The Prevalence of Anxiety and its Associated Factors among Medical Interns during the COVID-19 Outbreak in Iran
Downloads
Background: Since the Coronavirus disease 2019 (COVID-19) pandemic outbreak, medical personnel have undergone a considerable amount of physical and mental pressure. Medical interns (MIs) are a distinct population of healthcare workers. In Iran, MIs refers to senior medical students who are undergoing their clinical training.
Aim: We aimed to determine the prevalence of anxiety due to COVID-19 among MIs and identify personal factors associated with anxiety.
Methods: A cross-sectional study was carried out during April 18th to 24th, 2021. An online questionnaire containing a demographic characteristics questionnaire and the Corona Disease Anxiety Scale (CDAS) was sent to all of the 679 MIs of Shahid Beheshti University of Medical Sciences, Iran, through WhatsApp© messenger and 420 individuals (62% response rate) were enrolled in the study voluntarily. Independent t-test, one-way ANOVA, and Tukey’s HSD post hoc test were conducted using SPSS software to identify the predictive factors for anxiety.
Results: The results showed that 70.2% of the participants had no or mild anxiety, 25% had moderate, and 4.8% had severe anxiety. The most significant factors associated with anxiety were female gender (p < 0.001) and living with parents (P < 0.01). However, there was no significant difference between single and married groups (P = 0.42).
Conclusion: It is suggested that medical universities and the government collaborate to provide an adequate psychological service for MIs, focusing on female interns who are living with their family members.
Downloads
Alboghdadly, A., Saadh, M. J., Kharshid, A. M., Shaalan, M. S., & Alshawwa, S. Z. (2022). Assessment of anxiety level and sleep quality of medical staff treating patients with COVID-19. Eur.Rev.Med Pharmacol.Sci, 26(1), 312-319. doi:10.26355/eurrev_202201_27783 [doi]. Retrieved from PM:35049010
Alipour, A., Ghadami, A., Farsham, A., & Dorri, N. (2020). A new self-reported assessment measure for COVID-19 Anxiety Scale (CDAS) in Iran: A web-based study. Iran J Public Health, 49(7), 1316-1323. doi:10.18502/ijph.v49i7.3585 [doi];IJPH-49-1316 [pii]. Retrieved from PM:33083298
Aylie, N. S., Mekonen, M. A., & Mekuria, R. M. (2020). The psychological impacts of COVID-19 pandemic among university students in Bench-Sheko Zone, South-west Ethiopia: A community-based cross-sectional study. Psychol Res Behav Manag., 13, 813-821. doi:10.2147/PRBM.S275593 [doi];275593 [pii]. Retrieved from PM:33061696
Christiansen, D. M. (2015). Examining sex and gender differences in anxiety disorders. In F. Durbano (Ed.). A fresh look at anxiety disorders. InTechOpen. https://doi.org/10.5772/60662
Guerrero, Z., Aliev, A. A., Kondratova, L., Jozefiakova, B., Nesazalova, N., Sanakova, J. G. et al. (2021). Mental health and quality and safety of care in czech residential institutions during the COVID-19 pandemic: A mixed-methods study. Psychiatr.Q., 92(4), 1393-1411. doi:10.1007/s11126-021-09912-z [doi];10.1007/s11126-021-09912-z [pii]. Retrieved from PM:33821407
Haque, M. R., Ul Islam, M. S., Hasan, M. K., Hossain, M. S., Hossain Khan, M. A., & Islam, F. (2022). Determinants of anxiety and depression among Bangladeshi adults during COVID-19 lockdown: An online survey. Heliyon, 8(5), e09415.
Jafari, P., Nozari, F., Ahrari, F., & Bagheri, Z. (2017). Measurement invariance of the Depression Anxiety Stress Scales-21 across medical student genders. Int J Med Educ, 8, 116-122. doi:ijme.8.116122 [pii];10.5116/ijme.58ba.7d8b [doi]. Retrieved from PM:28362630
Keyvanfar, A., Mohseny, M., Zamani, A., Soheili, A., Derisi, M., Seyedalhosseini, Z. et al. (2022). Association between sleep quality and mental health among medical students in a University Center in Tehran, Iran. Int J Body, Mind Culture, 9(1), 37-44.
Lang, Q., Liu, X., He, Y., Lv, Q., & Xu, S. (2020). Association between working hours and anxiety/depression of medical staff during large-scale epidemic outbreak of COVID-19: A cross-sectional study. Psychiatry Investig., 17(12), 1167-1174. doi:pi.2020.0229 [pii];10.30773/pi.2020.0229 [doi]. Retrieved from PM:34724601
Lu, R., Zhao, X., Li, J., Niu, P., Yang, B., Wu, H. et al. (2020). Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet, 395(10224), 565-574. doi:S0140-6736(20)30251-8 [pii];10.1016/S0140-6736(20)30251-8 [doi]. Retrieved from PM:32007145
Mattila, E., Peltokoski, J., Neva, M. H., Kaunonen, M., Helminen, M., & Parkkila, A. K. (2021). COVID-19: Anxiety among hospital staff and associated factors. Ann.Med, 53(1), 237-246. doi:10.1080/07853890.2020.1862905 [doi]. Retrieved from PM:33350869
McAlonan, G. M., Lee, A. M., Cheung, V., Cheung, C., Tsang, K. W., Sham, P. C. et al. (2007). Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can.J Psychiatry, 52(4), 241-247. doi:10.1177/070674370705200406 [doi]. Retrieved from PM:17500305
Miri, Z., Razavi, Z., & Mohammadi, S. (2021). Evaluation of stress, anxiety, depression, and sleep disorders in medical students of Hamadan University of Medical Sciences, Iran, during the COVID-19 Pandemic. Avicenna J Clin Med, 27(4), 232-238.
Mohammadzadeh, F., Delshad, N. A., Khosravan, S., Bazeli, J., Armanmehr, V., & Paykani, T. (2020). Anxiety severity levels and coping strategies during the COVID-19 pandemic among people aged 15 years and above in Gonabad, Iran. Arch Iran Med, 23(9), 633-638. doi:10.34172/aim.2020.76 [doi]. Retrieved from PM:32979912
Moreira de, S. J., Moreira, C. A., & Telles-Correia, D. (2018). Anxiety, depression and academic performance: A study amongst Portuguese medical students versus non-medical students. Acta Med Port, 31(9), 454-462. doi:10.20344/amp.9996 [doi]. Retrieved from PM:30332368
Nakhostin-Ansari, A., Sherafati, A., Aghajani, F., Khonji, M. S., Aghajani, R., & Shahmansouri, N. (2020). Depression and anxiety among iranian medical students during COVID-19 pandemic. Iran J Psychiatry, 15(3), 228-235. doi:10.18502/ijps.v15i3.3815 [doi];IJPS-15-228 [pii]. Retrieved from PM:33193771
Ouazzani Housni, T. Y., Maiouak, M., Ouraghene, A., Hammani, Z., Abdi, C. M. F., Benhammou, I. et al. (2022). The prevalence and associated factors of depression, anxiety, and PTSD among Moroccan medical doctors in the COVID-19 pandemic: A national study. Psychol Health Med, 1-14. doi:10.1080/13548506.2022.2067574 [doi]. Retrieved from PM:35477317
Quintana-Domeque, C., Lee, I., Zhang, A., Proto, E., Battisti, M., & Ho, A. (2021). Anxiety and depression among medical doctors in Catalonia, Italy, and the UK during the COVID-19 pandemic. PLoS.One., 16(11), e0259213. doi:10.1371/journal.pone.0259213 [doi];PONE-D-21-22042 [pii]. Retrieved from PM:34727110
Saddik, B., Hussein, A., Sharif-Askari, F. S., Kheder, W., Temsah, M. H., Koutaich, R. A. et al. (2020). Increased levels of anxiety among medical and non-medical university students during the COVID-19 pandemic in the United Arab Emirates. Risk Manag.Healthc.Policy, 13, 2395-2406. doi:10.2147/RMHP.S273333 [doi];273333 [pii]. Retrieved from PM:33177898
Theoret, C., & Ming, X. (2020). Our education, our concerns: The impact on medical student education of COVID-19. Med Educ, 54(7), 591-592. doi:10.1111/medu.14181 [doi]. Retrieved from PM:32310318
Quek, T. T., Tam, W. W., Tran, B. X., Zhang, M., Zhang, Z., Ho, C. S. et al. (2019). the global prevalence of anxiety among medical students: A meta-analysis. Int J Environ.Res Public Health, 16(15). doi:ijerph16152735 [pii];10.3390/ijerph16152735 [doi]. Retrieved from PM:31370266
Willgoss, T. G., Goldbart, J., Fatoye, F., & Yohannes, A. M. (2013). The development and validation of the anxiety inventory for respiratory disease. Chest., 144(5), 1587-1596. doi:S0012-3692(13)60735-7 [pii];10.1378/chest.13-0168 [doi]. Retrieved from PM:23907347
World Health Organization. (2020a). WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020 [Online]. Available from: URL: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. Accessed 2020 Mar 11.
World Health Organization. (2020b). Iran (Islamic Republic of) situation [Online]. Available from: URL: https://covid19.who.int/region/emro/country/ir. Accessed 2020.
Copyright (c) 2022 International Journal of Body, Mind and Culture
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.