Research Article
Volume 5 Issue 3 - 2021
Psychological Impact of COVID-19 on Healthcare Workers in a Tertiary Care Hospital, Karachi Pakistan
Erum Choudry1*, Syed Uzair Mahmood1, Quratulain Shaikh1, Sheharyar Khan3, Syed Ghazanfar Saleem4, Aisha Yaqub Mulla5, Tariq Aziz4 and Samreen Sarfaraz5
1Indus Hospital Research Center, The Indus Hospital, Karachi, Pakistan
2Department of Medicine, Baqai Medical University, Karachi, Pakistan
3Department of Emergency, The Indus Hospital, Karachi, Pakistan
4Department of Dentistry, Karachi Medical and Dental College, Karachi, Pakistan
5Department of Infectious diseases, The Indus Hospital, Karachi, Pakistan
*Corresponding Author: Erum Choudry, Indus Hospital Research Center, The Indus Hospital, Karachi, Pakistan.
Received: February 12, 2021; Published: February 27, 2021


Background: After the outbreak of coronavirus disease in 2019, healthcare workers have encountered an unprecedented level of workload and pressure. In Pakistan, little is known about its mental impact on the health care personnel and perceived stressors. This research aims to explore the psychological impact of COVID-19 on healthcare workers at one of the leading referral centers in Pakistan’s highest COVID-19 burden city, Karachi.

Methodology: A cross-sectional study was conducted inviting HCWs including doctors and nurses posted in COVID-19 intensive care unit (ICU) and emergency department. Mental health was measured on the Depression, Anxiety and Stress Scale (DASS 21). Binary logistic regression was used to model depression against its predictors. Odds ratios and 95% CIs were reported.

Results: A total of 202 HCWs participated in the study. Most were nurses (59%) while physicians were 41%. Among the respondents, 95 (47.3%) had symptoms of depression, 72 (35.8%) had anxiety and 122 (60.7%) had stress. Simple logistic regression revealed that female gender, younger age, nurses, less work experience, long duty hours, direct contact with a COVID-19 positive patient, working in the COVID-19 ICU, having anxiety and stress are associated with depression. Advance logistic regression showed that female gender, being nurse, long duty hours, anxiety and stress were associated with depression.

Conclusion: Although the presence of depression, anxiety and stress is high in doctors and nurses working with COVID-19 patients, certain characteristics associated with mental health problems were brought into the limelight. Emotional and psychological support, incentives to appreciate the work and prompt identification and treatment of any mental health condition may decrease the burden on the HCWs in such public health emergencies.


Keywords: COVID-19; Stress; Depression; Mental Health; Healthcare Workers


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Citation: Erum Choudry., et al. “Psychological Impact of COVID-19 on Healthcare Workers in a Tertiary Care Hospital, Karachi Pakistan”. EC Emergency Medicine and Critical Care 5.3 (2021): 75-84.

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