Perceived Need for Mental Health Services Among Healthcare Workers During the Coronavirus Disease-19 Pandemic in Turkey: A Multicenter Cross-sectional Study

Abdulsamet Sandal

doi:10.4274/balkanmedj.galenos.2023.2022-12-5

Abdulsamet Sandal¹, Dilek Karadoğan², Tahsin Gökhan Telatar³, Abdurrahman Kotan², Esin Bilgin Konyalıhatipoğlu², Merve Yumrukuz Şenel⁴, Damla Karadeniz Güven⁵, Khurshud Hüseynova⁵, Burcu Yalçın⁶, Pelin Asfuroğlu⁷, Tuğba Ramaslı Gürsoy⁷, Tuğba Şişmanlar Eyüboğlu⁷, Fatma Gülsüm Karakaş⁸, Neslihan Köse⁹, Kaan Kara¹⁰, Selman Çelik¹¹, Ceren İlgar¹², Aycan Yüksel¹², Neşe Merve Güner Zırıh², İnci Selimoğlu², Pınar Yıldız Gülhan¹³, Merve Erçelik¹⁴, Ahu Cerit Çakır¹⁵, Nazlı Çetin¹⁶, İlknur Kaya¹⁷, Selen Karaoğlanoğlu¹⁸, Feride Marım¹⁷, Ümran Özden Sertçelik¹⁹, Kübra Uyar Er², Neslihan Özçelik², Özlem Ataoğlu²⁰, Ökkeş Gültekin²¹, Aslıhan Banu Er²², Metin Akgün^23,24

¹Clinic of Occupational Diseases, Ankara Gazi Mustafa Kemal Occupational and Environmental Diseases Hospital, Ankara, Turkey
²Department of Chest Diseases, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey
³Department of Public Health, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey
⁴Clinic of Chest Diseases, Balıkesir State Hospital, Balıkesir, Turkey
⁵Department of Chest Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkey
⁶Clinic of Chest Diseases, Amasya Merzifon Karamustafa Paşa State Hospital, Amasya, Turkey
⁷Department of Pediatric Pulmonology, Faculty of Medicine, Gazi University, Ankara, Turkey
⁸Department of Chest Diseases, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, İstanbul, Turkey
⁹Clinic of Chest Diseases, Bilecik Training and Research Hospital, Bilecik, Turkey
¹⁰Clinic of Chest Diseases, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey
¹¹Department of Nursing, Faculty of Health Sciences, Yeditepe University, İstanbul, Turkey
¹²Department of Chest Diseases, Faculty of Medicine, Ufuk University, Ankara, Turkey
¹³Department of Chest Diseases, Faculty of Medicine, Düzce University, Düzce, Turkey
¹⁴Clinic of Chest Diseases, Afyonkarahisar Dinar State Hospital, Afyonkarahisar, Turkey
¹⁵Clinic of Chest Diseases, İstanbul Bahçelievler State Hospital, İstanbul, Turkey
¹⁶Department of Chest Diseases, Faculty of Medicine, Pamukkale University, Denizli, Turkey
¹⁷Department of Chest Diseases, Faculty of Medicine, Kütahya Health Sciences University, Kütahya, Turkey
¹⁸Department of Chest Diseases, Faculty of Medicine, Ordu University, Ordu, Turkey
¹⁹Clinic of Chest Diseases, Ankara City Hospital, Ankara, Turkey
²⁰Clinic of Chest Diseases, Düzce Atatürk State Hospital, Düzce, Turkey
²¹Clinic of Chest Diseases, Erzurum Oltu State Hospital, Erzurum, Turkey
²²Clinic of Chest Diseases, Uşak University Training and Research Hospital, Uşak, Turkey
²³Department of Chest Diseases, Faculty of Medicine, Atatürk University, Erzurum, Turkey
²⁴Department of Chest Diseases, Faculty of Medicine, Ağrı İbrahim Çeçen University, Ağrı, Turkey

DOI : 10.4274/balkanmedj.galenos.2023.2022-12-5

Pages : 262-270

Abstract

Background: The coronavirus disease-2019 pandemic has contributed to work-related psychosocial risks in healthcare workers.
Aims: To evaluate the perceived need for mental health services and related factors in Turkish healthcare workers practicing in pandemic hospitals.
Study Design: Cross-sectional study.
Methods: Data were collected from face-to-face interviews with healthcare workers at 19 pandemic hospitals in 13 provinces between September and November 2021. The study survey included the evaluation of the perceived need for and utilization of mental health services in the previous year, as well as sociodemographic, health-related, and work-related characteristics, the General Health Questionnaire-12, the World Health Organization Quality of Life-BREF (WHOQoL-BREF) questionnaire, and the Fear of coronavirus disease-2019 scale (FCV-19S).
Results: Of 1,556 participants, 522 (33.5%) reported a perceived need for mental health services, but only 133 (8.5%) reported receiving these services. Multiple logistic regression analysis of the perceived need for mental health services revealed significant relationships with lower age, female sex, being a current smoker, having a chronic disease, having a mental disorder, coronavirus disease-2019 contact within the last three months in settings other than the home or workplace, a positive coronavirus disease-2019 vaccination history, being a physician, being a non-physician healthcare professional, and coronavirus disease-2019 contact within the last three months at work. After adjustment for these characteristics, higher General Health Questionnaire-12 and FCV-19S scores and lower WHOQoL-BREF domain scores were related to the perceived need for mental health services in logistic regression analyses.
Conclusion: The findings indicate a substantial need for mental health services amongst Turkish healthcare workers during the pandemic and outline participants’ characteristics regarding high-priority groups for the intervention. Future research may focus on developing actions and evaluating their efficiency.

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