Elgohary Hayam Mohamed, Sehlo Mohammad Gamal, Bassiony Medhat Mohamed, Youssef Usama Mahmoud, Elrafey Dina Sameh, Amin Shimaa Ibrahim
Department of Psychiatry, Faculty of Medicine, Zagazig University, PO Box 44519, Zagazig, Egypt.
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Egypt J Neurol Psychiatr Neurosurg. 2021;57(1):139. doi: 10.1186/s41983-021-00394-1. Epub 2021 Oct 18.
Health care workers caring for patients with COVID-19 pandemic are prone to extraordinary stressors and psychological problems. The aim of this study was to estimate the prevalence and risk factors of major depressive disorder among health care providers who are caring for patients with COVID-19.
Two hundred-seventy of health care workers were screened for depressive symptoms by DASS-21 Questionnaire. Only 152 of the participants accepted to be interviewed using SCID-I for diagnosis of major depressive disorder.
According to DASS-21, 28.1% of HCWs had mild-to-moderate depressive symptoms, and 64.8% with severe symptoms. Of 152 who were interviewed using SCID-I, 74.3% were diagnosed with major depression disorder.Young age, decreased sleep hours, female sex, past history of a psychiatric disease, fear of COVID-19 infection for themselves or their relatives, and fear of death with COVID-19 for themselves or their relatives were significant predictors for major depressive disorder and its severity.
Major depressive disorder is common among HCWs during COVID-19 pandemic. Screening for depression, particularly for young females, and early treatment are recommended.
在新冠疫情期间照顾新冠患者的医护人员容易面临特殊的压力源和心理问题。本研究的目的是评估在照顾新冠患者的医护人员中重度抑郁症的患病率及危险因素。
采用抑郁自评量表-21（DASS-21）问卷对270名医护人员进行抑郁症状筛查。只有152名参与者同意接受使用《精神疾病诊断与统计手册》第一版（SCID-I）进行的访谈以诊断重度抑郁症。
根据DASS-21，28.1%的医护人员有轻度至中度抑郁症状，64.8%有重度症状。在使用SCID-I接受访谈的152人中，74.3%被诊断为重度抑郁症。年轻、睡眠时间减少、女性、有精神疾病既往史、担心自己或亲属感染新冠、担心自己或亲属死于新冠是重度抑郁症及其严重程度的重要预测因素。
在新冠疫情期间，重度抑郁症在医护人员中很常见。建议对抑郁症进行筛查，尤其是对年轻女性，并尽早治疗。
