The Impact of COVID-19 on the Psychological Well-Being of Surgeons in Pakistan: A Multicenter Cross-Sectional Study

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Abstract

Introduction The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic left a profound and pervasive impact on the healthcare infrastructure on a global scale. Since its onset, the pattern of reported cases and its associated mortality had shown variability with intermittent peaks causing a significant effect on the psychological well-being of the surgeons of Pakistan. The aim of this study was to assess the effects of the COVID-19 pandemic on the mental well-being of surgeons in Pakistan. Methods This multicenter cross-sectional study was carried out to assess the impact of COVID-19 on the psychological well-being of surgeons in Pakistan. The validated Self-Reporting Questionnaire-20 (SRQ-20) tool was circulated electronically via Google Forms (Google, Inc., Mountain View, CA, USA) in the practicing surgical fraternity across all five regions of Pakistan, i.e., Sindh, Punjab, Baluchistan, Khyber Pakhtunkhwa (KPK), and Azad Jammu and Kashmir (AJK). Results This study showed that the female gender, having fewer years of working experience, non-satisfaction with the available personal protective equipment (PPE), and working in the public sector were the factors affecting the psychological well-being of surgeons during the pandemic. Conclusion Considering the continuous rise in new cases during the ongoing pandemic, the mental health of surgeons working in low- and middle-income countries (LMIC) such as Pakistan has been significantly affected. There is an undeniable need to pay close attention to their psychological well-being. Measures need to be undertaken to ensure their physical and mental health and wellness.

Keywords: covid-19; depression; psychological distress; srq-20; surgeons.


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KMEL References


References

  1.  
    1. World Health Organization: Archived: WHO timeline - COVID-19. [ Nov; 2021 ];https://www.who.int/news/item/27-04-2020-who-timeline---covid-19 2020
  2.  
    1. Progress of COVID-19 epidemic in Pakistan. Abid K, Bari YA, Younas M, Tahir Javaid S, Imran A. Asia Pac J Public Health. 2020;32:154–156. - PMC - PubMed
  3.  
    1. Government of Pakistan: Pakistan cases details. [ Nov; 2021 ];https://covid.gov.pk/stats/pakistan Coronavirus. 2022 in:2021.
  4.  
    1. SAGES primer for taking care of yourself during and after the COVID-19 crisis. Dort J, Romanelli J, Choudhury N, et al. Surg Endosc. 2020;34:2856–2862. - PMC - PubMed
  5.  
    1. Surgeons, ethics, and COVID-19: early lessons learned. Angelos P. J Am Coll Surg. 2020;230:1119–1120. - PMC - PubMed
  6.  
    1. Equity360: Gender, race, and ethnicity-COVID-19 and preparing for the next pandemic. O'Connor MI. Clin Orthop Relat Res. 2020;478:1183–1185. - PMC - PubMed
  7.  
    1. Surgeons' response to COVID-19 - preparing from the sideline. Balakumar C, Montauban P, Rait J, et al. Br J Surg. 2020;107:0. - PMC - PubMed
  8.  
    1. Risk factors of healthcare workers with coronavirus disease 2019: a retrospective cohort study in a designated hospital of Wuhan in China. Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Clin Infect Dis. 2020;71:2218–2221. - PMC - PubMed
  9.  
    1. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. Meng L, Hua F, Bian Z. J Dent Res. 2020;99:481–487. - PMC - PubMed
  10.  
    1. Stepping up infection control measures in ophthalmology during the novel coronavirus outbreak: an experience from Hong Kong. Lai TH, Tang EW, Chau SK, Fung KS, Li KK. Graefes Arch Clin Exp Ophthalmol. 2020;258:1049–1055. - PMC - PubMed
  11.  
    1. COVID-19 and orthopaedic surgeons: the Indian scenario. Jain VK, Vaishya R. Trop Doct. 2020;50:108–110. - PMC - PubMed
  12.  
    1. Skin damage among health care workers managing coronavirus disease-2019. Lan J, Song Z, Miao X, et al. J Am Acad Dermatol. 2020;82:1215–1216. - PMC - PubMed
  13.  
    1. COVID-19: are frontline surgical staff ready for this? Balakumar C, Rait J, Montauban P, Zarsadias P, Iqbal S, Fernandes R. Br J Surg. 2020;107:0. - PMC - PubMed
  14.  
    1. Impact of COVID 19 lockdown on orthopaedic surgeons in India: a survey. Sahu D, Agrawal T, Rathod V, Bagaria V. J Clin Orthop Trauma. 2020;11:0–90. - PMC - PubMed
  15.  
    1. COVID-19: how can a department of general surgery survive in a pandemic? Guerci C, Maffioli A, Bondurri AA, Ferrario L, Lazzarin F, Danelli P. Surgery. 2020;167:909–911. - PMC - PubMed
  16.  
    1. COVID-19 pandemic: effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Kowalski LP, Sanabria A, Ridge JA, et al. Head Neck. 2020;42:1259–1267. - PMC - PubMed
  17.  
    1. The surgeons and the COVID-19 pandemic. Correia MI, Ramos RF, Bahten LC. Rev Col Bras Cir. 2020;47:0. - PubMed
  18.  
    1. Rapid response of an academic surgical department to the COVID-19 pandemic: implications for patients, surgeons, and the community. Lancaster EM, Sosa JA, Sammann A, Pierce L, Shen W, Conte MC, Wick EC. J Am Coll Surg. 2020;230:1064–1073. - PMC - PubMed
  19.  
    1. Validation of the self reporting questionnaire 20-item (SRQ-20) for use in a low- and middle-income country emergency centre setting. van der Westhuizen C, Wyatt G, Williams JK, Stein DJ, Sorsdahl K. Int J Ment Health Addict. 2016;14:37–48. - PMC - PubMed
  20.  
    1. Why is depression more prevalent in women? Albert PR. J Psychiatry Neurosci. 2015;40:219–221. - PMC - PubMed
  21.  
    1. Potential traumatic events in the workplace and depression, anxiety and post-traumatic stress: a cross-sectional study among Dutch gynaecologists, paediatricians and orthopaedic surgeons. Scheepstra KW, Pauw HS, van Steijn ME, Stramrood CA, Olff M, van Pampus MG. BMJ Open. 2020;10:0. - PMC - PubMed
  22.  
    1. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. Lai J, Ma S, Wang Y, et al. JAMA Netw Open. 2020;3:0. - PMC - PubMed
  23.  
    1. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Liu X, Kakade M, Fuller CJ, et al. Compr Psychiatry. 2012;53:15–23. - PMC - PubMed
  24.  
    1. Impact of COVID-19 on the mental health of surgeons and coping strategies. Balasubramanian A, Paleri V, Bennett R, Paleri V. Head Neck. 2020;42:1638–1644. - PMC - PubMed
  25.  
    1. Mental health among head and neck surgeons in Brazil during the COVID-19 pandemic: a national study. Civantos AM, Bertelli A, Gonçalves A, Getzen E, Chang C, Long Q, Rajasekaran K. Am J Otolaryngol. 2020;41:102694. - PMC - PubMed
  26.  
    1. COVID-19 pandemic- knowledge, perception, anxiety and depression among frontline doctors of Pakistan. Amin F, Sharif S, Saeed R, Durrani N, Jilani D. BMC Psychiatry. 2020;20:459. - PMC - PubMed