COVID – 19, Mental Health and Health Worker – A Review


  • Farzana Begum College of Nursing, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.


Covid – 19, Mental Health, Health Worker


COVID-19 is a highly contagious disease. The human to human transmission, has caused much anxiety across the globe. Health workers are on the front lines of this pandemic. Due to the perceived danger, uncertainty, physical discomfort being covered with PPE throughout the duty periods, fear disease transmission to family, and negative consequences of the infection, health workers may experience anger, anxiety, depression, insomnia, and which could negatively affect individuals’ social and occupational functioning, as well as quality of life. The WHO advises health workers to take care of themselves, eat healthy, stay active, and rest sufficiently.  This literature review is an attempt to address the possible underline factors, manifestations of impaired mental health and its possible solutions to cope with the situation that has arisen due to COVID-19.


Backer J, Klinkenberg D, Wallinga J. Incubation period of 2019 novel coronavirus (2019-nCoV) infections among travellers from Wuhan, China, 20–28 January 2020. Euro Surveill 2020;25(5). [doi: 10.2807/]

Zhou M, Tang F, Wang Y, Nie H, Zhang L, You G, Zhang M, Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China, Journal of Hospital Infection,

Huynh G, Nguyen TNH, Tran VK, Vo KN, Vo VT, Pham LA. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pac J Trop Med 2020; 13. doi: 10.4103/1995-

Bhagavathula AS, et al. Knowledge and Perceptions of COVID-19 Among Health Care Workers: Cross-Sectional Study. JMIR Public Health Surveill 2020;6(2):e19160. URL: 10.2196/19160

Maheshwari S, Gupta PK, Sinha R, Rawat P. Knowledge, attitude, and practice towards coronavirus disease 2019 (COVID-19) among medical students: A cross-sectional study. J Acute Dis 2020; 9(3): 100-104.

Mohammad Jalili, et al. Burnout among healthcare professionals during COVID-19 pandemic: a cross-sectional study, medRxiv preprint doi:; June 13, 2020

Dinibutun S. R. (2020). Factors Associated with Burnout Among Physicians: An Evaluation During a Period of COVID-19 Pandemic. Journal of healthcare leadership, 12, 85–94.

Morgantini LA, et al. (2020) Factors contributing to healthcare professional burnout during the COVID-19 pandemic: A rapid turnaround global survey. PLoS ONE 15(9): e0238217. pone.0238217

Emanuele Maria Giusti, et al. (2020) The Psychological Impact of the COVID-19 Outbreak on Health Professionals: A Cross-Sectional Study. Front. Psychol., 10 July 2020 |

Lai J, Ma S, Wang Y, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020;3(3):e203976. doi:10.1001/jamanetworkopen.2020.3976

Deying Hu, et al. (2020) Frontline nurses’ burnout, anxiety, depression, and fear statuses and

their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. June 26, 2020 DOI: accessed on 25/11/2020

Khosravi, Mohsen. (2020). Burnout in hospital medical staff during the COVID-19 pandemic diagnosis treatment and prevention. Sapporo igaku zasshi. The Sapporo medical journal. 54. 1-8.

Söderström M, Jeding K, Ekstedt M, Perski A, Åkerstedt T. Insufficient sleep predicts clinical burnout. J Occup Health Psychol. 2012;17(2):175-83.

Chemali Z, Ezzeddine FL, Gelaye B, Dossett ML, Salameh J, Bizri M, Dubale B, Fricchione G. Burnout among healthcare providers in the complex environment of the Middle East: a systematic review. BMC public health. 2019;19(1):1337.

Chou LP, Li CY, Hu SC. Job stress and burnout in hospital employees: comparisons of different medical professions in a regional hospital in Taiwan. BMJ Open. 2014;4(2):e004185.

Salvagioni DA, Melanda FN, Mesas AE, González AD, Gabani FL, de Andrade SM. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS One. 2017;12(10):e0185781.

Morgantini LA, et al. (2020) Factors contributing to healthcare professional burnout during the COVID-19 pandemic: A rapid turnaround global survey. PLoS ONE 15(9):e0238217.

José Ángel Martínez-López, et al. (2020) Psychological Impact of COVID-19 Emergency on Health Professionals: Burnout Incidence at the Most Critical Period in Spain. J. Clin. Med. 2020, 9(9), 3029;

Texas A&M University. "Infecting the mind: Burnout in health care workers during COVID-19." ScienceDaily. ScienceDaily, 13 May 2020. .

Xiang YT, Yang Y, Li W et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020;7:228–229.

Wong TW, Yau JK, Chan CL et al. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. Eur J Emerg Med 2005;12:13–18.

Baud D, Qi X, Nielsen-Saines K, et al. Real estimates of mortality following COVID-19 infection. Lancet Infect Dis 2020, doi:10.1016/S1473-3099(20)30195-X.

Maunder R, Hunter J, Vincent L et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ 2003;168:1245–1251.

Nurbaity Alya. COVID-19: Concerns mount as medical workers suffer pandemic burnout.

Bahar A, Koçak H, S, Samancıoğlu Bağlama S, Çuhadar D: Can Psychological Resilience Protect the Mental Health of Healthcare Professionals during the COVID-19 Pandemic Period? Dubai Med J 2020. doi: 10.1159/000510264

American Psychological Association. (2020, March 25). Self-care advice for health-care providers during COVID-19.






Review Article