Turk Psikiyatri Derg. 2021;32(4):225-234. doi: 10.5080/u25827.
The aim of this study is to investigate the anxiety, depression, insomnia and post traumatic stress disorder (PTSD) symptoms and the assocaited sociodemographic, clinical and professional factors during the COVID-19 pandemic in healthhcare workers.
A total of 509 participants joined an online survey to complete the data acquisition tools consisting of a Sociodemographic and Clinical Questionnaire, the Hospital Anxiety and Depression Scale (HADS), the Insomnia Severity Index (ISI) and the Post Traumatic Stress Disorder- Short Scale (PTSD-SS).
The 509 participants of the study consisted of physicians (69.2%) and nurses (30.8%). On the basis of the scores above the cut-off points of the pscyhometric scales used, the mental symptoms of the participants were ranked as 54.2% on depression, 26.3% on anxiety, 20.8% on insomnia and 8.8% on PTSD. The corresponding scores of the 20-30 year old, the female and the nursing participants were significantly higher as compared to the others (p<0.001, for all). Significant differences were not found in these scores with respect to working or not working directly with COVID-19 patients, or having a family member with or without COVID-19 infection (p>0.05). Having a history of suspected COVID-19 infection was significantly associated with insomnia (p=0.026 and PTSD (p=0.008). Also, the anxiety and PTSD scores of the participants with a history of mental disorder diagnosis were significantly higher in comparison to the others (p<0.001).
The results indicated that females, nurses, participants in the 20-30 year age group and with a history of mental disorder diagnosis were in the high risk group for impaired mental health, irrespective of their professional positions. Close monitoring and early intervention are essential for these high-risk individuals.
本研究旨在调查 COVID-19 大流行期间医护人员的焦虑、抑郁、失眠和创伤后应激障碍(PTSD)症状及其相关的社会人口学、临床和职业因素。
共有 509 名参与者参加了一项在线调查,以完成由社会人口学和临床问卷、医院焦虑和抑郁量表(HADS)、失眠严重程度指数(ISI)和创伤后应激障碍-短量表(PTSD-SS)组成的数据采集工具。
研究的 509 名参与者包括医生(69.2%)和护士(30.8%)。根据使用的心理计量量表的临界值分数,参与者的精神症状排名如下:抑郁 54.2%、焦虑 26.3%、失眠 20.8%和 PTSD 8.8%。与其他人群相比,20-30 岁、女性和护理人员的相应分数明显更高(p<0.001,均)。与是否直接与 COVID-19 患者一起工作、是否有家庭成员感染 COVID-19 无关,这些分数没有显著差异(p>0.05)。有疑似 COVID-19 感染史与失眠(p=0.026)和 PTSD(p=0.008)显著相关。此外,有精神障碍诊断史的参与者的焦虑和 PTSD 评分明显高于其他参与者(p<0.001)。
结果表明,女性、护士、20-30 岁年龄组的参与者和有精神障碍诊断史的参与者属于心理健康受损的高危人群,而不论其职业。对这些高危个体进行密切监测和早期干预至关重要。