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.
基金:
National Natural Science Foundation of China [81771862]; National Key R&D Program of China [2017YFC1310001, 2016YFC1307000]; Beijing Municipal Science and Technology Project [Z171100000117016]; Beijing Natural Science Foundation [KZ201710025017]; Beijing Municipal Hospital Research and Development Plan [PX2017069]; Beijing Hundred Talent Project [2017-CXYF-09]; Beijing Key Clinical Speciality Excellence Project; Beijing Thousand Talent Project [2017-CXYF-09]; Beijing Ten Thousand Talent Project [2017-CXYF-09]
第一作者单位:[1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Div Neuropsychiat & Psychosomat, Beijing, Peoples R China
通讯作者:
通讯机构:[1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Div Neuropsychiat & Psychosomat, Beijing, Peoples R China[9]Beijing Key Lab Neuromodulat, Beijing, Peoples R China[10]Capital Med Univ, Ctr Epilepsy, Beijing Inst Brain Disorders, Beijing, Peoples R China[12]Capital Med Univ, Xuanwu Hosp, Beijing Psychosomat Dis Consultat Ctr, Beijing, Peoples R China[*1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 Changchun St, Beijing 100053, Peoples R China
推荐引用方式(GB/T 7714):
Zhang Wen-rui,Wang Kun,Yin Lu,et al.Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China[J].PSYCHOTHERAPY AND PSYCHOSOMATICS.2020,89(4):242-250.doi:10.1159/000507639.
APA:
Zhang, Wen-rui,Wang, Kun,Yin, Lu,Zhao, Wen-feng,Xue, Qing...&Wang, Hong-xing.(2020).Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China.PSYCHOTHERAPY AND PSYCHOSOMATICS,89,(4)
MLA:
Zhang, Wen-rui,et al."Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China".PSYCHOTHERAPY AND PSYCHOSOMATICS 89..4(2020):242-250