THE PSYCHOLOGICAL IMPACT OF COVID-19 ON FRONTLINE HEALTHCARE WORKERS IN MOROCCO
Authors:   Psychiatric Hospital Arrazi of Sale Faculty of Medicine and Pharmacy Mohammed V University of Rabat., Hanine I. , Hmamouchi I. ,   Epidemiology and Clinical Research Laboratory Faculty of Medicine and Pharmacy Mohammed V University of Rabat., Belbachir S. ,   Psychiatric Hospital Arrazi of Sale Faculty of Medicine and Pharmacy Mohammed V University of Rabat., Chtibi M. ,   Psychiatric Hospital Arrazi of Sale Faculty of Medicine and Pharmacy Mohammed V University of Rabat., Bensalah Y. ,   Psychiatric Hospital Arrazi of Sale Faculty of Medicine and Pharmacy Mohammed V University of Rabat., Azraf F. ,   Psychiatric Hospital Arrazi of Sale Faculty of Medicine and Pharmacy Mohammed V University of Rabat., Abouqal R. ,   Epidemiology and Clinical Research Laboratory Faculty of Medicine and Pharmacy Mohammed V University of Rabat., Ouanass A. ,   Psychiatric Hospital Arrazi of Sale Faculty of Medicine and Pharmacy Mohammed V University of Rabat.
Published: October 2021

Introduction: On March 11th 2020, the World Health Organization declared the infection of the virus severe acute respiratory syndrome coronavirus 2 or SARS-COV-2 a pandemic. The virus, which was first discovered in China in Wuhan province in December 2019, has affected more than 100 million people and more than two million deaths in more than 200 countries.Along with other epidemics and pandemics, the existence of this virus has led to psychiatric disorders in people in or without direct contact with the disease, especially frontline healthcare workers. Objective: To assess the impact of the virus on medical personnel working in Morocco, in particular stress, depression and sleep disorders. Methodology: To explore this topic, we used an anonymity questionnaire based on, in addition to individual status and conditions, scales assessing stress, depression and sleep.The questionnaire was sent via social networks to health personnel working in Morocco in the various hospitals and departments treating patients infected with this virus.The CES-D (Center of Epidemiological Studies - Depression) scales for depression, the PSS-10 (Cohens Perceived Stress Scale) for perceived stress and ISI (C. Morins Insomnia Severity Index) for disorders of sleep, were chosen given their frequent use in a number of studies on the same topic. Results: After sorting our responsesrigorously, we were able to collect 376 responses, of which 53.5% were women, with an average age of 28.45 years, 23.9% were nurses, 14.4% general practitioners, 19, 7% of internal doctors 37.2% of residents or specialists and 4.8% occupied other functions such as medical transport. 66% of our candidates were at the level of the different university hospital centers of Morocco.Our candidates respectively occupied 39.1% 28.2% 29% and 25.8% triage positions, observation of suspected cases, the COVID sector and resuscitation.Regarding our results, it was observed that 71% of our participants presented moderate stress, 44.9% had a risk of developing depression and 53.7 had insomnia of varying severity.The female sex, the lack of medical, surgical and psychiatric history influence the occurrence of the three abnormalities studied, it should also be noted that these last three maintain a relationship of influences between them. Conclusion: The exploration of stress, depression and insomnia revealed an impact of the state of health on the daily life of front-line health workers in Morocco.