Anxiety, pandemic-related stress and resilience among physicians during the COVID-19 pandemic

Depress Anxiety. 2020 Oct;37(10):965-971. doi: 10.1002/da.23085. Epub 2020 Aug 12.

Abstract

Background: Physicians play a crucial frontline role in the COVID-19 pandemic, which may involve high levels of anxiety. We aimed to investigate the association between pandemic-related stress factors (PRSF) and anxiety and to evaluate the potential effect of resilience on anxiety among physicians.

Methods: A self-report digital survey was completed by 1106 Israeli physicians (564 males and 542 females) during the COVID-19 outbreak. Anxiety was measured by the 8-item version of the Patient-Reported Outcomes Measurement Information System. Resilience was evaluated by the 10-item Connor-Davidson Resilience Scale. Stress was assessed using a PRSF inventory.

Results: Physicians reported high levels of anxiety with a mean score of 59.20 ± 7.95. We found an inverse association between resilience and anxiety. Four salient PRSF (mental exhaustion, anxiety about being infected, anxiety infecting family members, and sleep difficulties) positively associated with anxiety scores.

Conclusions: Our study identified specific PRSF including workload burden and fear of infection that are associated with increased anxiety and resilience that is associated with reduced anxiety among physicians.

Keywords: COVID-19; anxiety; mental health; resilience; stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety / epidemiology
  • Betacoronavirus*
  • COVID-19*
  • Coronavirus Infections* / epidemiology
  • Depression
  • Female
  • Health Personnel
  • Humans
  • Male
  • Pandemics
  • Physicians*
  • Pneumonia, Viral* / epidemiology
  • Resilience, Psychological*
  • SARS-CoV-2