Department of Pediatric Dentistry, Medical Firm Vital EBB, 620144 Ekaterinburg, Russia.
Ural Division of Russian Academy of Sciences, Institute of Immunology and Physiology (IIP), 620002 Ekaterinburg, Russia.
Int J Environ Res Public Health. 2021 Jan 15;18(2):708. doi: 10.3390/ijerph18020708.
The spread of SARS-CoV-2 infection has increased the risk of mental health problems, including post-traumatic stress disorders (PTSD), and healthcare workers (HCWs) are at greater risk than other occupational groups. This observational cross-sectional study aimed to explore the symptoms of depression, anxiety, and PTSD among dental HCWs in Russia during the coronavirus disease 2019 (COVID-19) pandemic. The survey was carried out among 128 dental HCWs from three dental clinics of Ekaterinburg, Russia. The mean age of the sample was 38.6 years. Depression, anxiety, and stress were assessed using the Depression Anxiety and Stress Scale-21 (DASS-21); PTSD was assessed using the PTSD Symptom Scale-Self-Report (PSS-SR); subjective distress was assessed using the Impact of Event Scale-Revised (IES-R). The results indicated that 20.3-24.2% HCWs had mild to extremely severe symptoms of psychological distress, and 7.1-29.7% had clinical symptoms of PTSD. No differences between females and males were revealed. HCWs working directly with patients had significantly higher levels of PTSD symptoms and the risk of PTSD development compared to those working indirectly, whereas older HCWs had significantly higher levels of both psychological distress and PTSD symptoms compared to younger HCWs. Thus, dental HCWs are at high risk for psychological distress and PTSD symptoms during the COVID-19 pandemic.
SARS-CoV-2 感染的传播增加了心理健康问题的风险，包括创伤后应激障碍（PTSD），医护人员（HCWs）比其他职业群体面临更大的风险。本观察性横断面研究旨在探讨俄罗斯 COVID-19 大流行期间牙科 HCWs 抑郁、焦虑和 PTSD 的症状。该调查在俄罗斯叶卡捷琳堡的三家牙科诊所的 128 名牙科 HCWs 中进行。样本的平均年龄为 38.6 岁。使用抑郁焦虑和压力量表 21 版（DASS-21）评估抑郁、焦虑和压力；使用 PTSD 症状量表自我报告版（PSS-SR）评估 PTSD；使用修订后的事件影响量表（IES-R）评估主观困扰。结果表明，20.3%-24.2%的 HCWs 有轻度到极度严重的心理困扰症状，7.1%-29.7%有 PTSD 的临床症状。女性和男性之间没有差异。与间接工作的 HCWs 相比，直接与患者接触的 HCWs 的 PTSD 症状和 PTSD 发展风险显著更高，而与年轻 HCWs 相比，年龄较大的 HCWs 的心理困扰和 PTSD 症状水平显著更高。因此，在 COVID-19 大流行期间，牙科 HCWs 面临着较高的心理困扰和 PTSD 症状风险。
