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COVID-19 outbreak-related psychological distress among healthcare trainees: a cross-sectional study in China.
Wang, Yue; Li, Yuchen; Jiang, Jingwen; Feng, Yuying; Lu, Donghao; Zhang, Wei; Song, Huan.
  • Wang Y; Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.
  • Li Y; Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.
  • Jiang J; West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
  • Feng Y; West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China.
  • Lu D; Student Affairs Office, West China Hospital, Sichuan University, Chengdu, China.
  • Zhang W; Clinical Research Center for Breast Diseases, West China Hospital, Sichuan University, Chengdu, China donghao.lu@ki.se weizhanghx@163.com.
  • Song H; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
BMJ Open ; 10(10): e041671, 2020 10 20.
Article in English | MEDLINE | ID: covidwho-883374
Semantic information from SemMedBD (by NLM)
1. Health Care Systems LOCATION_OF Cross-Sectional Studies
Subject
Health Care Systems
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LOCATION_OF
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Cross-Sectional Studies
2. Health care facility LOCATION_OF Cross-Sectional Studies
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Health care facility
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Cross-Sectional Studies
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Universities
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Cross-Sectional Studies
4. Breast Feeding PROCESS_OF College student
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Breast Feeding
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College student
5. Health Care Systems LOCATION_OF Cross-Sectional Studies
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Health Care Systems
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Cross-Sectional Studies
6. Health care facility LOCATION_OF Cross-Sectional Studies
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Health care facility
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LOCATION_OF
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Cross-Sectional Studies
7. Universities LOCATION_OF Cross-Sectional Studies
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Universities
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8. Breast Feeding PROCESS_OF College student
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Breast Feeding
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ABSTRACT

OBJECTIVES:

The COVID-19 outbreak has caused enormous strain on healthcare systems, and healthcare trainees, which comprise the future healthcare workforce, may be a vulnerable group. It is essential to assess the psychological distress experienced by healthcare trainees during the COVID-19 outbreak. DESIGN, SETTING AND

PARTICIPANTS:

A cross-sectional study with 4184 healthcare trainees at Sichuan University in China was implemented during 7-13 February 2020. Participants were grouped by training programmes (medicine, medical technology and nursing) and training stages (undergraduate, postgraduate and residency). MAIN

OUTCOMES:

COVID-19-related psychological distress and acute stress reaction (ASR) were assessed using the Kessler 6-item Psychological Distress Scale and the Impact of Event Scale-Revised, respectively. We estimated the ORs of distress by comparing trainees across programmes and training stages using multivariable logistic regression.

RESULTS:

Significant psychological distress was found in 1150 (30.90%) participants and probable ASR in 403 (10.74%). Compared with the nursing trainees, the medical trainees (OR 1.54, 95% CI 1.22 to 1.95) reported a higher burden of psychological distress during the outbreak, while the medical technology trainees (OR 1.25, 95% CI 0.97 to 1.62) reported similar symptom scores. Postgraduates (OR 1.55, 95% CI 1.16 to 2.08) in medicine had higher levels of distress than their undergraduate counterparts did, whereas the nursing residents (OR 0.38, 95% CI 0.20 to 0.71) reported a lower burden than did nursing undergraduates. A positive association was found between having active clinical duties during the outbreak and distress (OR 1.17, 95% CI 0.98 to 1.39), particularly among the medical trainees (OR 1.85, 95% CI 1.47 to 2.33) and undergraduates (OR 4.20, 95% CI 1.61 to 11.70). No clear risk patterns of ASR symptoms were observed.

CONCLUSIONS:

Medical trainees, particularly postgraduates and those with active clinical duties, were at risk for psychological distress during the COVID-19 outbreak. Stress management may be considered for high-risk healthcare trainees.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Stress, Psychological / Coronavirus Infections / Pandemics / Betacoronavirus / Psychological Distress Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male / Young adult Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2020 Document Type: Article Affiliation country: Bmjopen-2020-041671

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Stress, Psychological / Coronavirus Infections / Pandemics / Betacoronavirus / Psychological Distress Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Adult / Female / Humans / Male / Young adult Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2020 Document Type: Article Affiliation country: Bmjopen-2020-041671