The Effect of COVID-19 Pandemic on the Anxiety Levels of Internal Medicine Physicians and Practice of Internal Medicine Clinics

Abstract

Aim: The aim of the study is to determine the anxiety levels of internal medicine specialists and to investigate the effect of pandemic on practise of internal medicine clinics in the COVID-19 pandemic. Methods: The Clinical Activities Scale developed as data collection tools by the researchers and Beck Anxiety Scale were used in the study. The research was carried out on Internal Medicine Physicians using the online survey method. Descriptive statistical methods, significance tests, correlation and regression analysis were used in the analysis of the data. Results: 93 internal medicine specialists participated in the study. Changes in clinical practice of internal medicine physicians are as follows; 37.7% of them do not want to perform the physical examination, 43% of the physicians postponed the research of patients who needed an examination, 64.5% of their chronic patients did not come to their routine controls and 50.5% of the physicians had a disruption in the follow-up of chronic patients. Clinical approach of physicians working in pandemic hospital; clinical approach of physicians encountering covid-19 patients and the clinical approach of physicians treating patients with covid-19 were more affected by COVID-19. Anxiety was detected in 60.2% of internal medicine physicians. A weak, linear relationship was found between clinical functioning and back anxiety factor at p= 0.001 error level. Conclusion: During the pandemic it was found that the examination of patients requiring advanced examination and follow-up of chronic patients were affected. In addition, the level of anxiety was found to be high in internal medicine physicians

Keywords

• COVID-19
• Internal Medicine Clinic
• Internal Medicine Physician
• Anxiety

References

1. Alçı D, Aydın O, Aydemir Ö.(2019) Reliability and validity of Turkish version of DSM-5 Generalized Anxiety Disorder scale Klinik Psikiyatri. 22:389-395
2. Guze SB (1994). Diagnostic and Statistical Manual of Mental Disorders. 4th ed. American Psychiatric Association Washington DC 873pp
3. Asoğlu M, Karka İ, Pirinççioğlu F, Göbelek M, Çelik H, Takatak H, et al.(2018) Cultural Reflections Of The Expressions Of The Anxiety Of Patients With Generalized Anxiety Disorder. Bezmialem Science 6(4): 242-7
4. Aysan AF, Balcı E, Karagöl ET, Kılıç E, Gültekin F, Şahin F et al. (2020) Bölüm:Tarihçe, Terminoloji, Tanımlar ve Türkiye'de Mevcut Durum. Türkiye Bilimler Akademisi. Covid-19 Pandemi Değerlendirme Raporu. Edt: Şeker M, Özer A, Tosun Z.
5. Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P.(2004) Survey of stres reactions among health care workers involved with the SARS outbreak. Psychiatr Serv.55(9):1055-1057.
6. Cai J, Sun W, Huang J, Gamber M, Wu J, He G.(2020) Indirect Virus Transmission in Cluster of COVID-19 Cases, Wenzhou, China, 2020. Emerg Infect Dis.26(6):1343-1345.
7. Ding Q, Lu P, Fan Y, Xia Y, Liu M (2020) The clinical characteristics of pneumonia patients coinfected with 2019 novel coronavirus and influenza virus in Wuhan, China. Journal of Medical Virology. 20;10.1002/jmv.25781. doi: 10.1002/jmv.25781
8. Kartal M, Özçakar N.(2009) Yaygın anksiyete bozukluğu: Birinci basamakta görülme sıklığı ve tanı güçlükleri. Türkiye Aile Hekimliği Dergisi.13(4):206-209

9. Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C, Sham PC et al. (2007) Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry. 52(4):233-240.
10. Liu Y, Yan LM, Wan L, Xiang TX, Le A, Liu JM et al. (2020) Viral dynamics in mild and severe cases of COVID-19. Lancet Infect Dis. DOI:https://doi.org/10.1016/S1473-3099(20)30232- 2
11. Lung FW, Lu YC, Chang YY, Shu BC. (2009) Mental symptoms in different health professionals during the SARS attack: A Follow-upstudy. Psychiatric Quarterly 80 (2):107-116
12. Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M et al. (2003) The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ.168(10):1245-1251
13. Miloyan B, Pachana NA. (2015) Clinical significance of worry and physical symptoms in late-life generalized anxiety disorder. Int J GeriatrPsychiatry 30: 1186-94.
14. Pan Y, Zhang D, Yang P, Poon LLM ,Wang Q.(2020) Viral load of SARS-CoV-2 in clinical samples. Lancet Infect Dis. https://doi.org/10.1016/S1473-3099(20)30113-4
15. Rothan HA, Byrareddy SN.(2020) The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 26:102433. doi: 10.1016/j.jaut.2020.102433
16. Tolksdorf K, Buda S, Schuler E, Wieler LH, Haas W.(2020) Influenza-associated pneumonia as reference to assess seriousness of coronavirus disease (COVID-19). Euro Surveill 25(11):2000258.
17. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z et al.(2020) Clinical course and risk factors for mortality of adult in patients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 395(10229):1054-62.
18. Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z et al.(2020) SARS-CoV-2 viral load in upper respiratory specimens of infected patients. N Engl J Med. DOI:10.1056/NEJMc2001737