Fear, Anxiety, and Depression among Employees of the Department of Rehabilitation Medicine - Philippine General Hospital amidst Changes from the COVID-19 Pandemic: A Cross-sectional Study

  • Christopher S. Constantino UP Manila
  • Maria Kristina Karizza B. Calibag
  • Patricia Ann L. Medina
  • Cynthia D. Ang-Muñoz
Keywords: depression, anxiety, fear, COVID 19, mental health, rehabilitation medicine

Abstract

Objective. This study described levels of fear, anxiety, depression, and contributing factors among health providers and administrative staff of the Department of Rehabilitation Medicine, Philippine General Hospital (PGH-DRM) during the COVID-19 pandemic.

Methods. The cross-sectional study was conducted from August to November 2020. We recruited 71 participants who were working in the premises of the hospital and those who were working from home by purposive sampling. The fear numerical rating scale and Hospital Anxiety and Depression Scale were used to determine the presence of fear, anxiety, and depression. The 36-Item Short Form Survey (SF-36) was used to determine the baseline level of physical and mental wellness among participants.

Results. Seventy-three percent of the full-time, permanent employees of the PGH-DRM unit joined the study. Majority of the respondents were health providers (86%) but only one hospital staff had high-risk contact with patients with COVID-19. Most participants (63%) did a combination of on-site work and home-based work and three (4%) worked entirely from home. Moderate to severe levels of fear was reported by 54% of the participants. Fear levels were highest among those who worked on-site. Anxiety was borderline in 32%, and abnormal in 30%, while depression was borderline in 21%, and abnormally high in 34% of the participating employees. Feelings of anxiety were higher among those who worked on-site and who worked both on-site and from home, while depression was highest among those who worked from home. The SF-36 Physical Health Summary score (x̄ = 72.49) was higher than the Mental Health Summary score (x̄ = 55.45). Employees who worked from home had the highest SF-36 summary scores for both mental and physical health.

Conclusion. The employees of the DRM had low-risk contact work assignments when the PGH transitioned to a tertiary level COVID-19 referral hospital. Half of the employees experienced fear, anxiety, and depression and had low SF-36 summary scores in mental health. Further studies are needed to determine the key factors that affect their mental health and well-being during the pandemic. A relevant mental health and wellness program is strongly recommended.

Published
2022-03-14
How to Cite
1.
Constantino CS, Calibag MKKB, Medina PAL, Ang-Muñoz CD. Fear, Anxiety, and Depression among Employees of the Department of Rehabilitation Medicine - Philippine General Hospital amidst Changes from the COVID-19 Pandemic: A Cross-sectional Study. Acta Med Philipp [Internet]. 2022Mar.14 [cited 2024Mar.29];56(4). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/4105

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