The University of Sydney, Sydney Medical School, Camperdown, NSW, Australia; and The University of Notre Dame Australia, School of Medicine, Sydney, NSW, Australia; and COVID-19 Clinic, Westmead Hospital, Westmead, NSW 2145, Australia; and Corresponding author. Email:
Curtin School of Population Health, Curtin University, Perth, WA, Australia; and Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Aust J Prim Health. 2021 Dec;27(6):442-449. doi: 10.1071/PY21139.
This study assessed symptoms of anxiety, depression and fear of COVID-19 in members of the general community and healthcare workers (HCWs) attending for COVID testing. This cross-sectional study was conducted in a public hospital COVID-19 testing clinic (June-September 2020) using self-administered questionnaires (i.e. the Hospital Anxiety and Depression Scale (HADS) and the Fear of COVID-19 Scale). In all, 430 participants who met the criteria for COVID-19 testing with nasopharyngeal and throat swabs completed the questionnaires. The mean (±s.d.) age of participants was 37.6 ± 12.6 years. HCWs made up 35.1% of the sample. Overall, the mean (±s.d.) score for anxiety was 6.09 ± 4.41 and 'case' prevalence (any severity) was 151/430 (35.1%), higher than normative population scores. Higher anxiety was found in women (P = 0.001) and in clients who had previously been tested for coronavirus (P = 0.03). HCWs had lower anxiety scores than members of the general community (P = 0.001). For depression, the mean (±s.d.) score was 4.18 ± 3.60, with a 'case' prevalence (any severity) of 82/430 (19.1%), similar to normative population scores. Women reported a higher level of COVID-19 fear (P = 0.001), as did people with a lower education level (P = 0.001). A greater psychological impact of COVID-19 was observed in women, people undergoing repeat testing and participants reporting lower levels of educational attainment. HCWs had fewer symptoms of anxiety and depression than non-HCWs attending the same clinic for COVID-19 testing. This information can be used to plan mental health interventions in primary care and testing settings during this and future pandemics.
本研究评估了普通人群和接受 COVID 检测的医护人员（HCWs）的焦虑、抑郁和对 COVID-19 的恐惧症状。这项横断面研究于 2020 年 6 月至 9 月在一家公立医院 COVID-19 检测诊所进行，使用自我管理问卷（即医院焦虑和抑郁量表（HADS）和对 COVID-19 的恐惧量表）。共有 430 名符合鼻咽和咽喉拭子 COVID-19 检测标准的参与者完成了问卷。参与者的平均（±s.d.）年龄为 37.6±12.6 岁。医护人员占样本的 35.1%。总体而言，焦虑的平均（±s.d.）得分为 6.09±4.41，“病例”患病率（任何严重程度）为 151/430（35.1%），高于正常人群得分。女性（P=0.001）和先前接受过冠状病毒检测的患者（P=0.03）的焦虑程度更高。HCWs 的焦虑评分低于普通人群（P=0.001）。对于抑郁，平均（±s.d.）得分为 4.18±3.60，“病例”患病率（任何严重程度）为 82/430（19.1%），与正常人群得分相似。女性报告对 COVID-19 的恐惧程度更高（P=0.001），教育程度较低的人也是如此（P=0.001）。在女性、反复接受检测的人和报告教育程度较低的参与者中，观察到 COVID-19 的心理影响更大。与在同一 COVID-19 检测诊所就诊的非 HCWs 相比，HCWs 的焦虑和抑郁症状较少。这些信息可用于在大流行期间和未来的大流行期间规划初级保健和检测环境中的心理健康干预措施。
