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对新冠病毒的恐惧与抑郁:孟加拉国新冠疫情危机期间普通人群与医护人员的比较研究

Fear of COVID-19 and Depression: A Comparative Study Among the General Population and Healthcare Professionals During COVID-19 Pandemic Crisis in Bangladesh.

作者信息

Sakib Najmuj, Akter Tahmina, Zohra Fatematuz, Bhuiyan A K M Israfil, Mamun Mohammed A, Griffiths Mark D

机构信息

Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh (CHINTA Research Bangladesh), Dhaka, Bangladesh.

Department of Microbiology, Jashore University of Science and Technology, Jashore, Bangladesh.

出版信息

Int J Ment Health Addict. 2023;21(2):976-992. doi: 10.1007/s11469-020-00477-9. Epub 2021 Feb 19.

Abstract

The COVID-19 pandemic affects individuals' mental health that can result in fear of getting COVID-19 infection and depression. As there is no prior study available, we evaluated these mental health outcomes and associated factors among the general population and healthcare professionals (HCPs) in Bangladesh. This nationwide cross-sectional study comprised 3388 individuals including 834 HCPs. The measures included socio-demographics, healthcare, and patient-care related information, the Bangla Patient Health Questionnaire, and the Bangla Fear of COVID-19 Scale. Multiple linear regression analyses were performed to identify risk factors. Just over one-quarter of the participants were depressed, and was significantly associated with COVID-19 fear. Regression analyses showed that, both in general population and HCPs, depression and fear of COVID-19 were strongly predicted by being female; however, depression was inversely associated with being married. Particularly, among the HCPs, being restless while examining a patient with flu-like symptoms and while examining a patient returning from abroad was found to be significant predictor for both depression and fear of COVID-19. HCPs who were using single protective equipment for a week had greater depression and those who felt insecure due to the pandemic had a high level of COVID-19 fear. The findings identified major psychological impacts among the participants, suggesting the urgent need to promote mental wellbeing in both general population and medical professionals.

摘要

新冠疫情影响个人心理健康,可能导致对感染新冠病毒的恐惧和抑郁。由于此前没有相关研究,我们评估了孟加拉国普通人群和医护人员的这些心理健康结果及相关因素。这项全国性横断面研究涵盖3388人,其中包括834名医护人员。测量指标包括社会人口统计学、医疗保健及患者护理相关信息、孟加拉语版患者健康问卷以及孟加拉语版新冠恐惧量表。进行了多元线性回归分析以确定风险因素。略多于四分之一的参与者存在抑郁情绪,且这与对新冠的恐惧显著相关。回归分析表明,在普通人群和医护人员中,女性都强烈预示着抑郁和对新冠的恐惧;然而,抑郁与已婚呈负相关。特别是,在医护人员中,在检查有流感样症状的患者以及检查从国外返回的患者时感到不安,被发现是抑郁和对新冠恐惧的重要预测因素。连续一周使用单一防护设备的医护人员抑郁程度更高,而那些因疫情感到不安全的人对新冠的恐惧程度较高。研究结果确定了参与者中存在的主要心理影响,表明迫切需要促进普通人群和医疗专业人员的心理健康。

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