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A cross-sectional study of the psychological status of 33,706 hospital workers at the late stage of the COVID-19 outbreak.
Lixia, Wang; Xiaoming, Xu; Lei, Shi; Su, Hong; Wo, Wang; Xin, Fang; Jianmei, Chen; Qi, Zhang; Ming, Ai; Li, Kuang.
  • Lixia W; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing 400016, China.
  • Xiaoming X; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing 400016, China.
  • Lei S; Mental Health Center, University-Town Hospital of Chongqing Medical University, China.
  • Su H; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing 400016, China.
  • Wo W; Mental Health Center, University-Town Hospital of Chongqing Medical University, China.
  • Xin F; Peking University Hospital Psychotherapy and Counseling Center, China.
  • Jianmei C; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing 400016, China.
  • Qi Z; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing 400016, China.
  • Ming A; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing 400016, China. Electronic address: ami200553@qq.com.
  • Li K; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, No.1 Youyi Road, Yuzhong District, Chongqing 400016, China; Mental Health Center, University-Town Hospital of Chongqing Medical University, China. Electronic address: kuangli0308@163.com.
J Affect Disord ; 297: 156-168, 2022 01 15.
Article in English | MEDLINE | ID: covidwho-1720175
ABSTRACT

BACKGROUND:

Hospital workers have been under intense psychological pressure since the COVID-19 outbreak. We analyzed the psychological status of hospital staff in the late period of the COVID-19 to provide a basis for the construction of global health care after the COVID-19 outbreak.

METHODS:

We used online surveys to assess participants' self-reported symptoms at the late stage of the outbreak. This study collected data on sociodemographic characteristics, epidemic-related factors, psychological status (PHQ-9, GAD-7, and PHQ-15), psychological assistance needs, perceived stress and support, PTSD symptoms (PCL-C) and suicidal and self-injurious ideation (SSI). Participants were hospital workers in all positions from 46 hospitals. Chi-square tests to compare the scales and logistic regression analysis were used to identify risk factors for PTSD and SSI.

RESULTS:

Among the 33,706 participants, the prevalences of depression, anxiety, somatic symptoms, PTSD symptoms, and SSI were 35.8%, 24.4%, 49.7%, 5.0%, and 1.3%, respectively. Logistic regression analysis showed that work in a general ward, attention to the epidemic, high education, work in non-first-line departments, insufficient social support, and anxiety and somatization symptoms were influencing factors of PTSD (P<0.05). The independent risk factors for SSI were female gender; psychological assistance needs; contact with severe COVID-19 patients; high stress at work; single or divorced marital status; insufficient social support; and depression, anxiety or PTSD symptoms (P<0.05).

LIMITATIONS:

This cross-sectional study could not reveal causality, and voluntary participation may have led to selection bias. The longer longitudinal studies are needed to determine the long-term psychological impact.

CONCLUSION:

This COVID-19 pandemic had a sustained, strong psychological impact on hospital workers, and hospital workers with PTSD symptoms were a high-risk group for SSI in the later period of the epidemic. Continuous attention and positive psychological intervention are of great significance for specific populations.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Female / Humans Country/Region as subject: Asia Language: English Journal: J Affect Disord Year: 2022 Document Type: Article Affiliation country: J.jad.2021.10.013

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Female / Humans Country/Region as subject: Asia Language: English Journal: J Affect Disord Year: 2022 Document Type: Article Affiliation country: J.jad.2021.10.013