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Article ; Online: General practitioner management of mental health during the COVID-19 pandemic.

Munindradasa, Ashvini / Blashki, Grant / Hall Dykgraaf, Sally / Desborough, Jane / Kidd, Michael

2021 Volume 50, Issue 7, Page(s) 472–477

Abstract: ... pandemic has created a 'perfect storm' for the deterioration of mental health. General practitioners (GPs ... The objective of this article is to provide an overview of management approaches for mental health issues ... paying attention to fostering resilience and lifestyle factors, particularly during the COVID-19 pandemic ...

Abstract	Background: Psychological issues are common presentations in general practice. The COVID-19 pandemic has created a 'perfect storm' for the deterioration of mental health. General practitioners (GPs) are ideally placed to provide supports for people with mental health issues. Objective: The objective of this article is to provide an overview of management approaches for mental health issues, paying attention to fostering resilience and lifestyle factors, particularly during the COVID-19 pandemic period. Discussion: While feelings of fear and anxiety are expected in these uncertain times, some people may experience an exacerbation of a mental illness or develop a mental health issue for the first time during the COVID-19 pandemic. A list of resources available to GPs is provided, and case studies are used to demonstrate how these resources can be used to support assessment and management during the COVID-19 pandemic.
MeSH term(s)	Adaptation, Psychological ; Anxiety/diagnosis ; Anxiety/etiology ; Anxiety/therapy ; COVID-19/complications ; COVID-19/psychology ; COVID-19/therapy ; Depression/diagnosis ; Depression/etiology ; Depression/therapy ; Female ; General Practice ; Humans ; Male ; Mental Disorders/diagnosis ; Mental Disorders/etiology ; Mental Disorders/therapy ; Middle Aged ; Young Adult
Language	English
Publishing date	2021-05-30
Publishing country	Australia
Document type	Case Reports ; Journal Article
ZDB-ID	2924889-9
ISSN	2208-7958 ; 2208-794X
ISSN (online)	2208-7958
ISSN	2208-794X
DOI	10.31128/AJGP-11-20-5745
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Article ; Online: COVID-19- related work, managerial factors and exhaustion among general practitioners in Sweden: a cross-sectional study.

Månsson Sandberg, Helena / Landstad, Bodil J / Tjulin, Åsa / Brulin, Emma

BMC primary care

2023 Volume 24, Issue 1, Page(s) 269

Abstract: ... that satisfactory management actions had on mental health was limited. In the aftermath of the COVID-19 pandemic and ... suffered from burnout when working during the COVID-19 pandemic. A Swedish study found that more than 16 ... A knowledge gap remains on GPs´ working conditions, the impact of management during the pandemic and how ...

Abstract	Introduction: A significant number of international studies show that general practitioners (GPs) suffered from burnout when working during the COVID-19 pandemic. A Swedish study found that more than 16% of GPs had exhaustion in spring 2021. Exhaustion can be regarded as an initial stage of burnout. A knowledge gap remains on GPs´ working conditions, the impact of management during the pandemic and how it was associated with exhaustion. This study aims to explore the association between severe symptoms of exhaustion and COVID-19 pandemic-related work and managerial factors among Swedish GPs and whether managerial factors have an impact on the association between exhaustion and COVID-19-related work factors. Methods: Cross-sectional data was drawn from the Longitudinal Occupational Health survey in Health Care Sweden (LOHHCS), which included a representative sample of practicing doctors in Sweden. The sample consisted of 6699 doctors with a response rate of 41.2%. This study constitutes a sample of doctors who reported working in primary care facilities at the time of data collection, i.e. 1013 GPs. The Burnout Assessment Tool (BAT) was used to assess severe symptoms of exhaustion. Questions were also asked about pandemic-related work and managerial factors. The data was analysed using descriptive statistics and multivariate logistic regression to identify the association between exhaustion, work and managerial factors. Results: The multivariate analysis showed that GPs who managed COVID-19 patients were about twice as likely to report severe symptoms of exhaustion. Further, GPs who reported that management was unsupportive, provided unsatisfactory working conditions and unsatisfactory policies for patient prioritisation were between two and four times more likely to report severe symptoms of exhaustion. Conclusions: COVID-19-related work and managerial factors had a significant impact on the mental health of GPs. Furthermore, the potentially protective effect that satisfactory management actions had on mental health was limited. In the aftermath of the COVID-19 pandemic and in preparation for future major crises that have a high impact on healthcare, there is a need to investigate the measures that can be taken to enable GPs to carry out their work, while maintaining their wellbeing.
MeSH term(s)	Humans ; General Practitioners/psychology ; Cross-Sectional Studies ; Sweden/epidemiology ; Pandemics ; COVID-19/epidemiology ; Burnout, Professional/epidemiology ; Burnout, Professional/psychology
Language	English
Publishing date	2023-12-13
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2731-4553
ISSN (online)	2731-4553
DOI	10.1186/s12875-023-02228-w
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Article ; Online: Mental health of general practitioners in Chongqing, China during COVID-19: a cross-sectional study.

Xu, Yang / Deng, JingZhi / Tan, Wenhao / Yang, Wen / Deng, Huisheng

BMJ open

2023 Volume 13, Issue 11, Page(s) e068333

Abstract: Objectives: In the context of the COVID-19 pandemic, general practitioners (GPs) continue to face ... GPs in China during the COVID-19 pandemic. Curbing stress and job burn-out levels and ensuring ... well-being levels among GPs to train and manage them during public health emergencies.: Design ...

Abstract	Objectives: In the context of the COVID-19 pandemic, general practitioners (GPs) continue to face unprecedented challenges that affect their mental health. However, few studies have assessed the mental health status of GPs. This study aimed to provide preliminary understanding of stress, job burn-out and well-being levels among GPs to train and manage them during public health emergencies. Design: We conducted a cross-sectional online self-report survey. Setting: The survey was conducted in Chongqing, China from July to August 2022. Participants: Data were collected from 2145 GPs, with an effective response rate of 91.0%. Primary and secondary outcome measures: The main evaluation indicators were stress (Cohen's Perceived Stress Scale), job burn-out (Maslach Burnout Inventory-Human Services Survey Scale) and well-being (WHO-5 Well-Being Index). Multiple linear regression analysis was used to compare the effect of different demographic characteristics on the impact of stress, job burn-out and decreased well-being. Results: Stress, job burn-out and decreased well-being were common among GPs. In this study, 59.7% experienced job burn-out, 76.1% experienced high levels of stress and 52.0% may have experienced depression. The main factors that influenced stress, burn-out and well-being were differences in age, working hours per week, title, part-time management work, work-life balance, sleep disorders, whether GPs received adequate recognition by patients and the work team and mental toughness (p<0.05). Conclusion: This survey is the first to investigate stress, job burn-out and well-being levels among local GPs in China during the COVID-19 pandemic. Curbing stress and job burn-out levels and ensuring well-being among GPs could be achieved by reducing paperwork, management work and working hours; promoting life and work balance; and increasing resilience among GPs. The findings provide a basis for policy-makers to formulate strategies for developing general practice.
MeSH term(s)	Humans ; Mental Health ; General Practitioners/psychology ; Cross-Sectional Studies ; Pandemics ; COVID-19/epidemiology ; Burnout, Professional/epidemiology ; Burnout, Professional/psychology ; Surveys and Questionnaires ; Job Satisfaction ; China/epidemiology
Language	English
Publishing date	2023-11-30
Publishing country	England
Document type	Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2022-068333
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Article ; Online: Health Disparities and Comparison of Psychiatric Medication Use before and after the COVID-19 Pandemic Lockdown among General Practitioner Practices in the North East of England.

Yu, Ge / Tang, Eugene Y H / Fu, Yu

International journal of environmental research and public health

2023 Volume 20, Issue 11

Abstract: Background: Psychiatric medications play a vital role in the management of mental health disorders ... the UK national lockdown.: Conclusions: People during the COVID-19 lockdown were associated ... However, the COVID-19 pandemic and subsequent lockdown limited access to primary care services, leading ...

Abstract	Background: Psychiatric medications play a vital role in the management of mental health disorders. However, the COVID-19 pandemic and subsequent lockdown limited access to primary care services, leading to an increase in remote assessment and treatment options to maintain social distancing. This study aimed to investigate the impact of the COVID-19 pandemic lockdown on the use of psychiatric medication in primary care settings. Methods: We conducted a retrospective claims-based analysis of anonymized monthly aggregate practice-level data on anxiolytics and hypnotics use from 322 general practitioner (GP) practices in the North East of England, where health disparities are known to be higher. Participants were all residents who took anxiolytics and hypnotics from primary care facilities for two financial years, from 2019/20 to 2020/21. The primary outcome was the volume of Anxiolytics and Hypnotics used as the standardized, average daily quantities (ADQs) per 1000 patients. Based on the OpenPrescribing database, a random-effect model was applied to quantify the change in the level and trend of anxiolytics and hypnotics use after the UK national lockdown in March 2020. Practice characteristics extracted from the Fingertips data were assessed for their association with a reduction in medication use following the lockdown. Results: This study in the North East of England found that GP practices in higher health disparate regions had a lower workload than those in less health disparate areas, potentially due to disparities in healthcare utilization and socioeconomic status. Patients in the region reported higher levels of satisfaction with healthcare services compared to the England average, but there were differences between patients living in higher versus less health disparate areas. The study highlights the need for targeted interventions to address health disparities, particularly in higher health disparate areas. The study also found that psychiatric medication use was significantly more common in residents living in higher health disparate areas. Daily anxiolytics and hypnotics use decreased by 14 items per 1000 patients between the financial years 2019/20 and 2020/21. A further nine items per 1000 decreased for higher health disparate areas during the UK national lockdown. Conclusions: People during the COVID-19 lockdown were associated with an increased risk of unmet psychiatric medication demand, especially for higher health disparate areas that had low-socioeconomic status.
MeSH term(s)	Humans ; COVID-19/epidemiology ; Anti-Anxiety Agents/therapeutic use ; General Practitioners ; Pandemics ; Retrospective Studies ; Communicable Disease Control ; Hypnotics and Sedatives ; England/epidemiology
Chemical Substances	Anti-Anxiety Agents ; Hypnotics and Sedatives
Language	English
Publishing date	2023-06-02
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20116034
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Article ; Online: COVID-19- related work, managerial factors and exhaustion among general practitioners in Sweden

Helena Månsson Sandberg / Bodil J. Landstad / Åsa Tjulin / Emma Brulin

BMC Primary Care, Vol 24, Iss 1, Pp 1-

a cross-sectional study

2023 Volume 12

Abstract: ... GPs) suffered from burnout when working during the COVID-19 pandemic. A Swedish study found that more ... A knowledge gap remains on GPs´ working conditions, the impact of management during the pandemic and how ... of exhaustion and COVID-19 pandemic-related work and managerial factors among Swedish GPs and whether managerial ...

Abstract	Abstract Introduction A significant number of international studies show that general practitioners (GPs) suffered from burnout when working during the COVID-19 pandemic. A Swedish study found that more than 16% of GPs had exhaustion in spring 2021. Exhaustion can be regarded as an initial stage of burnout. A knowledge gap remains on GPs´ working conditions, the impact of management during the pandemic and how it was associated with exhaustion. This study aims to explore the association between severe symptoms of exhaustion and COVID-19 pandemic-related work and managerial factors among Swedish GPs and whether managerial factors have an impact on the association between exhaustion and COVID-19-related work factors. Methods Cross-sectional data was drawn from the Longitudinal Occupational Health survey in Health Care Sweden (LOHHCS), which included a representative sample of practicing doctors in Sweden. The sample consisted of 6699 doctors with a response rate of 41.2%. This study constitutes a sample of doctors who reported working in primary care facilities at the time of data collection, i.e. 1013 GPs. The Burnout Assessment Tool (BAT) was used to assess severe symptoms of exhaustion. Questions were also asked about pandemic-related work and managerial factors. The data was analysed using descriptive statistics and multivariate logistic regression to identify the association between exhaustion, work and managerial factors. Results The multivariate analysis showed that GPs who managed COVID-19 patients were about twice as likely to report severe symptoms of exhaustion. Further, GPs who reported that management was unsupportive, provided unsatisfactory working conditions and unsatisfactory policies for patient prioritisation were between two and four times more likely to report severe symptoms of exhaustion. Conclusions COVID-19-related work and managerial factors had a significant impact on the mental health of GPs. Furthermore, the potentially protective effect that satisfactory management actions had on ...
Keywords	COVID-19 ; Exhaustion ; General practitioners ; Management ; Mental health ; Occupational conditions ; Medicine (General) ; R5-920
Subject code	300
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
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Article: Determinants of Mental Health and Practice Behaviors of General Practitioners During COVID-19 Pandemic in Bali, Indonesia: A Cross-sectional Study.

Sitanggang, Firman Parulian / Wirawan, Gede Benny Setia / Wirawan, I Md Ady / Lesmana, Cokorda Bagus Jaya / Januraga, Pande Putu

Risk management and healthcare policy

2021 Volume 14, Page(s) 2055–2064

Abstract: Purpose: We aim to study the level of mental health distress and COVID-19 prevention in practice ... based on WHO recommendations for hand hygiene and PPE use during the COVID-19 pandemic. We conducted ... to mental health while consistent hand hygiene improved it. Meanwhile, workplace, work setting, and fear of COVID ...

Abstract	Purpose: We aim to study the level of mental health distress and COVID-19 prevention in practice behaviors among general practitioners (GPs) in Bali, Indonesia, as well as their determinants. Methods: We conducted a cross-sectional online survey. Survey recruitment material was disseminated by purposive snowballing through regional professional association as well as research team's personal acquaintances. The survey measured mental health status by DASS-21 questionnaire and practice behavior by a questionnaire based on WHO recommendations for hand hygiene and PPE use during the COVID-19 pandemic. We conducted multivariate analyses to identify independent determinants for mental health and practice behavior. Results: Analyses included 635 (41.75%) of GPs in Bali. Mental health status was relatively good with prevalence of depression, anxiety, and stress of 13.2%, 19.7%, and 11% respectively, lower than previous studies in Indonesia and elsewhere. Practice behavior, however, was not considerably lower with only 65.4% and 32.1% reported consistent hand hygiene and recommended PPE use respectively. Routine optional PPE use was reported by 23.6% of respondents. Long working hours and fear of COVID-19 was identified as detrimental to mental health while consistent hand hygiene improved it. Meanwhile, workplace, work setting, and fear of COVID-19, were identified as determinants for PPE use. GPs working in primary health centers and private hospitals were also found to have less adherence to hand hygiene protocols. Conclusion: Our results showed relatively good mental health status along with inadequate infection prevention in practice behavior of GPs in Bali, Indonesia. Intervention should be made to improve practice behavior. Determinants of practice behavior identified in this study could help to pinpoint intervention targets.
Language	English
Publishing date	2021-05-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2495128-6
ISSN	1179-1594
ISSN	1179-1594
DOI	10.2147/RMHP.S305373
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Article ; Online: Determinants of Mental Health and Practice Behaviors of General Practitioners During COVID-19 Pandemic in Bali, Indonesia

Sitanggang FP / Wirawan GBS / Wirawan IMA / Lesmana CBJ / Januraga PP

Risk Management and Healthcare Policy, Vol Volume 14, Pp 2055-

A Cross-sectional Study

2021 Volume 2064

Abstract: ... IndonesiaEmail benny.wirawan007@gmail.comPurpose: We aim to study the level of mental health distress and COVID ... behavior by a questionnaire based on WHO recommendations for hand hygiene and PPE use during the COVID-19 ... pandemic. We conducted multivariate analyses to identify independent determinants for mental health and ...

Abstract	Firman Parulian Sitanggang,1 Gede Benny Setia Wirawan,2 I Md Ady Wirawan,3 Cokorda Bagus Jaya Lesmana,4 Pande Putu Januraga2 1Department of Radiology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia; 2Center for Public Health Innovation, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia; 3Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia; 4Department of Psychiatry, Faculty of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, IndonesiaCorrespondence: Gede Benny Setia WirawanGedung PS IKM, Fakultas Kedokteran Universitas Udayana, Jl. PB Sudirman, Denpasar, Bali, 80234, IndonesiaEmail benny.wirawan007@gmail.comPurpose: We aim to study the level of mental health distress and COVID-19 prevention in practice behaviors among general practitioners (GPs) in Bali, Indonesia, as well as their determinants.Methods: We conducted a cross-sectional online survey. Survey recruitment material was disseminated by purposive snowballing through regional professional association as well as research team’s personal acquaintances. The survey measured mental health status by DASS-21 questionnaire and practice behavior by a questionnaire based on WHO recommendations for hand hygiene and PPE use during the COVID-19 pandemic. We conducted multivariate analyses to identify independent determinants for mental health and practice behavior.Results: Analyses included 635 (41.75%) of GPs in Bali. Mental health status was relatively good with prevalence of depression, anxiety, and stress of 13.2%, 19.7%, and 11% respectively, lower than previous studies in Indonesia and elsewhere. Practice behavior, however, was not considerably lower with only 65.4% and 32.1% reported consistent hand hygiene and recommended PPE use respectively. Routine optional PPE use was reported by 23.6% of respondents. Long working hours and fear of COVID-19 was identified as detrimental to mental health while consistent ...
Keywords	covid-19 ; mental health ; prevention behavior ; healthcare workers ; general practitioners ; indonesia ; Public aspects of medicine ; RA1-1270
Subject code	360 ; 150
Language	English
Publishing date	2021-05-01T00:00:00Z
Publisher	Dove Medical Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: General practitioner management of mental health during the COVID-19 pandemic.

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Article ; Online: COVID-19- related work, managerial factors and exhaustion among general practitioners in Sweden: a cross-sectional study.

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Article ; Online: Mental health of general practitioners in Chongqing, China during COVID-19: a cross-sectional study.

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Article ; Online: Health Disparities and Comparison of Psychiatric Medication Use before and after the COVID-19 Pandemic Lockdown among General Practitioner Practices in the North East of England.

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Article ; Online: COVID-19- related work, managerial factors and exhaustion among general practitioners in Sweden

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Article: Determinants of Mental Health and Practice Behaviors of General Practitioners During COVID-19 Pandemic in Bali, Indonesia: A Cross-sectional Study.

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Article ; Online: Determinants of Mental Health and Practice Behaviors of General Practitioners During COVID-19 Pandemic in Bali, Indonesia

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