Liu Tao, Zheng Zheng, Sha Xiaoyan, Liu Huishu, Zheng Wenjing, Su Huanxing, Xu Guiyun, Su Kuan-Pin, So Kwok-Fai, Lin Kangguang
Department of Affective Disorders, The Affiliated Brain Hospital of Guangzhou Medical University, China.
Department of Obstetrics, Guangzhou Women and Children's Medical Centre, China.
BJPsych Open. 2020 Dec 7;7(1):e8. doi: 10.1192/bjo.2020.147.
The coronavirus disease 2019 (COVID-19) outbreak has become a pandemic. Obstetricians and midwives, among other medical staff, are tackling COVID-19 and are under immense psychological stress.
We aimed to survey the mental health of non-infectious disease specialist staff, specifically obstetricians and midwives, working in officially designated hospitals treating patients with COVID-19.
A nationwide online survey was conducted from 7 March to 17 March 2020 investigating the mental health of obstetricians and midwives (who were not themselves infected with COVID-19) working in hospitals treating patients with COVID-19. We used the 9-item Patient Health Questionnaire (PHQ-9), the 7-item Generalized Anxiety Disorder (GAD-7) scale and the 7-item Insomnia Severity Index (ISI) to assess their symptoms of depression, anxiety and insomnia.
A total of 885 (41.6%), 609 (28.6%) and 729 (34.3%) obstetricians and midwives reported depression (PHQ-9 ≥ 5), anxiety (GAD-7 ≥ 5) and insomnia (ISI ≥ 8), respectively, during the COVID-19 pandemic. Regardless of whether or not they had direct contact with patients with COVID-19, obstetricians and midwives were more likely to report mild and moderate depression and anxiety during the COVID-19 pandemic when compared with before the pandemic. Those who had direct contact with patients with COVID-19 were more likely to report depression and insomnia than those who did not. Those who had sufficient protective equipment or training were less likely to report depression, anxiety and insomnia than those who did not.
Our data suggest that non-infectious disease specialist staff have experienced varying, but increased levels of depression, anxiety and insomnia during this COVID-19 pandemic, which could be reduced by sufficient levels of protective equipment and occupational COVID-19 workplace training.
2019年冠状病毒病（COVID-19）疫情已成为全球大流行。产科医生和助产士以及其他医务人员正在应对COVID-19，承受着巨大的心理压力。
我们旨在调查在官方指定的收治COVID-19患者的医院工作的非传染病专科工作人员，特别是产科医生和助产士的心理健康状况。
于2020年3月7日至3月17日进行了一项全国性在线调查，调查在收治COVID-19患者的医院工作的产科医生和助产士（他们自身未感染COVID-19）的心理健康状况。我们使用9项患者健康问卷（PHQ-9）、7项广泛性焦虑障碍（GAD-7）量表和7项失眠严重程度指数（ISI）来评估他们的抑郁、焦虑和失眠症状。
在COVID-19大流行期间，分别有885名（41.6%）、609名（28.6%）和729名（34.3%）产科医生和助产士报告有抑郁（PHQ-9≥5）、焦虑（GAD-7≥5）和失眠（ISI≥8）。与大流行之前相比，无论是否直接接触COVID-19患者，产科医生和助产士在COVID-19大流行期间更有可能报告轻度和中度抑郁及焦虑。与未直接接触COVID-19患者的人相比，直接接触COVID-19患者的人更有可能报告抑郁和失眠。拥有足够防护设备或培训的人比没有的人报告抑郁、焦虑和失眠的可能性更小。
我们的数据表明，在这次COVID-19大流行期间，非传染病专科工作人员经历了不同程度但有所增加的抑郁、焦虑和失眠，而足够水平的防护设备和职业性COVID-19工作场所培训可以减少这些情况。
