The Impact of COVID-19 Pandemic, Financial Wellness, and Online Teaching on Schoolteachers’ Mental Health: A Cross-Sectional Study in Lebanon

Authors

  • Tarek Baroud, MD Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
  • Jad El Masri, MD Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
  • Hadi Shammaa, MD Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
  • Mustafa Saleh, MD Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
  • Hani Chanbour, MD Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
  • Pascale Salameh, PharmD Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon | Faculty of Pharmacy, Lebanese University, Beirut, Lebanon | iNSPECT-LB (Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie-Liban), Beirut, Lebanon | School of Medicine, University of Nicosia, Cyprus

DOI:

https://doi.org/10.38179/ijcr.v3i1.169

Keywords:

Anxiety, Depression, Stress, Online teaching, Pandemic, Economic Crisis

Abstract

Background: Teaching is a mentally and physically draining occupation, and due to the SARS-CoV-2 pandemic, the education system shifted to online platforms, which made it even harder. Lebanon is a developing country that is not well prepared for such a daunting outbreak. In addition to its tremendous economic crisis, it will be even harder for teachers to maintain mental stability. The aftermaths of this crisis could, perhaps, impact all the fundamental systems within the country including education

Aim: This study aims to assess stress, anxiety, and depression levels among Lebanese schoolteachers based on the COVID-19 outbreak, the Lebanese economic crisis, and online education.

Methods: A cross-sectional study was carried out, enrolling 300 schoolteachers currently working in Lebanon. An online survey was used, assessing sociodemographic factors, teaching status, financial wellness, fear of COVID-19, and mental health. The IFDFW scale is used to assess financial distress, DASS-21 to assess psychological distress, and the COVID-19 fear scale to measure fear.

Results: Results showed that 23% of teachers had severe depression, 25% had severe anxiety, and 16% had severe stress. Depression was correlated to both fear of COVID-19 and financial wellness (p<0.0001 for both). Anxiety and stress were correlated with online teaching (p<0.05), fear of COVID-19 (p<0.001), and financial wellness (p<0.001).

Conclusion: Lebanese teachers showed severe levels of anxiety and stress as a  consequence of online teaching, associated as well with depression when correlated with fear of COVID-19 and financial wellness. It is urgent to take measures to keep the Lebanese educational system productive, and dynamic, and prevent the storm of the stressful environment from worsening.

Keywords: Anxiety, Depression, Stress, Online teaching, Pandemic, Economic crisis

References

Selye, H. The stress of life. McGraw-Hill Book Company. 1956. https://www.worldcat.org/title/stress-of-life/oclc/525839

John J. Honigmann. LIFE STRESS AND MENTAL HEALTH: THE MIDTOWN MANHATTAN STUDY (Thomas A. C. Rennie Series in Social Psychiatry, Vol. II). By Thomas S. Langner and Stanley T. Michael. In New York: The Free Press of Glencoe. Social Forces. 1964. https://doi.org/10.2307/2574353

Johnson, S., Cooper, C., Cartwright, S., et al. The experience of work-related stress across occupations. Journal of Managerial Psychology. 2005. https://doi.org/10.1108/02683940510579803

Baum A, Garofalo JP, Yali AM. Socioeconomic status and chronic stress. Does stress account for SES effects on health?. Ann N Y Acad Sci. 1999;896:131-144. PMID: 10681894. https://doi.org/10.1111/j.1749-6632.1999.tb08111.x

Dubey S, Biswas P, Ghosh R, et al. Psychosocial impact of COVID-19. Diabetes Metab Syndr. 2020;14(5):779-788. PMID: 32526627. https://doi.org/10.1016/j.dsx.2020.05.035

Cooper, C., Cooper, C., & Travers, C. Teachers Under Pressure: Stress in the Teaching Profession. Routledge. 1995. https://doi.org/10.4324/9780203059975

Mahan PL, Mahan MP, Park NJ, Shelton C, Brown KC, Weaver MT. Work environment stressors, social support, anxiety, and depression among secondary school teachers. AAOHN J. 2010;58(5):197-205. PMID: 20415318. https://doi.org/10.3928/08910162-20100416-01

Panisoara IO, Lazar I, Panisoara G, Chirca R, Ursu AS. Motivation and Continuance Intention towards Online Instruction among Teachers during the COVID-19 Pandemic: The Mediating Effect of Burnout and Technostress. Int J Environ Res Public Health. 2020;17(21):8002. Published 2020 Oct 30. PMID: 33143180. https://doi.org/10.3390/ijerph17218002

Ministry of Public Health. Minister Hasan Announces First Coronavirus Case In Lebanon. 2021.https://moph.gov.lb/en/Pages/0/25528/minister-hasan-first-coronavirus-case-lebanon-

Khoury P, Azar E, Hitti E. COVID-19 Response in Lebanon: Current Experience and Challenges in a Low-Resource Setting. JAMA. 2020;324(6):548-549. 2020;324(6):548-549. PMID: 32722763. https://doi.org/10.1001/jama.2020.12695

Prawitz, A. D., Garman, E. T., Sorhaindo, B., et al. Incharge Financial Distress/Financial Well-Being Scale: Development, Administration, and Score Interpretation. Financial Counseling and Planning. 2006. http://dx.doi.org/10.1037/t60365-000

Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2022;20(3):1537-1545. PMID: 32226353. https://doi.org/10.1007/s11469-020-00270-8

DASS – Depression Anxiety Stress Scales. E.provide. https://eprovide.mapi-trust.org/instruments/depression-anxiety-stress-scales.

Sharma MK, Hallford DJ, Anand N. Confirmatory factor analysis of the Depression, Anxiety, and Stress Scale among Indian adults. Indian J Psychiatry. 2020;62(4):379-383. PMID: 33165390. https://doi.org/10.4103/psychiatry.indianjpsychiatry_313_19

Midorikawa H, Aiba M, Lebowitz A, et al. Confirming validity of The Fear of COVID-19 Scale in Japanese with a nationwide large-scale sample. PLoS One. 2021;16(2):e0246840. PMID: 33566868. https://doi.org/10.1371/journal.pone.0246840

Prawitz, A. The Incharge Financial Distress/Financial Well-Being Scale. Financial Capability. 2006. https://www.fincap.org.uk/en/insights/the-incharge-financial-distress-financial-well-being-scale-establishing-validity-and-reliability

Desouky D, Allam H. Occupational stress, anxiety and depression among Egyptian teachers. J Epidemiol Glob Health. 2017;7(3):191-198. PMID: 28756829. https://doi.org/10.1016/j.jegh.2017.06.002

Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Res. 2020;291:113190. PMID: 32563745. https://doi.org/10.1016/j.psychres.2020.113190

Stansfeld SA, Head J, Marmot MG. Explaining social class differences in depression and well-being. Soc Psychiatry Psychiatr Epidemiol. 1998;33(1):1-9. PMID: 9448438. https://doi.org/10.1007/s001270050014

Burns MN, Siddique J, Fokuo JK, Mohr DC. Comorbid anxiety disorders and treatment of depression in people with multiple sclerosis. Rehabil Psychol. 2010;55(3):255-262. PMID: 20804269. https://doi.org/10.1037/a0020492

Richardson T, Elliott P, Roberts R, Jansen M. A Longitudinal Study of Financial Difficulties and Mental Health in a National Sample of British Undergraduate Students. Community Ment Health J. 2017;53(3):344-352. PMID: 27473685. https://doi.org/10.1007/s10597-016-0052-0

Ettman CK, Abdalla SM, Cohen GH, Sampson L, Vivier PM, Galea S. Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic. JAMA Netw Open. 2020;3(9):e2019686. Published 2020 Sep 1. PMID: 32876685. https://doi.org/10.1001/jamanetworkopen.2020.19686

Ettner SL. New evidence on the relationship between income and health. J Health Econ. 1996;15(1):67-85. PMID: 10157429. https://doi.org/10.1016/0167-6296(95)00032-1

Li Q, Miao Y, Zeng X, Tarimo CS, Wu C, Wu J. Prevalence and factors for anxiety during the coronavirus disease 2019 (COVID-19) epidemic among the teachers in China. J Affect Disord. 2020;277:153-158. PMID: 32828002. https://doi.org/10.1016/j.jad.2020.08.017

Karam EG, Mneimneh ZN, Dimassi H, et al. Lifetime prevalence of mental disorders in Lebanon: first onset, treatment, and exposure to war. PLoS Med. 2008;5(4):e61. PMID: 18384228. https://doi.org/10.1371/journal.pmed.0050061

Wang C, Zhao H, Zhang H. Chinese College Students Have Higher Anxiety in New Semester of Online Learning During COVID-19: A Machine Learning Approach. Front Psychol. 2020;11:587413. Published 2020 Dec 3. PMID: 33343461. https://doi.org/10.3389/fpsyg.2020.587413

Sareen J, Afifi TO, McMillan KA, Asmundson GJ. Relationship between household income and mental disorders: findings from a population-based longitudinal study. Arch Gen Psychiatry. 2011;68(4):419-427. PMID: 21464366. https://doi.org/10.1001/archgenpsychiatry.2011.15

Othman, Z. Depression, Anxiety, and Stress among Secondary School Teachers in Klang, Malaysia. Zenodo. 2019. http://dx.doi.org/10.5281/zenodo.2586221

Bareeqa SB, Ahmed SI, Samar SS, et al. Prevalence of depression, anxiety and stress in china during COVID-19 pandemic: A systematic review with meta-analysis. Int J Psychiatry Med. 2021;56(4):210-227. PMID: 33243029. https://doi.org/10.1177/0091217420978005

AlAteeq DA, Aljhani S, AlEesa D. Perceived stress among students in virtual classrooms during the COVID-19 outbreak in KSA. J Taibah Univ Med Sci. 2020;15(5):398-403. PMID: 32837508. https://doi.org/10.1016/j.jtumed.2020.07.004

Hilton MF, Scuffham PA, Sheridan J, Cleary CM, Vecchio N, Whiteford HA. The association between mental disorders and productivity in treated and untreated employees. J Occup Environ Med. 2009;51(9):996-1003. PMID: 19730401. https://doi.org/10.1097/jom.0b013e3181b2ea30

Meade CS, Sikkema KJ. HIV risk behavior among adults with severe mental illness: a systematic review. Clin Psychol Rev. 2005;25(4):433-457. PMID: 15914265. https://doi.org/10.1016/j.cpr.2005.02.001

Panisoara IO, Lazar I, Panisoara G, Chirca R, Ursu AS. Motivation and Continuance Intention towards Online Instruction among Teachers during the COVID-19 Pandemic: The Mediating Effect of Burnout and Technostress. Int J Environ Res Public Health. 2020;17(21):8002. Published 2020 Oct 30. PMID: 33143180. https://doi.org/10.3390/ijerph17218002

Attitude towards online teaching

Published

2022-08-26

How to Cite

Baroud, T., El Masri, J. ., Shammaa, H., Saleh, M., Chanbour, H., & Salemeh, P. (2022). The Impact of COVID-19 Pandemic, Financial Wellness, and Online Teaching on Schoolteachers’ Mental Health: A Cross-Sectional Study in Lebanon. International Journal of Clinical Research, 3(1), 150-161. https://doi.org/10.38179/ijcr.v3i1.169