Depression, anxiety, psychological distress, and perceived social support among Ugandan palliative care providers during the COVID-19 pandemic.

Journal: Palliative & supportive care

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Affiliated Institutions:  Department of Applied and Computational Mathematics and Statistics, University of Notre Dame, Notre Dame, IN, USA. Department of Mental Health and Community Psychology, Makerere University, Kampala, Uganda. Palliative Care Association of Uganda, Kampala, Uganda.

Abstract summary 

To identify the prevalence of depression, anxiety, and psychosocial distress among Ugandan palliative care providers during the COVID-19 pandemic, measure providers' perceived levels of social support, and identify factors affecting a provider's likelihood of being depressed, anxious, distressed, or perceiving various levels of social support.Data was collected from 123 palliative care providers using an online survey. Depression, anxiety, and psychological distress were measured using the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, and the Self-Reporting Questionnaire, respectively. Information on perceived level of social support was gathered through the Multidimensional Scale of Perceived Social Support. The survey also asked about mental health resources available to providers at their place of work and what resources are still needed.Participants ranged in age, gender, religion, marital status, clinical position, and years of experience in palliative care. Results indicate that 20% of respondents show signs of moderate to severe depression, 14% show signs of moderate to severe anxiety, and 33% show signs of psychological distress. Additionally, 50% of respondents reported a low total level of social support. Depression, anxiety, and psychological distress scores were all negatively correlated with perceived social support scores. Over 50% expressed a desire for additional mental health resources at their place of work.In 2021-2022, the severity of depression, anxiety, and psychological distress varied among palliative care providers in Uganda, with some experiencing moderate to severe mental health effects. Higher degrees of depression, anxiety, and psychological distress were correlated with lower levels of perceived social support, highlighting the importance of social support during times of crisis. The results highlight a desire for improved access to mental health resources and will help providers and organizations provide better support and better prepare for future crises.

Authors & Co-authors:  Horvath Mariah M Kizito Simon S Ghiaseddin Roya R Irumba Lisa Christine LC Mwesiga Mark Donald MD Ahern Lacey N LN

Study Outcome 

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Statistics
Citations : 
Authors :  6
Identifiers
Doi : 10.1017/S1478951524000889
SSN : 1478-9523
Study Population
Male,Female
Mesh Terms
Other Terms
COVID-19;Palliative care;Uganda;mental health;social support
Study Design
Study Approach
Country of Study
Uganda
Publication Country
England