/10.1016/j.comppsych.2018.10.003
  9. Zhang WR, Wang K, Yin L, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom. 2020;89(4):242-50. https://doi.org/10.1159/000507639
  10. Li Q, Chen J, Xu G, et al. The psychological health status of healthcare workers during the COVID-19 outbreak: a cross-sectional survey study in Guangdong, China. Front Public Health. 2020;8:562885. https://doi.org/10.3389/fpubh.2020.562885
  11. Magnavita N, Soave PM, Ricciardi W, et al. Occupational stress and mental health among anesthetists during the COVID-19 pandemic. Int J Environ Res Public Health. 2020;17(21):8245. https://doi.org/10.3390/ijerph17218245
  12. Mira JJ, Carrillo I, Guilabert M, et al. Acute stress of the healthcare workforce during the COVID-19 pandemic evolution: a cross-sectional study in Spain. BMJ Open. 2020;10(11):e042555. https://doi.org/10.1136/bmjopen-2020-042555
  13. Hu N, Li Y, He SS, et al. Impact of the family environment on the emotional state of medical staff during the COVID-19 outbreak: the mediating effect of self-efficacy. Front Psychol. 2020;11:576515. https://doi.org/10.3389/fpsyg.2020.576515
  14. Sohrabi C, Alsafi Z, O'Neill N, et al. World health organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71-6. https://doi.org/10.1016/j.ijsu.2020.02.034
  15. Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708-20. https://doi.org/10.1056/NEJMoa2002032
  16. Van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020;382(16):1564-7. https://doi.org/10.1056/NEJMc2004973
  17. Chu DK, Akl EA, Duda S, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet. 2020;395 (10242):1973-87. https://doi.org/10.1016/S0140-6736(20)31142-9
  18. Spitzer RL, Kroenke K, Williams JB, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7. https://doi.org/10.1001/archinte.166.10.1092
  19. Lee SH, Shin C, Kim H, et al. Validation of the Korean version of the generalized anxiety disorder 7 self-rating scale. Asia Pac Psychiatry. 2020;e12421.
  20. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  21. Maroufizadeh S, Omani-Samani R, Almasi-Hashiani A, et al. The reliability and validity of the Patient Health Questionnaire-9 (PHQ-9) and PHQ-2 in patients with infertility. Reprod Health. 2019;16(1):137. https://doi.org/10.1186/s12978-019-0802-x
  22. Yang S, Kwak SG, Ko EJ, et al. The mental health burden of the COVID-19 pandemic on physical therapists. Int J Environ Res Public Health. 2020;17(10):3723. https://doi.org/10.3390/ijerph17103723
  23. Zhang Y, Xie S, Wang P, et al. Factors influencing mental health of medical workers during the COVID-19 outbreak. Front Public Health. 2020;8:491. https://doi.org/10.3389/fpubh.2020.00491
  24. Cao Q, Chen YC, Chen CL, et al. SARS-CoV-2 infection in children: Transmission dynamics and clinical characteristics. J Formos Med Assoc. 2020;119(3):670-3. https://doi.org/10.1016/j.jfma.2020.02.009
  25. Park JY, Han MS, Park KU, et al. First pediatric case of coronavirus disease 2019 in Korea. J Korean Med Sci. 2020;35(11):e124. https://doi.org/10.3346/jkms.2020.35.e124
  26. Nwachukwu I, Nkire N, Shalaby R, et al. COVID-19 pandemic: age-related differences in measures of stress, anxiety and depression in Canada. Int J Environ Res Public Health. 2020;17(17):6366. https://doi.org/10.3390/ijerph17176366
  27. Shaw K, Butcher S, Ko J, et al. Wearing of cloth or disposable surgical face masks has no effect on vigorous exercise performance in healthy individuals. Int J Environ Res Public Health. 2020;17(21):8110. https://doi.org/10.3390/ijerph17218110