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Review ArticleSystematic Review
Open Access

Revisiting the prevalence of psychological symptoms among health care workers in Saudi Arabia during COVID-19

Maram A. Alturki and Ghada A. Alkhodair
Saudi Medical Journal October 2024, 45 (10) 1020-1027; DOI: https://doi.org/10.15537/smj.2024.45.10.20240014
Maram A. Alturki
From the College of Medicine (Alturki), Alfaisal University, and from the Department of Psychology (Alkhodair), King Saud University, Riyadh, Kingdom of Saudi Arabia.
MSc
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  • For correspondence: [email protected]
Ghada A. Alkhodair
From the College of Medicine (Alturki), Alfaisal University, and from the Department of Psychology (Alkhodair), King Saud University, Riyadh, Kingdom of Saudi Arabia.
DClinPsy, PhD
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    Figure 1

    - Preferred reporting items for systematic reviews and meta-analyses flow diagram of the study selection process. COVID-19: coronavirus disease-19

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    Table 1

    - The prevalence critical appraisal tool.

    CriteriaAl Ateeq et al30Al Zaid et al31Al Hurishi et al32Meo et al33Mohsin et al2Al Shehri et al34Al Malki et al1
    Was the sample representative of the target population?YesYesYesYesYesYesYes
    Were study participants recruited in an appropriate way?YesYesYesYesYesYesYes
    Was the sample size adequate? Identified using objective criteria?YesYesNoYesYesNoYes
    Were the study subjects and the setting described in detail?YesYesYesYesYesYesYes
    Was the data analysis carried out with sufficient coverage of the identified sample?N/AYesN/AYesYesN/AYes
    Were objective, standard criteria used to measure the condition?YesYesNoYesYesYesNo
    Was the condition measured reliably?N/AYesN/AN/AN/AN/AN/A
    Was there appropriate statistical analysis accounted for?YesYesYesYesYesYesYes
    Are all important confounding factors/subgroups/differences identified and accounted for?YesYesYesYesYesYesYes
    Were subpopulations identified using objective criteria?YesYesYesYesYesYesYes

    N/A: not applicable

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      Table 2

      - Characteristics of included studies in the systematic review.

      AuthorsStudy designParticipantsSample sizeAverage ageMeasuresStudy outcome
      Al Ateeq et al30Cross-sectionalHCWsn=50218-50 yearsPHQ-9, GAD-7
      • - Over 50% of HCWs showed symptoms of depression and anxiety.

      • - Female HCWs exhibited higher scores of depression and anxiety.

      • - HCWs in Riyadh and those with university degrees report higher levels.

      Al Zaid et al31Cross-sectionalHCWsn=45625-65 yearsGAD-7
      • - 27% of HCWs experienced mild anxiety, 13.2% reported moderate stress, and 7.9% reported severe anxiety.

      • - Older individuals and non-Saudis were less likely to have an anxiety disorder.

      • - Females and individuals with a family history of COVID-19 were significantly more likely to have an anxiety disorder.

      Al Hurishi et al32Cross-sectionalHCWsn=20021-41+ yearsPHQ-9, GAD-7, ISI-7, IES-22
      • - HCWs reported symptoms of 73% of depression, 69% of anxiety, 62% of insomnia, and 83% of distress.

      • - The severe level of depression for physicians and nurses was observed.

      • - Females reported severe levels of depression and anxiety.

      Meo et al33Cross-sectionalHCWsn=167821-61+ yearsGAD-7, PSQI
      • - 25.9% among HCWs, experienced moderate to severe anxiety, with females being more likely to report moderate to severe anxiety.

      • - Frontline workers reported the highest level of poor sleep quality.

      • - Physicians and nurses were more likely to experience moderate to severe anxiety.

      Mohsin et al2Cross-sectionalHCWsn=73718-50 yearsCOVID-19 fear and anxiety questionnaire, an open-ended question10.7% of participants exhibited mild, 73.5% moderate, and 15.7% severe levels of fear and anxiety.
      Al Shehri et al34Cross-sectionalHCWsn=40430-40+ yearsPCL-5
      • - PTSD score revealed that 60 out of 404 participants experienced symptoms.

      • - PTSD frequency increased with age.

      • - Pharmacists and hospitalized individuals showed a higher frequency of PTSD.

      Al Malki et al1Cross-sectionalHCWsn=50118-35+ yearsDASS-21
      • - Stress levels were higher among pharmacists than physicians but lower among nurses.

      • - Depression was significantly higher among participants with chronic illnesses and those who had tested positive for COVID-19.

      HCWs: healthcare workers, PHQ: patient health questionnaire, GAD: generalized anxiety disorder, ISI: insomnia severity index, IES: impact of event scale-revised, PSQI: Pittsburgh sleep quality index, COVID-19: coronavirus disease-19, PCL: post-traumatic stress disorder checklist for diagnostic and statistical manual of mental disorders-5, DASS-21: depression, anxiety, and stress scale-21, PTSD: post-traumatic stress disorder

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      Revisiting the prevalence of psychological symptoms among health care workers in Saudi Arabia during COVID-19
      Maram A. Alturki, Ghada A. Alkhodair
      Saudi Medical Journal Oct 2024, 45 (10) 1020-1027; DOI: 10.15537/smj.2024.45.10.20240014

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      Revisiting the prevalence of psychological symptoms among health care workers in Saudi Arabia during COVID-19
      Maram A. Alturki, Ghada A. Alkhodair
      Saudi Medical Journal Oct 2024, 45 (10) 1020-1027; DOI: 10.15537/smj.2024.45.10.20240014
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