{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T22:29:26Z","timestamp":1777760966613,"version":"3.51.4"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951524000889_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify the prevalence of depression, anxiety, and psychosocial distress among Ugandan palliative care providers during the COVID-19 pandemic, measure providers\u2019 perceived levels of social support, and identify factors affecting a provider\u2019s likelihood of being depressed, anxious, distressed, or perceiving various levels of social support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524000889_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data was collected from 123 palliative care providers using an online survey. Depression, anxiety, and psychological distress were measured using the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, and the Self-Reporting Questionnaire, respectively. Information on perceived level of social support was gathered through the Multidimensional Scale of Perceived Social Support. The survey also asked about mental health resources available to providers at their place of work and what resources are still needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524000889_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants ranged in age, gender, religion, marital status, clinical position, and years of experience in palliative care. Results indicate that 20% of respondents show signs of moderate to severe depression, 14% show signs of moderate to severe anxiety, and 33% show signs of psychological distress. Additionally, 50% of respondents reported a low total level of social support. Depression, anxiety, and psychological distress scores were all negatively correlated with perceived social support scores. Over 50% expressed a desire for additional mental health resources at their place of work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951524000889_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>In 2021\u20132022, the severity of depression, anxiety, and psychological distress varied among palliative care providers in Uganda, with some experiencing moderate to severe mental health effects. Higher degrees of depression, anxiety, and psychological distress were correlated with lower levels of perceived social support, highlighting the importance of social support during times of crisis. The results highlight a desire for improved access to mental health resources and will help providers and organizations provide better support and better prepare for future crises.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951524000889","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T03:25:04Z","timestamp":1728876304000},"page":"1984-1991","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Depression, anxiety, psychological distress, and perceived social support among Ugandan palliative care providers during the COVID-19 pandemic"],"prefix":"10.1017","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4297-1243","authenticated-orcid":false,"given":"Mariah","family":"Horvath","sequence":"first","affiliation":[{"name":"University of Notre Dame"},{"name":"University of Notre Dame"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3684-6975","authenticated-orcid":false,"given":"Simon","family":"Kizito","sequence":"additional","affiliation":[{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4999-2023","authenticated-orcid":false,"given":"Roya","family":"Ghiaseddin","sequence":"additional","affiliation":[{"name":"University of Notre Dame"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2635-2472","authenticated-orcid":false,"given":"Lisa Christine","family":"Irumba","sequence":"additional","affiliation":[{"name":"Palliative Care Association of Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2894-0649","authenticated-orcid":false,"given":"Mark Donald","family":"Mwesiga","sequence":"additional","affiliation":[{"name":"Palliative Care Association of Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4723-8046","authenticated-orcid":false,"given":"Lacey N.","family":"Ahern","sequence":"additional","affiliation":[{"name":"University of Notre Dame"},{"name":"University of Notre Dame"},{"name":"Global Partners in Care\/Hospice Foundation"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"S1478951524000889_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/1348-9585.12169"},{"key":"S1478951524000889_ref48","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa5201_2"},{"key":"S1478951524000889_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.07.009"},{"key":"S1478951524000889_ref39","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"S1478951524000889_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2020.102084"},{"key":"S1478951524000889_ref25","doi-asserted-by":"publisher","DOI":"10.1177\/0956462420942992"},{"key":"S1478951524000889_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/s41983-021-00280-w"},{"key":"S1478951524000889_ref32","doi-asserted-by":"publisher","DOI":"10.2147\/HIV.S29818"},{"key":"S1478951524000889_ref20","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7841-7"},{"key":"S1478951524000889_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/001316447003000308"},{"key":"S1478951524000889_ref13","first-page":"766","article-title":"Mental health care in Uganda","volume":"9","author":"Kaggwa","year":"2022","journal-title":"The Lancet"},{"key":"S1478951524000889_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2022.28"},{"key":"S1478951524000889_ref16","doi-asserted-by":"publisher","DOI":"10.3961\/jpmph.19.114"},{"key":"S1478951524000889_ref9","first-page":"594","article-title":"Effect of COVID-19 pandemic on mental health of the health care workers","volume":"57","author":"Ghosh","year":"2020","journal-title":"Indian Journal of Biochemistry and Biophysics"},{"key":"S1478951524000889_ref38","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.679397"},{"key":"S1478951524000889_ref41","doi-asserted-by":"publisher","DOI":"10.2989\/16085906.2021.1979607"},{"key":"S1478951524000889_ref19","article-title":"Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression: Individual participant data meta-analysis","volume":"365","author":"Levis","year":"2019","journal-title":"BMJ"},{"key":"S1478951524000889_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7713-1"},{"key":"S1478951524000889_ref5","unstructured":"Beusenberg, M and Orally, J (1994) World Health Organization division of mental health. A user\u2019s guide to Self-Reporting Questionnaire (SRQ). https:\/\/apps.who.int\/iris\/handle\/10665\/61113 (accessed 21 October 2021 )."},{"key":"S1478951524000889_ref43","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12752"},{"key":"S1478951524000889_ref31","unstructured":"Nakigudde, J , Tugumisirize, J and Musisi, S (2008) Validation of the SRQ-20 in a primary care setting in Kampala, Uganda. 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Knowledge and perception toward professional burnout among nurses caring for patients with terminal illnesses at Hospice Africa Uganda and Uganda Cancer Institute. Bachelor of Nursing thesis, School of Nursing, International Health Sciences University."},{"key":"S1478951524000889_ref42","doi-asserted-by":"publisher","DOI":"10.1192\/S1749367600005130"},{"key":"S1478951524000889_ref30","first-page":"S35","article-title":"Adaptation of the multidimensional scale of perceived social support in a Ugandan setting","volume":"9","author":"Nakigudde","year":"2009","journal-title":"African Health Sciences"},{"key":"S1478951524000889_ref3","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2013.764385"},{"key":"S1478951524000889_ref37","doi-asserted-by":"publisher","DOI":"10.1007\/BF02599221"},{"key":"S1478951524000889_ref44","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-023-00549-2"},{"key":"S1478951524000889_ref35","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951521000298"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951524000889","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T14:07:22Z","timestamp":1777471642000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951524000889\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,14]]},"references-count":48,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["S1478951524000889"],"URL":"https:\/\/doi.org\/10.1017\/s1478951524000889","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,14]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}