Review article

Mental Health of Medical Workers under COVID-19 Pandemic Conditions

Rodionova A.D. 1, Plutnitskiy A.N. 1, Savchenko N.A. 2

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1 Ministry of Health of Russian Federation, Moscow, Russian Federation

2 Central Research Institute of Organization and Informatization Health Care” of the Ministry of Health of Russia, Moscow, Russian Federation

UDC 616.895.4:614.23:578.834.1

Pp.   36–41

Summary. At different stages of its development, the world community has repeatedly faced various disasters, natural calamities and epidemics. COVID-19 pandemic was no exception, the consequences of which, one way or another, affected everyone, but mostly medical workers. It is in the conditions of the pandemic that common stress factors emerged and aggravated, many people experienced negative mental and psychological consequences of it. However, based on the accumulated experience and the rapid development of medicine, there is an opportunity to influence the preservation of mental health of any person, as well as to identify risks and to prevent negative consequences of the pandemic.

Preservation of mental health of medical workers is one of the most important tasks of public health. Factors influencing mental and psychological state of medical workers as well as possible organizational measures to support medical workers during the pandemic are considered in the article. 

Keywords: COVID-19 pandemic, emotional stress, medical workers, mental health, post-traumatic stress disorder

For citation: Rodionova A.D., Plutnitskiy A.N., Savchenko N.A. Mental Health of Medical Workers under COVID-19 Pandemic Conditions. Meditsina Katastrof = Disaster Medicine. 2022;3:36–41 (In Russ.). https://doi.org/10.33266/2070-1004-2022-3-36-41



  1. Listings of WHO’s Response to COVID-19. URL: www.who.int/news/item/29-06-2020-covidtimeline.
  2. Moluk Pouralizadeha, Zahra Bostanic, Saman Maroufizadehd, Atefeh Ghanbarib, Maryam Khoshbakhtb, Seyed Amirhossein Alavib, Sadra Ashrafie. Anxiety and Depression and the Related Factors in Nurses of Guilan University of Medical Sciences Hospitals during COVID-19: A web-based cross-sectional study. International Journal of Africa Nursing Sciences. 2020;13:100233. https://doi.Org/10.1016/i.iians.2020.100233.
  3. Vaughan Bell, Dorothy Wade. Mental Health of Clinical Staff Working in High-Risk Epidemic and Pandemic Health Emergencies a Rapid Review of the Evidence and Living Meta-Analysis. Social Psychiatry and Psychiatric Epidemiology. 2021;56:1-11. https ://doi.ora/10.1007/s00127-020-01990-x.
  4. Данные Johns Hopkins University. www.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b 48e9ecf6.
  5. Стопкоронавирус.рф/information/ Официальный интернет-ресурс для информирования населения РФ по вопросам коронавируса (COVID-19) [Stopkoronavirus.rf/information/ofitsial’nyy Internet-Resurs dlya Informirovaniya Naseleniya RF po Voprosam Koronavirusa (COVID-19] (In Russ.).
  6. Atefeh Zandifar, Rahim Badrfam, Nami Mohammadian Khonsari, Marzieh Assareh, Hossein Karim, Mehdi Azimzadeh, Mohammad Noori Sepehr, Ramin Tajbakhsh, Fatemeh Rahimi, Nima Ghanipour, Arash Agoushi, Saeed Hassani Gelsefid, Fateme Etemadi, Mostafa Qorbani. COVID-19 and Medical Staff’s Mental Health in Educational Hospitals in Alborz Province. Iran. Psychiatry Psychiatry Clin Neurosci 2020;Sep;74(9):499-501. doi: 10.1111/pcn.13098. Epub 2020 Jul 17.
  7. Man M.A., Toma C., Motoc N.S., Necrelescu O.L., Bondor C.I., Chis A.F., Lesan A., Pop C.M., Todea D.A., Dantes E., Puiu R., Rajnoveanu R.-M. Disease Perception and Coping with Emotional Distress during COVID-19 Pandemic. A Survey Among Medical Staff. Int. J. Environ. Res. Public Health. 2020;17:4899. doi.org/10.3390/ijerph17134899.
  8. Об итогах работы Министерства здравоохранения Российской Федерации в 2020 году и задачах на 2021 год. М.: Министерство здравоохранения Российской Федерации, 2020. С. 31-33 [On the Results of the Work of the Ministry of Health of the Russian Federation in 2020 and Tasks for 2021. Moscow: Ministry of Health of the Russian Federation Publ., 2020. P. 31-33] (In Russ.).
  9. Lai J., Ma S., Wang Y., Cai Z., Hu J., Wei N., et al. Factors Associated with Mental Health Outcomes among Health Care Workers Exposed Tocoronavirus Disease 2019. JAMA Network Open. 2020;3(3):e203976. https://doi.Org/10.1001 /iamanetworkopen.2020.3976.
  10. Chen Q., Liang M., Li Y., Guo J., Fei D., Wang L., et al. Mental Health Care for Medical Staff in China during the COVID-19 Outbreak. Lancet Psychiatry. 2020;7(4):e15-16. https ://doi.org/10.1016/s2215 – 0366(20)30078-x.
  11. Huang L., Lei W., Xu F., Liu H., Yu L. Emotional Responses and Coping Strategies in Nurses and Nursing Students during Covid-19 Outbreak: A Comparative Study. PLoS ONE. 2020;15(8):e0237303. doi.org/10.1371/journal.pone.0237303.
  12. Xiao H., Zhang Y., Kong D., Li S., Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research. 2020;26:e923549. https://doi.org/10.12659/msm.923549.
  13. Jing Huang, Fangkun Liu, Ziwei Teng, Jindong Chen, Jingping Zhao, Xiaoping Wang, Renrong Wu. Care for the Psychological Status of Frontline Medical Staff Fighting Against Coronavirus Disease 2019 (COVID-19). Clinical Infectious Diseases. 2020;71;12:3268-3269. doi.org/10.1093/cid/ciaa385.
  14. Vizheh, M., Qorbani, M., Arzaghi, S.M. et al. The Mental Health of Healthcare Workers in the COVID-19 |: A Systematic Review. J Diabetes Metab. Disord. 2020;19:1967-1978. https://doi.oro/10.1007/s40200-020-00643-9:
  15. Васильева А.В. Психические нарушения, связанные с пандемией COVID-19 (международный опыт и подходы к терапии). // Журнал неврологии и психиатрии им. С.С. Корсакова. 2020. Т.120, № 9. С. 121-129 [Vasil’eva A.V. Pandemic Covid-19 and Mental Disorders International Experience and Therapeutic Approaches. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova = Neuroscience and Behavioral Physiology. 2020;120;9:121-129]. https://doi.Org/10.17116/inevro2020120091121] (In Russ.).
  16. He J., Liao R., Yang Y., et al. The Research of Mental Health Status Among Medical Personnel in China: a Cross-Sectional Study. Social Science Research. Network, Rochester. Preprints with Lancet. 2020;March:43. http://dx.doi.org/10.2139/ssrn.3555260.
  17. Васильева А.В., Караваева Т.А., Лукошкина Е.П. Диагностика и терапия посттравматического стрессового расстройства в клинике пограничных расстройств и соматической медицине // Диагностика и лечение психических и наркологических расстройств: современные подходы: Сборник методических рекомендаций. СПб., 2019. №2. С. 300-323 [Vasil’eva A.V., Karavaeva T.A., Lukoshkina E.P. Diagnostics and therapy of post-traumatic stress disorder in the clinic of borderline disorders and somatic medicine. Diagnostika i Lechenie Psikhicheskikh i Narkologicheskikh Rasstroystv. Sovremennye Podkhody = Diagnostics and Treatment of Mental and Narcological Disorders: Modern Approaches. Collection of Methodological Recommendations. St. Petersburg Publ., 2019;2:300-323] (In Russ.).
  18. Greenberg N., Docherty M., Gnanapragasam S., Wessely S. Managing Mental Health Challenges Faced by Healthcare Workers during COVID-19 Pandemic. BMJ. 2020. doi.org/10.1136/bmj.m1211.
  19. Ashley Elizabeth Muller, Elisabet Vivianne Hafstad, Jan Peter William Himmels, Geir Smedslund, Signe Flottorp, Synne ien Stensland, Stijn Stroobants, Stijn Van de Velde, Gunn Elisabeth Vist. The Mental Health Impact of the COVID -19 Pandemic on Healthcare Workers, and Interventions to Help Them: A Rapid Systematic Review. Psychiatry Research. 2020;293;113441. ISSN 0165-1781. httDS://doi.oro/10.1016/i.PSVchres.2020.113441.
  20. Ayanian J.Z. Mental Health Needs of Health Care Workers Providing Front-Line COVID-19. Care. JAMA Health Forum 2020. http://dx.doi.org/10.1001/jamahealthforum.2020.0397. Published online April 1, 2020.
  21. Carrieri D., Briscoe S., Jackson M., et al. ‘Care Under Pressure’: a Realist Review of Interventions to Tackle Doctors’ Mental Ill-Health and its Impacts on the Clinical Workforce and Patient Care. BMJ Open. 2018;8:e021273. doi.org/10.1136/bmjop en-2017-021273.
  22. Ripp Jonathan, Peccoralo Lauren, Charney Dennis. Attending to the Emotional Well-Being of the Health Care Workforce in a New York City Health System During the COVID-19 Pandemic. Academic Medicine. 2020;95;8:136-1139. doi.org/ 10.1097/ACM.0000000000003414.
  23. Васильева А.В., Незнанов Н.Г. Психотерапия // Психиатрия: национальное руководство / Pед. Александровский Ю.А., Незнанов Н.Г. М: ГЭОТАР-Медиа, 2018. С. 915-995 [Vasil’eva A.V., Neznanov N.G. Psychotherapy. Psikhiatriya: Natsional’noye Rukovodstvo = Psychiatry: a National Guide. Ed. Aleksandrovskiy Yu.A., Neznanov N.G. Moscow, GEOTAR-Media Publ., 2018. P. 915-995] (In Russ.).
  24. Huremovi’c D. Psychiatry of Pandemics: a Mental Health Response to Infection Outbreak. Cham: Springer, 2019. 185 p. http://dx.doi.orq/10.1007/978-3-030-15346-5.
  25. Maciaszek J., Ciulkowicz M., Misiak B., Szczesniak D., Luc D., Wieczorek T., Fila-Witecka K., Gawlowski P., Rymaszewska J. Mental Health of Medical and Non-Medical Professionals during the Peak of the COVID-19 Pandemic. A Cross-Sectional Nationwide Study. J. Clin. Med. 2020;9:2527. doi.org/10.3390/jcm9082527.
  26. Zhang Y., Xie S., Wang P., Wang G., Zhang L., Cao X., Wu W., Bian Y., Huang F., Luo N., Luo M., Xiao Q. Factors Influencing Mental Health of Medical Workers During the COVID-19 Outbreak. Front. Public Health. 2020;8:491. doi: 10.3389/fpubh.2020.00491.
  27. Shaukat N., Ali D.M. & Razzak, J. Physical and Mental Health Impacts of COVID-19 on Healthcare Workers: a Scoping Review. Int. J. Emerg. Med. 2020;13:40. doi.org/10.1186/s12245-020-00299-5.
  28. Xiaoming Xu, Wo Wang, Jianmei Chen, Ming Ai, Lei Shi, Lixia Wang, Su Hong, Qi Zhang, Hua Hu, Xuemei Li, Jun Cao, Zhen Lv, Lian Du, Jing Li, Handan Yang, Xiaoting He, Xiaorong Chen, Ran Chen, Qinghua Luo, Xinyu Zhou, Jian Tan, Jing Tu, Guanghua Jiang, Zhiqin Han, Li Kuang. Suicidal and Self-Harm Ideation among Chinese Hospital Staff during the COVID-19 Pandemic. Prevalence and Correlates. Psychiatry Research. 2021;296:113654. ISSN 0165-1781. doi.orq/10.1016/j.psychres.2020.113654.
  29. Li Z., Ge J., Yang M., Feng J., Qiao M., Jiang R., et al. Vicarious Traumatization in the General Public, Members, and Non-Members of Medical Teams Aiding in COVID-19 Control. Brain, Behavior, and Immunity. 2020;88:916-919. https://doi.orq/10.1016/i.bbi.2020.03.007.
  30. Xiang Y.T., Yang Y., Li W., Zhang L., Zhang Q., Cheung T., et al. Timely Mental Health Care for the 2019 Novel Coronavirus Outbreak is Urgently Needed. Lancet Psychiatry. 2020;7(3):228-229. doi.org/10.1016/S2215-0366(20)30046-8.
  31. Allden К., Jones L., Weissbecker I., Wessells M., Bolton P., Betancourt T.S., et al. Mental Health and Psychosocial Support in Crisis and Conflict: Report of the Mental Health Working Group. Prehosp Disaster Med. 2009;24(Suppl.2):s217-227. doi: 10.1017/S1049023X00021622.
  32. Sherry S. Chesak, Adam I. Perlman, Priscilla R. Gill, Anjali Bhagra. Strategies for Resiliency of Medical Staff during COVID-19. Mayo Clinic Proceedings. 2020;95;9:S56-S59. ISSN 0025-6196. doi.org/10.1016/j.mayocp.2020.07.002.
  33. Boin A., Hart Pt., McConnell A. Crisis Exploitation: Political and Policy Impacts of Framing Contests. J. Euro Pub. Policy. 2009;16:81-106. doi: 10.1080/13501760802453221.


The material was received 29.08.22; the article after peer review procedure 06.09.22; the Editorial Board accepted the article for publication 23.09.22