The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned

doi:10.1016/j.jad.2020.08.059

. 2020 Dec 1:277:510-514.

doi: 10.1016/j.jad.2020.08.059. Epub 2020 Aug 26.

The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned

Yongjie Zhou¹, Wenjuan Wang², Yanping Sun², Wei Qian³, Zhengkui Liu³, Ruoxi Wang⁴, Ling Qi⁵, Jiezhi Yang⁶, Xiuli Song⁷, Xin Zhou⁸, Lingyun Zeng¹, Tiebang Liu¹, Zezhi Li⁹, Xiangyang Zhang¹⁰

Affiliations

¹ Shenzhen Kangning Hospital, Guangdong, Shenzhen, China.
² Qingdao Mental Health Center, Qingdao University, Qingdao, China.
³ CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
⁴ School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
⁵ School of Health Science and Nursing, Wuhan Polytechnic University, Wuhan, China.
⁶ Shenzhen Health Development Research Center, Shenzhen, China.
⁷ Clinical psychology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, China.
⁸ Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China.
⁹ Department of Neurology, Ren Ji Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China. Electronic address: lizezhi1981@aliyun.com.
¹⁰ Shenzhen Kangning Hospital, Guangdong, Shenzhen, China; CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China. Electronic address: zhangxy@psych.ac.cn.

PMID: 32882508
PMCID: PMC7448730
DOI: 10.1016/j.jad.2020.08.059

The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned

Yongjie Zhou et al. J Affect Disord. 2020.

. 2020 Dec 1:277:510-514.

doi: 10.1016/j.jad.2020.08.059. Epub 2020 Aug 26.

Authors

Affiliations

¹ Shenzhen Kangning Hospital, Guangdong, Shenzhen, China.
² Qingdao Mental Health Center, Qingdao University, Qingdao, China.
³ CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
⁴ School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
⁵ School of Health Science and Nursing, Wuhan Polytechnic University, Wuhan, China.
⁶ Shenzhen Health Development Research Center, Shenzhen, China.
⁷ Clinical psychology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, China.
⁸ Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan, China.
⁹ Department of Neurology, Ren Ji Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China. Electronic address: lizezhi1981@aliyun.com.
¹⁰ Shenzhen Kangning Hospital, Guangdong, Shenzhen, China; CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China. Electronic address: zhangxy@psych.ac.cn.

PMID: 32882508
PMCID: PMC7448730
DOI: 10.1016/j.jad.2020.08.059

Erratum in

Corrigendum to "The prevalence and risk factors of psychological disturbances of frontline medical staff in China under the COVID-19 epidemic: workload should be concerned". [Journal of Affective Disorders 2020; 277:510-514.].
Zhou Y, Wang W, Sun Y, Qian W, Liu Z, Wang R, Qi L, Yang J, Song X, Zhou X, Zeng L, Liu T, Li Z, Zhang X. Zhou Y, et al. J Affect Disord. 2022 Feb 15;299:721. doi: 10.1016/j.jad.2021.12.033. Epub 2021 Dec 20. J Affect Disord. 2022. PMID: 34937661 Free PMC article. No abstract available.

Abstract

Background: To our best knowledge, this was the first time to investigate the prevalence and risk factors of psychological disturbances, including depression, anxiety, somatization symptoms, insomnia and suicide, among frontline medical staff, who were working with the COVID-10 infected patients directly.

Methods: Patient Health Questionnaire Depression (PHQ-9), Generalized Anxiety Disorder Questionnaire scale (GAD-7), Symptom Check List-90 (SCL-90) somatization, Insomnia Severity Index (ISI), and the suicidal module of the Mini International Neuropsychiatric Interview were used for online survey.

Results: A total of 606 frontline hospital staff and1099 general population were recruited. The prevalence of depression, anxiety, somatization symptoms, insomnia, and suicide risk in frontline medical staffs were 57.6%, 45.4%, 12.0%, 32.0% and 13.0%, respectively. Except for suicide risk, the prevalence of other psychological disorders in frontline medical staff were higher than those in general population (all p<0.01). Among the frontline medical staff, the daily working hours were associated with all psychological disturbance (all p<0.01), women with anxiety (p = 0.02), body mass index (BMI) with anxiety and insomnia (p = 0.02, p = 0.03). Age was negatively associated with depression, anxiety, and insomnia (all p<0.01). Finally, years of working and family income were negatively associated with suicide risk (p = 0.03, p<0.001).

Conclusion: Our study demonstrates that during the outbreak of COVID-19, the frontline medical staff are more likely to suffer from psychological disturbances than general population. It is noticeable that daily working hours are a risk factor for all measured psychological disturbances, and some other variables may be involved in certain psychological disturbances of frontline medical staff.

Keywords: Covid-19; Health workers; Prevalence; Psychosocial disturbances; Risk factor.

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References

1. Cole D.C., Koehoorn M., Ibrahim S., Hertzman C., Ostry A., Xu F., Brown P. Regions, hospitals and health outcomes over time: a multi-level analysis of repeat prevalence among a cohort of health-care workers. Health Place. 2009;15:1046–1057. - PubMed
1. Fau D.L., Lipman R.S., Covi L. SCL-90: an outpatient psychiatric rating scale–preliminary report. Psychopharmacol Bull. 1973;9:13–28. - PubMed
1. Gao, J.L., Zheng, P.P., Jia, Y.N., et al. (2/17/2020). Mental Health Problems and Social Media Exposure During COVID-19 Outbreak. Available at SSRN:https://ssrn.com/abstract=3541120. - PMC - PubMed
1. Goyal K., Chauhan P., Chhikara K., Gupta P., Singh M.P. Fear of COVID 2019: first suicidal case in India! Asian J Psychiatr. 2020;49 - PMC - PubMed
1. Guan W.J., Ni Z.Y., Hu Y., Liang W.H., Ou C.Q., He J.X. China Medical Treatment Expert Group for Covid-19. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020 doi: 10.1056/NEJMoa20020322. - DOI - PMC - PubMed

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[1] Cole D.C., Koehoorn M., Ibrahim S., Hertzman C., Ostry A., Xu F., Brown P. Regions, hospitals and health outcomes over time: a multi-level analysis of repeat prevalence among a cohort of health-care workers. Health Place. 2009;15:1046–1057. - PubMed

[2] Cole D.C., Koehoorn M., Ibrahim S., Hertzman C., Ostry A., Xu F., Brown P. Regions, hospitals and health outcomes over time: a multi-level analysis of repeat prevalence among a cohort of health-care workers. Health Place. 2009;15:1046–1057. - PubMed

[3] Fau D.L., Lipman R.S., Covi L. SCL-90: an outpatient psychiatric rating scale–preliminary report. Psychopharmacol Bull. 1973;9:13–28. - PubMed

[4] Fau D.L., Lipman R.S., Covi L. SCL-90: an outpatient psychiatric rating scale–preliminary report. Psychopharmacol Bull. 1973;9:13–28. - PubMed

[5] Gao, J.L., Zheng, P.P., Jia, Y.N., et al. (2/17/2020). Mental Health Problems and Social Media Exposure During COVID-19 Outbreak. Available at SSRN:https://ssrn.com/abstract=3541120. - PMC - PubMed

[6] Gao, J.L., Zheng, P.P., Jia, Y.N., et al. (2/17/2020). Mental Health Problems and Social Media Exposure During COVID-19 Outbreak. Available at SSRN:https://ssrn.com/abstract=3541120. - PMC - PubMed

[7] Goyal K., Chauhan P., Chhikara K., Gupta P., Singh M.P. Fear of COVID 2019: first suicidal case in India! Asian J Psychiatr. 2020;49 - PMC - PubMed

[8] Goyal K., Chauhan P., Chhikara K., Gupta P., Singh M.P. Fear of COVID 2019: first suicidal case in India! Asian J Psychiatr. 2020;49 - PMC - PubMed

[9] Guan W.J., Ni Z.Y., Hu Y., Liang W.H., Ou C.Q., He J.X. China Medical Treatment Expert Group for Covid-19. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020 doi: 10.1056/NEJMoa20020322. - DOI - PMC - PubMed

[10] Guan W.J., Ni Z.Y., Hu Y., Liang W.H., Ou C.Q., He J.X. China Medical Treatment Expert Group for Covid-19. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020 doi: 10.1056/NEJMoa20020322. - DOI - PMC - PubMed

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The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned

Affiliations

The prevalence and risk factors of psychological disturbances of frontline medical staff in china under the COVID-19 epidemic: Workload should be concerned

Authors

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