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Psychological Impact of the COVID-19 Pandemic on Health Workers in Morocco:

Results of a Cross Sectional Survey .

Author: Bouchra Oneib, Mohammed Hasnaoui

Category: JMSR Psychology


Background : This study aims to assess the psychological impact of the COVID-19 pandemic, in particular stress, depression, and Post-traumatic disorder, among health care workers in Oujda.

Methods:We conducted a survey among 85 health care workers by using a google form questionnaire, during three months (from to). We assessed the work condition, fears, negative emotions, relationships, lifestyle, and coping of medical staff. We also evaluated stress, depression, and post- traumatic stress disorder through the Perceived Stress Scale (PSS), The World Health Organization- Five Well-Being Index (WHO-5), and Primary Care-Post Traumatic Disorder.

Results: 65.8% work in front-line, and did between 4 to 15 shifts per month. 71.1% are in fear of COVID-19 infection. 97.6% are afraid to transmit the virus to relatives. More than two-thirds of responders describe negative feelings and exhaustion. 49.4% had a low level of well-being and probably depressed. 67% presented high perceived stress. Anxiety and depression were associated with fears, negative feelings, previous psychiatric disorder, poor sleep, and lack of family support.

Conclusion: Our current study showed the high prevalence of depression and perceived stress among medical staff, hence the need to accompany and support all health workers.

Keywords: COVID -19 impact, pandemic, Depression, Healthcare workers, Morocco, Perceived stress, style life

DOI: 10.46327/msrjg.1.000000000000190



  1. Guan W., Ni Z., Yu Hu, Liang W., Ou C., He J. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;332(6):1708–1720.
  2. El Boussadani B. Pandémie COVID-19: impact sur le système cardiovasculaire. Ann Cardiol Angeiol (Paris) 2020;69(3):107–114.
  3. Confirme, deces, retablis morts par cas mort par million d’habitants « Le Portail Officiel du Coronavirus au Maroco » [archive], Ministère de la santé (consulté le 11 janvier 2021)
  4. Chen Q, Liang M, Li Y, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry 2020;7:e15–6.
  5. Pfefferbaum B, North CS. Mental health and the Covid-19 pandemic. N Engl J Med2020;doi: 10.1056/NEJMp2008017.
  6. Prins A, Ouimette P, Kimerling R, et al. The primary care PTSD screen (PC-PTSD): development and operating characteristics. Primary Care Psychiatry. 2003;9(1):9–14. doi: 10.1185/135525703125002360.]
  7. American Psychiatric Association. Diagnostic and statistical manual of mental disorders-4th edition (DSM-IV). Arlington: APA; 1994.
  8. Freedy JR, Steenkamp MM, Magruder KM, et al. Post-traumatic stress disorder screening test performance in civilian primary care. Fam Pract. 2010;27(6):615–24.
  9. Gore KL, Engel CC, Freed MC, Liu X, Armstrong DW. Test of a single-item posttraumatic stress disorder screener in a military primary care setting. Gen Hosp Psychiatry. 2008;30(5):391–7. doi: 10.1016/j.genhosppsych.2008.05.002.
  10. Ouimette P, Wade M, Prins A, Schohn M. Identifying PTSD in primary care: comparison of the primary care-PTSD screen (PC-PTSD) and the General Health Questionnaire-12 (GHQ) J Anxiety Disord. 2008;22(2):337–43.
  11. Spoont MR, Williams JW, Kehle-Forbes S, Nieuwsma JA, Mann-Wrobel MC, Gross R. Does this patient have posttraumatic stress disorder? Rational clinical examination systematic review. JAMA. 2015;314(5):501–10.
  12. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24:385–96.
  13. Lee E-H. Review of the Psychometric Evidence of the Perceived Stress Scale. Asian Nurs Res (Korean Soc Nurs Sci). 2012;6:121–7.
  14. Taylor JM. Psychometric Analysis of the Ten-Item Perceived Stress Scale 2014.
  15. Khalili R, Sirati Nir M, Ebadi A, Tavallai A, Habibi M. Validity and reliability of the Cohen 10-item Perceived Stress Scale in patients with chronic headache: Persian version. Asian J Psychiatr. 2017;26:136–40.
  16. Chaaya M, Osman H, Naassan G, Mahfoud Z. Validation of the Arabic version of the Cohen perceived stress scale (PSS-10) among pregnant and postpartum women. BMC Psychiatry. 2010;10:111.
  17. Christian Winther Topp, Søren Dinesen Østergaard, Susan Søndergaard, Per Bech. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76.
  18. Pierre Célestin Mboua Francois Roger Nguepy Keubo Sylvain, Gautier Ngueuteu Fouaka. Anxiété et dépression associées à la prise en charge de la COVID-19 chez les personnels de santé au Cameroun. L’evolution psychiatrique 2021 ; 86(1).
  19. Lai J., Man S., Wang Y. Factors associated with mental health outcomes among health care workers exposed to Coronavirus Disease 2019. JAMA Netw Open 2. 2020;2020(3):e203976.
  20. Maltese F, Adda M, Bablon A, et al. Night shift decreases cognitive performance of ICU physicians. Intensive Care Med. 2016;42:393–400
  21. Brooks S.K. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet (London, England) 2020;395:912–920.
  22. Nina Vindegaard and Michael Eriksen Benros. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020 Oct;89:531-542
  23. Zhenyu Li 1, Jingwu Ge 1, Meiling Yang 1, Jianping Feng 1, Mei Qiao 1, Riyue Jiang 2, and al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun. 2020 Aug;88:916-919.
  24. Brooks SK, Dunn R, Amlôt R, et al. : A Systematic, Thematic Review of Social and Occupational Factors Associated With Psychological Outcomes in Healthcare Employees During an Infectious Disease Outbreak. J Occup Environ Med.2018;60(3):248–257
  25. Zhang J, Wu W, Zhao X, et al. : Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital. Precision Clinical Medicine.2020a;3(1):3–8.
  26. The antecedents and outcomes of workplace ostracism: A meta-analysis January 2020. Journal of Applied Psychology 105(6):577–596)
  27. F. Georger,a, E. Dos Santos,a L. Gazagne,a P. Berdagué,a A. Saib,b S. Nahon,b J. Piquet,b et W. Amarab.COV IMPACT : analyse des différents facteurs de stress du personnel hospitalier dans 2 centres hospitaliers en France lors de la pandémie COVID-19. Ann Cardiol Angeiol (Paris). 2020 Nov; 69(5): 227–232.
  28. Wang C., Pan R., Wan X. 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 doi: 10.3390/ijerph17051729.
  29. Maunder R: The experience of the 2003 SARS outbreak as a traumatic stress among frontline healthcare workers in Toronto: lessons learned. Philos Trans R Soc Lond B Biol Sci. 2004;359(1447):1117–1125
  30. Huang Y, Zhao N: Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: a web-based cross-sectional survey. medRxiv. 2020. 10.1101/2020.02.19.20025395
  31. Nicholas W S Chew, Jinghao Nicholas Ngiam, Benjamin Yong-Qiang Tan, Sai-Meng Tham , Celine Yan-Shan Tan, Mingxue Jing et al. Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic] sych Open. 2020 Oct 8;6(6):e116.
  32. Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. JAMA. 2020.
  33. Jun Shigemura, PhDRobert J. Ursano MDJoshua C. Morganstein MD. Public responses to the novel 2019 coronavirus (2019?nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neuroscience. 2020;74: 281-282.
  34. Dana Rose Garfin, Roxane Cohen Silver, and E. Alison Holman. The novel coronavirus (COVID-2019) outbreak: Amplification of public health consequences by media exposure. Health Psychology 2020 ; 39(5)
  35. Cai H., Tu B., Ma J., Chen L., Fu L., Jiang Y., Zhuang Q. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID19) in Hubei, China. Med. Sci. Monit. 2020;26
  36. Naushad V.A., Bierens J.J., Nishan K.P., Firjeeth C.P., Mohammad O.H., Maliyakkal A.M. A systematic review of the impact of disaster on the mental health of medical responders. Prehospital Disaster Med. 2019;34:632–643.
  37. Wu P., Liu X., Fang Y. Alcohol abuse/dependence symptoms among hospital employees exposed to a SARS outbreak. Alcohol Alcohol. 2008;43(6):706–712.]