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. MaterialandMethods: 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., MentalIllnesses-Understanding, PredictionandControl, 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. JournalofHealthandSocialBehavior, 43, 1207-222.
[3]
Dohrenwend, B.P. (1980) Nonspecific Psychological Distress and Other Dimensions of Psychopathology. ArchivesofGeneralPsychiatry, 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. CurrentPsychiatryReports, 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. DialoguesinClinicalNeuroscience, 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. SocialScience&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. InternationalJournalofPublicHealth, 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. SocialPsychiatryandPsychiatricEpidemiology, 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. MaladieschroniquesetblessuresauCanada, 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. SafetyScience, 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. FrontiersinPsychiatry, 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. TheCanadianJournalofPsychiatry, 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. JournalofNursingManagement, 28, 1686-1695. https://doi.org/10.1111/jonm.13124
[16]
Altwaijri, Y., Bilal, L., Almeharish, A., BinMuammar, A., DeVol, E., Hyder, S., etal. (2022) Psychological Distress Reported by Healthcare Workers in Saudi Arabia during the COVID-19 Pandemic: A Cross-Sectional Study. PLOSONE, 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. Revued’ÉpidémiologieetdeSantéPublique, 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. InternationalJournalofEnvironmentalResearchandPublicHealth, 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. InternationalJournalofEnvironmentalResearchandPublicHealth, 19, Article 9722. https://doi.org/10.3390/ijerph19159722
[20]
Nguepy, K.F.R., Mboua, P.C., Djifack, T.T., etal. (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). AustralianandNewZealandJournalofPublicHealth, 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. PsychologicalMedicine, 33, 357-362. https://doi.org/10.1017/s0033291702006700
[23]
Furukawa, T.A., Kawakami, N., Saitoh, M., Ono, Y., Nakane, Y., Nakamura, Y., etal. (2008) The Performance of the Japanese Version of the K6 and K10 in the World Mental Health Survey Japan. InternationalJournalofMethodsinPsychiatricResearch, 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., etal. (2009) Psychometric Properties of an Interviewer‐Administered Version of the Kessler Psychological Distress Scale (K10) among Dutch, Moroccan and Turkish Respondents. InternationalJournalofMethodsinPsychiatricResearch, 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. BMCNursing, 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. HumanResourcesforHealth, 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. HumanResourcesforHealth, 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. HumanResourcesforHealth, 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: RevistadeSaúdeColetiva, 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., etal. (2021) The 2020 National Nursing Workforce Survey. JournalofNursingRegulation, 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., AnalysedelasituationdesressourceshmainespourlasantéauCameroun, Ministère de la Santé Publique, 70-96.
[34]
van Dijk, F.J.H. and Swaen, G.M.H. (2003) Fatigue at Work. OccupationalandEnvironmentalMedicine, 60, i1-i2. https://doi.org/10.1136/oem.60.suppl_1.i1
Keller, S.M., Berryman, P. and Lukes, E. (2009) Effects of Extended Work Shifts and Shift Work on Patient Safety, Productivity, and Employee Health. AAOHNJournal, 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, MetabolicSyndromeandObesity: TargetsandTherapy, 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., etal. (2015) Nurses’ Extended Work Hours: Patient, Nurse and Organizational Outcomes. InternationalNursingReview, 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. AppliedNursingResearch, 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., etal. (2009) Factors Associated with Psychological Distress in a Community-Dwelling Japanese Population: The Ohsaki Cohort 2006 Study. JournalofEpidemiology, 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. SocialScience&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. JournalofClinicalNursing, 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. EthiopianJournalofHealthSciences, 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. MRIMSJournalofHealthSciences, 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. JournalofClinicalNursing, 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. AfricanHealthSciences, 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. ProgressinNeuro-PsychopharmacologyandBiologicalPsychiatry, 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. InternationalJournalofEnvironmentalResearchandPublicHealth, 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. FrontiersinPsychology, 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. BMCPublicHealth, 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. CommunityMentalHealthJournal, 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., etal. (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. NursingForum, 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. OccupationalMedicine, 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&HealthSciences, 21, 470-478. https://doi.org/10.1111/nhs.12626
[58]
Griffiths, P., Dall’Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A., etal. (2014) Nurses’ Shift Length and Overtime Working in 12 European Countries: The Association with Perceived Quality of Care and Patient Safety. MedicalCare, 52, 975-981. https://doi.org/10.1097/mlr.0000000000000233