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Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China.
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.
  • Zhang WR; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Wang K; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Yin L; Department of Neurology, Beijing Puren Hospital, Beijing, China.
  • Zhao WF; Medical Research and Biometrics Center, National Center for Cardiovascular Diseases, Beijing, China.
  • Xue Q; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Peng M; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Min BQ; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Tian Q; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Leng HX; Beijing Institute of Brain Disorders, Capital Medical University, Beijing, China.
  • Du JL; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Chang H; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Yang Y; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Li W; Department of Psychiatry, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • Shangguan FF; Department of Neurology, The 3rd People's Hospital of Chengdu, Chengdu, China.
  • Yan TY; School of Psychology, Capital Normal University, Beijing, China.
  • Dong HQ; School of Life Sciences, Beijing Institute of Technology, Beijing, China.
  • Han Y; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Wang YP; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Cosci F; Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
  • Wang HX; Beijing Key Laboratory of Neuromodulation, Beijing, China.
Psychother Psychosom ; 89(4): 242-250, 2020.
Article in English | MEDLINE | ID: covidwho-45795
ABSTRACT

OBJECTIVE:

We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak.

METHODS:

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).

RESULTS:

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).

CONCLUSIONS:

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.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pneumonia, Viral / Health Personnel / Coronavirus Infections / Depression / Sleep Initiation and Maintenance Disorders / Obsessive-Compulsive Disorder Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Psychother Psychosom Year: 2020 Document Type: Article Affiliation country: 000507639

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Anxiety / Pneumonia, Viral / Health Personnel / Coronavirus Infections / Depression / Sleep Initiation and Maintenance Disorders / Obsessive-Compulsive Disorder Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Psychother Psychosom Year: 2020 Document Type: Article Affiliation country: 000507639