الفهرس 
C OVID 19 P ANDEMIC AND ITS P SYCHIATRIC E FFECTOnly 14 pages are availabe for public view
 |  | from | 175 |  |  |
| | | from | 175 | | |
Abstract
Since December 2019, a cluster of pneumonia cases of unknown etiology was reported in Wuhan, China, known as the novel coronavirus disease 2019 (COVID-19), it has spread from Wuhan to other cities in China and rapidly spread around the world causing millions of cases and thousands of deaths (Wang et al., 2020).
HCWs are at the highest risk of psychological distress as they are expected to work longer hours with a high risk of exposure to the virus. This may also lead to stress, anxiety, burnout, depressive symptoms, and the need for sick or stress leave, which would have a negative impact on the capacity of the health system to provide services during the crisis (Maunder, 2009).
Our study was done assess the prevalence of burnout syndrome among health care workers in Ain Shams quarantine hospitals during COVID-19 pandemic, also studying the prevalence of stigma among Health care workers in Ain Shams quarantine hospitals during COVID pandemic and clarifying the association between this stigma and burnout among health care professionals in COVID 19 pandemic. This study involved a total of 168 participants, 15 of them were excluded as 8 of them have major medical and psychiatric problem while 7 participants didn`t finish the questionnaire.
These 153 participants were divided into: group 1 (health care workers who work at Ain Shams quarantine hospital): included 78 participants representing 51% of the participants
group 2 (health care workers who work in non-quarantine Ain Shams hospital): included 75 participants, representing 49% of the participants.
We found that 30.1% of the participants in our study has suffered from moderate levels of burnout and 13.8% had higher distress level in the GHQ-28 questionnaire.
Our study showed that working in intermediate and ICU is associated with higher level of burnout while working in ER is associated with lower level of burnout.
Our study found that 43.1 % of the participants had much higher-than average score and 34 % had slightly higher than average score in the perceived stress scale and was higher among HCWs who worked in intermediate care unit is 22.92, SD= 6.39 than who didn’t work in it (mean= 19.23, SD=6), p value= 0.001.
We found a significant correlation between CBI % and perceived stress scale, Pearson Correlation= 0.501, p value < 0.001.
Moreover, our study found that participants who had emotional distress according to GHQ-28, had higher levels of perceived stress scale and CBI% score, p-value=0.002 and p-value<0.001, respectively.
As regard working in Ain Shams quarantine hospital, we found that the mean score of burnout syndrome among the participants who worked in quarantine hospitals was higher than those who didn’t work there, p value < 0.001.
Moreover, our study found that about 24.4% of participants who are working in quarantine hospitals had high psychological distress levels while only 12% of the participants who aren’t working in quarantine hospitals had high distress level, p-value=0.048.
We found a statistically significant association between the age of the participant and EMIC score and that doctors had lower median stigma score in comparison to nurses and workers. This should encourage us to initiate campaigns and spread more information educate the public and HCWs about COVID-19.
These findings require further research and follow up for early detection of burnout and prevention. This notifies us to the fact that it is crucial to screen HCWs for symptoms of burnout and any form of mental illness.
In conclusion, our study put a spotlight the current problem of burnout among HCWs during the pandemic of COVID-19. It showed that a large percentage of HCWs developed burnout, high level of perceived stress and psychological distress which was higher among HCWs who worked in quarantine hospitals than who didn`t work in quarantine hospitals. It also revealed that stigma could be a consequence after infection with COVID-19 especially among nurses and workers and age of the participants. We found multiple correlation between burnout and some of the sociodemographic data. As impact of burnout among HCWs could be dangerous, multiple effort should be directed to prevent and manage burnout.