School of Nursing, Chengdu Medical College, Chengdu, Sichuan 610083, China.
Mental Health Center and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China.
Compr Psychiatry. 2020 Oct;102:152202. doi: 10.1016/j.comppsych.2020.152202. Epub 2020 Aug 19.
This study aimed to investigate the mental state of medical staff and medical students in the early stages of the SARS-CoV-2 outbreak, as well as analyze the risk factors of serious mental illness (SMI), so as to provide a scientific basis for further psychological intervention and management.
A cross-sectional survey was conducted from February 2-7, 2020. The Kessler 6 Psychological Distress Scale and a general information questionnaire were administered on-line to a convenience sample of 548 medical staff and medical students in China. Multivariate binary logistic regression analysis was used to screen the risk factors of SMI in medical staff and medical students.
Of the 505 respondents in the final analysis, 188 (37.23%) were at high risk of SMI. Respondents were at significantly higher risk of SMI if they had been suspected of being infected with the SARS-CoV-2 (OR = 7.00, 95% CI: 1.19-41.14), had relatives suspected of being infected with the SARS-CoV-2 (OR = 23.60, 95% CI: 1.11-501.30), felt concerned towards media coverage of outbreak-related information (OR = 11.95, 95% CI: 3.07-46.57), recently dreamed related to SARS-CoV-2 (OR = 4.21, 95% CI: 2.22-8.01), experienced difficulty in controlling emotions during SARS-CoV-2 epidemic (OR = 3.25, 95% CI: 1.66-6.37), or spent hours watching outbreaks per day (OR = 1.29, 95% CI: 1.13-1.46).
Our findings highlight that medical staff and medical students were vulnerable to SMI during the early stages of the SARS-CoV-2 outbreak and identify the factors associated with SMI which can be used to formulate psychological interventions to improve the mental health. The independent risk factors for SMI among them are suspicion that they or relatives were infected with the SARS-CoV-2, greater interest in media reports about the epidemic, frequency of recent dreams related to SARS-CoV-2, difficulty in controlling emotions during the epidemic, and hours spent watching outbreaks per day.
本研究旨在调查 SARS-CoV-2 爆发初期医务人员和医学生的精神状态，并分析严重精神疾病（SMI）的危险因素，为进一步的心理干预和管理提供科学依据。
2020 年 2 月 2 日至 7 日，采用横断面调查方法，对中国 548 名医务人员和医学生进行在线 Kessler 6 心理困扰量表和一般信息问卷。采用多变量二项逻辑回归分析筛选医务人员和医学生 SMI 的危险因素。
在最终分析的 505 名受访者中，有 188 人（37.23%）存在 SMI 高风险。如果受访者疑似感染 SARS-CoV-2（OR=7.00，95%CI：1.19-41.14）、有疑似感染 SARS-CoV-2 的亲属（OR=23.60，95%CI：1.11-501.30）、对与疫情相关的媒体报道感到关注（OR=11.95，95%CI：3.07-46.57）、近期有与 SARS-CoV-2 相关的梦境（OR=4.21，95%CI：2.22-8.01）、在 SARS-CoV-2 疫情期间难以控制情绪（OR=3.25，95%CI：1.66-6.37）或每天观看疫情相关报道的时间（OR=1.29，95%CI：1.13-1.46），则他们发生 SMI 的风险显著增加。
本研究结果表明，SARS-CoV-2 爆发初期医务人员和医学生易发生 SMI，并确定了与 SMI 相关的因素，可用于制定心理干预措施，改善心理健康。其中 SMI 的独立危险因素为疑似感染 SARS-CoV-2 或亲属感染 SARS-CoV-2、对疫情相关媒体报道的兴趣增加、近期与 SARS-CoV-2 相关的梦境频率增加、在疫情期间难以控制情绪以及每天观看疫情相关报道的时间。
