{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:47:02Z","timestamp":1785764822287,"version":"3.56.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The COVID-19 pandemic caused significant psychological stress among frontline workers. To address this, our institute, in collaboration with UNICEF, established a Psycho-Social Counselling (PSC) system in Andhra Pradesh to provide timely mental health support and promote well-being. The study aimed to assess the prevalence of psychological stress among frontline workers during COVID-19 pandemic using a structured mental health screening model and to conduct capacity-building programmes for prevention of psychosocial problems among healthcare workers. A community-based cross-sectional study using a locally adapted and validated Mental Health Screening Questionnaire (MHSQ) was conducted among frontline workers. Participants scoring \u22656 underwent detailed evaluation. Counselling helpline services and statewide mental health awareness sessions were conducted to support coping strategies among frontline workers. Among 8,219 participants, 1,468 (17.86%) had high-risk MHSQ scores (\u22656). Of these, 673 (45.8%) underwent detailed evaluation; 455 (5.53%) received counselling and 218 (2.65%) required psychiatric management. Anxiety (45%) and insomnia (42%) were most common, followed by depression (12%) and substance use disorders (2%). Approximately 4,500 healthcare workers also received offline training. The PSC model demonstrated the feasibility of a structured, multi-tier approach for early identification and timely psychosocial support during public health emergencies.<\/jats:p>","DOI":"10.4103\/ijcm.ijcm_140_25","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T18:00:24Z","timestamp":1784397624000},"page":"S573-S578","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Community-based Cross-sectional Study of a Tiered Mental Health Support Model for Frontline Workers in Andhra Pradesh during the COVID-19 Pandemic"],"prefix":"10.4103","volume":"51","author":[{"given":"Sathiyanarayanan","family":"Sathiyamoorthi","sequence":"first","affiliation":[{"name":"Department of Community and Family Medicine, AIIMS, Mangalagiri, Guntur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijaya C. R.","family":"Aluva","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, AIIMS, Mangalagiri, Guntur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev","family":"Aravindakshan","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, AIIMS, Mangalagiri, Guntur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navya K.","family":"Naidu","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, AIIMS, Mangalagiri, Guntur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Shashidhara","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, AIIMS, Mangalagiri, Guntur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmitha","family":"Priyadarsini","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, AIIMS, Mangalagiri, Guntur, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,18]]},"reference":[{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"631","DOI":"10.2147\/PRBM.S256551","article-title":"The magnitude of psychological problem and associated factor in response to COVID-19 pandemic among communities living in Addis Ababa, Ethiopia, March 2020: A cross-sectional study design","volume":"13","author":"Kassaw","year":"2020","journal-title":"Psychol Res Behav Manag"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1016\/S2215-0366(20)30077-8","article-title":"Online mental health services in China during the COVID-19 outbreak","volume":"7","author":"Liu","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"R5-20260803","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"R6-20260803","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1001\/jama.1984.03350140051025","article-title":"Detecting alcoholism: The CAGE questionnaire","volume":"252","author":"Ewing","year":"1984","journal-title":"JAMA"},{"key":"R8-20260803","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the alcohol use disorders identification test (AUDIT)","volume":"88","author":"Saunders","year":"1993","journal-title":"Addiction"},{"key":"R9-20260803","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"R10-20260803","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1016\/j.bbi.2020.05.026","article-title":"Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis","volume":"88","author":"Pappa","year":"2020","journal-title":"Brain Behav Immun"},{"key":"R11-20260803","doi-asserted-by":"crossref","first-page":"e100259","DOI":"10.1136\/gpsych-2020-100259","article-title":"Psychological impact of the COVID-19 pandemic on healthcare workers: A cross-sectional study in China","volume":"33","author":"Que","year":"2020","journal-title":"Gen Psychiatr"},{"key":"R12-20260803","doi-asserted-by":"crossref","first-page":"104002","DOI":"10.1016\/j.ijnurstu.2021.104002","article-title":"Global prevalence of mental health problems among healthcare workers during the Covid-19 pandemic: A systematic review and meta-analysis","volume":"121","author":"Saragih","year":"2021","journal-title":"Int J Nurs Stud"},{"key":"R13-20260803","doi-asserted-by":"crossref","first-page":"e08570","DOI":"10.1016\/j.heliyon.2021.e08570","article-title":"Anxiety and depression among healthcare workers during COVID-19 pandemic: A cross-sectional study","volume":"7","author":"Motahedi","year":"2021","journal-title":"Heliyon"},{"key":"R14-20260803","doi-asserted-by":"crossref","first-page":"5921","DOI":"10.4103\/jfmpc.jfmpc_1217_20","article-title":"Psychological impact of the COVID-19 pandemic on healthcare workers in India: An observational study","volume":"9","author":"Raj","year":"2020","journal-title":"J Family Med Prim Care"},{"key":"R15-20260803","doi-asserted-by":"crossref","first-page":"e24206","DOI":"10.2196\/24206","article-title":"Anxiety and sleep disturbances among health care workers during the COVID-19 pandemic in India: Cross-sectional online survey","volume":"6","author":"Gupta","year":"2020","journal-title":"JMIR Public Health Surveill"},{"key":"R16-20260803","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1007\/s00420-021-01695-x","article-title":"Burnout among healthcare professionals during COVID-19 pandemic: A cross-sectional study","volume":"94","author":"Jalili","year":"2021","journal-title":"Int Arch Occup Environ Health"},{"key":"R17-20260803","doi-asserted-by":"crossref","first-page":"e224163","DOI":"10.1001\/jamahealthforum.2022.4163","article-title":"Trends in clinician burnout with associated mitigating and aggravating factors during the COVID-19 pandemic","volume":"3","author":"Linzer","year":"2022","journal-title":"JAMA Health Forum"},{"key":"R18-20260803","doi-asserted-by":"crossref","first-page":"e544","DOI":"10.5001\/omj.2023.111","article-title":"Impact of COVID-19 on mental health among healthcare workers in India: A mixed-methods systematic review","volume":"38","author":"Mathias","year":"2023","journal-title":"Oman Med J"},{"key":"R19-20260803","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3961\/jpmph.23.327","article-title":"Mental health among healthcare workers during the COVID-19 pandemic in Vietnam","volume":"57","author":"Nguyen","year":"2024","journal-title":"J Prev Med Public Health"},{"key":"R20-20260803","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1007\/s11469-020-00408-8","article-title":"Psychological impact of COVID-19 duties during lockdown on police personnel and their perception about the behavior of the people: An exploratory study from India","volume":"20","author":"Grover","year":"2022","journal-title":"Int J Ment Health Addict"},{"key":"R21-20260803","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1093\/occmed\/kqaa074","article-title":"Sleep disturbances among medical workers during the outbreak of COVID-2019","volume":"70","author":"Wang","year":"2020","journal-title":"Occup Med (Lond)"},{"key":"R22-20260803","doi-asserted-by":"crossref","first-page":"142","DOI":"10.5152\/TurkThoracJ.2021.20245","article-title":"Sleep quality among healthcare workers during the COVID-19 pandemic and its impact on medical errors: Kuwait experience","volume":"22","author":"Abbas","year":"2021","journal-title":"Turk Thorac J"},{"key":"R23-20260803","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1186\/s12992-020-00620-0","article-title":"The prevalence of sleep disturbances among physicians and nurses facing the COVID-19 patients: A systematic review and meta-analysis","volume":"16","author":"Salari","year":"2020","journal-title":"Glob Health"},{"key":"R24-20260803","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1002\/smi.3246","article-title":"Psychological interventions for healthcare professionals during the COVID-19 pandemic: A systematic review","volume":"39","author":"Varela","year":"2023","journal-title":"Stress Health"}],"container-title":["Indian Journal of Community Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijcm.ijcm_140_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:02:12Z","timestamp":1785762132000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijcm.ijcm_140_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":22,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijcm.ijcm_140_25","relation":{},"ISSN":["0970-0218","1998-3581"],"issn-type":[{"value":"0970-0218","type":"print"},{"value":"1998-3581","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2025-02-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-22","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}