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Table 1 Study Characteristics

From: A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being

 

Author

Design

Country

Participants

Selection method

Measures

1

Ahmed et al., (2020) [21]

Cross-sectional

Global (30 countries)

n = 650

Online questionnaire distributed via email and social media to dental professionals worldwide.

Validated questionnaire: 22 closed-ended questions divided into two sections. (Fear & Clinical practices)

2

Balakumar et al., (2020) [22]

Uncontrolled before and after study.

UK

n = 27 (Surgeons)

Pre- and post-training surveys distributed to a surgical team.

Pre- and post-training surveys

3

H.Cai et al., (2020) [24]

Cross-sectional

China Hunan

n = 534 (Frontline medical workers)

Questionnaires sent to frontline medical staff in Hunan province between January and March 2020.

Five-section questionnaire

4

W.Cai et al., (2020) [25]

Cross-sectional

China Jiangsu Province

n = 1521

(147 experienced in public health emergencies (PHE))

Health care workers recruited but method unclear.

SCL-90

CD-RISC

SSRS

5

Cao et al., (2020) [55]

Mixed methods

China Beijing

n = 37 (16 Doctors, 19 Nurses, and 2 Technicians within a COVID-19 clinic)

Qualitative and Quantitative evaluations of staff in a fever clinic. Staff had been handpicked based on their ‘experience, adaptability and tenacity under pressure in past works’

PHQ-9, MBI, Qualitative interviews

6

Chew et al., (2020) [27]

Cross- sectional

Singapore & India

n = 906 (480 HCW’s from a Singapore Hospital)

HCWs from 5 major hospitals invited to participated in a questionnaire between Feb 2019 – April 2020.

DASS-21, IES-R Symptom questionnaire

7

Chung & Yeung, (2020) [28]

Cross-sectional

China Hong Kong

n = 69 (HCWs: 69/8418 full-time hospital staff)

Online mental health self-assessment questionnaire distributed to all hospital staff in the Hong Kong East Cluster.

PHQ-9

8

Huang & Zhao, (2020) [29]

Cross- sectional

China Nationwide

n = 603 (31.1% HCWs)

Web-based survey of general population, invited via social media, random recruitment – all Chinese people using WeChat may have seen it.

Web-based survey. PSQI, GAD, CES-D

9

Kang et al., (2020) [30]

Cross-sectional

China, Wuhan

n = 994 (Doctors and Nurses)

Questionnaire distributed online to doctors or nurses working in Wuhan.

PHQ-9, GAD-7, ISI, IES-R

10

Lai et al., (2020) [31]

Cross-sectional

China (Nationwide but 60% from Wuhan)

n = 1257 (Nurses and Doctors in 34 hospitals/fever clinics)

Hospital based survey via region-stratified 2-stage cluster sampling from Jan 292,020 – Feb 32,020.

PHQ-9, GAD-7, ISI, IES-R

11

Li et al., (2020) [32]

Cross-sectional

China, Wuhan

n = 740 (214 general population and 526 Nurses)

Mobile app-based questionnaire of general public and nurses in Wuhan.

Vicarious Trauma Questionnaire (Chinese version)

12

Liang, Chen, Zheng, & Li, (2020) [56]

Cross-sectional

China, Guangdong Province

n = 59 (23 Doctors and 36 Nurses from COVID-19 department and 21 HCWs from other departments)

Questionnaire distributed to medical staff in a hospital. Method of distribution unclear.

SDS, SAS

13

Lu, Wang, Lin & Li, (2020) [34]

Cross-sectional

China, Fujian

n = 2299 (2042 Medical and 257 admin staff)

Questionnaire survey of medical staff in a provincial hospital in Feb 2020.

NRS, HAMA, HAMD

14

Mo et al., (2020) [35]

Cross-sectional

China, Wuhan

n = 180 (Nurses from Guangxi supporting COVID-19 in Wuhan)

Convenient sampling of nurses from Guangxi recruited to support COVID-19 work in Wuhan. 85.71% response rate of 180 nurses sampled.

SO, SAS

15

Shacham et al., (2020) [36]

Cross- sectional

Israel

n = 338 (Dental hygienists and Dentists)

Dental hygienists and dentists, approached using social media, mailing lists and forums.

Demands Scale—Short Version, GSES, Kessler K6

16

Sun et al., (2020) [37]

Qualitative

China, Henan (One hospital)

n = 20 (Nurses/17 Female)

Purposeful sampling of nurses caring for COVID-19 patients in a hospital. Jan/Feb 2020.

Semi-structured interviews

17

Tan et al., (2020) [39]

Cross- sectional

Singapore (Two tertiary hospitals)

n = 470 (HCWs – medical and non-medical)

HCWs from two major tertiary hospitals in Singapore invited to participate, Feb/March 2020

DASS-21, IES-R

18

Urooj et al., (2020) [40]

Mixed Method

Pakistan

n = 222 (134 without COVID-19 patients and 150 female)

Purposive sampling of 250 clinicians from a range of specialities and seniority. 222 responded (88.8%)

Doctors fears and expectations

19

Wang et al., (2020) [57]

Cross-sectional

China, Wuhan

n = 123 (HCWs in a Paediatric centre)

Questionnaire survey conducted at a paediatric centre in Wuhan. 50% of all HCWs responded & were included.

PSQI, SAS, SDS

20

Wu et al., (2020) [43]

Cross-sectional

China, Wuhan

n = 190 (Hubai cancer hospital – all from oncology 1:1 ratio frontline vs usual wards)

220 physicians and nurses from Hubai cancer hospital invited in March 2020. 190 included.

MBI

21

Xiao et al., (2020) [44]

Cross-sectional

China, Wuhan

n = 180 (54% Nurses and 45.6% Doctors from a respiratory medicine/ fever clinic)

Unclear how participants were sampled. All were medical staff who treated COVID-19 patients in Jan/Feb 2020.

SAS, GSES, SASR, PSQI, SSRS

22

Xu, Xu, Wang & Wang, (2020) [58]

Longitudinal

China, Shanghai

n = 120 (Surgical staff. One hospital split into two groups of 60 Grp 1 – Jan-Feb (outbreak period) Grp 2 – March (non-outbreak)

Surgical medical staff sampled.

Anxiety scale, Depression score, Dream anxiety score, SF-36 scale

23

Yin & Zeng, (2020) [46]

Qualitative – in-depth interviews

China, Wuhan

n = 10 (Nurses at the front-line; having cared for COVID-19 patients > 1 week)

Purposive sampling

 

24

Zhang et al., (2020) [47]

Cross -sectional

China, Nationwide

n = 2182 (927 Medical HCWs; 680 Doctors and 247 Nurses, 1255 non-medical HCWs)

Random sampling – anyone in China > 16 years were welcome to join using an online platform.

ISI

SCL-90-R

PHQ-4

Chinese versions

  1. Measures Description
  2. Depression: CES-D: Centre for Epidemiologic Studies Depression Scale, HAM-D: Hamilton Depression Rating Scale, PHQ-9: Patient Health Questionnaire, SCL-20: Symptom checklist depression scale, SDS: Zung Self-Rating Depression Scale
  3. Anxiety: GAD-7: Generalised Anxiety Disorder Questionnaire, HAM-A: Hamilton Anxiety Rating Scale, SAS: Zung Self-Rating Anxiety Scale
  4. Stress: SOS: Stress Overload Scale
  5. Depression & Anxiety: DASS-21: Depression, Anxiety and Stress Scale, PHQ-4: Patient Health Questionnaire-4
  6. Sleep: PSQI: Pittsburgh Sleep Quality Index, ISI: Insomnia Severity Index
  7. Others: CD-RISC: Connor-Davidson Resilience Scale, Demands Scale—Short Version, Dream anxiety score, GSES: Generalised self-efficacy scale, IES-R: Impact of Event Scale, Kessler K6 Distress Scale, MBI: Maslach Burnout Inventory, SASR: the Stanford Acute Stress Reaction questionnaire, SCL-90: The Symptom Checklist-90-R, SF-36: Short Form Health Survey, SSRS: Social Support Rating Scale, Vicarious Trauma Questionnaire