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Impact of COVID Pandemic on the Mental State of Health Workers: A Study of Mindfulness-based Interventions

Document Type : Research articles

Authors

1 Division of Abdominal Tumor Multimodality Treatment, Cancer Center?West China Hospital, Sichuan University and West China School of Nursing, Sichuan University, China

2 Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Hospital C.T, China

Abstract

Background: An increasing number of studies have been conducted on the prevalence of COVID-19 to develop strategies to combat the disease. However, less attention has been paid to the mental health of medical professionals.
Objectives: To investigate whether a mindfulness-based stress reduction (MBSR) course in Tibet could improve the mental health of medical personnel during the COVID-19 epidemic.
Methods: One hundred and eighteen medical staff were randomly selected from July 2022 to September 2022. After baseline enrolment, the control group (n=59) received baseline healthcare services, while the intervention group (n=59) received a 2-month positive intervention MBSR course in addition to baseline healthcare services. After the intervention, the intervention group underwent a final assessment, and the control group was subjected to MBSR for 2 months. The Self-Rating Depression Scale (SDS), Self-Consciousness Scale (SCS), and the Chinese version of the Cohen Perceived Stress Scale (CPSS) were used to measure the emotional well-being of medical personnel.
Results: The intervention group had significantly lower CPSS and SDS scores at the end of the MBSR course (P<0.01), and SCS scores were significantly increased during M2 (P=0.009), compared to M0. In the control group, the scores of SDS (P=0.223), SCS (P=0.112), and CPSS (P=0.131) in M2 were not significantly different from those in M0. The intervention and control groups showed statistically significant differences in CPSS scores (P=0.013), SDS scores (P=0.001), and SCS scores (P=0.029) at the end of the MBSR session.
Conclusion: It can be concluded that MBSR sessions can effectively alleviate negative emotions triggered by work stress and depression and improve self-compassion during an epidemic. It is recommended to participate in a scientific MBSR course to improve emotional well-being to some extent.

Keywords

References
  1. Karlinsky A, Kobak D. Tracking excess mortality across countries during the COVID-19 pandemic with the World Mortality Dataset. Elife. 2021;10:69336. doi:10.7554/eLife.69336. [PubMed: 34190045].
  2. Khan M, Adil SF, Alkhathlan HZ, Tahir MN, Saif S, Khan M, et al. COVID-19: a global challenge with old history, epidemiology and progress so far. Molecules. 2020;26(1):39. doi: 10.3390/molecules26010039. [PubMed: 33374759].
  3. Tsang HF, Chan LW, Cho WC, Tsang HF, Chan LW, Cho WC, et al. An update on COVID-19 pandemic: the epidemiology, pathogenesis, prevention and treatment strategies.
  4. Expert Rev Anti Infect Ther. 2021;19(7):877-88. doi: 10.1080/14787210.2021.1863146. [PubMed: 33306423].
  5. Ashton J. The COVID-19 pandemic: the third wave? J R Soc Med. 2021;114(7): 367-8. doi: 10.1177/01410768211030835. [PubMed: 34250864].
  6. Iyer S. Apart, together: reflections on the COVID-19 pandemic. Trends Microbiol. 2021;29(12):1049-51. doi: 10.1016/j.tim.2021.09.009. [PubMed: 34752742].
  7. Shen W. Dynamically adjusted strategy in response to developments in the COVID-19 pandemic as a new normal. Global Health. 2021;17(1):1-7. doi: 10.1186/s12992-021-00746-9. [PubMed: 34372862].
  8. Mukhtar S. Psychological health during the coronavirus disease 2019 pandemic outbreak. Int J Soc Psychiatry. 2020;66(5):512-6. doi: 10.1177/0020764020925835. [PubMed: 32434402].
  9. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;
  10. (3):228-9. doi: 10.1016/S2215-0366(20)30046-8. [PubMed: 32032543].
  11. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease 2019[J]. JAMA Netw Open. 2020;3(3):203976. doi:10.1001/jamanetworkopen.2020.3976. [PubMed: 32202646].
  12. Hassan M, Jordan F, Tawfick W. Mental stress in health care professionals during COVID-19 outbreak. Irish J Med Sci. 2022;191(6):2681-87. doi: 10.1007/s11845-021-02880-0. [PubMed: 35031938].
  13. Badahdah A, Khamis F, Al Mahyijari N, Al Balushi M, Al Hatmi H, Al Salmi I, et al. The mental health of health care workers in Oman during the COVID-19 pandemic. Int J Soc Psychiatry. 2021;67(1):90-5. doi: 10.1177/0020764020939596. [PubMed: 32635837].
  14. Hofmann SG, Gomez AF. Mindfulness-Based Interventions for Anxiety and Depression. Psychiatr Clin North Am. 2017;40(4):739-49. doi: 10.1016/j.psc.2017.08.008. [PubMed: 29080597].
  15. Hoge EA, Bui E, Palitz SA, Schwarz NR, Owens ME, Johnston JM, et al. The effect of mindfulness meditation training on biological acute stress responses in generalized anxiety disorder. Psychiatry Res. 2018;262:328-32. doi: 10.1016/j.psychres.2017.01.006. [PubMed: 28131433].
  16. Liu H, Gao X, Hou Y. Effects of mindfulness-based stress reduction combined with music therapy on pain, anxiety, and sleep quality in patients with osteosarcoma. Braz J Psychiatry. 2019;41(6):540-5. doi: 10.1590/1516-4446-2018-0346 [PubMed: 31116262].
  17. Lebares CC, Hershberger AO, Guvva EV, Desai A, Mitchell J, Shen W, et al. Feasibility of formal mindfulness-based stress-resilience training among surgery interns: a randomized clinical trial. JAMA Surg, 2018;153(10):182734. doi: 10.1001/jamasurg.2018.2734. [PubMed: 30167655].
  18. Lenze EJ, Voegtle M, Miller JP, Ances BM, Balota DA, Barch D, et al. Effects of mindfulness training and exercise on cognitive function in older adults: a randomized clinical trial.
  19. JAMA. 2022;328(22):2218-29. doi: 10.1001/jama.2022.21680. [PubMed: 36511926].
  20. Goldin PR, Thurston M, Allende S, Moodie C, Dixon ML, Heimberg RG, et al. Evaluation of cognitive behavioral therapy vs mindfulness meditation in brain changes during reappraisal and acceptance among patients with social anxiety disorder: a randomized clinical trial. JAMA Psychiatry. 2021;78(10):
  21. -42. doi: 10.1001/jamapsychiatry.2021.1862. [PubMed: 34287622]
  22. Wells RE, O’Connell N, Pierce CR, Estave P, Penzien DB, Loder E, et al. Effectiveness of mindfulness meditation vs headache education for adults with migraine: a randomized clinical
  23. trial. JAMA Intern Med. 2021;181(3):317-28. doi: 10.1001/jamainternmed.2020.7090. [PubMed: 33315046].
  24. Creswell JD. Mindfulness interventions. Annu Rev Psychol. 2017;68:491-516. doi: 10.1146/annurev-psych-042716-051139. [PubMed: 27687118].
  25. Shao D, Zhang H, Cui N, Sun J, Li J, Cao F. The efficacy and mechanisms of a guided self-help intervention based on mindfulness in patients with breast cancer: A randomized controlled trial. Cancer. 2021;127(9):1377-86. doi: 10.1002/cncr.33381. [PubMed: 33332582].
  26. Khoury B, Lecomte T, Fortin G, Masse M, Therien P, Bouchard V, et al. Mindfulness-based therapy: a comprehensive meta-analysis. Clin Psychol Rev. 2013;33(6):763-71. doi: 10.1016/j.cpr.2013.05.005. [PubMed: 23796855].
  27. Zhang D, Lee EK, Mak EC, Ho CY, Wong SY. Mindfulness-based interventions: an overall review. Br Med bull. 2021;138(1):41-57. doi: 10.1093/bmb/ldab005. [PubMed: 33884400].
  28. Zung WW. A self-rating depression scale. Arch Gen Psychiatry. 1965;12(1):63-70. doi: 10.1001/archpsyc.1965.017203100 65008. [PubMed: 14221692].
  29. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96. doi:10.2307/2136404.
  30. Garcia-Campayo J, Navarro-Gil M, Andres E, Montero-Marin J, Lopez-Artal L, Demarzo MM. Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health Qual Life outcomes. 2014;12(1):1-9. doi: 10.1186/1477-7525-12-4. [PubMed: 24410742].
  31. Qasemi A, Lagzian M, Bayat Z. Cancer and COVID-19: A Double Burden on the Healthcare System. Iran Red Crescent Med J. 2023;25(2):2662. doi: 10.32592/ircmj.2023.25.2.2662.
  32. Morris NP, Hirschtritt ME. Telepsychiatry, hospitals, and the COVID-19 Pandemic. Psychiatr Serv. 2020;71(12):1309-12. doi: 10.1176/appi.ps.202000216. [PubMed: 32933415].
  33. De Kock JH, Latham HA, Leslie SJ, Grindle M, Munoz SA, Ellis L, et al. A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being. BMC Public Health. 2021;21(1):1-8. doi: 10.1186/s12889-020-10070-3.
  34. Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547-60. doi: 10.1016/S2215-0366(20)30168-1. [PubMed:32304649].
  35. Alsubaie M, Abbott R, Dunn B, Dickens C, Keil TF, Henley W, et al. Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clin Psychol Rev. 2017;55:74-91. doi: 10.1016/j.cpr.2017.04.008. [PubMed: 28501707].
  36. Hoge EA, Bui E, Marques L, Metcalf CA, Morris LK, Robinaugh DJ, et al. Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: effects on anxiety and stress reactivity. J Clin Psychiatry. 2013;74(8):16662. doi: 10.4088/JCP.12m08083. [PubMed: 23541163].
  37. Marciniak R, Šumec R, Vyhnalek M, Bendičkova K, Lazničkova P, Forte G, et al. The effect of mindfulness-based stress reduction (mbsr) on depression, cognition, and immunity in mild cognitive impairment: a pilot feasibility study. Clin
  38. Interv Aging. 2020;15:1365-81. doi: 10.2147/CIA.S249196. [PubMed:32848377].
  39. Mann RE, Hanson RK, Thornton D. Assessing risk for sexual recidivism: some proposals on the nature of psychologically meaningful risk factors. Sex Abuse. 2010;22(2):191-217. doi: 10.1177/1079063210366039. [PubMed:20363981].
  40. Bluth K, Blanton PW. Mindfulness and self-compassion: exploring pathways to adolescent emotional well-being. J Child Fam Stud. 2014;23(7):1298-309. doi: 10.1007/s10826-013-9830-2. [PubMed: 25328369].
  41. De Vibe M, Solhaug I, Rosenvinge JH, Tyssen R, Hanley A, Garland E. Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial. PLoS One. 2018;13(4): 0196053. doi:10.1371/journal.pone.0196053. [PubMed: 29689081]
Iranian Red Crescent Medical Journal (IRCMJ)
Volume 25, Issue 7 - Serial Number 7
2023
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History
  • Receive Date: 24 April 2023
  • Revise Date: 23 May 2024
  • Accept Date: 27 January 2024
  • First Publish Date: 27 January 2024
  • Publish Date: 01 July 2023
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