Epidemiology and Health

COVID-19: Systematic Review

A closer look at the high burden of psychiatric disorders among healthcare workers in Egypt during the COVID-19 pandemic: Amr Ehab El-Qushayri, Abdullah Dahy, Abdullah Reda, Mariam Abdelmageed Mahmoud, Sarah Abdel Mageed, Ahmed Mostafa Ahmed Kamel, Sherief Ghozy; Epidemiol Health. 2021;43:e2021045. Published online July 13, 2021; DOI: https://doi.org/10.4178/epih.e2021045

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Abstract

OBJECTIVES
This study aimed to examine the prevalence of psychiatric disorders among Egyptian healthcare workers (HCWs) during the coronavirus disease 2019 (COVID-19) pandemic.

METHODS

Six databases were searched for relevant papers. The quality of the selected articles was measured using the National Institute of Health quality assessment tool. We used a fixed-effects model when there was no heterogeneity and a random-effects model when there was heterogeneity.

RESULTS

After screening 197 records, 10 studies were ultimately included. Anxiety was the most commonly reported psychiatric disorder among HCWs, with a prevalence of 71.8% (95% confidence interval [CI], 49.4 to 86.9), followed by stress (66.6%; 95% CI, 47.6 to 81.3), depression (65.5%; 95% CI, 46.9 to 80.3), and insomnia (57.9%; 95% CI, 45.9 to 69.0). As measured using the 21-item Depression, Anxiety, and Stress Scale, the most common level of severity was moderate for depression (22.5%; 95% CI, 19.8 to 25.5) and stress (14.5%; 95% CI, 8.8 to 22.9), while high-severity anxiety was more common than other levels of severity (28.2%; 95% CI, 3.8 to 79.6).

CONCLUSIONS

The COVID-19 pandemic has had a negative effect on Egyptian HCWs’ psychological well-being. More psychological support and preventive measures should be implemented to prevent the further development of psychiatric illness among physicians and other HCWs.

Summary

Key Message
The COVID-19 pandemic has had a negative effect on Egyptian HCWs’ psychological well-being with a high burden of anxiety, stress, depression and insomnia. More psychological support and preventive measures should be implemented to prevent the further development of psychiatric illness among physicians and other HCWs.

Citations

Citations to this article as recorded by

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BMJ Open.2023; 13(2): e070367. CrossRef
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PLOS Medicine.2023; 20(4): e1004206. CrossRef
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Stephen X. Zhang, Jiyao Chen
European Journal of Psychotraumatology.2021;[Epub] CrossRef

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