IMPACT OF COVID-19 PANDEMIC ON PERCEIVED STRESS AND ITS ASSOCIATION WITH HAVING CHILDREN AMONG PHYSICIANS IN SAUDI ARABIA
AbstractBackground: The global pandemic of COVID-19 has led to unprecedented psychological stress on frontline health professionals. The objective of our study was to determine the prevalence of perceived stress and its association with having children among physicians in Al Madinah city, Saudi Arabia, during the COVID-19 pandemic. Methods: A web-based analytical cross-sectional study was conducted among the physicians working in Al-Madina, Saudi Arabia. Physicians living in Madina city were invited to participate in this survey by using an online questionnaire that consisted of socio-demographic information, and Perceived Stress Scale (PSS) 10 items questionnaire. The outcome measure was perceived stress score and levels among participants, while exposure factors were having children and the number of children of each participant. Results: Low, moderate and high levels of perceived stress were found in 39.3%, 56.4% and 4.3% of the physicians, respectively. 53.6% of those physicians who have children, had significant moderate perceived stress as compared to 93.3% of those who do not have any children (odds ratio (OR) = 0.08, 95% confidence interval (CI) 0.01–0.65, p=0.004). There was an inversed significant correlation between the number of children a participant had and the perceived stress scale score (R = −0.21, p=0.026). Conclusion: COVID-19 pandemic resulted in perceived stress among physicians in Saudi Arabia, mostly moderate level. Having children was found to be a protective factor.
Al-Hazmi A. Challenges presented by MERS corona virus, and SARS corona virus to global health. Saudi J Biol Sci 2016;23(4):507–11.
WHO. Coronavirus Disease (COVID-19) - Events as they happen, 2020. [Internet]. World Health Organization 2019. [cited 2020 April 12]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen
Yang HY, Duan GC. Analysis on the epidemic factors for the corona virus disease. Zhonghua Yu Fang Yi Xue Za Zhi 2020;54:E021.
Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ 2020;368:m313.
Röhr S, Müller F, Jung F, Apfelbacher C, Seidler A, Riedel-Heller SG. Psychosocial impact of quarantine measures during serious coronavirus outbreaks: a rapid review. Psychiatr Prax 2020;47(4):179–89.
Saudi Arabia regions and cities, 2018. [Internet]. [cited 2020 April 21]. Available from: http://www.citypopulation.de/en/saudiarabia/cities/
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry 2020;7(3):e14.
Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry 2020;7(4):e17–8.
Lee EH. Review of the psychometric evidence of the perceived stress scale. Asian Nurs Res (Korean Soc Nurs Sci) 2012;6(4):121–7.
State of New Hampshire Employee Assistance Program. Perceived stress scale. [Internet]. [cited 2020 April 21]. Available from: https://das.nh.gov/wellness/Docs/Percieved%20Stress%20Scale.pdf
Abolfotouh MA, AlQarni AA, Al-Ghamdi SM, Salam M, Al-Assiri MH, Balkhy HH, et al. An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia. BMC Infect Dis 2017;17(1):4.
Nour MO, Babilghith AO, Natto HA, Al-Amin FO, Alawneh SM. Knowledge, attitude and practices of healthcare providers towards MERS-CoV infection at Makkah hospitals, KSA. Int Res J Med Med Sci 2015;3(4):103–12.
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020;17(5):1729.
Chekole YA, Yimer Minaye S, Mekonnen Abate S, Mekuriaw B. Perceived Stress and Its Associated Factors during COVID-19 among Healthcare Providers in Ethiopia: A Cross-Sectional Study. Adv Public Health 2020;2020:5036861.
Dai Y, Hu G, Xiong H, Qiu H, Yuan X. Psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on healthcare workers in China. medRxiv 2020;2020:20030874.
Tan BYQ, Chew NWS, Lee GKH, Jing M, Goh Y, Yeo LLL, et al. Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore. Ann Intern Med 2020;173(4):317–20.
Zheng W. Mental health and a novel coronavirus (2019-nCoV) in China. J Affect Disord 2020;269:201–2.
Kumar A, Nayar KR. COVID 19 and its mental health consequences. J Ment Health 2021;30(1):1–2.
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020;3:e203976.
Fetters A. The Atlantic. The child-care crisis is even worse for health-care workers. 2020. [Internet]. [cited 2020 April 24]. Available from: https://www.theatlantic.com/family/archive/2020/03/who-is-taking-care-of-hospital-workers-children/608848/
The Guardian. ‘I can't hug my kid’: how coronavirus is upending medical workers' lives. 2020. [Internet]. [cited 2020 April 24]. Available from: https://www.theguardian.com/world/2020/apr/16/us-medical-workers-lives-upended-coronavirus
Saudi Center for Disease Prevention and Control and Ministry of Health, 2020. Coronavirus Disease 19 (COVID-19) Guidelines. 2020. [Internet]. [cited 2020 April 24]. Available from: https://www.moh.gov.sa/en/Pages/default.aspx
Bayham J, Fenichel EP. Impact of school closures for COVID-19 on the US health-care workforce and net mortality: a modelling study. Lancet Public Health 2020;5(5):e271–8.
Maximova K, Quesnel-Vallée A. Mental health consequences of unintended childlessness and unplanned births: gender differences and life course dynamics. Soc Sci Med 2009;68(5):850–7.
van Balen F, Bos HM. The social and cultural consequences of being childless in poor-resource areas. Facts Views Vis Obgyn 2009;1(2):106–21.
Töyry S, Kalimo R, Äärimaa M, Juntunen J, Seuri M, Räsänen K. Children and work-related stress among physicians. Stress Health J Int Soc Investig Stress 2004;20(4):213–21.
Buehrsch NC, Mewes AU, Knorr F, Zoller T, Kunkel J, Urbanek C, et al. Children Lower the Probability of Burnout in Physicians. J Depress Anxiety 2012;1(1):108.
Statista. Their children as a source of happiness for Saudi Arabian respondents, 2019. [Internet]. [cited 2020 April 24]. Available from: https://www.statista.com/statistics/1064822/saudi-arabia-children-source-of-happiness/
Kohler HP. Do children bring happiness and purpose in life? In: Kaufmann E, Wilcox WB, editors. Whither the child: Causes and consequences of low fertility. New York: Taylor and Francis Group, Paradigm Publishers, 2012; p.47–75.
Sheykhi MT. Children as a source of happiness within the Iranian families: Profiles and challenges. Afri J Pol Sci Int Relat 2009;3(11):526–31.
Kim J, Hicks JA. Happiness begets children? Evidence for a bi-directional link between well-being and number of children. J Posit Psychol 2016;11(1):62–9.
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