The Evaluation of Knowledge, Attitudes, Depression and Anxiety Levels among Emergency Physicians during the COVID-19 Pandemic
1Department of Emergency Medicine, Faculty of Medicine, Ondokuz Mayıs University, Samsun,Turkey
2Department of Anesthesiology and Reanimation, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey
DOI: 10.22514/sv.2020.16.0022 Vol.16,Issue 1,June 2020 pp.163-171
Published: 30 June 2020
Background: The outbreak of COVID-19 has put enormous physical and psychological pressure on emergency physicians. The purpose of this study is to evaluate the levels of anxiety, depression, and related factors in this group during the COVID-19 pandemic. Materials and Methods: After obtaining ethics committee approval, we gathered the data for this descriptive study using an online questionnaire from March 14–20, 2020, from 290 emergency physicians in health care settings in Turkey. Results: The 290 emergency physicians who participated in the study had a high level of knowledge about COVID-19. According to their Hospital Anxiety Depression Scale (HADS) scores, depression was detected in 108 participants (62%) while anxiety was detected in 103 participants (35.5%), with the median depression and anxiety scores found to be 8 (0–21) and 7 (0–21), respectively. As to the requirement of a 14-day quarantine for an emergency physician performing an intubation, a statistically significant difference was found among job titles (p = 0.039). Conclusion: This study emphasizes the importance of recognizing psychological trauma caused by providing care during the COVID-19 pandemic and the necessity of providing psychological support for the protection of emergency physicians’ mental health.
Emergency, Health care, COVID-19, Anxiety, Depression
Fatih ÇALIŞKAN,Burhan DOST. The Evaluation of Knowledge, Attitudes, Depression and Anxiety Levels among Emergency Physicians during the COVID-19 Pandemic. Signa Vitae. 2020. 16(1);163-171.
 Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. The Lancet infectious dis-eases. 2020. Available at: https://doi.org/10.1016/S1473-3099(20)30120-1. Accesed time: 15 April 2020.
 COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). Available at: https://coronavirus.jhu.edu/map.html. Accesed time: 15 April 2020.
 Dost B, Koksal E, Terzi Ö, Bilgin S, Ustun YB, Arslan HN. Attitudes of Anesthesiology Specialists and Residents Toward Patients Infected with the Novel Coronavirus (COVID-19): A National Survey Study.Surgical Infections. 2020. Published Online :6 Apr 2020 Available at: https://doi.org/10.1089/sur.2020.097.
 Republic of Turkey Ministry of Health Public Health Divison. COVID-19 (SARS-CoV-2 Infectıon) Guideline. 2020; 11. Updated at: 14 April 2020. Available at: https://covid19bilgi.saglik. gov.tr/depo/rehberler/COVID-19_Rehberi.pdf.
 World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Geneva, Switzerland. 2020. Available at: https: //www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the\-media-briefing-on-covid-19---11-march-2020.
 Lum LHW, Tambyah PA. Outbreak of COVID-19–an urgent need for good science to silence our fears?. Singapore Medical Journal 2020; 61:55. Available at: http://doi.org/10.11622/smedj. 2020018.
 Zhong, BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li
Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Boil Sci. 2020;16:1745.
 Zhu J, Sun L, Zhang L, Wang H, Fan A, Yang B, et al. Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against the COVID-19 in Gansu. The Lancet. Published online Available at: https://dx.doi.org/ 10.2139/ssrn.3550054.
 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatr scand. 1983;67:361-370.
 Aydemir Ö, Güvenir T, Küey L, Kultur S. Hospital Anxiety and Depression Scale Turkish Form: validation and reliability study. Turk Psikiyatri Derg. 1997;8:280e7.
 Maunder R, Hunter J, Vincent L, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168:1245-1251.
 Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involvedwith the SARS outbreak. Psychiatr Serv. 2004;55:1055-1057.
 Giao H, Han NTN, Van Khanh T, Ngan VK, Van Tam V, Le An
P. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pac J Trop Med. 2020;13.
 Johnson EJ, Hariharan S. Public health awareness: knowledge, attitude and behaviour of the general public on health risks during the H1N1 influenza pandemic. J Public Health. 2017;25:333-7.
 World Health Organization. Novel coronavirus (2019-nCov):situation report-13. Available on: https://www.who.int/docs/default-source/coronaviruse/situation-reports/ 20200202-sitrep-13-ncov-v3.pdf?sfvrsn=195f4010_6.
 Lv Y, Zhang Z, Zeng W, Li J, Wang X, Luo G. Anxiety and Depression Survey of Chinese Medical Staff Before and During COVID-19 Defense. The Lancet 2020. Published online. Available at: https://dx.doi.org/10.2139/ssrn.3551350.
 Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active weibo users. Int J Res Public Health. 2020;17:2032.
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