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Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation.
J Affect Disord. 2020 09 01; 274:405-410.JA

Abstract

BACKGROUND

Since the outbreak of 2019 new coronavirus (COVID-19) pneumonia, healthcare workers (HCW) have suffered psychological stress. The present study is to examine the prevalence of stress, anxiety and depression of HCW in China during the COVID-19 epidemic, and to determine the risk factors predicting psychological morbidities that can be used as psychological intervention targets.

METHODS

A cross-sectional survey was conducted to investigate the psychological levels of HCW in multiple centers in China. The prevalence of stress, anxiety and depression were determined by using Perceived Stress Scale (PSS-14) and Hospital Anxiety / Depression scale (HAD). Psychology related factors were evaluated and correlation between job title and contact history was analyzed.

RESULTS

We received 958 of effective responses, 73.6% of which were from Wuhan and 67.2% were female participants. 55.1% of respondents had psychological stress that is higher than that of HCW during SARS. 54.2% and 58% of participants had symptoms of anxiety and depression. Stress levels of HCW were different in job titles and years of work experience. Anxiety and depression levels were different between different gender, job titles, degrees of protective measures and levels of contact history. Gender, intermediate title, protective measures and contact history were the independent risk factors for anxiety. Protective measures and contact history were the independent risk factors for depression.

CONCLUSIONS

The COVID-19 epidemic has induced stress levels for HCW, and high percentages of HCW have anxiety and depression. The situation of HCW is worrying and intervention service is urgent.

Authors+Show Affiliations

Zhongnan Hospital of Wuhan University, Wuhan City, Hubei Province, People's Republic of China.Zhongnan Hospital of Wuhan University, Wuhan City, Hubei Province, People's Republic of China.Zhongnan Hospital of Wuhan University, Wuhan City, Hubei Province, People's Republic of China.Renmin Hospital of Wuhan University, Wuhan City, People's Republic of China.Zhongnan Hospital of Wuhan University, Wuhan City, Hubei Province, People's Republic of China. Electronic address: xiliusa2000@126.com.Zhongnan Hospital of Wuhan University, Wuhan City, Hubei Province, People's Republic of China. Electronic address: jsxiao2000@sina.com.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

32663970

Citation

Xiao, Xiao, et al. "Psychological Impact of Healthcare Workers in China During COVID-19 Pneumonia Epidemic: a Multi-center Cross-sectional Survey Investigation." Journal of Affective Disorders, vol. 274, 2020, pp. 405-410.
Xiao X, Zhu X, Fu S, et al. Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. J Affect Disord. 2020;274:405-410.
Xiao, X., Zhu, X., Fu, S., Hu, Y., Li, X., & Xiao, J. (2020). Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. Journal of Affective Disorders, 274, 405-410. https://doi.org/10.1016/j.jad.2020.05.081
Xiao X, et al. Psychological Impact of Healthcare Workers in China During COVID-19 Pneumonia Epidemic: a Multi-center Cross-sectional Survey Investigation. J Affect Disord. 2020 09 1;274:405-410. PubMed PMID: 32663970.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. AU - Xiao,Xiao, AU - Zhu,Xiaobin, AU - Fu,Shuai, AU - Hu,Yugang, AU - Li,Xiaoning, AU - Xiao,Jinsong, Y1 - 2020/05/19/ PY - 2020/03/06/received PY - 2020/05/06/revised PY - 2020/05/15/accepted PY - 2020/7/16/entrez PY - 2020/7/16/pubmed PY - 2020/8/1/medline KW - Anxiety KW - COVID-19 KW - Depression KW - Health care workers KW - Stress SP - 405 EP - 410 JF - Journal of affective disorders JO - J Affect Disord VL - 274 N2 - BACKGROUND: Since the outbreak of 2019 new coronavirus (COVID-19) pneumonia, healthcare workers (HCW) have suffered psychological stress. The present study is to examine the prevalence of stress, anxiety and depression of HCW in China during the COVID-19 epidemic, and to determine the risk factors predicting psychological morbidities that can be used as psychological intervention targets. METHODS: A cross-sectional survey was conducted to investigate the psychological levels of HCW in multiple centers in China. The prevalence of stress, anxiety and depression were determined by using Perceived Stress Scale (PSS-14) and Hospital Anxiety / Depression scale (HAD). Psychology related factors were evaluated and correlation between job title and contact history was analyzed. RESULTS: We received 958 of effective responses, 73.6% of which were from Wuhan and 67.2% were female participants. 55.1% of respondents had psychological stress that is higher than that of HCW during SARS. 54.2% and 58% of participants had symptoms of anxiety and depression. Stress levels of HCW were different in job titles and years of work experience. Anxiety and depression levels were different between different gender, job titles, degrees of protective measures and levels of contact history. Gender, intermediate title, protective measures and contact history were the independent risk factors for anxiety. Protective measures and contact history were the independent risk factors for depression. CONCLUSIONS: The COVID-19 epidemic has induced stress levels for HCW, and high percentages of HCW have anxiety and depression. The situation of HCW is worrying and intervention service is urgent. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/32663970/Psychological_impact_of_healthcare_workers_in_China_during_COVID_19_pneumonia_epidemic:_A_multi_center_cross_sectional_survey_investigation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(20)30792-8 DB - PRIME DP - Unbound Medicine ER -