A total of 106 doctors, 53 from Delhi (mean age 34.4 ± 10.6 years) and Solan, Himachal Pradesh (mean age 26.6 ± 4.3 years), took part in COVID-19. The study used a cross-sectional design and t-tests to look at the DASS-21 and MBI measures. The average depression score for doctors in Delhi was 7.29 (SD=4.27 vs. 3.12, SD=3.90; t=5.25, p<.01), the average anxiety score was 6.30 (SD=4.07 vs. 4.10, SD=3.50; t=2.98, p<.01), and the average stress score was 8.21 (SD=4.11) compared to 5.85 (SD=3.82; t=3.06, p<.01). People in Delhi were also much more likely to be emotionally exhausted (M=26.29, SD=8.24 vs. M=17.01, SD=8.09; t=5.85, p<.01), depersonalized (M=14.12, SD=5.01 vs. M=9.50, SD=5.53; t=4.50, p<.01), and less likely to feel like they had accomplished anything (M=30.76, SD=7.80 vs. M=24.24, SD=10.72; t=3.50, p<.01). In cities with low resources, large caseloads, patient violence, fears of infections, a lack of PPE, insufficient training, and long hours increase mental stress and may induce these gaps. In conclusion, the pandemic had a stronger effect on doctors who worked in cities, calling for adjustments in workload, mental health assistance, safety and society.
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