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Psychological Distress amongst Healthcare Workers in Douala

DOI: 10.4236/odem.2024.124027, PP. 349-362

Keywords: Psychological Distress, Healthcare Workers, Hospitals, Douala

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Abstract:

Introduction: Psychological distress can affect every worker’s mental health or working ability, and specifically the healthcare workers. It is essential to prevent and treat it in order to anticipate predictable consequences. The aim of this study was to investigate the epidemiological characteristics of psychological distress among the healthcare workers in the city of Douala. Material and Methods: This cross-sectional study was carried out during the 1st semester of 2023 in two reference hospitals of the city of Douala. All volunteer staff from the targeted hospitals were involved. We collected data using a mixed questionnaire that included the working conditions, as of the socioprofessional and psychological characteristics of the healthcare workers. We measured the level of psychological distress using the Kessler scale. Analysis was performed using the Chi-2 test and multivariate analysis. Threshold value was & = 5%, p < 5%. Results: The participation rate was 86.3%. Women (81.7%) and nurses (77.6%) predominated in the sample. The mean age was 35.38 ± 8.9 years, and individuals in their thirties accounted for 46.79% of the sample. The prevalence of psychological distress was 19.5%. The psychological distress was categorized as mild (48.72%), moderate (18.46%) or severe (32.82%). Risk factors for psychological distress included being of the catholic faith (OR = 3.6, p = 0.04), poor sleep quality (OR = 3.9, p = 0.001) and long working hours (OR = 2.2, p = 0.002). Overtime was the only protective factor identified (OR = 0.6, p = 0.04). Conclusion: Nearly 1 out of 5 healthcare workers suffered from psychological distress exacerbated by poor working and living conditions. There is an urgent need to improve their working conditions to prevent the development of more severe consequences.

References

[1]  Drapeau, A., Marchand, A. and Beaulieu-Prevost, D. (2012) Epidemiology of Psychological Distress. In: L’Abate, L., Ed., Mental Illnesses-Understanding, Prediction and Control, InTech, 105-134.
https://doi.org/10.5772/30872
[2]  Keyes, C.L.M. (2002) Selecting Outcomes for the Sociology of Mental Health: Issues of Measurement and Dimensionality. Journal of Health and Social Behavior, 43, 1207-222.
[3]  Dohrenwend, B.P. (1980) Nonspecific Psychological Distress and Other Dimensions of Psychopathology. Archives of General Psychiatry, 37, 1229-1236.
https://doi.org/10.1001/archpsyc.1980.01780240027003
[4]  Simard, M., Hudon, C. and van Reekum, R. (2009) Psychological Distress and Risk for Dementia. Current Psychiatry Reports, 11, 41-47.
https://doi.org/10.1007/s11920-009-0007-z
[5]  Black, D. and Grant, J. (2014) DSM-5 Guidebook: The Essential Companion to the Diagnostic and Statistical Manual of Mental Disorders. 5th Edition, American Psychiatric Pub.
[6]  Franzen, P.L. and Buysse, D.J. (2008) Sleep Disturbances and Depression: Risk Relationships for Subsequent Depression and Therapeutic Implications. Dialogues in Clinical Neuroscience, 10, 473-481.
https://doi.org/10.31887/dcns.2008.10.4/plfranzen
[7]  World Health Organization (WHO) (2008) The Global Burden of Disease 2004. 31-37.
[8]  Benzeval, M. and Judge, K. (2001) Income and Health: The Time Dimension. Social Science & Medicine, 52, 1371-1390.
https://doi.org/10.1016/s0277-9536(00)00244-6
[9]  Chittleborough, C.R., Winefield, H., Gill, T.K., Koster, C. and Taylor, A.W. (2010) Age Differences in Associations between Psychological Distress and Chronic Conditions. International Journal of Public Health, 56, 71-80.
https://doi.org/10.1007/s00038-010-0197-5
[10]  Gispert, R., Rajmil, L., Schiaffino, A. and Herdman, M. (2003) Sociodemographic and Health-Related Correlates of Psychiatric Distress in a General Population. Social Psychiatry and Psychiatric Epidemiology, 38, 677-683.
https://doi.org/10.1007/s00127-003-0692-6
[11]  Caron, J. and Liu, A. (2010) Étude descriptive de la prévalence de la détresse psychologique et des troubles mentaux au sein de la population canadienne: Comparaison entre la population à faible revenu et la population à revenu plus élevé. Maladies chroniques et blessures au Canada, 30, 86-97.
https://doi.org/10.24095/hpcdp.30.3.03f
[12]  Ruiz-Frutos, C., Ortega-Moreno, M., Allande-Cussó, R., Domínguez-Salas, S., Dias, A. and Gómez-Salgado, J. (2021) Health-Related Factors of Psychological Distress during the COVID-19 Pandemic among Non-Health Workers in Spain. Safety Science, 133, Article 104996.
https://doi.org/10.1016/j.ssci.2020.104996
[13]  Sirois, F.M. and Owens, J. (2021) Factors Associated with Psychological Distress in Health-Care Workers during an Infectious Disease Outbreak: A Rapid Systematic Review of the Evidence. Frontiers in Psychiatry, 11, Article 589545.
https://doi.org/10.3389/fpsyt.2020.589545
[14]  Dufour, M., Bergeron, N., Rabasa, A., Guay, S. and Geoffrion, S. (2021) Assessment of Psychological Distress in Health-Care Workers during and after the First Wave of COVID-19: A Canadian Longitudinal Study. The Canadian Journal of Psychiatry, 66, 807-814.
https://doi.org/10.1177/07067437211025217
[15]  Shahrour, G. and Dardas, L.A. (2020) Acute Stress Disorder, Coping Self‐Efficacy and Subsequent Psychological Distress among Nurses Amid COVID‐19. Journal of Nursing Management, 28, 1686-1695.
https://doi.org/10.1111/jonm.13124
[16]  Altwaijri, Y., Bilal, L., Almeharish, A., BinMuammar, A., DeVol, E., Hyder, S., et al. (2022) Psychological Distress Reported by Healthcare Workers in Saudi Arabia during the COVID-19 Pandemic: A Cross-Sectional Study. PLOS ONE, 17, e0268976.
https://doi.org/10.1371/journal.pone.0268976
[17]  Rollin, L., Gehanno, J. and Leroyer, A. (2022) Occupational Stressors in Healthcare Workers in France. Revue dÉpidémiologie et de Santé Publique, 70, 59-65.
https://doi.org/10.1016/j.respe.2022.02.002
[18]  Cena, L., Rota, M., Calza, S., Janos, J., Trainini, A. and Stefana, A. (2021) Psychological Distress in Healthcare Workers between the First and Second COVID-19 Waves: The Role of Personality Traits, Attachment Style, and Metacognitive Functioning as Protective and Vulnerability Factors. International Journal of Environmental Research and Public Health, 18, Article 11843.
https://doi.org/10.3390/ijerph182211843
[19]  Lee, H., Wilson, K.S., Bernstein, C., Naicker, N., Yassi, A. and Spiegel, J.M. (2022) Psychological Distress in South African Healthcare Workers Early in the COVID-19 Pandemic: An Analysis of Associations and Mitigating Factors. International Journal of Environmental Research and Public Health, 19, Article 9722.
https://doi.org/10.3390/ijerph19159722
[20]  Nguepy, K.F.R., Mboua, P.C., Djifack, T.T., et al. (2021) Psychological Distress among Health Care Professionals of the Three COVID-19 Most Affected Regions in Cameroon: Prevalence and Associated Factors.
https://www.em-consulte.com/article/1422826/psychological-distress-among-health-care-professionals
[21]  Andrews, G. and Slade, T. (2001) Interpreting Scores on the Kessler Psychological Distress Scale (K10). Australian and New Zealand Journal of Public Health, 25, 494-497.
https://doi.org/10.1111/j.1467-842x.2001.tb00310.x
[22]  Furukawa, T.A., Kessler, R.C., Slade, T. and Andrews, G. (2003) The Performance of the K6 and K10 Screening Scales for Psychological Distress in the Australian National Survey of Mental Health and Well-Being. Psychological Medicine, 33, 357-362.
https://doi.org/10.1017/s0033291702006700
[23]  Furukawa, T.A., Kawakami, N., Saitoh, M., Ono, Y., Nakane, Y., Nakamura, Y., et al. (2008) The Performance of the Japanese Version of the K6 and K10 in the World Mental Health Survey Japan. International Journal of Methods in Psychiatric Research, 17, 152-158.
https://doi.org/10.1002/mpr.257
[24]  Fassaert, T., De Wit, M.A.S., Tuinebreijer, W.C., Wouters, H., Verhoeff, A.P., Beekman, A.T.F., et al. (2009) Psychometric Properties of an Interviewer‐Administered Version of the Kessler Psychological Distress Scale (K10) among Dutch, Moroccan and Turkish Respondents. International Journal of Methods in Psychiatric Research, 18, 159-168.
https://doi.org/10.1002/mpr.288
[25]  Cohen, S., Spacapan, S. and Oskamp, S. (1988) Perceived Stress in a Probability Sample of the United States. In: Spacapan, S. and Oskamp, S., Eds., The Social Psychology of Health, Sage Publications Inc., 31-67.
[26]  Kharazmi, E., Bordbar, N. and Bordbar, S. (2023) Distribution of Nursing Workforce in the World Using Gini Coefficient. BMC Nursing, 22, Article No. 151.
https://doi.org/10.1186/s12912-023-01313-w
[27]  Shannon, G., Minckas, N., Tan, D., Haghparast-Bidgoli, H., Batura, N. and Mannell, J. (2019) Feminisation of the Health Workforce and Wage Conditions of Health Professions: An Exploratory Analysis. Human Resources for Health, 17, Article No. 72.
https://doi.org/10.1186/s12960-019-0406-0
[28]  Russo, G., Gonçalves, L., Craveiro, I. and Dussault, G. (2015) Feminization of the Medical Workforce in Low-Income Settings; Findings from Surveys in Three African Capital Cities. Human Resources for Health, 13, Article No. 64.
https://doi.org/10.1186/s12960-015-0064-9
[29]  Li, M., Raven, J. and Liu, X. (2024) Feminization of the Health Workforce in China: Exploring Gendered Composition from 2002 to 2020. Human Resources for Health, 22, Article No. 15.
https://doi.org/10.1186/s12960-024-00898-w
[30]  De Souza, H.S., Trapé, C.A., Campos, C.M.S. and Soares, C.B. (2021) The Brazilian Nursing Workforce Faced with the International Trends: An Analysis in the International Year of Nursing. Physis: Revista de Saúde Coletiva, 31, e310111.
https://doi.org/10.1590/s0103-73312021310111
[31]  Aiken, L. and Cheung, R. (2008) Nurse Workforce Challenges in the United States: Implications for Policy. OECD Health Working Papers No. 35. OECD Publishing.
https://doi.org/10.1787/236153608331
[32]  Smiley, R.A., Ruttinger, C., Oliveira, C.M., Hudson, L.R., Allgeyer, R., Reneau, K.A., et al. (2021) The 2020 National Nursing Workforce Survey. Journal of Nursing Regulation, 12, S1-S96.
https://doi.org/10.1016/s2155-8256(21)00027-2
[33]  Ministère de la Santé Publique (MINSANTE) (2010) Politique, plannification des RHS et situation des effectifs. In: Ministère de la Santé Publique Ed., Analyse de la situation des ressources hmaines pour la santé au Cameroun, Ministère de la Santé Publique, 70-96.
[34]  van Dijk, F.J.H. and Swaen, G.M.H. (2003) Fatigue at Work. Occupational and Environmental Medicine, 60, i1-i2.
https://doi.org/10.1136/oem.60.suppl_1.i1
[35]  Rosa, R.R. (1995) Extended Workshifts and Excessive Fatigue. Journal of Sleep Research, 4, 51-56.
https://doi.org/10.1111/j.1365-2869.1995.tb00227.x
[36]  Keller, S.M., Berryman, P. and Lukes, E. (2009) Effects of Extended Work Shifts and Shift Work on Patient Safety, Productivity, and Employee Health. AAOHN Journal, 57, 497-504.
https://doi.org/10.1177/216507990905701204
[37]  Gozal, D., Dumin, M. and Koren, D. (2016) Role of Sleep Quality in the Metabolic Syndrome. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 9, 281-310.
https://doi.org/10.2147/dmso.s95120
[38]  Caruso, C.C., Hitchcock, E.M., Dick, R.B. and Russo, J.M. (2004) Overtime and Extended Work Shifts: Recent Findings on Illnesses, Injuries, and Health Behaviors. US Department of Health and Human Services.
[39]  Kunaviktikul, W., Wichaikhum, O., Nantsupawat, A., Nantsupawat, R., Chontawan, R., Klunklin, A., et al. (2015) Nurses’ Extended Work Hours: Patient, Nurse and Organizational Outcomes. International Nursing Review, 62, 386-393.
https://doi.org/10.1111/inr.12195
[40]  Kang, J., Noh, W. and Lee, Y. (2020) Sleep Quality among Shift-Work Nurses: A Systematic Review and Meta-Analysis. Applied Nursing Research, 52, Article 151227.
https://doi.org/10.1016/j.apnr.2019.151227
[41]  Kuriyama, S., Nakaya, N., Ohmori-Matsuda, K., Shimazu, T., Kikuchi, N., Kakizaki, M., et al. (2009) Factors Associated with Psychological Distress in a Community-Dwelling Japanese Population: The Ohsaki Cohort 2006 Study. Journal of Epidemiology, 19, 294-302.
https://doi.org/10.2188/jea.je20080076
[42]  Phongsavan, P., Chey, T., Bauman, A., Brooks, R. and Silove, D. (2006) Social Capital, Socio-Economic Status and Psychological Distress among Australian Adults. Social Science & Medicine, 63, 2546-2561.
https://doi.org/10.1016/j.socscimed.2006.06.021
[43]  Nie, A., Su, X., Zhang, S., Guan, W. and Li, J. (2020) Psychological Impact of COVID‐19 Outbreak on Frontline Nurses: A Cross‐Sectional Survey Study. Journal of Clinical Nursing, 29, 4217-4226.
https://doi.org/10.1111/jocn.15454
[44]  Belay, A.S., Guangul, M.M., Asmare, W.N. and Mesafint, G. (2021) Prevalence and Associated Factors of Psychological Distress among Nurses in Public Hospitals, Southwest, Ethiopia: A Cross-Sectional Study. Ethiopian Journal of Health Sciences, 31, 1247-1256.
https://doi.org/10.4314/ejhs.v31i6.21
[45]  Shruthi, M.N., Veena, V. and Seeri, J.S. (2023) Prevalence of Psychological Distress and Perceived Stress among Nursing Staff in a Tertiary Care Center, Bengaluru. MRIMS Journal of Health Sciences, 11, 41-47.
https://doi.org/10.4103/mjhs.mjhs_28_22
[46]  Ghawadra, S.F., Abdullah, K.L., Choo, W.Y. and Phang, C.K. (2019) Psychological Distress and Its Association with Job Satisfaction among Nurses in a Teaching Hospital. Journal of Clinical Nursing, 28, 4087-4097.
https://doi.org/10.1111/jocn.14993
[47]  Okwaraji, F. and En, A. (2014) Burnout and Psychological Distress among Nurses in a Nigerian Tertiary Health Institution. African Health Sciences, 14, 237-245.
https://doi.org/10.4314/ahs.v14i1.37
[48]  Olagunju, A.T., Bioku, A.A., Olagunju, T.O., Sarimiye, F.O., Onwuameze, O.E. and Halbreich, U. (2021) Psychological Distress and Sleep Problems in Healthcare Workers in a Developing Context during COVID-19 Pandemic: Implications for Workplace Wellbeing. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 110, Article 110292.
https://doi.org/10.1016/j.pnpbp.2021.110292
[49]  Lee, H., Wilson, K.S., Bernstein, C., Naicker, N., Yassi, A. and Spiegel, J.M. (2022) Psychological Distress in South African Healthcare Workers Early in the COVID-19 Pandemic: An Analysis of Associations and Mitigating Factors. International Journal of Environmental Research and Public Health, 19, Article 9722.
https://doi.org/10.3390/ijerph19159722
[50]  Ahmed, F., Zhao, F. and Faraz, N.A. (2020) How and When Does Inclusive Leadership Curb Psychological Distress during a Crisis? Evidence from the COVID-19 Outbreak. Frontiers in Psychology, 11, Article 1898.
https://doi.org/10.3389/fpsyg.2020.01898
[51]  Cadieux, N. and Marchand, A. (2014) Psychological Distress in the Workforce: A Multilevel and Longitudinal Analysis of the Case of Regulated Occupations in Canada. BMC Public Health, 14, Article No. 808.
https://doi.org/10.1186/1471-2458-14-808
[52]  International Labour Office (2000) Mental Health in the Workplace.
[53]  Fushimi, M., Saito, S., Shimizu, T., Kudo, Y., Seki, M. and Murata, K. (2011) Prevalence of Psychological Distress, as Measured by the Kessler 6 (K6), and Related Factors in Japanese Employees. Community Mental Health Journal, 48, 328-335.
https://doi.org/10.1007/s10597-011-9416-7
[54]  Alimoradi, Z., Broström, A., Tsang, H.W.H., Griffiths, M.D., Haghayegh, S., Ohayon, M.M., et al. (2021) Sleep Problems during COVID-19 Pandemic and Its’ Association to Psychological Distress: A Systematic Review and Meta-Analysis. EClinicalMedicine, 36, Article 100916.
https://doi.org/10.1016/j.eclinm.2021.100916
[55]  Nelson, K.L., Davis, J.E. and Corbett, C.F. (2021) Sleep Quality: An Evolutionary Concept Analysis. Nursing Forum, 57, 144-151.
https://doi.org/10.1111/nuf.12659
[56]  McDowall, K., Murphy, E. and Anderson, K. (2017) The Impact of Shift Work on Sleep Quality among Nurses. Occupational Medicine, 67, 621-625.
https://doi.org/10.1093/occmed/kqx152
[57]  Chaiard, J., Deeluea, J., Suksatit, B., Songkham, W., Inta, N. and Stone, T.E. (2019) Sleep Disturbances and Related Factors among Nurses. Nursing & Health Sciences, 21, 470-478.
https://doi.org/10.1111/nhs.12626
[58]  Griffiths, P., Dall’Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A., et al. (2014) Nurses’ Shift Length and Overtime Working in 12 European Countries: The Association with Perceived Quality of Care and Patient Safety. Medical Care, 52, 975-981.
https://doi.org/10.1097/mlr.0000000000000233

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