The prevalence and associated factors of depression, anxiety, and PTSD among Moroccan medical doctors in the COVID-19 pandemic: a national study.

Journal: Psychology, health & medicine

Volume: 28

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  Psychiatry Department, Hassan II University Hospital, Fez, Morocco. Epidemiology Department, Faculty of Medicine, Pharmacy and Dental Medicine of Fez, Sidi Mohammed Ben Abdellah University (USMBA), Fez, Morocco. Psychiatry Department, Moulay Ismail Military University Hospital, Meknes, Morocco. Clinical Neurosciences Laboratory, Faculty of Medicine, Pharmacy and Dental Medicine of Fez, Sidi Mohamed Ben Abdellah University (USMBA), Fez, Morocco. URL-CNRST N, Laboratory of Human Pathology, Biomedicine and Environmental, Faculty of Medicine, Pharmacy and Dental Medicine of Fez, Sidi Mohammed Ben Abdellah University (USMBA), Fez, Morocco.

Abstract summary 

COVID-19 pandemic is facing healthcare professionals with unprecedented challenges, which might alter their mental health. We targeted assessing depression, generalized anxiety, and post-traumatic stress disorder (PTSD) of Moroccan medical doctors during the COVID-19 pandemic; this would allow identifying the associated factors. A cross-sectional national study was carried out on 1267 exposed and unexposed public health medical doctors to COVID-19 patients. The study was conducted between May 15 and 15 June 2020. An anonymous self-administered questionnaire was completed online voluntarily and randomly. We used the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder (GAD-7), and the PTSD Checklist for DSM‑5 (PCL-5) to assess depression, generalized anxiety, and PTSD, respectively. The respondents' rate was 63.3%. The mean age was 30.97 ± 6.65 years old, and 59.3% (N = 751) were females with a sex ratio M/F of 0.68. The sample included 43.0% (N = 545) of COVID-19 frontline doctors. Among all participants, 31.5% (N = 400) had depression, 29.2% (N = 370) had generalized anxiety, and 21.7% (N = 276) had PTSD. The average scores of the PHQ-9, the GAD-7, and the PCL-5 were 7.79 (± 5.54), 6.12 (±5.72), and 18.58 (±17.62), respectively. The multivariate logistic regression showed that working in primary and secondary hospitals, moderate and high-stress perceptions, a chronic physical illness, and a family history of psychiatric disorder were independently associated factors of depression, generalized anxiety, and PTSD. The females expressed significantly more anxiety. Doctors living in a family consisting of member with chronic disease showed a significantly higher risk of PTSD. The security sense of contamination risk and low threat perception of COVID-19 were significantly protective factors of depression, anxiety, and PTSD. Moroccan medical doctors are in psychological distress. It is essential to preserve medical doctors' mental well-being health for a better fight against the COVID-19 pandemic through effective and targeted health policies.

Authors & Co-authors:  Ouazzani Housni Touhami Youssef Y Maiouak Moncef M Ouraghene Amal A Hammani Zakaria Z Abdi Cheikh Mommed Fadel CMF Benhammou Imane I Tahiri Sophia S Rabhi Samira S Bennani Bahia B Bout Amine A Aarab Chadya C Boujraf Said S El Fakir Samira S Aalouane Rachid R

Study Outcome 

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Statistics
Citations : 
Authors :  14
Identifiers
Doi : 10.1080/13548506.2022.2067574
SSN : 1465-3966
Study Population
Female,Females
Mesh Terms
Female
Other Terms
COVID-19 pandemic;PTSD;anxiety;depression;medical doctors
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England