Anxiety and depression symptoms of medical staff under COVID-19 epidemic in China

•The estimated self-reported rates of anxiety symptoms and depression symptoms among medical staff were 13.3% and 18.4% respectively under COVID-19 epidemic.•Up to 23.9% investigated medical staff reported having anxiety or depression symptoms.•Psychological interventions for medical staff should be...

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Vydané v:	Journal of affective disorders Ročník 278; s. 144 - 148
Hlavní autori:	Liu, Yuan, Chen, Hongguang, Zhang, Nan, Wang, Xing, Fan, Qinyi, Zhang, Yuling, Huang, Liping, Hu, Bo, Li, Mengqian
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Netherlands Elsevier B.V 01.01.2021
Predmet:	Adult Anxiety Anxiety Disorders - epidemiology Anxiety Disorders - psychology China - epidemiology Correlators COVID-19 - psychology Cross-Sectional Studies Depression Depressive Disorder - epidemiology Depressive Disorder - psychology Female Humans Male Medical staff Medical Staff - psychology Medical Staff - statistics & numerical data Mental health Pandemics Patient Health Questionnaire Prevalence Psychiatric/Mental Health Research Paper Stress China Depression Anxiety Correlators Medical staff Stress Mental health
ISSN:	0165-0327, 1573-2517, 1573-2517
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Abstract	•The estimated self-reported rates of anxiety symptoms and depression symptoms among medical staff were 13.3% and 18.4% respectively under COVID-19 epidemic.•Up to 23.9% investigated medical staff reported having anxiety or depression symptoms.•Psychological interventions for medical staff should be integrated into the strategies for fighting COVID-19. It is well known that unexpected pandemic has led to an increase in mental health problems among a variety of populations. In this study, an online non-probability sample survey was used to anonymously investigate the anxiety and depression symptoms among medical staff under the COVID-19 outbreak. The questionnaire included Perceived Stress Scale-10 (PSS-10), Generalized Anxiety Disorder 7-Item Scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Factors associated with anxiety and depression symptoms were estimated by logistic regression analysis. A total of 1090 medical staff were investigated in this study. The estimated self-reported rates of anxiety symptoms, depression symptoms and both of the two were 13.3%, 18.4% and 23.9% respectively. Factors associated with self-reported anxiety symptoms include married status (OR=2.3, 95%CI: 1.2, 4.4), not living alone (OR=0.4, 95%CI: 0.2, 0.7), never confiding their troubles to others (OR=2.2, 95%CI: 1.4, 3.5) and higher stress (OR=14.4, 95%CI: 7.8, 26.4). Factors associated with self-reported depression symptoms include not living alone (OR=0.4, 95%CI: 0.3, 0.7), sometimes/often getting care from neighbours (OR=0.6, 95%CI: 0.4, 0.9), never confiding their troubles to others (OR=2.0, 95%CI: 1.3, 3.0) and higher stress (OR=9.7, 95%CI: 6.2, 15.2). The study was a non-probability sample survey. Besides, scales used in this study can only identify mental health states. Under outbreak of COVID-19, self-reported rates of anxiety symptoms and depression symptoms were high in investigated medical staff. Psychological interventions for those at high risk with common mental problems should be integrated into the work plan to fight against the epidemic.
AbstractList	•The estimated self-reported rates of anxiety symptoms and depression symptoms among medical staff were 13.3% and 18.4% respectively under COVID-19 epidemic.•Up to 23.9% investigated medical staff reported having anxiety or depression symptoms.•Psychological interventions for medical staff should be integrated into the strategies for fighting COVID-19. It is well known that unexpected pandemic has led to an increase in mental health problems among a variety of populations. In this study, an online non-probability sample survey was used to anonymously investigate the anxiety and depression symptoms among medical staff under the COVID-19 outbreak. The questionnaire included Perceived Stress Scale-10 (PSS-10), Generalized Anxiety Disorder 7-Item Scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Factors associated with anxiety and depression symptoms were estimated by logistic regression analysis. A total of 1090 medical staff were investigated in this study. The estimated self-reported rates of anxiety symptoms, depression symptoms and both of the two were 13.3%, 18.4% and 23.9% respectively. Factors associated with self-reported anxiety symptoms include married status (OR=2.3, 95%CI: 1.2, 4.4), not living alone (OR=0.4, 95%CI: 0.2, 0.7), never confiding their troubles to others (OR=2.2, 95%CI: 1.4, 3.5) and higher stress (OR=14.4, 95%CI: 7.8, 26.4). Factors associated with self-reported depression symptoms include not living alone (OR=0.4, 95%CI: 0.3, 0.7), sometimes/often getting care from neighbours (OR=0.6, 95%CI: 0.4, 0.9), never confiding their troubles to others (OR=2.0, 95%CI: 1.3, 3.0) and higher stress (OR=9.7, 95%CI: 6.2, 15.2). The study was a non-probability sample survey. Besides, scales used in this study can only identify mental health states. Under outbreak of COVID-19, self-reported rates of anxiety symptoms and depression symptoms were high in investigated medical staff. Psychological interventions for those at high risk with common mental problems should be integrated into the work plan to fight against the epidemic. Highlights•The estimated self-reported rates of anxiety symptoms and depression symptoms among medical staff were 13.3% and 18.4% respectively under COVID-19 epidemic. •Up to 23.9% investigated medical staff reported having anxiety or depression symptoms. •Psychological interventions for medical staff should be integrated into the strategies for fighting COVID-19. It is well known that unexpected pandemic has led to an increase in mental health problems among a variety of populations. In this study, an online non-probability sample survey was used to anonymously investigate the anxiety and depression symptoms among medical staff under the COVID-19 outbreak. The questionnaire included Perceived Stress Scale-10 (PSS-10), Generalized Anxiety Disorder 7-Item Scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Factors associated with anxiety and depression symptoms were estimated by logistic regression analysis. A total of 1090 medical staff were investigated in this study. The estimated self-reported rates of anxiety symptoms, depression symptoms and both of the two were 13.3%, 18.4% and 23.9% respectively. Factors associated with self-reported anxiety symptoms include married status (OR=2.3, 95%CI: 1.2, 4.4), not living alone (OR=0.4, 95%CI: 0.2, 0.7), never confiding their troubles to others (OR=2.2, 95%CI: 1.4, 3.5) and higher stress (OR=14.4, 95%CI: 7.8, 26.4). Factors associated with self-reported depression symptoms include not living alone (OR=0.4, 95%CI: 0.3, 0.7), sometimes/often getting care from neighbours (OR=0.6, 95%CI: 0.4, 0.9), never confiding their troubles to others (OR=2.0, 95%CI: 1.3, 3.0) and higher stress (OR=9.7, 95%CI: 6.2, 15.2). The study was a non-probability sample survey. Besides, scales used in this study can only identify mental health states. Under outbreak of COVID-19, self-reported rates of anxiety symptoms and depression symptoms were high in investigated medical staff. Psychological interventions for those at high risk with common mental problems should be integrated into the work plan to fight against the epidemic. It is well known that unexpected pandemic has led to an increase in mental health problems among a variety of populations.BACKGROUNDIt is well known that unexpected pandemic has led to an increase in mental health problems among a variety of populations.In this study, an online non-probability sample survey was used to anonymously investigate the anxiety and depression symptoms among medical staff under the COVID-19 outbreak. The questionnaire included Perceived Stress Scale-10 (PSS-10), Generalized Anxiety Disorder 7-Item Scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Factors associated with anxiety and depression symptoms were estimated by logistic regression analysis.METHODSIn this study, an online non-probability sample survey was used to anonymously investigate the anxiety and depression symptoms among medical staff under the COVID-19 outbreak. The questionnaire included Perceived Stress Scale-10 (PSS-10), Generalized Anxiety Disorder 7-Item Scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Factors associated with anxiety and depression symptoms were estimated by logistic regression analysis.A total of 1090 medical staff were investigated in this study. The estimated self-reported rates of anxiety symptoms, depression symptoms and both of the two were 13.3%, 18.4% and 23.9% respectively. Factors associated with self-reported anxiety symptoms include married status (OR=2.3, 95%CI: 1.2, 4.4), not living alone (OR=0.4, 95%CI: 0.2, 0.7), never confiding their troubles to others (OR=2.2, 95%CI: 1.4, 3.5) and higher stress (OR=14.4, 95%CI: 7.8, 26.4). Factors associated with self-reported depression symptoms include not living alone (OR=0.4, 95%CI: 0.3, 0.7), sometimes/often getting care from neighbours (OR=0.6, 95%CI: 0.4, 0.9), never confiding their troubles to others (OR=2.0, 95%CI: 1.3, 3.0) and higher stress (OR=9.7, 95%CI: 6.2, 15.2).RESULTSA total of 1090 medical staff were investigated in this study. The estimated self-reported rates of anxiety symptoms, depression symptoms and both of the two were 13.3%, 18.4% and 23.9% respectively. Factors associated with self-reported anxiety symptoms include married status (OR=2.3, 95%CI: 1.2, 4.4), not living alone (OR=0.4, 95%CI: 0.2, 0.7), never confiding their troubles to others (OR=2.2, 95%CI: 1.4, 3.5) and higher stress (OR=14.4, 95%CI: 7.8, 26.4). Factors associated with self-reported depression symptoms include not living alone (OR=0.4, 95%CI: 0.3, 0.7), sometimes/often getting care from neighbours (OR=0.6, 95%CI: 0.4, 0.9), never confiding their troubles to others (OR=2.0, 95%CI: 1.3, 3.0) and higher stress (OR=9.7, 95%CI: 6.2, 15.2).The study was a non-probability sample survey. Besides, scales used in this study can only identify mental health states.LIMITATIONSThe study was a non-probability sample survey. Besides, scales used in this study can only identify mental health states.Under outbreak of COVID-19, self-reported rates of anxiety symptoms and depression symptoms were high in investigated medical staff. Psychological interventions for those at high risk with common mental problems should be integrated into the work plan to fight against the epidemic.CONCLUSIONSUnder outbreak of COVID-19, self-reported rates of anxiety symptoms and depression symptoms were high in investigated medical staff. Psychological interventions for those at high risk with common mental problems should be integrated into the work plan to fight against the epidemic. • The estimated self-reported rates of anxiety symptoms and depression symptoms among medical staff were 13.3% and 18.4% respectively under COVID-19 epidemic. • Up to 23.9% investigated medical staff reported having anxiety or depression symptoms. • Psychological interventions for medical staff should be integrated into the strategies for fighting COVID-19.
Author	Huang, Liping Liu, Yuan Chen, Hongguang Zhang, Nan Fan, Qinyi Wang, Xing Zhang, Yuling Li, Mengqian Hu, Bo
Author_xml	– sequence: 1 givenname: Yuan surname: Liu fullname: Liu, Yuan organization: Department of Psychosomatic medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China – sequence: 2 givenname: Hongguang surname: Chen fullname: Chen, Hongguang organization: Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100083, China – sequence: 3 givenname: Nan surname: Zhang fullname: Zhang, Nan organization: Department of Psychosomatic medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China – sequence: 4 givenname: Xing surname: Wang fullname: Wang, Xing organization: Medical Experimental Teaching Center of Nanchang University, Nanchang 330031, China – sequence: 5 givenname: Qinyi surname: Fan fullname: Fan, Qinyi organization: Harbin First Special Hospital, Harbin 150056, China – sequence: 6 givenname: Yuling surname: Zhang fullname: Zhang, Yuling organization: Infectious Disease Hospital of Heilongjiang Province, Heilongjiang 150500, China – sequence: 7 givenname: Liping surname: Huang fullname: Huang, Liping organization: Department of Psychosomatic medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China – sequence: 8 givenname: Bo surname: Hu fullname: Hu, Bo email: hubo7829@163.com organization: Department of Psychosomatic medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China – sequence: 9 givenname: Mengqian surname: Li fullname: Li, Mengqian email: limengqian@126.com organization: Department of Psychosomatic medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
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Keywords	Depression Anxiety Correlators Medical staff Stress Mental health
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Snippet	•The estimated self-reported rates of anxiety symptoms and depression symptoms among medical staff were 13.3% and 18.4% respectively under COVID-19... Highlights•The estimated self-reported rates of anxiety symptoms and depression symptoms among medical staff were 13.3% and 18.4% respectively under COVID-19... It is well known that unexpected pandemic has led to an increase in mental health problems among a variety of populations. In this study, an online... It is well known that unexpected pandemic has led to an increase in mental health problems among a variety of populations.BACKGROUNDIt is well known that... • The estimated self-reported rates of anxiety symptoms and depression symptoms among medical staff were 13.3% and 18.4% respectively under COVID-19 epidemic....
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SubjectTerms	Adult Anxiety Anxiety Disorders - epidemiology Anxiety Disorders - psychology China - epidemiology Correlators COVID-19 - psychology Cross-Sectional Studies Depression Depressive Disorder - epidemiology Depressive Disorder - psychology Female Humans Male Medical staff Medical Staff - psychology Medical Staff - statistics & numerical data Mental health Pandemics Patient Health Questionnaire Prevalence Psychiatric/Mental Health Research Paper Stress
Title	Anxiety and depression symptoms of medical staff under COVID-19 epidemic in China
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