Results of the COVID-19 mental health international for the health professionals (COMET-HP) study: depression, suicidal tendencies and conspiracism.

Journal: Social psychiatry and psychiatric epidemiology

Volume: 58

Issue: 9

Year of Publication: 2023

Affiliated Institutions:  rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece. rd Department of Psychiatry, School of Medicine, Aristotle University of Thessaloniki Greece, Thessaloniki, Greece. gregkarakatsoulis@gmail.com. Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UK. Department of Psychiatry, Ludiwig-Maximilians-University, Munich, Germany. Child Adolescent and Family Psychiatry, National Institute of Mental Health, Dhaka, Bangladesh. Section of Psychiatry and Mental Health, Universidad Peruana Cayetano Heredia, Facultad de Medicina Alberto Hurtado, Lima, Peru. School of Medicine and Health Science, Institute of Health Science Shinshu University, Matsumoto, Japan. Department of Psychiatry, Bayero University, Kano, Nigeria. Psychiatry Area, Department of Medicine, University of Oviedo, ISPA, INEUROPA. CIBERSAM, Oviedo, Spain. Mental Health Center of La Corredoria, ISPA, INEUROPA. CIBERSAM, Oviedo, Spain. Division of Child and Adolescent Psychiatry, Department of Psychiatry, Groupe Hospitalier Nord Essonne, Orsay, France. Department of Neuroscience, Discipline of Psychiatry, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania. Clinic of Psychiatry, Institute of Clinical Medicine, Medical Faculty, Vilnius University, Vilnius, Lithuania. Mental Hub, Tbilisi, Georgia. Hospital San Juan de Dios Hospital, Guadalajara, Mexico. Janssen Research and Development, Johnson and Johnson, American Society of Hispanic Psychiatry and WARMI Women Mental Health, Cincinnati, OH, USA. Institute of Translational and Cognitive Neuroscience (INCyT), INECO Foundation, Favaloro University, Buenos Aires, Argentina. APM Board Certified in General Psychiatry and Neurology, Addiction Psychiatry, and Addiction Medicine, UPMC, DDAP, Philadelphia, USA. Department of Teaching and Research, Hospital Borda, Buenos Aires, Argentina. Universidad Peruana Cayetano Heredia, Clínica AngloAmericana, Lima, Perú. Sanitaire and Social Union for Accompaniment and Prevention, Center of Ambulatory Psychiatry of Narbonne and Lezigan, Narbonne, France. Department of Mental Health, Psychiatric Service of Diagnosis and Treatment, Hospital "G. Mazzini", ASL Teramo, Teramo, Italy. Child and Adolescent Psychiatry Department, Hospital Luis Calvo Mackenna, Santiago, Chile. Departamento de Fisiología E Farmacología, Universidade Federal Do Ceará, Fortaleza, Ceará, Brazil. Department of Psychiatry, Lokmanya Tilak Municipal Medical College, Mumbai, India. Department of Biotechnological and Applied Clinical Sciences, Section of Psychiatry, University of L'Aquila, L'Aquila, Italy. IMPACT-the Institute for Mental and Physical Health and Clinical Translation, Deakin University, School of Medicine, Barwon Health, Geelong, Australia. Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary. Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia. Psychiatry Department, Ankara Dışkapı Training and Research Hospital, Ankara, Turkey. Faculty of Psychology, University of Buenos Aires (UBA), Buenos Aires, Argentina. Centre of Neuroscience, Queen's University, Kingston, ON, Canada. Department of Psychiatry and Narcology, Ryazan State Medical University N.a. Academician I.P. Pavlov, Ryazan, Russia. State Budgetary Institution of the Rostov Region "Psychoneurological Dispensary", Rostov-On-Don, Russia. Faculty of Medicine, Medical University of Sofia, Sofia Center, Bulgaria. Medical Psychology, Psychosomatic Medicine and Psychotherapy Department, Bogomolets National Medical University, Kiev, Ukraine. Villa Dei Pini Psychiatric Rehabilitation Center, Avellino, Italy. Hospital Magalhães Lemos, Porto, Portugal. Department of Psychiatry, Medical Psychology and Drug Abuse, Kyrgyz State Medical Academy, Bishkek, Kyrgyz Republic. Department of Psychology, University of Oviedo, ISPA, INEUROPA. CIBERSAM, Oviedo, Spain. Specialty Training Section, Polish Psychiatric Association, Wroclaw, Poland. Instituto Nacional de Psiquiatría Ramón De La Fuente Muñiz, Mexico City, Mexico. Department of Psychiatry, University of California San Diego, San Diego, USA. Department of Diagnostic Imaging, University Hospital Saint Ekaterina, Sofia, Bulgaria. Forensic Psychiatry Unit, Abarbanel Mental Health Center, Bat Yam, Israel. Faculty of Human Sciences, Education Bureau of the Laboratory Schools, University of Tsukuba, Tokyo, Japan. Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK. Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia. Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh. Second Psychiatric Clinic, University Hospital for Active Treatment in Neurology and Psychiatry "Saint Naum", Sofia, Bulgaria. Faculty of Medicine, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt. Department of Psychiatry, Queens University, Kingston, ON, Canada. Mental Health Clinic No N.a. N.A. Alexeev of Moscow Healthcare Department, Education Center, Moscow, Russia. Ministry of Health, Millenium Institute for Research in Depression and Personality, Santiago, Chile. Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia. National Mental Health Center of the Ministry of Health of the Republic of Azerbaijan, Baku, Azerbaijan. Department of Psychiatry, Westchester Medical Center Health System, Valhalla, NY, USA. School of Medicine, University of Zagreb, Zagreb, Croatia. Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia. Institute of Applied Health Research, University of Birmingham, Birmingham, UK. Child Psychiatry Department, Ankara City Hospital, Ankara, Turkey. Faculty of Medicine, Lund University, Malmö, Sweden. International Centre for Education and Research in Neuropsychiatry (ICERN), Samara State Medical University, Samara, Russia. Drug Abuse and Psychology Department, Odessa National Medical University, Odessa, Ukraine. Occupational and Environmental Health Sector, Public Health Policy Department, School of Public Health, University of West Attica, Athens, Greece. Desousa Foundation, Mumbai, India. Department of Psychiatry, SKIMS Medical College, Srinagar, India. Department of Psychology, University of Sargodha, Sargodha, Pakistan. Department of Psychiatry, Azerbaijan Medical University, Baku, Azerbaijan. Department of Clinical and Experimental Medicine, Section of Psychiatry, University of Pisa, Pisa, Italy. Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan. Postgraduate Program in Psychiatry, National Autonomous University of Honduras, Tegucigalpa, Honduras. Private Outpatient Clinics "JSC InMedica Klinika", Vilnius, Lithuania. Department of Clinical Services, Federal Neuropsychiatric Hospital, Kaduna, Nigeria. General Office for the Psychiatric Services of the Ministry of Health, Mexico City, Mexico. Department of Postgraduate Education, Russian National Research Medical University N.a. N.I. Pirogov, Moscow, Russia. Department of Community Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Sackler School of Medicine New York State American Program, Tel Aviv University, Tel Aviv-Yafo, Israel. Compartment of Liaison Psychiatry, "Pius Brinzeu" County Emergency Clinical Hospital, Timisoara, Romania. Department of Medical Psychology, Psychiatry and Psychotherapy, Kyrgyz-Russian Slavic University, Bishkek, Kyrgyz Republic. School of Social Sciences, Hellenic Open University, Patras, Greece. Faculty of Medicine, University of Belgrade, Belgrade, Serbia. Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Department of the Introduction to Internal Medicine and Family Medicine, International Higher School of Medicine, Bishkek, Kyrgyz Republic. Abarbanel Mental Health Center, Bat-Yam, Israel. Department of Psychiatry and Narcology, Riga Stradins University, Riga, Latvia. Servicio de Emergencia, Acute Inpatient Unit, Hospital Moyano, Buenos Aires, Argentina. General Psychiatry Unit I, Greater Poland Neuropsychiatric Center, Kościan, Poland. Department of Psychiatry, National Autonomous University of Honduras, Tegucigalpa, Honduras. Centro de Investigación en Salud Pública, Facultad de Medicina, Universidad de San Martín de Porres, Instituto Nacional de Salud Mental "Honorio Delgado - Hideyo Noguchi", Lima, Perú. Faculty of Health Sciences, Anahuac University, Mexico City, Mexico. Department of Psychiatry, Escuela Nacional de Medicina, TEC de Monterrey. Servicio de Geriatría. Hospital Universitario "José Eleuterio González" UANL, Monterrey, Nuevo León, México. Assistant Professor at Cognitive Science and Artificial Intelligence Department, Tilburg University, Tilburg, The Netherlands. Klinik Für Allgemeine Psychiatrie Und Psychotherapie Ost, Psychiatrische Institutsambulanz, Klinikum Am Weissenhof, Weissenhof, Germany. DY Patil Medical College, Navi Mumbai, India. Department of Psychiatry, Teine Keijinkai Medical Center, Sapporo, Japan. Psychiatric Unit, Pambalah Batung General Hospital, South Kalimantan, Amuntai, Indonesia. Department of Psychiatry and Medical Psychology, Belarusian State Medical University, Minsk, Belarus. Saint Petersburg Psychoneurological Dispensary No, Saint Petersburg, Russia. Derbyshire Healthcare NHS Foundation Trust, The Liasion Team, Royal Derby Hospital, Derby, Derbyshire, UK. Department of Psychiatric Rehabilitation, Department of Psychiatry and Psychotherapy, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland. Psychiatric Studies Centre, Provaglio d'Iseo, Italy. Health Policy, WHO Regional Office for Europe, Copenhagen, Denmark. Department of Psychiatry and Behavioral Sciences, School of Medicine, University of New Mexico, Albuquerque, NM, USA. Agios Charalambos Mental Health Clinic, Heraklion, Crete, Greece. Centre for Global Public Health, Institute of Population Health Sciences, Queen Mary University of London, London, UK. Kabir Medical College, Gandhara University, Peshawar, Pakistan. Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK. Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú. Department of Internal Medicine, Nicosia General Hospital, Nicosia, Cyprus. Department for Research and Education, Institute of Mental Health, Belgrade, Serbia. Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russia.

Abstract summary 

The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak.The data came from the larger COMET-G study. The study sample includes 12,792 health professionals from 40 countries (62.40% women aged 39.76 ± 11.70; 36.81% men aged 35.91 ± 11.00 and 0.78% non-binary gender aged 35.15 ± 13.03). Distress and clinical depression were identified with the use of a previously developed cut-off and algorithm, respectively.Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses, and Factorial Analysis of Variance (ANOVA) tested relations among variables.Clinical depression was detected in 13.16% with male doctors and 'non-binary genders' having the lowest rates (7.89 and 5.88% respectively) and 'non-binary gender' nurses and administrative staff had the highest (37.50%); distress was present in 15.19%. A significant percentage reported a deterioration in mental state, family dynamics, and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (24.64% vs. 9.62%; p < 0.0001). Suicidal tendencies were at least doubled in terms of RASS scores. Approximately one-third of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop clinical depression was associated with a history of Bipolar disorder (RR = 4.23).The current study reported findings in health care professionals similar in magnitude and quality to those reported earlier in the general population although rates of clinical depression, suicidal tendencies, and adherence to conspiracy theories were much lower. However, the general model of factors interplay seems to be the same and this could be of practical utility since many of these factors are modifiable.

Authors & Co-authors:  N Fountoulakis Konstantinos K N Karakatsoulis Grigorios G Abraham Seri S Adorjan Kristina K Ahmed Helal Uddin HU Alarcón Renato D RD Arai Kiyomi K Auwal Sani Salihu SS Bobes Julio J Bobes-Bascaran Teresa T Bourgin-Duchesnay Julie J Bredicean Cristina Ana CA Bukelskis Laurynas L Burkadze Akaki A Cabrera Abud Indira Indiana II Castilla-Puentes Ruby R Cetkovich Marcelo M Colon-Rivera Hector H Corral Ricardo R Cortez-Vergara Carla C Crepin Piirika P de Berardis Domenico D Zamora Delgado Sergio S de Lucena David D de Sousa Avinash A di Stefano Ramona R Dodd Seetal S Elek Livia Priyanka LP Elissa Anna A Erdelyi-Hamza Berta B Erzin Gamze G Etchevers Martin J MJ Falkai Peter P Farcas Adriana A Fedotov Ilya I Filatova Viktoriia V Fountoulakis Nikolaos K NK Frankova Iryna I Franza Francesco F Frias Pedro P Galako Tatiana T Garay Cristian J CJ Garcia-Álvarez Leticia L García-Portilla Paz P Gonda Xenia X Gondek Tomasz M TM Morera González Daniela D Gould Hilary H Grandinetti Paolo P Grau Arturo A Groudeva Violeta V Hagin Michal M Harada Takayuki T Hasan Tasdik M TM Azreen Hashim Nurul N Hilbig Jan J Hossain Sahadat S Iakimova Rossitza R Ibrahim Mona M Iftene Felicia F Ignatenko Yulia Y Irarrazaval Matias M Ismail Zaliha Z Ismayilova Jamila J Jacobs Asaf A Jakovljević Miro M Jakšić Nenad N Javed Afzal A Yilmaz Kafali Helin H Karia Sagar S Kazakova Olga O Khalifa Doaa D Khaustova Olena O Koh Steve S Kopishinskaia Svetlana S Kosenko Korneliia K Koupidis Sotirios A SA Kovacs Illes I Kulig Barbara B Lalljee Alisha A Liewig Justine J Majid Abdul A Malashonkova Evgeniia E Malik Khamelia K Iqbal Malik Najma N Mammadzada Gulay G Mandalia Bilvesh B Marazziti Donatella D Marčinko Darko D Martinez Stephanie S Matiekus Eimantas E Mejia Gabriela G Memon Roha Saeed RS Meza Martínez Xarah Elenne XE Mickevičiūtė Dalia D Milev Roumen R Mohammed Muftau M Molina-López Alejandro A Morozov Petr P Muhammad Nuru Suleiman NS Mustač Filip F Naor Mika S MS Nassieb Amira A Navickas Alvydas A Okasha Tarek T Pandova Milena M Panfil Anca-Livia AL Panteleeva Liliya L Papava Ion I Patsali Mikaella E ME Pavlichenko Alexey A Pejuskovic Bojana B Pinto da Costa Mariana M Popkov Mikhail M Popovic Dina D Raduan Nor Jannah Nasution NJN Vargas Ramírez Francisca F Rancans Elmars E Razali Salmi S Rebok Federico F Rewekant Anna A Reyes Flores Elena Ninoska EN Rivera-Encinas María Teresa MT Saiz Pilar A PA Sánchez de Carmona Manuel M Saucedo Martínez David D Saw Jo Anne JA Saygili Görkem G Schneidereit Patricia P Shah Bhumika B Shirasaka Tomohiro T Silagadze Ketevan K Sitanggang Satti S Skugarevsky Oleg O Spikina Anna A Mahalingappa Sridevi Sira SS Stoyanova Maria M Szczegielniak Anna A Tamasan Simona Claudia SC Tavormina Giuseppe G Tavormina Maurilio Giuseppe Maria MGM Theodorakis Pavlos N PN Tohen Mauricio M Tsapakis Eva-Maria EM Tukhvatullina Dina D Ullah Irfan I Vaidya Ratnaraj R Vega-Dienstmaier Johann M JM Vrublevska Jelena J Vukovic Olivera O Vysotska Olga O Widiasih Natalia N Yashikhina Anna A Prezerakos Panagiotis E PE Berk Michael M Levaj Sarah S Smirnova Daria D

Study Outcome 

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Statistics
Citations :  Ahmed W, Vidal-Alaball J, Downing J, Lopez Segui F. COVID-19 and the 5G conspiracy theory: social network analysis of Twitter Data. J Med Internet Res. 2020;22(5):e19458. doi: 10.2196/19458.
Authors :  157
Identifiers
Doi : 10.1007/s00127-023-02438-8
SSN : 1433-9285
Study Population
Men,Male,Women
Mesh Terms
Humans
Other Terms
Anxiety;COVID-19;Conspiracy theories;Depression;Health professionals;Mental disorders;Mental health;Psychiatry;Suicidality
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Germany