Conducting research in Radiation Oncology remotely during the COVID-19 pandemic: Coping with isolation

Abstract Introduction With the COVID-19 pandemic, individuals have been forced to follow strict social isolation guidelines. While crucial to control the pandemic, isolation might have a significant impact on productivity and mental health. Especially for researchers working in healthcare, the current situation is complex. We therefore carried out a survey amongst researchers in the field of radiation oncology to gain insights on the impact of social isolation and working from home and to guide future work. Materials and methods An online survey was conducted between March 27th and April 5th, 2020. The first part contained 14 questions intended to capture an overview of the specific aspects related to research while in isolation. The second (optional) part of the questionnaire was the validated Hospital Anxiety and Depression Scale (HADS), a self-reported measure used to assess levels of anxiety and depressive symptoms. Results From 543 survey participants, 48.8% reported to work full-time from home. The impact on perceived productivity, with 71.2% of participants feeling less productive, caused 58% of participants to feel some level of guilt. Compared to normative data, relatively high levels of anxiety and depressive symptoms were recorded for the 335 participants who filled out the HADS questionnaire. Group comparisons found the presence of a supportive institutional program as the sole factor of statistical significance in both anxiety and depressive symptom levels. People having to work full-time on location showed higher depressive symptom levels than those working from home. Anxiety scores were negatively correlated with the number of research years. Conclusion Results of the survey showed there is a non-negligible impact on both productivity and mental health. As the radiation oncology research community was forced to work from home during the COVID-19 pandemic, lessons can be learned to face future adverse situations but also to improve work-life balance in general.

[1]  K. Hashimoto,et al.  Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control , 2020, Brain, Behavior, and Immunity.

[2]  Shao-hua Hu,et al.  Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019 , 2020, JAMA network open.

[3]  R. Snaith,et al.  The Hospital Anxiety and Depression Scale , 1983 .

[4]  G. Remuzzi,et al.  COVID-19 and Italy: what next? , 2020, The Lancet.

[5]  G. Rubin,et al.  The psychological impact of quarantine and how to reduce it: rapid review of the evidence , 2020, The Lancet.

[6]  G. Demiris,et al.  Loneliness as a mediator of the impact of social isolation on cognitive functioning of Chinese older adults. , 2020, Age and ageing.

[7]  Jeffrey R. Harris,et al.  Workplace Stress and Working from Home Influence Depressive Symptoms Among Employed Women with Young Children , 2016, International Journal of Behavioral Medicine.

[8]  C. Crombie,et al.  Normative data for the HADS from a large non-clinical sample. , 2001, The British journal of clinical psychology.

[9]  Timothy B. Smith,et al.  Loneliness and Social Isolation as Risk Factors for Mortality , 2015, Perspectives on psychological science : a journal of the Association for Psychological Science.

[10]  T. T. Haug,et al.  The validity of the Hospital Anxiety and Depression Scale. An updated literature review. , 2002, Journal of psychosomatic research.

[11]  T. Shanafelt,et al.  Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic. , 2020, JAMA.

[12]  A. Hinz,et al.  Normative values for the hospital anxiety and depression scale (HADS) in the general German population. , 2011, Journal of psychosomatic research.

[13]  Claúdio Gleidiston Lima da Silva,et al.  When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak , 2020, Psychiatry Research.

[14]  Kun Wang,et al.  Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China , 2020, Psychotherapy and Psychosomatics.

[15]  Ravi Philip Rajkumar,et al.  COVID-19 and mental health: A review of the existing literature , 2020, Asian Journal of Psychiatry.

[16]  A. Bardelli.  Coronavirus lockdown: What I learnt when I shut my cancer lab in 48 hours , 2020, Nature.

[17]  S. Cotton,et al.  Normative data for the Hospital Anxiety and Depression Scale , 2015, Quality of Life Research.

[18]  A. House,et al.  The Hospital Anxiety and Depression Scale: a diagnostic meta-analysis of case-finding ability. , 2010, Journal of psychosomatic research.

[19]  Chris Woolston.  PhDs: the tortuous truth , 2019, Nature.

[20]  B. Yadav.  Social stigma associated with the corona virus disease (COVID-19) , 2020 .

[21]  K. Hashimoto,et al.  Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control , 2020, Brain, Behavior, and Immunity.