From the Department of General Practice (Zeng, Peng, Hao, Zou), Chengdu Fifth People's Hospital, Chengdu University of TCM, Chengdu; Family Medicine Centre (Lin), The First Affiliated Hospital of Shantou University Medical College, Shantou; The Department of General Practice (Liao), West China Hospital, Sichuan University, Chengdu; The Department of Geriatric Medicine (Chen), Chengdu Fifth People's Hospital, Chengdu University of TCM, Chengdu, China; and The Department of Primary Care and Public Health (Hayhoe), Imperial College London, London, United Kingdom.
Psychosom Med. 2021 May 1;83(4):380-386. doi: 10.1097/PSY.0000000000000939.
Primary care physicians (PCPs) play a key role in responding to the COVID-19 epidemic. The objective of this study was to explore the influencing factors associated with self-reported psychological distress among a sample of PCPs in China in relation to COVID-19.
An online survey was distributed to a sample of PCPs in Chengdu city between February 10 and February 13, 2020. The survey consisted of three sections: demographic characteristics, COVID-19-related questions, and the General Health Questionnaire-12 (GHQ-12). After 5 months, a follow-up survey investigating the change of the GHQ-12 was conducted.
A total of 712 PCPs completed the baseline survey (11.8% of those invited), 55.6% were female and 74.4% were aged between 30 and 49 years. High levels of psychological distress (GHQ-12 ≥3) were observed in 29.2% and were associated with low preparedness, high work impact, working with infected residents, personal life impact, and concerns, as well as older age and being married (p values < .05). Logistic regression analysis showed that psychological distress was associated with low preparedness (odds ratio [OR] = 0.91, 95% confidence interval [CI] = 0.87-0.96), high work impact (OR = 1.11, 95% CI = 1.03-1.20), personal life impact (OR = 1.12, 95% CI = 1.07-1.17), and safety-related concerns (OR = 1.09, 95% CI = 1.02-1.16). At the 5-month assessment point, high psychological distress was less frequent (21.8%).
COVID-19 has resulted in high levels of distress in approximately 30% of PCPs in China. Factors associated with high psychological distress levels include low preparedness and high levels of work impact, personal life impact, and concerns. These findings highlight the importance of enhancing psychological health throughout the course of infectious pandemics.
初级保健医生（PCP）在应对 COVID-19 疫情方面发挥着关键作用。本研究的目的是探讨与 COVID-19 相关的初级保健医生样本中自我报告的心理困扰的相关影响因素。
2020 年 2 月 10 日至 2 月 13 日，我们向成都市的初级保健医生样本进行了在线调查。该调查包括三个部分：人口统计学特征、与 COVID-19 相关的问题以及一般健康问卷-12（GHQ-12）。5 个月后，进行了一项后续调查，以调查 GHQ-12 的变化情况。
共有 712 名初级保健医生完成了基线调查（受邀者的 11.8%），其中 55.6%为女性，74.4%年龄在 30 至 49 岁之间。高心理困扰（GHQ-12≥3）发生率为 29.2%，与准备不足、工作影响大、与感染居民一起工作、个人生活影响以及担忧有关，并且与年龄较大和已婚有关（p 值均<.05）。Logistic 回归分析显示，心理困扰与准备不足（比值比[OR] = 0.91，95%置信区间[CI] = 0.87-0.96）、工作影响大（OR = 1.11，95%CI = 1.03-1.20）、个人生活影响（OR = 1.12，95%CI = 1.07-1.17）和安全相关的担忧（OR = 1.09，95%CI = 1.02-1.16）有关。在 5 个月的评估点，高心理困扰的发生率较低（21.8%）。
COVID-19 导致中国约 30%的初级保健医生出现高度心理困扰。与高心理困扰水平相关的因素包括准备不足和工作影响大、个人生活影响以及担忧。这些发现强调了在传染病大流行期间加强心理健康的重要性。
