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Acute psychological impact of coronavirus disease 2019 outbreak among psychiatric professionals in China: a multicentre, cross-sectional, web-based study.
BMJ Open. 2021 05 11; 11(5):e047828.BO

Abstract

OBJECTIVES

To assess the magnitude of mental health outcomes and associated factors among psychiatric professionals in mental health services during COVID-19 in China.

DESIGN, SETTING AND PARTICIPANTS

This cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from psychiatric professionals in 34 hospitals between 29 January and 7 February 2020, in China. Hospitals equipped with fever clinics or deployed on wards for patients with COVID-19 were eligible.

PRIMARY OUTCOME AND MEASURES

The severity of symptoms of depression, anxiety, insomnia and distress were assessed by the Chinese versions of 9-item Patient Health Questionnaire, 7-item Generalised Anxiety Disorder, 7-item Insomnia Severity Index and 22-item Impact of Event Scale-Revised, respectively. Multivariable logistic regression and structural equation modelling was performed to identify factors associated with mental health outcomes.

RESULTS

A total of 610 psychiatric professionals were included. 29.8% were employed in Wuhan, and 22.5% were frontline workers. A considerable proportion of participants reported symptoms of depression (461 (75.6%)), anxiety (282 (46.2%)), insomnia (336 (55.1%)) and mental stress (481 (78.9%)). Psychiatric symptoms were associated with worrying about infection (eg, OR 2.36 (95% CI 1.27 to 4.39) for anxiety), risks of exposure to COVID-19 (eg, having inadequate personal protection equipment, OR 2.43 (1.32 to 4.47) for depression) and self-perceived physical health (eg, OR 3.22 (2.24 to 4.64) for mental stress). Information sources of COVID-19 were also found to be both positively (eg, information from relatives, OR 2.16 (1.46 to 3.21) for mental stress) and negatively (eg, information from TV, OR 0.52 (0.35 to 0.77) for mental stress) associated with mental stress. There is preliminary evidence that mental health might benefit from greater availability of mental healthcare services. The structural equation model analysis indicated that worrying about infection may be the primary mediator via which risk of exposure to COVID-19 pandemic affects the mental health of psychiatric professionals.

CONCLUSIONS

The current findings demonstrate several pathways via which the COVID-19 pandemic may have negatively affected the mental health of psychiatric professionals in China.

Authors+Show Affiliations

Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.Shanghai Clinical Research Center for Mental Health, Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.School of Computer Science & Technology, Huazhong University of Science and Technology, Wuhan, China.Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.Department of Psychiatry, Zhejiang University, Hangzhou, China.Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China zcliu6@whu.edu.cn.

Pub Type(s)

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

Language

eng

PubMed ID

33980532

Citation

Guo, Xin, et al. "Acute Psychological Impact of Coronavirus Disease 2019 Outbreak Among Psychiatric Professionals in China: a Multicentre, Cross-sectional, Web-based Study." BMJ Open, vol. 11, no. 5, 2021, pp. e047828.
Guo X, McCutcheon R, Pillinger T, et al. Acute psychological impact of coronavirus disease 2019 outbreak among psychiatric professionals in China: a multicentre, cross-sectional, web-based study. BMJ Open. 2021;11(5):e047828.
Guo, X., McCutcheon, R., Pillinger, T., Arumuham, A., Chen, J., Ma, S., Yang, J., Wang, Y., Hu, S., Wang, G., & Liu, Z. C. (2021). Acute psychological impact of coronavirus disease 2019 outbreak among psychiatric professionals in China: a multicentre, cross-sectional, web-based study. BMJ Open, 11(5), e047828. https://doi.org/10.1136/bmjopen-2020-047828
Guo X, et al. Acute Psychological Impact of Coronavirus Disease 2019 Outbreak Among Psychiatric Professionals in China: a Multicentre, Cross-sectional, Web-based Study. BMJ Open. 2021 05 11;11(5):e047828. PubMed PMID: 33980532.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute psychological impact of coronavirus disease 2019 outbreak among psychiatric professionals in China: a multicentre, cross-sectional, web-based study. AU - Guo,Xin, AU - McCutcheon,Robert, AU - Pillinger,Toby, AU - Arumuham,Atheeshaan, AU - Chen,Jianhua, AU - Ma,Simeng, AU - Yang,Jun, AU - Wang,Ying, AU - Hu,Shaohua, AU - Wang,Gaohua, AU - Liu,Zhong-Chun, Y1 - 2021/05/11/ PY - 2021/5/13/entrez PY - 2021/5/14/pubmed PY - 2021/5/18/medline KW - COVID-19 KW - mental health KW - psychiatry SP - e047828 EP - e047828 JF - BMJ open JO - BMJ Open VL - 11 IS - 5 N2 - OBJECTIVES: To assess the magnitude of mental health outcomes and associated factors among psychiatric professionals in mental health services during COVID-19 in China. DESIGN, SETTING AND PARTICIPANTS: This cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from psychiatric professionals in 34 hospitals between 29 January and 7 February 2020, in China. Hospitals equipped with fever clinics or deployed on wards for patients with COVID-19 were eligible. PRIMARY OUTCOME AND MEASURES: The severity of symptoms of depression, anxiety, insomnia and distress were assessed by the Chinese versions of 9-item Patient Health Questionnaire, 7-item Generalised Anxiety Disorder, 7-item Insomnia Severity Index and 22-item Impact of Event Scale-Revised, respectively. Multivariable logistic regression and structural equation modelling was performed to identify factors associated with mental health outcomes. RESULTS: A total of 610 psychiatric professionals were included. 29.8% were employed in Wuhan, and 22.5% were frontline workers. A considerable proportion of participants reported symptoms of depression (461 (75.6%)), anxiety (282 (46.2%)), insomnia (336 (55.1%)) and mental stress (481 (78.9%)). Psychiatric symptoms were associated with worrying about infection (eg, OR 2.36 (95% CI 1.27 to 4.39) for anxiety), risks of exposure to COVID-19 (eg, having inadequate personal protection equipment, OR 2.43 (1.32 to 4.47) for depression) and self-perceived physical health (eg, OR 3.22 (2.24 to 4.64) for mental stress). Information sources of COVID-19 were also found to be both positively (eg, information from relatives, OR 2.16 (1.46 to 3.21) for mental stress) and negatively (eg, information from TV, OR 0.52 (0.35 to 0.77) for mental stress) associated with mental stress. There is preliminary evidence that mental health might benefit from greater availability of mental healthcare services. The structural equation model analysis indicated that worrying about infection may be the primary mediator via which risk of exposure to COVID-19 pandemic affects the mental health of psychiatric professionals. CONCLUSIONS: The current findings demonstrate several pathways via which the COVID-19 pandemic may have negatively affected the mental health of psychiatric professionals in China. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/33980532/Acute_psychological_impact_of_coronavirus_disease_2019_outbreak_among_psychiatric_professionals_in_China:_a_multicentre_cross_sectional_web_based_study_ L2 - https://bmjopen.bmj.com/lookup/pmidlookup?view=long&pmid=33980532 DB - PRIME DP - Unbound Medicine ER -