Chen Yaopian, Li Wei
Department of Sleep Medicine, Wenzhou Seventh People's Hospital, Wenzhou, China.
Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Front Psychiatry. 2021 Oct 25;12:736172. doi: 10.3389/fpsyt.2021.736172. eCollection 2021.
The epidemic infection of coronavirus disease 2019 (COVID-19) may have a profound impact on dentistry, mainly due to the mode of transmission of the pathogen, which poses a risk to almost all dental operations. Therefore, this study aimed to investigate the prevalence and influencing factors of anxiety, depression, perceived stress, and acute stress disorder among dental medical staff in emergency situations during the COVID-19 epidemic. From April 3, 2020, to April 10, 20204, a multicenter cross-sectional study was conducted among 808 first-line dental professionals at an emergency department in mainland China. A self-designed questionnaire was used to collect general demographic information. The 7-item Generalized Anxiety Disorder Scale (GAD-7), 9-item Patient Health Questionnaire (PHQ-9), 10-item Perceived Stress Scale (PSS-10), and Acute Stress Disorder Scale (ASDS) were used to assess the severity of symptoms of anxiety, depression, perceived stress, and acute stress disorder (ASD), respectively. The prevalence rates of depression, anxiety, perceived pressure, and ASD among the frontline dental medical staff were 46.4, 36.3, 65.2, and 1.1%, respectively. The frontline dental medical staff who were working in the Wuhan area reported experiencing more anxiety ( = 0.038) and perceived stress ( < 0.001) compared with those who were not working in the Wuhan area. The frontline dental medical staff who were working in a general hospital reported experiencing more dissociation symptoms ( = 0.001) compared with those working in a specialized or private hospital. Individuals with a past medical history reported experiencing more anxiety ( = 0.009), depression ( < 0.001), and perceived stress ( = 0.003) than those without, and individuals with lower levels of education showed higher levels of anxiety ( = 0.038). Binary logistic regression analysis results (after controlling for other confounders) suggested that having a past medical history was a risk factor for both anxiety ( = 0.002; OR = 2.441; 95% CI, 1.384-4.306) and perceived stress ( = 0.001; OR = 1.417; 95% CI, 1.145-1.754). The prevalence of mental symptoms was high among the first-line emergency dental staff. Male sex, working in the Wuhan area, working in a general hospital, a past medical history, and lower levels of education were risk factors. Therefore, we need to pay close attention to the mental health problems of frontline dentists during the COVID-19 outbreak and adopt active preventive strategies to maintain their physical and mental health.
2019冠状病毒病（COVID-19）的流行感染可能对牙科产生深远影响，主要是由于病原体的传播方式，这几乎给所有牙科手术都带来了风险。因此，本研究旨在调查COVID-19疫情期间急诊情况下牙科医护人员焦虑、抑郁、感知压力和急性应激障碍的患病率及影响因素。2020年4月3日至2020年4月10日，在中国大陆一家急诊科对808名一线牙科专业人员进行了一项多中心横断面研究。使用自行设计的问卷收集一般人口统计学信息。分别使用7项广泛性焦虑障碍量表（GAD-7）、9项患者健康问卷（PHQ-9）、10项感知压力量表（PSS-10）和急性应激障碍量表（ASDS）评估焦虑、抑郁、感知压力和急性应激障碍（ASD）症状的严重程度。一线牙科医护人员中抑郁、焦虑、感知压力和ASD的患病率分别为46.4%、36.3%、65.2%和1.1%。与未在武汉地区工作的一线牙科医护人员相比，在武汉地区工作的人员报告有更多焦虑（P = 0.038）和感知压力（P < 0.001）。与在专科医院或私立医院工作的人员相比，在综合医院工作的一线牙科医护人员报告有更多解离症状（P = 0.001）。有既往病史的个体比没有既往病史的个体报告有更多焦虑（P = 0.009）、抑郁（P < 0.001）和感知压力（P = 0.003），且教育程度较低的个体焦虑水平较高（P = 0.038）。二元逻辑回归分析结果（在控制其他混杂因素后）表明，有既往病史是焦虑（P = 0.002；OR = 2.441；95%CI，1.384 - 4.306）和感知压力（P = 0.001；OR = 1.417；95%CI，1.145 - 1.754）的危险因素。一线急诊牙科医护人员的精神症状患病率较高。男性、在武汉地区工作、在综合医院工作、有既往病史和教育程度较低是危险因素。因此，在COVID-19疫情期间，我们需要密切关注一线牙医的心理健康问题，并采取积极的预防策略来维护他们的身心健康。
