Research Article
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The relationship between Depression, Anxiety, Stress levels and Coping Strategies and Self-Compassion of Healthcare Workers during the COVID-19 pandemic.

Year 2022, Volume: 16 Issue: 2, 394 - 402, 20.06.2022
https://doi.org/10.21763/tjfmpc.957553

Abstract

Background and objectives: Previous studies have shown that stress, anxiety levels, and depressive symptoms were more common in healthcare workers than in the normal population during the COVID-19 pandemic. The aim of our study was to compare the depression, anxiety and stress levels, coping strategies and self-compassion levels of healthcare workers who had significant anxiety of transmitting the disease to their loved ones and others. Method: Our study was conducted in May 2020. The sample was consisted of 113 healthcare professionals actively working during the COVID-19 pandemic. The research scales were transferred to the electronic environment via the Google Forms program and delivered to the participants. Result: In our study, it was found that the most important reason for the anxiety of healthcare workers was to infect their loved ones. People who had significant anxiety about infecting loved ones used more functional coping strategies, had lower levels of depression, anxiety, and stress, and higher levels of self-compassion than those who did not have significant anxiety about infecting loved ones. Conclusion: It has been observed that this anxiety may have a functional effect rather than a loss of function in healthcare workers who are concerned about transmitting the disease to their loved ones. In order to protect health professionals from depression, anxiety and stress, studies should be carried out for individuals to gain self-compassion skills and functional coping strategies.

References

  • 1. Bedford J, Enria D, Giesecke J, Heymann DL, Ihekweazu C, Kobinger G, et al. COVID-19: towards controlling of a pandemic. The Lancet 2020;395(10229):1015-1018.
  • 2. Freeman MP. COVID-19 from a psychiatry perspective: meeting the challenges. The Journal of Clinical Psychiatry 2020;81(2):0-0.
  • 3. Liu D, Ren Y, Yan F, Li Y, Xu X, Yu X, et al. Psychological impact and predisposing factors of the coronavirus disease 2019 (COVID-19) pandemic on general public in China. The Lancet 2020. http://dx.doi.org/10.2139/ssrn.3551415
  • 4. Weinberg A, Creed F. Stress and psychiatric disorder in healthcare professionals and hospital staff. The Lancet 2000;355(9203):533-537.
  • 5. Ing E, Xu Q, Salimi A, Torun N. Physician deaths from corona virus (COVID-19) disease. Occupational Medicine 2020;70(5):370-374.
  • 6. Team, E. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. China CDC Wkly 2020 Feb;2(8):113-122.
  • 7. Zorko DJ, Gertsman S, O’Hearn K, Timmerman N, Ambu-Ali N, Dinh T, et al. Decontamination interventions for the reuse of surgical mask personal protective equipment: a systematic review. Journal of Hospital Infection 2020;2(106):283-294.
  • 8. Bokszczanin A. Parental support, family conflict, and overprotectiveness: predicting PTSD symptom levels of adolescents 28 months after a natural disaster. Anxiety, Stress, & Coping 2008;21(4):325-335.
  • 9. İskender M. ve Ayas, T. Deprem sonrası stres bozukluğu ve başa çıkma tutumlarının karşılaştırmalı olarak incelenmesi. Sakarya Üniversitesi Eğitim Fakültesi Dergisi 2003;5:49-62.
  • 10. Held N, Mealer M, Clark B, Moss M, Sottile P. Family member perspectives and coping strategies to manage anxiety, depression, and acute stress in the medical intensive care unit: a qualitative study. American Journal of Respiratory and Critical Care Medicine 2018;197:A2653.
  • 11. Cooper C, Katona C, Orrell M, Livingston G. Coping strategies, anxiety and depression in caregivers of people with Alzheimer's disease. International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences 2008;23(9):929-936.
  • 12. Luoma JB, Platt MG. Shame, self-criticism, self-stigma, and compassion in acceptance and commitment therapy. Current Opinion in Psychology 2015;2:97-101.
  • 13. Neff KD. The development and validation of a scale to measure self-compassion. Self and İdentity 2003;2(3):223-250.
  • 14. Neff K, Germer C. Self-Compassion and Psychological. The Oxford handbook of compassion science. 2017:371.
  • 15. Carver CS. You want to measure coping but your protocol’too long: consider the brief cope. International Journal of Behavioral Medicine 1997;4(1):92-100.
  • 16. Bacanlı H, Sürücü M, İlhan T. Başa çıkma stilleri ölçeği kısa formunun (BÇSÖ-KF) psikometrik özelliklerinin incelenmesi: geçerlik ve güvenirlik çalışması. Kuram ve Uygulamada Eğitim Bilimler 2013;13(1):81-96.
  • 17. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy 1995;33(3):335-343.
  • 18. Sarıçam H. The psychometric properties of turkish version of depression anxiety stress scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive-Behavioral Psychotherapy and Research 2018;7(1):19-30.
  • 19. Deniz M, Kesici Ş, Sümer AS. The validity and reliability of the turkish version of the self-compassion scale. Social Behavior and Personality: An International Journal 2008;36(9):1151-1160.
  • 20. Nickell LA, Crighton EJ, Tracy CS, Al-Enazy H, Bolaji Y, Hanjrah S, et al. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ 2004;170(5):793-798.
  • 21. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical Science Monitor 2020;26:e924171-924171.
  • 22. Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Research 2020;290:113130.
  • 23. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Research 2020;288:112936.
  • 24. Li A, Wang S, Cai M, Sun R, Liu X. Self-compassion and life-satisfaction among Chinese self-quarantined residents during COVID-19 pandemic: a moderated mediation model of positive coping and gender. Personality and Individual Differences 2021;170:110457.
  • 25. Neff KD, Pommier E. The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and İdentity 2013;12(2):160-176.
  • 26. López A, Sanderman R, Ranchor AV, Schroevers MJ. Compassion for others and self-compassion: Levels, correlates, and relationship with psychological well-being. Mindfulness 2018;9(1):325-331.
  • 27. Price JS. An evolutionary perspective on anxiety and anxiety disorders. New Insights Into Anxiety Disorders 2013:3-20.
  • 28. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy 2006;44(1):1-25.
  • 29. Berryhill MB, Lechtenberg MM. Acceptance and commitment therapy with adolescents: identifying and clarifying values. Journal of Family Psychotherapy 2015;26(1):25-30.
  • 30. Carvalho SA, Xavier A, Gillanders D, Pinto-Gouveia J, Castilho P. Rumination and valued living in women with chronic pain: how they relate to the link between mindfulness and depressive symptoms. Current Psychology 2018:1-9.
  • 31. Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical Medicine & Research 2016;14(1):7-14.
  • 32. Cash M, Whittingham K. What facets of mindfulness contribute to psychological well-being and depressive, anxious, and stress-related symptomatology? Mindfulness 2010;1(3):177-182.
  • 33. Baral IA, Bhagawati K. Post traumatic stress disorder and coping strategies among adult survivors of earthquake, Nepal. BMC Psychiatry 2019;19(1):1-8.

COVID-19 pandemisi sırasında Sağlık Çalışanlarının Depresyon, Anksiyete, Stres Düzeyleri ile Başa Çıkma Stratejileri ve Öz- şefkat Arasındaki İlişki

Year 2022, Volume: 16 Issue: 2, 394 - 402, 20.06.2022
https://doi.org/10.21763/tjfmpc.957553

Abstract

Giriş: Önceki çalışmalar, COVID-19 pandemisi sırasında sağlık çalışanlarında stres, kaygı düzeyleri ve depresif semptomların normal popülasyona göre daha yaygın olduğunu göstermiştir. Çalışmamızın amacı, hastalığı sevdiklerine ve başkalarına bulaştırma konusunda belirgin kaygı yaşayan sağlık çalışanlarının depresyon, kaygı ve stres düzeylerini, baş etme stratejilerini ve öz-anlayış düzeylerini karşılaştırmaktır. Yöntem: Çalışmamız Mayıs 2020'de yapılmıştır. Örneklemi COVID-19 pandemisi sırasında aktif olarak çalışan 113 sağlık profesyoneli oluşturmuştur. Araştırma ölçekleri Google Forms programı aracılığıyla elektronik ortama aktarılmış ve katılımcılara ulaştırılmıştır. Bulgular: Çalışmamızda sağlık çalışanlarının kaygılarının en önemli nedeninin hastalığı sevdiklerine bulaştırmak olduğu saptanmıştır. Hastalığı sevdiklerine bulaştırma kaygısı olan kişilerin, hastalığı sevdiklerine bulaştırma kaygısı olmayanlara göre daha işlevsel başa çıkma stratejileri kullandıkları, depresyon, kaygı ve stres düzeylerinin daha düşük olduğu ve öz-şefkat düzeylerinin daha yüksek olduğu bulundu. Sonuç: Hastalığı sevdiklerine bulaştırma kaygısı taşıyan sağlık çalışanlarında bu kaygının işlev kaybından çok işlevsel bir etkisi olabileceği gözlemlendi. Sağlık profesyonellerini depresyon, kaygı ve stresten korumak için bireylerin öz-anlayış becerilerini ve işlevsel başa çıkma stratejilerini kazanmalarına yönelik çalışmalar yapılmalıdır.

References

  • 1. Bedford J, Enria D, Giesecke J, Heymann DL, Ihekweazu C, Kobinger G, et al. COVID-19: towards controlling of a pandemic. The Lancet 2020;395(10229):1015-1018.
  • 2. Freeman MP. COVID-19 from a psychiatry perspective: meeting the challenges. The Journal of Clinical Psychiatry 2020;81(2):0-0.
  • 3. Liu D, Ren Y, Yan F, Li Y, Xu X, Yu X, et al. Psychological impact and predisposing factors of the coronavirus disease 2019 (COVID-19) pandemic on general public in China. The Lancet 2020. http://dx.doi.org/10.2139/ssrn.3551415
  • 4. Weinberg A, Creed F. Stress and psychiatric disorder in healthcare professionals and hospital staff. The Lancet 2000;355(9203):533-537.
  • 5. Ing E, Xu Q, Salimi A, Torun N. Physician deaths from corona virus (COVID-19) disease. Occupational Medicine 2020;70(5):370-374.
  • 6. Team, E. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. China CDC Wkly 2020 Feb;2(8):113-122.
  • 7. Zorko DJ, Gertsman S, O’Hearn K, Timmerman N, Ambu-Ali N, Dinh T, et al. Decontamination interventions for the reuse of surgical mask personal protective equipment: a systematic review. Journal of Hospital Infection 2020;2(106):283-294.
  • 8. Bokszczanin A. Parental support, family conflict, and overprotectiveness: predicting PTSD symptom levels of adolescents 28 months after a natural disaster. Anxiety, Stress, & Coping 2008;21(4):325-335.
  • 9. İskender M. ve Ayas, T. Deprem sonrası stres bozukluğu ve başa çıkma tutumlarının karşılaştırmalı olarak incelenmesi. Sakarya Üniversitesi Eğitim Fakültesi Dergisi 2003;5:49-62.
  • 10. Held N, Mealer M, Clark B, Moss M, Sottile P. Family member perspectives and coping strategies to manage anxiety, depression, and acute stress in the medical intensive care unit: a qualitative study. American Journal of Respiratory and Critical Care Medicine 2018;197:A2653.
  • 11. Cooper C, Katona C, Orrell M, Livingston G. Coping strategies, anxiety and depression in caregivers of people with Alzheimer's disease. International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences 2008;23(9):929-936.
  • 12. Luoma JB, Platt MG. Shame, self-criticism, self-stigma, and compassion in acceptance and commitment therapy. Current Opinion in Psychology 2015;2:97-101.
  • 13. Neff KD. The development and validation of a scale to measure self-compassion. Self and İdentity 2003;2(3):223-250.
  • 14. Neff K, Germer C. Self-Compassion and Psychological. The Oxford handbook of compassion science. 2017:371.
  • 15. Carver CS. You want to measure coping but your protocol’too long: consider the brief cope. International Journal of Behavioral Medicine 1997;4(1):92-100.
  • 16. Bacanlı H, Sürücü M, İlhan T. Başa çıkma stilleri ölçeği kısa formunun (BÇSÖ-KF) psikometrik özelliklerinin incelenmesi: geçerlik ve güvenirlik çalışması. Kuram ve Uygulamada Eğitim Bilimler 2013;13(1):81-96.
  • 17. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy 1995;33(3):335-343.
  • 18. Sarıçam H. The psychometric properties of turkish version of depression anxiety stress scale-21 (DASS-21) in health control and clinical samples. Journal of Cognitive-Behavioral Psychotherapy and Research 2018;7(1):19-30.
  • 19. Deniz M, Kesici Ş, Sümer AS. The validity and reliability of the turkish version of the self-compassion scale. Social Behavior and Personality: An International Journal 2008;36(9):1151-1160.
  • 20. Nickell LA, Crighton EJ, Tracy CS, Al-Enazy H, Bolaji Y, Hanjrah S, et al. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ 2004;170(5):793-798.
  • 21. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China. Medical Science Monitor 2020;26:e924171-924171.
  • 22. Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Research 2020;290:113130.
  • 23. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Research 2020;288:112936.
  • 24. Li A, Wang S, Cai M, Sun R, Liu X. Self-compassion and life-satisfaction among Chinese self-quarantined residents during COVID-19 pandemic: a moderated mediation model of positive coping and gender. Personality and Individual Differences 2021;170:110457.
  • 25. Neff KD, Pommier E. The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and İdentity 2013;12(2):160-176.
  • 26. López A, Sanderman R, Ranchor AV, Schroevers MJ. Compassion for others and self-compassion: Levels, correlates, and relationship with psychological well-being. Mindfulness 2018;9(1):325-331.
  • 27. Price JS. An evolutionary perspective on anxiety and anxiety disorders. New Insights Into Anxiety Disorders 2013:3-20.
  • 28. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy 2006;44(1):1-25.
  • 29. Berryhill MB, Lechtenberg MM. Acceptance and commitment therapy with adolescents: identifying and clarifying values. Journal of Family Psychotherapy 2015;26(1):25-30.
  • 30. Carvalho SA, Xavier A, Gillanders D, Pinto-Gouveia J, Castilho P. Rumination and valued living in women with chronic pain: how they relate to the link between mindfulness and depressive symptoms. Current Psychology 2018:1-9.
  • 31. Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical Medicine & Research 2016;14(1):7-14.
  • 32. Cash M, Whittingham K. What facets of mindfulness contribute to psychological well-being and depressive, anxious, and stress-related symptomatology? Mindfulness 2010;1(3):177-182.
  • 33. Baral IA, Bhagawati K. Post traumatic stress disorder and coping strategies among adult survivors of earthquake, Nepal. BMC Psychiatry 2019;19(1):1-8.
There are 33 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Orijinal Articles
Authors

Sema Nur Türkoğlu Dikmen 0000-0002-8688-2504

Şengül İlkay 0000-0002-4402-2872

Publication Date June 20, 2022
Submission Date August 20, 2021
Published in Issue Year 2022 Volume: 16 Issue: 2

Cite

Vancouver Türkoğlu Dikmen SN, İlkay Ş. The relationship between Depression, Anxiety, Stress levels and Coping Strategies and Self-Compassion of Healthcare Workers during the COVID-19 pandemic. TJFMPC. 2022;16(2):394-402.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome.