Faculty of Basic Medicine, Lomonosov Moscow State University, Moscow, Russia.
Psychiatr Danub. 2020 Autumn-Winter;32(3-4):549-556. doi: 10.24869/psyd.2020.549.
Mental health of medical workers treating patients with COVID-19 is an issue of increasing concern worldwide. The available data on stress and anxiety symptoms among healthcare workers during the COVID-19 are relatively limited and have not been evaluated in Russia yet.
The cross-sectional anonymous survey included 1,090 healthcare workers. Stress and anxiety symptoms were assessed using Stress and Anxiety to Viral Epidemics - 9 (SAVE-9) and Generalized Anxiety Disorder - 7 (GAD-7) scales. Logistic regression, Kaiser-Meyer-Olkin two component factor model, Cronbach's alpha and ROC-analysis were performed to determine the influence of different variables, internal structure and consistency, sensitivity and specificity of SAVE-9 compared with GAD-7.
The median scores on the GAD-7 and SAVE-9 were 5 and 14, respectively. 535 (49.1%) respondents had moderate and 239 (21.9%) had severe anxiety according to SAVE-9. 134 participants (12.3%) had severe anxiety, 144 (13.2%) had moderate according to GAD-7. The component model revealed two-factor structure of SAVE-9: "anxiety and somatic concern" and "social stress". Female gender (OR - 0.98, p=0.04) and younger age (OR - 0.65, p=0.04) were associated with higher level of anxiety according to regression model. The total score of SAVE-9 with a high degree of confidence predicted the GAD-7 value in comparative ROC analysis.
Healthcare workers in Russia reported high rates of stress and anxiety. The Russian version of the SAVE-9 displayed a good ratio of sensitivity to specificity compared with GAD-7 and can be recommended as a screening instrument for detection of stress and anxiety in healthcare workers.
治疗 COVID-19 患者的医务人员的心理健康是全球日益关注的问题。关于 COVID-19 期间医护人员的压力和焦虑症状的现有数据相对有限，尚未在俄罗斯进行评估。
这项横断面匿名调查包括 1090 名医护人员。使用应激和焦虑对病毒流行量表-9（SAVE-9）和广泛性焦虑障碍量表-7（GAD-7）评估应激和焦虑症状。进行逻辑回归、凯泽-迈尔-奥尔金两成分因子模型、克朗巴赫 α 和 ROC 分析，以确定不同变量、内部结构和一致性、SAVE-9 与 GAD-7 相比的敏感性和特异性的影响。
GAD-7 和 SAVE-9 的中位数分别为 5 和 14。根据 SAVE-9，535 名（49.1%）受访者有中度焦虑，239 名（21.9%）有严重焦虑。根据 GAD-7，134 名参与者（12.3%）有严重焦虑，144 名（13.2%）有中度焦虑。成分模型显示 SAVE-9 的双因素结构：“焦虑和躯体担忧”和“社会压力”。回归模型显示，女性（OR-0.98，p=0.04）和年轻（OR-0.65，p=0.04）与焦虑程度较高相关。SAVE-9 的总分在高度置信水平下预测了 GAD-7 值的比较 ROC 分析。
俄罗斯的医护人员报告了较高的压力和焦虑水平。俄罗斯版的 SAVE-9 与 GAD-7 相比，具有较好的敏感性和特异性比值，可作为医护人员压力和焦虑的筛查工具。
