Effect of the COVID-19 pandemic on anxiety, depression, hopelessness, and sleepiness levels of obstetricians and gynecologists in Turkey

Seda Keskin 1 * , Deha Denizhan Keskin 1, Sedat Bostan 2
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1 Obstetrics and Gynecology Department, Medical Faculty, Ordu University Altınordu, Ordu, Turkey
2 Health Management Department, Faculty of Health Sciences, Ordu University Altınordu, Ordu, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 2, pp. 14-19. https://doi.org/10.23950/jcmk/9713
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Introduction: The coronavirus disease 2019 (Covid-19), emerged as a severe respiratory system disease in Wuhan city of China in December 2019 and suddenly spread through the world, so called a pandemic by World Health Organisation. The rapid transmission of Covid-19 pandemic increased the workload of healthcare staff. Additionally to workload, unknowns of the disease like treatment strategies, tips of protection methods have increased the distress of healthcare workers and have the risk to detoriate the mental status. All that psychological and physical stress factors may quickly destroy the anxiety level, sleep quality and mood of the healthcare workers.
Materials and methods: In the study, a survey composed of socio-demographic features, Beck Anxiety Scale, Beck Depression Scale, Beck Hopelessness Scale and Epworth Sleepiness Scale of participants were used as data collection tool. . The internet survey is hold on from 18th April to 2nd May 2020 and completed survey count arrived to number 122.
Results:According to results, 20.5% moderate and 8.2% of the physicians have shown severe depression signs. When anxiety levels were examined 83.7% of the physicians have displayed mild signs, 9.8% moderate and 6.5% have displayed severe anxiety signs. When hopelessness of the physicians were investigated, 29.5% of them have moderate and 8.2% have severe hopelessness signs. According to sleepiness situations, 20.5% of them have shown severe sleepiness signs.
Conclusion: As anxiety levels of obstetricians and gynecologists have increased at pandemic period, depression levels have increased strongly; hopes of physicians have decreased and slept off.


Keskin S, Keskin DD, Bostan S. Effect of the COVID-19 pandemic on anxiety, depression, hopelessness, and sleepiness levels of obstetricians and gynecologists in Turkey. J CLIN MED KAZ. 2021;18(2):14-9. https://doi.org/10.23950/jcmk/9713


  • Carlos WG, Dela Cruz CS, Cao B, Pasnick S, Jamil S. Novel Wuhan (2019-nCoV) Coronavirus. Am J Respir Crit Care Med. 2020;201(4):P7-P8. doi:10.1164/rccm.2014P7
  • World Health Organization. Coronavirus (COVID-19) events as they happen. Web site: https://www.who.int/emergencies/diseases/novelcoronavirus-2019/events-as-they-happen. [Accessed April 8, 2020].
  • Peeri, N. C., Shrestha, N., Rahman, M. S., Zaki, R., Tan, Z., Bibi, S., et al. (2020). The SARS, MERS and novel coronavirus (COVID-19) epidemics, the newest and biggest global health threats: what lessons have we learned?. International journal of epidemiology, 49(3), 717–726. https://doi.org/10.1093/ije/dyaa033
  • Li, X., Yu, H., Bian, G., Hu, Z., Liu, X., Zhou, Q., et al. (2020). Prevalence, risk factors, and clinical correlates of insomnia in volunteer and at home medical staff during the COVID-19. Brain, behavior, and immunity, 87, 140–141. https://doi.org/10.1016/j.bbi.2020.05.008
  • Fischer, J. E., & Katz, R. (2013). Moving forward to 2014: global IHR (2005) implementation. Biosecurity and bioterrorism : biodefense strategy, practice, and science, 11(2), 153–156. https://doi.org/10.1089/bsp.2013.0030
  • Moon, S. Will Ebola change the game? Ten essential reforms before the next pandemic. The report of the Harvard-LSHTM. Independent Panel on the Global Response to Ebola. The Lancet, 2015. 386: 2204-2221.
  • Greenberg, N., Docherty, M., Gnanapragasam, S., & Wessely, S. (2020). Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ (Clinical research ed.), 368, m1211. https://doi.org/10.1136/bmj.m1211
  • Driggin, E., Madhavan, M. V., Bikdeli, B., Chuich, T., Laracy, J., Biondi-Zoccai, G., Brown, T. S., Der Nigoghossian, C., Zidar, D. A., Haythe, J., Brodie, D., Beckman, J. A., Kirtane, A. J., Stone, G. W., Krumholz, H. M., & Parikh, S. A. (2020). Cardiovascular Considerations for Patients, Health Care Workers, and Health Systems During the COVID-19 Pandemic. Journal of the American College of Cardiology, 75(18), 2352–2371. https://doi.org/10.1016/j.jacc.2020.03.031
  • Verma, S., Mythily, S., Chan, Y. H., Deslypere, J. P., Teo, E. K., & Chong, S. A. (2004). Post-SARS psychological morbidity and stigma among general practitioners and traditional Chinese medicine practitioners in Singapore. Annals of the Academy of Medicine, Singapore, 33(6), 743–748.
  • Substance Abuse and Mental Health services Administration. DSM-IV to DSM-5 Acute Stress Disorder Comparison. www.ncbi.nlm.nih.gov/books/NBK519704/table/ ch3.t30/ (2016, accessed 31 March 2020).
  • Spencer S , Nolan J, Osborn M, Georgiou A. The presence of psychological trauma symptoms in resuscitation providers and an exploration of debriefing practices. Resuscitation, Volume 142, 175 – 181. DOI: https://doi.org/10.1016/j.resuscitation.2019.06.280
  • Coşkun R, Altunışık, R, Yildirim E. Research methods in Social Sciences (SPSS applied). 2017; Adapazarı: Sakarya Bookstore.
  • Karagoz Y. SPSS and AMOS Applied scientific research methods and publishing ethics, 2017; Ankara: Nobel Publication Distribution.
  • Zhong, N. S., Zheng, B. J., Li, Y. M., Poon, Xie, Z. H., Chan, K. H., et al. (2003). Epidemiology and cause of severe acute respiratory syndrome (SARS) in Guangdong, People's Republic of China, in February, 2003. Lancet (London, England), 362(9393), 1353–1358. https://doi.org/10.1016/s0140-6736(03)14630-2
  • de Wit, E., van Doremalen, N., Falzarano, D., & Munster, V. J. (2016). SARS and MERS: recent insights into emerging coronaviruses. Nature reviews. Microbiology, 14(8), 523–534. https://doi.org/10.1038/nrmicro.2016.81
  • Chua, S. E., Cheung, V., Cheung, C., McAlonan, G. M., Wong, J. W., Cheung, E. P., et al. (2004). Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 49(6), 391–393. https://doi.org/10.1177/070674370404900609
  • Bai, Y., Lin, C. C., Lin, C. Y., Chen, J. Y., Chue, C. M., & Chou, P. (2004). Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatric services (Washington, D.C.), 55(9), 1055–1057. https://doi.org/10.1176/appi.ps.55.9.1055
  • Lee, A. M., Wong, J. G., McAlonan, G. M., Cheung, V., Cheung, C., Sham, P. C., et al. (2007). Stress and psychological distress among SARS survivors 1 year after the outbreak. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 52(4), 233–240. https://doi.org/10.1177/070674370705200405
  • Mata, D. A., Ramos, M. A., Bansal, N., Khan, R., Guille, C., Di Angelantonio, E., & Sen, S. (2015). Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis. JAMA, 314(22), 2373–2383. https://doi.org/10.1001/jama.2015.15845
  • Bostan S, Akbolat M, Kaya A, Ozata M, Gunes D. Assessments of Anxiety Levels and Working Conditions of Health Employees Working in COVİD-19 Pandemic Hospitals. Electron J Gen Med. 2020;17(5):em246. https://doi.org/10.29333/ejgm/8228
  • Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., et al. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA network open, 3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
  • Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., et al. (2020). Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID‑19) in Hubei, China. Medical science monitor : international medical journal of experimental and clinical research, 26, e924171. https://doi.org/10.12659/MSM.924171.
  • Shockey, T. M., & Wheaton, A. G. (2017). Short Sleep Duration by Occupation Group - 29 States, 2013-2014. MMWR. Morbidity and mortality weekly report, 66(8), 207–213. https://doi.org/10.15585/mmwr.mm6608a2
  • Croskerry P. Comment in The philosophy of medicine. CMAJ. 2010 Mar 23;182(5):524. doi:10.1503/cmaj.100270.
  • Weaver, M. D., Vetter, C., Rajaratnam, S., O'Brien, C. S., Qadri, S., Benca, R. M., et al. (2018). Sleep disorders, depression and anxiety are associated with adverse safety outcomes in healthcare workers: A prospective cohort study. Journal of sleep research, 27(6), e12722. https://doi.org/10.1111/jsr.12722