Shenzhen Kangning Hospital, Guangdong, Shenzhen, China.
Qingdao Mental Health Center, Qingdao University, Qingdao, China.
J Affect Disord. 2020 Dec 1;277:510-514. doi: 10.1016/j.jad.2020.08.059. Epub 2020 Aug 26.
To our best knowledge, this was the first time to investigate the prevalence and risk factors of psychological disturbances, including depression, anxiety, somatization symptoms, insomnia and suicide, among frontline medical staff, who were working with the COVID-10 infected patients directly.
Patient Health Questionnaire Depression (PHQ-9), Generalized Anxiety Disorder Questionnaire scale (GAD-7), Symptom Check List-90 (SCL-90) somatization, Insomnia Severity Index (ISI), and the suicidal module of the Mini International Neuropsychiatric Interview were used for online survey.
A total of 606 frontline hospital staff and1099 general population were recruited. The prevalence of depression, anxiety, somatization symptoms, insomnia, and suicide risk in frontline medical staffs were 57.6%, 45.4%, 12.0%, 32.0% and 13.0%, respectively. Except for suicide risk, the prevalence of other psychological disorders in frontline medical staff were higher than those in general population (all p<0.01). Among the frontline medical staff, the daily working hours were associated with all psychological disturbance (all p<0.01), women with anxiety (p = 0.02), body mass index (BMI) with anxiety and insomnia (p = 0.02, p = 0.03). Age was negatively associated with depression, anxiety, and insomnia (all p<0.01). Finally, years of working and family income were negatively associated with suicide risk (p = 0.03, p<0.001).
Our study demonstrates that during the outbreak of COVID-19, the frontline medical staff are more likely to suffer from psychological disturbances than general population. It is noticeable that daily working hours are a risk factor for all measured psychological disturbances, and some other variables may be involved in certain psychological disturbances of frontline medical staff.
据我们所知，这是首次调查直面 COVID-19 感染患者的一线医护人员中抑郁、焦虑、躯体化症状、失眠和自杀等心理障碍的患病率和危险因素。
采用患者健康问卷抑郁量表（PHQ-9）、广泛性焦虑障碍量表（GAD-7）、症状自评量表-90（SCL-90）躯体化、失眠严重程度指数（ISI）和国际神经精神访谈迷你版自杀模块进行在线调查。
共招募了 606 名一线医院工作人员和 1099 名一般人群。一线医护人员的抑郁、焦虑、躯体化症状、失眠和自杀风险的患病率分别为 57.6%、45.4%、12.0%、32.0%和 13.0%。除自杀风险外，一线医护人员其他心理障碍的患病率均高于一般人群（均 p<0.01）。在一线医护人员中，每日工作时长与所有心理障碍均相关（均 p<0.01），女性与焦虑相关（p=0.02），体质指数（BMI）与焦虑和失眠相关（p=0.02，p=0.03）。年龄与抑郁、焦虑和失眠呈负相关（均 p<0.01）。最后，工作年限和家庭收入与自杀风险呈负相关（p=0.03，p<0.001）。
本研究表明，在 COVID-19 疫情期间，一线医护人员比一般人群更易出现心理障碍。值得注意的是，每日工作时长是所有测量的心理障碍的危险因素，而其他一些变量可能与一线医护人员的某些心理障碍有关。
