Department of Medical Psychology, Changzheng Hospital, Second Military Medical University, Shanghai, China.
Hongkou District of Changhai Hospital, Second Military Medical University, Shanghai, China.
Asia Pac Psychiatry. 2022 Mar;14(1):e12427. doi: 10.1111/appy.12427. Epub 2020 Oct 21.
China has been severely affected by coronavirus disease 2019 (COVID-19) since December 2019. Military healthcare workers in China have experienced many pressures when combating COVID-19. This study aimed to investigate the current psychological status and associated risk factors among military healthcare workers.
We collected data from 194 military healthcare workers from three inpatient wards in two specialized COVID-19 hospitals using a web-based cross-sectional survey. The survey covered demographic information, the patient health questionnaire-9, the Generalized Anxiety Disorder-7, and the patient health questionnaire-15. Hierarchical regression analysis was used to explore potential risk factors for mental health problems.
The overall prevalence rates of depressive, generalized anxiety, and somatic symptoms were 37.6%, 32.5%, and 50%, respectively. Rates of severe depression, generalized anxiety, and somatic symptoms were 5.2%, 3.6%, and 15.5%, respectively. In 22.7% of cases, comorbidities existed between depression, generalized anxiety, and somatization. A junior-grade professional title was associated with depression, older age was associated with generalized anxiety and somatization, and short sleep duration and poor sleep quality were associated with all three symptoms.
The prevalence of depression, generalized anxiety, and somatic symptoms among military healthcare workers in specialized COVID-19 hospitals is high during the current COVID-19 outbreak. A junior-grade professional title, older age, short sleep duration, and poor sleep quality significantly affect military healthcare workers' mental health. Continuous surveillance and monitoring of the psychological consequences of the COVID-19 outbreak should be routine to promote mental health among military healthcare workers.
自 2019 年 12 月以来，中国一直受到 2019 年冠状病毒病（COVID-19）的严重影响。中国的军医在抗击 COVID-19 时经历了许多压力。本研究旨在调查 COVID-19 期间军医的当前心理状况及其相关危险因素。
我们使用基于网络的横断面调查，从两家专门的 COVID-19 医院的三个住院病房中收集了 194 名军医的数据。调查涵盖了人口统计学信息、患者健康问卷-9、广泛性焦虑症-7 和患者健康问卷-15。分层回归分析用于探索心理健康问题的潜在危险因素。
总体而言，抑郁、广泛性焦虑和躯体症状的患病率分别为 37.6%、32.5%和 50%。重度抑郁、广泛性焦虑和躯体症状的患病率分别为 5.2%、3.6%和 15.5%。在 22.7%的病例中，抑郁、广泛性焦虑和躯体化存在共病。初级专业职称与抑郁有关，年龄较大与广泛性焦虑和躯体化有关，而睡眠时间短和睡眠质量差与所有三种症状都有关。
在当前的 COVID-19 疫情期间，专门的 COVID-19 医院的军医中抑郁、广泛性焦虑和躯体症状的患病率较高。初级专业职称、年龄较大、睡眠时间短和睡眠质量差会显著影响军医的心理健康。应常规对 COVID-19 爆发的心理后果进行持续监测和监测，以促进军医的心理健康。
