A study on level of mental health and influencing factors of medical staff in the makeshift hospital during COVID-19 in Shanghai.

Objective To analyze the mental health status of medical staff in the Fourth Branch of National Convention and Exhibition Center Makeshift Hospital during the COVID-19 epidemic in Shanghai to lay a theoretical foundation for the mental health and psychological intervention of medical staff in COVID-19 and other public health emergencies. Methods An online questionnaire survey was conducted with the generalized anxiety disorder scale (GAD-7), patient health questionnaire (PHQ-9), and Athens insomnia scale (AIS) before medical staff entering the makeshift hospital and one month later. Results The detection rates of anxiety, depression and insomnia were 18.4%, 22.1% and 27.0% respectively before entering the makeshift hospital, and 28.8%, 59.3% and 64.2% respectively during the follow-up period one month later. The GAD-7, PHQ-9 and AIS scores of medical staff after working in the makeshift hospital for one month increased significantly compared with those at the baseline period (P<0.01). Female and previous history of using sedative and hypnotic drugs were risk factors for increased depression level among medical staff in the makeshift hospital. Conclusions The anxiety, depression and insomnia levels of the medical staff in Shanghai increased after working in the makeshift hospital for one month. It is of great significance for the front-line support work to identify the medical staff with serious psychological problems and carry out psychological intervention in the early stage.Copyright © 2022 Authors. All rights reserved.

Resilient Real Estate

The editors of the special real estate issue introduce the articles contained in the issue and relate them to the concept of resiliency in real estate investments. COVID-19 had a major impact on returns to real estate. However, the resilience of property returns to COVID-19 varied significantly by location, by sector, and even across individual assets of the same property type in the same city. Resilient investments are those able to withstand the effect of not only acute disruptions in the market but also chronic longer-term threats. For real estate, these threats include pandemics, climate change, changing demographics, changes in tenant preferences, changes in technology, and even factors that are unknown and unpredictable at the moment but that may become important in the future. As some of these threats may not be insurable and may not be diversifiable, much of the work of risk management in creating resilient real estate portfolios will need to be at the property level. A number of approaches can be implemented to increase resilience at a property, but flexibility in building design may be among the most important.