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Published in: BMC Psychiatry 1/2021

Open Access 01-12-2021 | Mood Disorders | Research

Risk factors for mental health symptoms during the COVID-19 pandemic in ophthalmic personnel and students in USA (& Canada): a cross-sectional survey study

Authors: Yi Pang, Meng Li, Connor Robbs, Jingyun Wang, Samiksha F. Jain, Ben Ticho, Katherine Green, Donny Suh

Published in: BMC Psychiatry | Issue 1/2021

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Abstract

Background

The COVID-19 pandemic poses mental health challenges to frontline healthcare workers. Eye care professionals may be especially susceptible to mental health problems due to high-risk exposures to patients. Yet, no prior research has studied mental health issues among eye care professionals during the COVID-19 pandemic.

Objective

The purpose of this study was to identify risk factors for mental health problems during the COVID-19 pandemic among eye care professionals.

Methods

We conducted a cross-sectional survey study among eye care professionals and students in the United States and Canada from June 23 to July 8, 2020 during the COVID-19 pandemic. A total of 8505 eye care professionals and students received email invitations to the survey and 2134 participated. We measured mental health outcomes including symptoms of depression, anxiety, and stress using validated scales, as well as potential risk factors including demographic characteristics, state-level COVID-19 case counts, participants’ patient interactions, childcare responsibilities, and pre-pandemic stress levels. Linear multiple regression and logistic regression analyses were used to determine relationships between risk factors and mental health outcomes.

Results

We found that 38.4% of eyecare professional participants in the survey met screening threshold as probable cases of anxiety, depression, or both during the COVID-19 pandemic. Controlling for self-reported pre-pandemic stress level and state COVID-19 case daily cases, significant risk factors for depression, anxiety, and psychological stress during the COVID-19 pandemic included: being female, younger age, and being Black or Asian. Interestingly, we found two somewhat surprising protective factors against depression symptoms: more frequent interactions with patients and having a greater proportion of childcare responsibilities at home.

Conclusions

This study showed a high prevalence of mental health problems and revealed disparities in mental health among eye care personnel and students: Female, younger, Black, and Asian populations are particularly vulnerable to mental health issues. These results indicate that it is critical to identify mental health issues more effectively and develop interventions among this population to address this significant and growing public health issue. The strategies and policies should be reflective of the demographic disparities in this vulnerable population.
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Literature
1.
go back to reference Aytogan H, Ayintap E, Ozkalay Yilmaz N. Detection of Coronavirus Disease 2019 Viral material on environmental surfaces of an ophthalmology examination room. JAMA Ophthalmol. 2020;138(9):990–3.CrossRefPubMedPubMedCentral Aytogan H, Ayintap E, Ozkalay Yilmaz N. Detection of Coronavirus Disease 2019 Viral material on environmental surfaces of an ophthalmology examination room. JAMA Ophthalmol. 2020;138(9):990–3.CrossRefPubMedPubMedCentral
2.
go back to reference Batra K, Singh TP, Sharma M, Batra R, Schvaneveldt N. Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis. International journal of environmental research and public health. 2020;17(23):9096.CrossRefPubMedCentral Batra K, Singh TP, Sharma M, Batra R, Schvaneveldt N. Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis. International journal of environmental research and public health. 2020;17(23):9096.CrossRefPubMedCentral
7.
go back to reference WHO. COVID 19 Public Health Emergency of Internaiotnal Concern (PHEIC) Global Research and Innovation Forum: Towards a Research Toadmap.. R&D Blueprint: World Health Organization.pp. 1–7. WHO. COVID 19 Public Health Emergency of Internaiotnal Concern (PHEIC) Global Research and Innovation Forum: Towards a Research Toadmap.. R&D Blueprint: World Health Organization.pp. 1–7.
10.
go back to reference Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. J Affect Disord. 2020;275:48–57.CrossRefPubMedPubMedCentral Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. J Affect Disord. 2020;275:48–57.CrossRefPubMedPubMedCentral
13.
go back to reference Wu P, Duan F, Luo C, Liu Q, Qu X, Liang L, et al. Characteristics of Ocular Findings of Patients With Coronavirus Disease 2019 (COVID-19) in Hubei Province, China. In: Characteristics of ocular findings of patients with coronavirus disease 2019 (COVID-19) in Hubei Province. JAMA Ophthalmol: China; 2020.CrossRef Wu P, Duan F, Luo C, Liu Q, Qu X, Liang L, et al. Characteristics of Ocular Findings of Patients With Coronavirus Disease 2019 (COVID-19) in Hubei Province, China. In: Characteristics of ocular findings of patients with coronavirus disease 2019 (COVID-19) in Hubei Province. JAMA Ophthalmol: China; 2020.CrossRef
14.
go back to reference Students. SAEaC. The American Institute of Stress Website. Available online: https: //wwwstressorg/stress-an-epidemic-among-college-students ( 2019.;(accessed on September 5, 2021). Students. SAEaC. The American Institute of Stress Website. Available online: https: //wwwstressorg/stress-an-epidemic-among-college-students ( 2019.;(accessed on September 5, 2021).
16.
go back to reference Kaparounaki CK, Patsali ME, Mousa DV, Papadopoulou EVK, Papadopoulou KKK, Fountoulakis KN. University students' mental health amidst the COVID-19 quarantine in Greece. Psychiatry Res. 2020;290:113111.CrossRefPubMedPubMedCentral Kaparounaki CK, Patsali ME, Mousa DV, Papadopoulou EVK, Papadopoulou KKK, Fountoulakis KN. University students' mental health amidst the COVID-19 quarantine in Greece. Psychiatry Res. 2020;290:113111.CrossRefPubMedPubMedCentral
18.
go back to reference Christophers B, Nieblas-Bedolla E, Gordon-Elliott JS, Kang Y, Holcomb K, Frey MK. Mental health of US medical students during the COVID-19 pandemic. J Gen Intern Med. 2021:1–3. Christophers B, Nieblas-Bedolla E, Gordon-Elliott JS, Kang Y, Holcomb K, Frey MK. Mental health of US medical students during the COVID-19 pandemic. J Gen Intern Med. 2021:1–3.
23.
go back to reference Cohen S. Perceived stress in a probability sample of the United States. The social psychology of health. The Claremont Symposium on Applied Social Psychology. Thousand Oaks C, US: Sage Publications, Inc; 1988. p. 31–67. Perceived stress in a probability sample of the United States. The social psychology of health. The Claremont Symposium on Applied Social Psychology. Thousand Oaks, CA, US: Sage Publications, Inc;. 1988:p. 31–67. Cohen S. Perceived stress in a probability sample of the United States. The social psychology of health. The Claremont Symposium on Applied Social Psychology. Thousand Oaks C, US: Sage Publications, Inc; 1988. p. 31–67. Perceived stress in a probability sample of the United States. The social psychology of health. The Claremont Symposium on Applied Social Psychology. Thousand Oaks, CA, US: Sage Publications, Inc;. 1988:p. 31–67.
29.
go back to reference Batra K, Sharma M, Batra R, Singh TP, Schvaneveldt N. Assessing the Psychological Impact of COVID-19 among College Students: An Evidence of 15 Countries. Healthcare (Basel). 2021;9(2). Batra K, Sharma M, Batra R, Singh TP, Schvaneveldt N. Assessing the Psychological Impact of COVID-19 among College Students: An Evidence of 15 Countries. Healthcare (Basel). 2021;9(2).
37.
go back to reference Liu CH, Zhang E, Wong GTF, Hyun S, Hahm HC. Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Res. 2020;290:113172. Liu CH, Zhang E, Wong GTF, Hyun S, Hahm HC. Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Res. 2020;290:113172.
45.
50.
go back to reference Robbs C, Pang, Y., Li, M., Wang, J. Impact of COVID-19 Vaccine on Mental Health in Ophthalmic Personnel and Students.. American Academy of Optometry 2021;e-abstract. Robbs C, Pang, Y., Li, M., Wang, J. Impact of COVID-19 Vaccine on Mental Health in Ophthalmic Personnel and Students.. American Academy of Optometry 2021;e-abstract.
51.
go back to reference Pang Y, Robbs, C., Li, M., Wang, J. A Longitudinal Study of Impact of COVID-19 Pandemic on Mental Health in Ophthalmic Personnel and Students.. American Academy of Optometry. 2021;e-abstract. Pang Y, Robbs, C., Li, M., Wang, J. A Longitudinal Study of Impact of COVID-19 Pandemic on Mental Health in Ophthalmic Personnel and Students.. American Academy of Optometry. 2021;e-abstract.
Metadata
Title
Risk factors for mental health symptoms during the COVID-19 pandemic in ophthalmic personnel and students in USA (& Canada): a cross-sectional survey study
Authors
Yi Pang
Meng Li
Connor Robbs
Jingyun Wang
Samiksha F. Jain
Ben Ticho
Katherine Green
Donny Suh
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-021-03535-1

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