Psychological Testing Service (Young), Department of Neuropsychology (Kolcz), and Department of Health Psychology (Ferrand), Hartford Hospital's Institute of Living, Hartford, Connecticut; Department of Psychiatry (Young) and Department of Trauma and Emergency Medicine (Robinson), University of Connecticut School of Medicine, Farmington; Department of Research Administration, Hartford HealthCare, Hartford (O'Sullivan); Emergency Department, Midstate Medical Center, Meriden, Connecticut (Fried); Department of Emergency Medicine, Hartford Hospital, Hartford (Robinson).
Psychiatr Serv. 2021 Feb 1;72(2):122-128. doi: 10.1176/appi.ps.202000424. Epub 2020 Dec 3.
The authors sought to quantify the rates of psychological distress among health care workers (HCWs) during the COVID-19 pandemic and to identify job-related and personal risk and protective factors.
From April 1 to April 28, 2020, the authors conducted a national survey advertised via e-mail lists, social media, and direct e-mail. Participants were self-selecting, U.S.-based volunteers. Scores on the Patient Health Questionnaire-9, General Anxiety Disorder-7, Primary Care Posttraumatic Stress Disorder Screen, and Alcohol Use Disorders Identification Test-C were used. The relationships between personal resilience and risk factors, work culture and stressors and supports, and COVID-19-related events were examined.
Of 1,685 participants (76% female, 88% White), 31% (404 of 1,311) endorsed mild anxiety, and 33% (427 of 1,311) clinically meaningful anxiety; 29% (393 of 1,341) reported mild depressive symptoms, and 17% (233 of 1,341) moderate to severe depressive symptoms; 5% (64 of 1,326) endorsed suicidal ideation; and 14% (184 of 1,300) screened positive for posttraumatic stress disorder. Pediatric HCWs reported greater anxiety than did others. HCWs' mental health history increased risk for anxiety (odds ratio [OR]=2.78, 95% confidence interval [CI]=2.09-3.70) and depression (OR=3.49, 95% CI=2.47-4.94), as did barriers to working, which were associated with moderate to severe anxiety (OR=2.50, 95% CI=1.80-3.48) and moderate depressive symptoms (OR=2.15, 95% CI=1.45-3.21) (p<0.001 for all comparisons).
Nearly half of the HCWs reported serious psychiatric symptoms, including suicidal ideation, during the COVID-19 pandemic. Perceived workplace culture and supports contributed to symptom severity, as did personal factors.
作者试图量化 COVID-19 大流行期间医护人员（HCW）的心理困扰发生率，并确定与工作相关的个人风险和保护因素。
作者于 2020 年 4 月 1 日至 4 月 28 日通过电子邮件列表、社交媒体和直接电子邮件进行了一项全国性调查。参与者是自我选择的，来自美国的志愿者。使用患者健康问卷-9、一般焦虑症-7、初级保健创伤后应激障碍筛查和酒精使用障碍识别测试-C 进行评分。检查了个人韧性与风险因素、工作文化与压力源和支持、以及 COVID-19 相关事件之间的关系。
在 1685 名参与者中（76%为女性，88%为白人），31%（404 名/1311 名）报告轻度焦虑，33%（427 名/1311 名）报告有临床意义的焦虑；29%（393 名/1341 名）报告轻度抑郁症状，17%（233 名/1341 名）报告中度至重度抑郁症状；5%（64 名/1326 名）报告有自杀意念；14%（184 名/1300 名）筛查出创伤后应激障碍阳性。儿科 HCW 报告的焦虑程度高于其他 HCW。HCW 的心理健康史增加了焦虑（优势比[OR]=2.78，95%置信区间[CI]=2.09-3.70）和抑郁（OR=3.49，95% CI=2.47-4.94）的风险，工作障碍也与中度至重度焦虑（OR=2.50，95% CI=1.80-3.48）和中度抑郁症状（OR=2.15，95% CI=1.45-3.21）相关（所有比较的 p<0.001）。
在 COVID-19 大流行期间，近一半的 HCW 报告了严重的精神症状，包括自杀意念。感知到的工作场所文化和支持对症状严重程度有影响，个人因素也是如此。
