Department of Psychiatry, Kırıkkale Yüksek İhtisas Hospital, Kırıkkale, Turkey.
Department of Psychiatry, Gülhane Training and Research Hospital, Ankara, Turkey.
Psychiatry Res. 2021 Jul;301:113976. doi: 10.1016/j.psychres.2021.113976. Epub 2021 Apr 29.
Although the psychological effects of the COVID-19 pandemic have been investigated, there is no study comparing the effects between the peaks. This study aims to compare the levels of anxiety, depression, and stress of healthcare workers struggling with pandemic between the first and second peaks.
A total of 2460 healthcare workers, 1051 from the first peak period and 1409 from the second peak period, were included in the study. The first peak measurements of the participants were made between 07.04.2020 and 05.05.2020 and the second peak measurements were made between 22.11.2020 and 20.12.2020 according to the peak period in Turkey. Depression-Anxiety-Stress-21(DASS-21) scale was applied to the participants online by the purpose of the study.
The mean age of the participants was 32.63 ± 7.70, and 66.5% of them were female. A statistically significant difference was found between the income status (p < 0.001), lifestyle (p < 0.001) and COVID-19 test result (p < 0.001), DASS-21 Depression (p < 0.001, t = -5.311), Anxiety (p < 0.001, t = -8.244), Stress (p < 0.001, -10.056) and total(p < 0.001, t = -8.719) scores of the two groups.
The present study results showed that healthcare workers meticulously struggling with the pandemic had increased anxiety, depression, and stress levels at the second peak of the pandemic compared to the first peak.
虽然已经研究了 COVID-19 大流行的心理影响，但尚无研究比较两个高峰期的影响。本研究旨在比较在大流行的第一个和第二个高峰期挣扎的医护人员的焦虑、抑郁和压力水平。
共有 2460 名医护人员，其中 1051 人来自第一个高峰期，1409 人来自第二个高峰期，纳入本研究。根据土耳其的高峰期，参与者的第一个高峰期测量时间为 2020 年 4 月 7 日至 5 月 5 日，第二个高峰期测量时间为 2020 年 11 月 22 日至 12 月 20 日。通过研究目的，向参与者在线应用抑郁-焦虑-压力 21 量表（DASS-21）。
参与者的平均年龄为 32.63 ± 7.70，其中 66.5%为女性。收入状况（p < 0.001）、生活方式（p < 0.001）和 COVID-19 检测结果（p < 0.001）、DASS-21 抑郁（p < 0.001，t = -5.311）、焦虑（p < 0.001，t = -8.244）、压力（p < 0.001，t = -10.056）和总分（p < 0.001，t = -8.719）在两组之间存在统计学差异。
本研究结果表明，与第一个高峰期相比，在大流行的第二个高峰期，精心应对大流行的医护人员的焦虑、抑郁和压力水平有所增加。
