Department of Psychosomatic medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100083, China.
J Affect Disord. 2021 Jan 1;278:144-148. doi: 10.1016/j.jad.2020.09.004. Epub 2020 Sep 7.
It is well known that unexpected pandemic has led to an increase in mental health problems among a variety of populations.
In this study, an online non-probability sample survey was used to anonymously investigate the anxiety and depression symptoms among medical staff under the COVID-19 outbreak. The questionnaire included Perceived Stress Scale-10 (PSS-10), Generalized Anxiety Disorder 7-Item Scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Factors associated with anxiety and depression symptoms were estimated by logistic regression analysis.
A total of 1090 medical staff were investigated in this study. The estimated self-reported rates of anxiety symptoms, depression symptoms and both of the two were 13.3%, 18.4% and 23.9% respectively. Factors associated with self-reported anxiety symptoms include married status (OR=2.3, 95%CI: 1.2, 4.4), not living alone (OR=0.4, 95%CI: 0.2, 0.7), never confiding their troubles to others (OR=2.2, 95%CI: 1.4, 3.5) and higher stress (OR=14.4, 95%CI: 7.8, 26.4). Factors associated with self-reported depression symptoms include not living alone (OR=0.4, 95%CI: 0.3, 0.7), sometimes/often getting care from neighbours (OR=0.6, 95%CI: 0.4, 0.9), never confiding their troubles to others (OR=2.0, 95%CI: 1.3, 3.0) and higher stress (OR=9.7, 95%CI: 6.2, 15.2).
The study was a non-probability sample survey. Besides, scales used in this study can only identify mental health states.
Under outbreak of COVID-19, self-reported rates of anxiety symptoms and depression symptoms were high in investigated medical staff. Psychological interventions for those at high risk with common mental problems should be integrated into the work plan to fight against the epidemic.
众所周知,突发的疫情导致各种人群的心理健康问题有所增加。
本研究采用在线非概率抽样调查,匿名调查 COVID-19 疫情下医务人员的焦虑和抑郁症状。问卷包括压力知觉量表 10 项(PSS-10)、广泛性焦虑障碍 7 项量表(GAD-7)和患者健康问卷 9 项(PHQ-9)。采用 logistic 回归分析估计与焦虑和抑郁症状相关的因素。
本研究共调查了 1090 名医务人员。焦虑症状、抑郁症状和两者均有的自我报告率分别为 13.3%、18.4%和 23.9%。与自我报告的焦虑症状相关的因素包括已婚状态(OR=2.3,95%CI:1.2,4.4)、不独居(OR=0.4,95%CI:0.2,0.7)、从不向他人倾诉烦恼(OR=2.2,95%CI:1.4,3.5)和压力较高(OR=14.4,95%CI:7.8,26.4)。与自我报告的抑郁症状相关的因素包括不独居(OR=0.4,95%CI:0.3,0.7)、有时/经常得到邻居照顾(OR=0.6,95%CI:0.4,0.9)、从不向他人倾诉烦恼(OR=2.0,95%CI:1.3,3.0)和压力较高(OR=9.7,95%CI:6.2,15.2)。
本研究为非概率抽样调查。此外,本研究中使用的量表只能识别心理健康状况。
在 COVID-19 疫情下,调查医务人员的焦虑和抑郁症状自我报告率较高。应将针对有常见精神问题高危人群的心理干预纳入疫情防控工作计划。