Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China

We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak. An online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Se...

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Vydáno v:	Psychotherapy and psychosomatics Ročník 89; číslo 4; s. 242
Hlavní autoři:	Zhang, Wen-Rui, Wang, Kun, Yin, Lu, Zhao, Wen-Feng, Xue, Qing, Peng, Mao, Min, Bao-Quan, Tian, Qing, Leng, Hai-Xia, Du, Jia-Lin, Chang, Hong, Yang, Yuan, Li, Wei, Shangguan, Fang-Fang, Yan, Tian-Yi, Dong, Hui-Qing, Han, Ying, Wang, Yu-Ping, Cosci, Fiammetta, Wang, Hong-Xing
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Switzerland 01.07.2020
Témata:	Adolescent Adult Anxiety - epidemiology Anxiety - etiology China - epidemiology Coronavirus Infections - psychology COVID-19 Cross-Sectional Studies Depression - epidemiology Depression - etiology Female Health Personnel - psychology Humans Logistic Models Male Mental Health Middle Aged Multivariate Analysis Obsessive-Compulsive Disorder - epidemiology Obsessive-Compulsive Disorder - etiology Pandemics Pneumonia, Viral - psychology Prevalence Sleep Initiation and Maintenance Disorders - epidemiology Sleep Initiation and Maintenance Disorders - etiology Surveys and Questionnaires Young Adult China COVID-19 Corona virus Health workers Mental health Psychosocial problems
ISSN:	1423-0348, 1423-0348
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Abstract	We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak. An online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Severity Index (ISI), the Symptom Check List-revised (SCL-90-R), and the Patient Health Questionnaire-4 (PHQ-4), which included a 2-item anxiety scale and a 2-item depression scale (PHQ-2). Compared with nonmedical health workers (n = 1,255), medical health workers (n = 927) had a higher prevalence of insomnia (38.4 vs. 30.5%, p < 0.01), anxiety (13.0 vs. 8.5%, p < 0.01), depression (12.2 vs. 9.5%; p< 0.04), somatization (1.6 vs. 0.4%; p < 0.01), and obsessive-compulsive symptoms (5.3 vs. 2.2%; p < 0.01). They also had higher total scores of ISI, GAD-2, PHQ-2, and SCL-90-R obsessive-compulsive symptoms (p ≤ 0.01). Among medical health workers, having organic disease was an independent factor for insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms (p < 0.05 or 0.01). Living in rural areas, being female, and being at risk of contact with COVID-19 patients were the most common risk factors for insomnia, anxiety, obsessive-compulsive symptoms, and depression (p < 0.01 or 0.05). Among nonmedical health workers, having organic disease was a risk factor for insomnia, depression, and obsessive-compulsive symptoms (p < 0.01 or 0.05). During the COVID-19 outbreak, medical health workers had psychosocial problems and risk factors for developing them. They were in need of attention and recovery programs.
AbstractList	We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak. An online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Severity Index (ISI), the Symptom Check List-revised (SCL-90-R), and the Patient Health Questionnaire-4 (PHQ-4), which included a 2-item anxiety scale and a 2-item depression scale (PHQ-2). Compared with nonmedical health workers (n = 1,255), medical health workers (n = 927) had a higher prevalence of insomnia (38.4 vs. 30.5%, p < 0.01), anxiety (13.0 vs. 8.5%, p < 0.01), depression (12.2 vs. 9.5%; p< 0.04), somatization (1.6 vs. 0.4%; p < 0.01), and obsessive-compulsive symptoms (5.3 vs. 2.2%; p < 0.01). They also had higher total scores of ISI, GAD-2, PHQ-2, and SCL-90-R obsessive-compulsive symptoms (p ≤ 0.01). Among medical health workers, having organic disease was an independent factor for insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms (p < 0.05 or 0.01). Living in rural areas, being female, and being at risk of contact with COVID-19 patients were the most common risk factors for insomnia, anxiety, obsessive-compulsive symptoms, and depression (p < 0.01 or 0.05). Among nonmedical health workers, having organic disease was a risk factor for insomnia, depression, and obsessive-compulsive symptoms (p < 0.01 or 0.05). During the COVID-19 outbreak, medical health workers had psychosocial problems and risk factors for developing them. They were in need of attention and recovery programs. We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak.OBJECTIVEWe explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak.An online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Severity Index (ISI), the Symptom Check List-revised (SCL-90-R), and the Patient Health Questionnaire-4 (PHQ-4), which included a 2-item anxiety scale and a 2-item depression scale (PHQ-2).METHODSAn online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Severity Index (ISI), the Symptom Check List-revised (SCL-90-R), and the Patient Health Questionnaire-4 (PHQ-4), which included a 2-item anxiety scale and a 2-item depression scale (PHQ-2).Compared with nonmedical health workers (n = 1,255), medical health workers (n = 927) had a higher prevalence of insomnia (38.4 vs. 30.5%, p < 0.01), anxiety (13.0 vs. 8.5%, p < 0.01), depression (12.2 vs. 9.5%; p< 0.04), somatization (1.6 vs. 0.4%; p < 0.01), and obsessive-compulsive symptoms (5.3 vs. 2.2%; p < 0.01). They also had higher total scores of ISI, GAD-2, PHQ-2, and SCL-90-R obsessive-compulsive symptoms (p ≤ 0.01). Among medical health workers, having organic disease was an independent factor for insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms (p < 0.05 or 0.01). Living in rural areas, being female, and being at risk of contact with COVID-19 patients were the most common risk factors for insomnia, anxiety, obsessive-compulsive symptoms, and depression (p < 0.01 or 0.05). Among nonmedical health workers, having organic disease was a risk factor for insomnia, depression, and obsessive-compulsive symptoms (p < 0.01 or 0.05).RESULTSCompared with nonmedical health workers (n = 1,255), medical health workers (n = 927) had a higher prevalence of insomnia (38.4 vs. 30.5%, p < 0.01), anxiety (13.0 vs. 8.5%, p < 0.01), depression (12.2 vs. 9.5%; p< 0.04), somatization (1.6 vs. 0.4%; p < 0.01), and obsessive-compulsive symptoms (5.3 vs. 2.2%; p < 0.01). They also had higher total scores of ISI, GAD-2, PHQ-2, and SCL-90-R obsessive-compulsive symptoms (p ≤ 0.01). Among medical health workers, having organic disease was an independent factor for insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms (p < 0.05 or 0.01). Living in rural areas, being female, and being at risk of contact with COVID-19 patients were the most common risk factors for insomnia, anxiety, obsessive-compulsive symptoms, and depression (p < 0.01 or 0.05). Among nonmedical health workers, having organic disease was a risk factor for insomnia, depression, and obsessive-compulsive symptoms (p < 0.01 or 0.05).During the COVID-19 outbreak, medical health workers had psychosocial problems and risk factors for developing them. They were in need of attention and recovery programs.CONCLUSIONSDuring the COVID-19 outbreak, medical health workers had psychosocial problems and risk factors for developing them. They were in need of attention and recovery programs.
Author	Dong, Hui-Qing Zhang, Wen-Rui Yin, Lu Yan, Tian-Yi Yang, Yuan Li, Wei Shangguan, Fang-Fang Cosci, Fiammetta Wang, Kun Xue, Qing Wang, Yu-Ping Tian, Qing Han, Ying Zhao, Wen-Feng Wang, Hong-Xing Chang, Hong Leng, Hai-Xia Min, Bao-Quan Peng, Mao Du, Jia-Lin
Author_xml	– sequence: 1 givenname: Wen-Rui surname: Zhang fullname: Zhang, Wen-Rui organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 2 givenname: Kun surname: Wang fullname: Wang, Kun organization: Department of Neurology, Beijing Puren Hospital, Beijing, China – sequence: 3 givenname: Lu surname: Yin fullname: Yin, Lu organization: Medical Research and Biometrics Center, National Center for Cardiovascular Diseases, Beijing, China – sequence: 4 givenname: Wen-Feng surname: Zhao fullname: Zhao, Wen-Feng organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 5 givenname: Qing surname: Xue fullname: Xue, Qing organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 6 givenname: Mao surname: Peng fullname: Peng, Mao organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 7 givenname: Bao-Quan surname: Min fullname: Min, Bao-Quan organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 8 givenname: Qing surname: Tian fullname: Tian, Qing organization: Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China – sequence: 9 givenname: Hai-Xia surname: Leng fullname: Leng, Hai-Xia organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 10 givenname: Jia-Lin surname: Du fullname: Du, Jia-Lin organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 11 givenname: Hong surname: Chang fullname: Chang, Hong organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 12 givenname: Yuan surname: Yang fullname: Yang, Yuan organization: Department of Psychiatry, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China – sequence: 13 givenname: Wei surname: Li fullname: Li, Wei organization: Department of Neurology, The 3rd People's Hospital of Chengdu, Chengdu, China – sequence: 14 givenname: Fang-Fang surname: Shangguan fullname: Shangguan, Fang-Fang organization: School of Psychology, Capital Normal University, Beijing, China – sequence: 15 givenname: Tian-Yi surname: Yan fullname: Yan, Tian-Yi organization: School of Life Sciences, Beijing Institute of Technology, Beijing, China – sequence: 16 givenname: Hui-Qing surname: Dong fullname: Dong, Hui-Qing organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 17 givenname: Ying surname: Han fullname: Han, Ying organization: Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China – sequence: 18 givenname: Yu-Ping surname: Wang fullname: Wang, Yu-Ping organization: Center of Epilepsy, Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China – sequence: 19 givenname: Fiammetta surname: Cosci fullname: Cosci, Fiammetta organization: Clinical Psychology, Department of Health Sciences, University of Florence, Florence, Italy – sequence: 20 givenname: Hong-Xing surname: Wang fullname: Wang, Hong-Xing email: wanghongxing@xwh.ccmu.edu.cn, wanghongxing@xwh.ccmu.edu.cn, wanghongxing@xwh.ccmu.edu.cn, wanghongxing@xwh.ccmu.edu.cn organization: Beijing Psychosomatic Disease Consultation Center, Xuanwu Hospital, Capital Medical University, Beijing, China, wanghongxing@xwh.ccmu.edu.cn
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Keywords	COVID-19 Corona virus Health workers Mental health Psychosocial problems
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Snippet	We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak. An online survey was run... We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak.OBJECTIVEWe explored...
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SubjectTerms	Adolescent Adult Anxiety - epidemiology Anxiety - etiology China - epidemiology Coronavirus Infections - psychology COVID-19 Cross-Sectional Studies Depression - epidemiology Depression - etiology Female Health Personnel - psychology Humans Logistic Models Male Mental Health Middle Aged Multivariate Analysis Obsessive-Compulsive Disorder - epidemiology Obsessive-Compulsive Disorder - etiology Pandemics Pneumonia, Viral - psychology Prevalence Sleep Initiation and Maintenance Disorders - epidemiology Sleep Initiation and Maintenance Disorders - etiology Surveys and Questionnaires Young Adult
Title	Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China
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