Awareness of COVID-19 infection and mental health screening among medical students
Keywords:Awareness, Knowledge, Fear, COVID-19, Medical students
Background: Novel corona virus disease (COVID-19) has spread throughout the world causing massive morbidity and mortality. The infection has drastically changed the way of living in the current situation. This change has led to higher levels of fear, anxiety and confusion in the minds of the people. The behavior of people influenced by their knowledge and mental status has a huge bearing on the course of COVID-19 pandemic. This study evaluates the awareness of COVID-19 infection and screens the mental health status of medical students of a tertiary care teaching hospital.
Methods: This was a cross-sectional, observational survey conducted on an online platform. A predesigned questionnaire was created using google forms and sent to 912 medical students. Ten questions were used to assess knowledge and awareness on COVID-19 and a fear of COVID-19 scale rated on a 5-point Likert was used to screen mental status.
Results: 641 students responded to the survey. Almost 95.5% of students lived with their family during the lockdown period. The mean score was 8.15±1.05 for awareness and knowledge. The overall awareness and knowledge of COVID-19 was satisfactory with 81.49% reporting correct answers. Almost 40% of participants were most afraid of COVID-19, 34% became nervous or anxious, watching news and nearly 20% were afraid of losing life because of COVID-19.
Conclusions: Currently in the peak of infection, our focus is on reducing transmission and preventing mortality. Managing psychological issue of people, especially healthcare workers is equally important during this pandemic. Enhanced awareness to disease and providing psychological support will allay COVID-19 fears among the people.
Burrell CJ, Howard CR, Murphy FA. Ch 31, coronaviruses. In Fenner and White’s Medical Virology (Fifth Edition). Academic Press, London. 2017;437-46.
Zumla A, Chan JF, Azhar EI, Hui DS, Yuen KY. Coronaviruses-drug discovery and therapeutic options. Nat Rev Drug Discov. 2016;15(5):327-47.
Tyrrell DAJ, Myint SH. Coronavirus. In Baron S, editor. Medical Microbiology. 4th ed. Galveston (TX): University of Texas Medical Branch at Galveston. 1996;60.
Cheng VC, Lau SK, Woo PC, Yuen KY. Severe acute respiratory syndrome coronavirus as an agent of emerging and reemerging infection. Clin Microbiol Rev. 2007;20(4):660-94.
Chan JF, Lau SK, To KK, Cheng VC, Woo PC, Yuen KY. Middle East respiratory syndrome coronavirus: another zoonotic betacoronavirus causing SARS-like disease. Clin Microbiol Rev. 2015;28(2):465-522.
WHO, 2020a. Pneumonia of Unknown Cause-China. URL https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/. Accessed on 10/08/2020.
Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H et al. First case of 2019 Novel Coronavirus in the United States. N Engl J Med. 2020;382:929-36.
WHO 2020b. Coronavirus Disease 2019 (COVID-19) Situation Report-94.URL https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation report/94. Accessed on 10/08/2020.
WHO, 2020c. Rolling Updates on Coronavirus Disease (COVID-19). URL https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen. Accessed on 10/08/2020.
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) Epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5).
WHO Coronavirus Disease (COVID-19) Dashboar Available at: https://www.covid19.who.int/dashboard. Accessed on 10th August 2020.
Ebrahim SH, Ahmed QA, Gozzer E, Schlagenhauf P, Memish ZA. Covid-19 and community mitigation strategies in a pandemic. BMJ. 2020;368.
Al-Rabiaah A, Temsah MH, Al-Eyadhy AA, Hasan GM, Al-Zamil F, Al-Subaie S et al. Middle East respiratory syndrome-corona virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infect Public Health. 2020;13(5):687-91.
Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11:1-47.
Ahorsu DK, Lin C-Y, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Mental Health Addiction. 2020;27;1-9
Giao H, Han NTN, Van Khanh T, Van Tam VKNV, An PL. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pacific J Trop Med. 2020;13.
Bhagavathula AS, Aldhaleei WA, Rahmani J, Mahabadi MJA, Bandari DK. Novel Coronavirus (COVID-19) Knowledge and Perceptions: A Survey of Healthcare Workers. JMIR Public Health Surveill. 2020;6(2):e19160.
Modi PD, Nair G, Uppe A. COVID-19 Awareness Among Healthcare Students and Professionals in Mumbai Metropolitan Region: A Questionnaire-Based Survey. Cureus. 2020;12(4):e7514.
Mobaraki K, Ahmadzadeh J. Current epidemiological status of Middle East respiratory syndrome coronavirus in the world from 1.1.2017 to 17.1.2018: a cross-sectional study. BMC Infect Dis. 2019;19(1):351-2.
Nickell LA, Crighton EJ, Tracy CS, Al-Enazy H, Bolaji Y, Hanjrah S et al. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ. 2004;170(5):793-8.
Chong MY, Wang WC, Hsieh WC, Lee CY, Chiu NM, Yeh WC et al. Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. Br J Psychiatry. 2004;185:127-33.
Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res. 2016;14(1):7-14.
Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety and perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J Psychiatry. 2020;51(2020):102083.
Taylor S. The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease. Newcastle upon Tyne, Cambridge Scholars Publishing. 2019.
Mental health and psychosocial considerations during the COVID-19 outbreak. 18th March 2020. https://www.who.int/publications-detail/mental health. Accessed on 210/08/2020.
Centers for Disease Control and Prevention. Manage Anxiety & Stress. Atlanta, GA, Centers for Disease Control and Prevention, 2020. https://www.cdc.gov/socialmedia/video/covid-19/asl/managing-stress/managing_Anxiety_COVID19_asl. Accessed on 210/08/2020.