Results of the COVID-19 mental health international for the health professionals (COMET-HP) study : depression, suicidal tendencies and conspiracism

N. Fountoulakis, Konstantinos, N. Karakatsoulis, Grigorios, Abraham, Seri, Adorjan, Kristina, Ahmed, Helal Uddin, Alarcón, Renato D., Arai, Kiyomi, Auwal, Sani Salihu, Bobes, Julio, Bobes-Bascaran, Teresa et al.
(2023) Results of the COVID-19 mental health international for the health professionals (COMET-HP) study : depression, suicidal tendencies and conspiracism. Social Psychiatry and Psychiatric Epidemiology, 58 (9). pp. 1387-1410. doi:10.1007/s00127-023-02438-8 ISSN 0933-7954.

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Abstract

Introduction
The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak.

Materials and methods
The data came from the larger COMET-G study. The study sample includes 12,792 health professionals from 40 countries (62.40% women aged 39.76 ± 11.70; 36.81% men aged 35.91 ± 11.00 and 0.78% non-binary gender aged 35.15 ± 13.03). Distress and clinical depression were identified with the use of a previously developed cut-off and algorithm, respectively.

Statistical analysis
Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses, and Factorial Analysis of Variance (ANOVA) tested relations among variables.

Results
Clinical depression was detected in 13.16% with male doctors and ‘non-binary genders’ having the lowest rates (7.89 and 5.88% respectively) and ‘non-binary gender’ nurses and administrative staff had the highest (37.50%); distress was present in 15.19%. A significant percentage reported a deterioration in mental state, family dynamics, and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (24.64% vs. 9.62%; p < 0.0001). Suicidal tendencies were at least doubled in terms of RASS scores. Approximately one-third of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop clinical depression was associated with a history of Bipolar disorder (RR = 4.23).

Conclusions
The current study reported findings in health care professionals similar in magnitude and quality to those reported earlier in the general population although rates of clinical depression, suicidal tendencies, and adherence to conspiracy theories were much lower. However, the general model of factors interplay seems to be the same and this could be of practical utility since many of these factors are modifiable.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Social Psychiatry and Psychiatric Epidemiology
Publisher: Springer
ISSN: 0933-7954
Official Date: September 2023
Dates:
Date
Event
September 2023
Published
3 March 2023
Available
2 February 2023
Accepted
Volume: 58
Number: 9
Page Range: pp. 1387-1410
DOI: 10.1007/s00127-023-02438-8
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons open licence)
URI: https://wrap.warwick.ac.uk/178330/

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