Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Psychological Distress in South African Healthcare Workers early in the COVID-19 Pandemic: An Analysis of Associations and Mitigating Factors

Version 1 : Received: 6 July 2022 / Approved: 11 July 2022 / Online: 11 July 2022 (07:40:12 CEST)

A peer-reviewed article of this Preprint also exists.

Lee, H.-L.; Wilson, K.S.; Bernstein, C.; Naicker, N.; Yassi, A.; Spiegel, J.M. Psychological Distress in South African Healthcare Workers Early in the COVID-19 Pandemic: An Analysis of Associations and Mitigating Factors. Int. J. Environ. Res. Public Health 2022, 19, 9722. Lee, H.-L.; Wilson, K.S.; Bernstein, C.; Naicker, N.; Yassi, A.; Spiegel, J.M. Psychological Distress in South African Healthcare Workers Early in the COVID-19 Pandemic: An Analysis of Associations and Mitigating Factors. Int. J. Environ. Res. Public Health 2022, 19, 9722.

Journal reference: Int. J. Environ. Res. Public Health 2022, 19, 9722
DOI: 10.3390/ijerph19159722

Abstract

While the global COVID-19 pandemic has been widely acknowledged to affect the mental health of health care workers (HCWs), attention to measures that protect those on the front lines of health outbreak response has been limited. In this cross-sectional study, we examine workplace contextual factors associated with how psychological distress was experienced in a South African setting where a severe first wave was being experienced with an objective of identifying factors that can protect against HCWs experiencing negative impacts. Consistent with mounting literature on mental health effects, we found a high degree of psychological distress (57.4% above General Health Questionnaire cut-off value) and a strong association between perceived risks associated with the presence of COVID-19 in the healthcare workplace and psychological distress (adjusted OR = 2.35, p <.01). Our research indicates that both training (adjusted OR 0.41, 95% CI 0.21 – 0.81) and the reported presence of supportive workplace relationships (adjusted OR 0.52, 95% CI 0.27 – 0.97) were associated with positive outcomes. This evidence that workplace resilience can be reinforced to better prepare for the onset of similar outbreaks in the future suggests that pursuit of further research into specific interventions to improve resilience is well merited.

Keywords

psychological distress; COVID-19 pandemic; health care workers; perceived risks; workplace relationship; support; training; workplace hazards; perceived barriers; job tension

Subject

MEDICINE & PHARMACOLOGY, Other

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