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Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population.
Int J Environ Res Public Health. 2020 09 09; 17(18)IJ

Abstract

BACKGROUND

Since December 2019, China has been affected by a severe outbreak of coronavirus disease 2019 (COVID-19). Frontline medical workers experienced difficulty due to the high risk of being infected and long and distressing work shifts. The current study aims to evaluate psychological symptoms in frontline medical workers during the COVID-19 epidemic in China and to perform a comparison with the general population.

METHODS

An online survey was conducted from 14 February 2020 to 29 March 2020. A total of 899 frontline medical workers and 1104 respondents in the general population participated. Depression, anxiety, insomnia, and resilience were assessed via the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), Insomnia Severity Index (ISI), and abbreviated Connor-Davidson Resilience Scale (CD-RISC-10), respectively.

RESULTS

Overall, 30.43%, 20.29%, and 14.49% of frontline medical workers in Hubei Province and 23.13%, 13.14%, and 10.64% of frontline medical workers in other regions reported symptoms of depression, anxiety, and insomnia, respectively. In addition, 23.33%, 16.67%, and 6.67% of the general population in Hubei Province and 18.25%, 9.22%, and 7.17% of the general population in other regions reported symptoms of depression, anxiety, and insomnia, respectively. The resilience of frontline medical staff outside Hubei Province was higher than that of the general population outside Hubei Province.

CONCLUSION

A large proportion of frontline medical workers and the general public experienced psychological symptoms during the COVID-19 outbreak. Psychological services for frontline medical workers and the general public are needed.

Links

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Authors+Show Affiliations

Liang Y
CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China. Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China.
Wu K
CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China. Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China.
Zhou Y
Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan 430074, China.
Huang X
CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China. Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China.
Zhou Y
CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China. Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China.
Liu Z
CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China. Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China.

MeSH

AnxietyBetacoronavirusCOVID-19ChinaCoronavirusCoronavirus InfectionsCross-Sectional StudiesDepressionFemaleHealth PersonnelHumansMaleMental HealthPandemicsPneumonia, ViralPrevalenceSARS-CoV-2Sleep Initiation and Maintenance DisordersSurveys and Questionnaires

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32916836

Citation

Liang, Yiming, et al. "Mental Health in Frontline Medical Workers During the 2019 Novel Coronavirus Disease Epidemic in China: a Comparison With the General Population." International Journal of Environmental Research and Public Health, vol. 17, no. 18, 2020.
Liang Y, Wu K, Zhou Y, et al. Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population. Int J Environ Res Public Health. 2020;17(18).
Liang, Y., Wu, K., Zhou, Y., Huang, X., Zhou, Y., & Liu, Z. (2020). Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population. International Journal of Environmental Research and Public Health, 17(18). https://doi.org/10.3390/ijerph17186550
Liang Y, et al. Mental Health in Frontline Medical Workers During the 2019 Novel Coronavirus Disease Epidemic in China: a Comparison With the General Population. Int J Environ Res Public Health. 2020 09 9;17(18) PubMed PMID: 32916836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population. AU - Liang,Yiming, AU - Wu,Kankan, AU - Zhou,Yongjie, AU - Huang,Xin, AU - Zhou,Yueyue, AU - Liu,Zhengkui, Y1 - 2020/09/09/ PY - 2020/07/13/received PY - 2020/09/03/revised PY - 2020/09/07/accepted PY - 2020/9/12/entrez PY - 2020/9/13/pubmed PY - 2020/9/20/medline KW - COVID-19 KW - coronavirus KW - frontline medical workers KW - general public KW - mental health JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 17 IS - 18 N2 - BACKGROUND: Since December 2019, China has been affected by a severe outbreak of coronavirus disease 2019 (COVID-19). Frontline medical workers experienced difficulty due to the high risk of being infected and long and distressing work shifts. The current study aims to evaluate psychological symptoms in frontline medical workers during the COVID-19 epidemic in China and to perform a comparison with the general population. METHODS: An online survey was conducted from 14 February 2020 to 29 March 2020. A total of 899 frontline medical workers and 1104 respondents in the general population participated. Depression, anxiety, insomnia, and resilience were assessed via the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), Insomnia Severity Index (ISI), and abbreviated Connor-Davidson Resilience Scale (CD-RISC-10), respectively. RESULTS: Overall, 30.43%, 20.29%, and 14.49% of frontline medical workers in Hubei Province and 23.13%, 13.14%, and 10.64% of frontline medical workers in other regions reported symptoms of depression, anxiety, and insomnia, respectively. In addition, 23.33%, 16.67%, and 6.67% of the general population in Hubei Province and 18.25%, 9.22%, and 7.17% of the general population in other regions reported symptoms of depression, anxiety, and insomnia, respectively. The resilience of frontline medical staff outside Hubei Province was higher than that of the general population outside Hubei Province. CONCLUSION: A large proportion of frontline medical workers and the general public experienced psychological symptoms during the COVID-19 outbreak. Psychological services for frontline medical workers and the general public are needed. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/32916836/Mental_Health_in_Frontline_Medical_Workers_during_the_2019_Novel_Coronavirus_Disease_Epidemic_in_China:_A_Comparison_with_the_General_Population_ DB - PRIME DP - Unbound Medicine ER -