Narendra Kumar Mehul Kumar, Francis Benedict, Hashim Aili Hanim, Zainal Nor Zuraida, Abdul Rashid Rusdi, Ng Chong Guan, Danaee Mahmoud, Hussain Nurulwafa, Sulaiman Ahmad Hatim
Department of Psychological Medicine, University Malaya Medical Centre, Kuala Lumpur 59100, Malaysia.
Faculty of Medicine, University Malaya, Kuala Lumpur 50603, Malaysia.
Healthcare (Basel). 2022 Mar 14;10(3):532. doi: 10.3390/healthcare10030532.
The psychological distress reported among frontline healthcare workers (HCWs) is concerning. Little is known about the mental health of non-frontline, psychiatric HCWs, who play a central role in handling the mental health crisis during the COVID-19 pandemic. This study aimed to examine the prevalence of anxiety and depression among psychiatric HCWs and evaluate its association with socio-demographic, socio-economic, work-related factors and coping strategies. The authors proposed a cross-sectional study design using the Hospital Anxiety and Depressive Scale (HADS) and Brief-COPE scale. This study found that the prevalence of anxiety and depression were 22.0% and 16.8%, respectively. A multivariate analysis revealed that married psychiatric HCWs had a lower level of anxiety with OR = 0.31 (95% CI: 0.11-0.83). Psychiatric HCWs who were experiencing financial hardships, were unvaccinated and those who had a shorter duration of service in the psychiatric department had a higher level of depressive symptoms with OR = 0.31 (CI: 1.19-11.27), 3.21 (CI: 0.97-10.52), and 1.01 (CI: 1.00-1.02), respectively. For every increase of one unit of avoidant coping score among respondents, the odds of having anxiety and depression increased by 1.25 times (CI: 1.15-1.37) and 1.20 times (CI: 1.09-1.32), respectively, whereas for every increase of one unit of religious coping score among respondents, the odds of having anxiety reduced by 1.42 times (CI: 1.10-1.84). The authors highlight that psychosocial measures addressing the relatively high levels of anxiety and depression among psychiatric HCWs should be a key priority to ensure the sustainment of mental health services in the face of this prolonged pandemic.
一线医护人员报告的心理困扰令人担忧。对于非一线精神科医护人员的心理健康，我们知之甚少，而他们在应对新冠疫情期间的心理健康危机中发挥着核心作用。本研究旨在调查精神科医护人员焦虑和抑郁的患病率，并评估其与社会人口学、社会经济、工作相关因素及应对策略之间的关联。作者提出采用医院焦虑抑郁量表（HADS）和简易应对方式问卷（Brief-COPE）进行横断面研究设计。本研究发现，焦虑和抑郁的患病率分别为22.0%和16.8%。多因素分析显示，已婚精神科医护人员焦虑水平较低，比值比（OR）=0.31（95%置信区间：0.11-0.83）。经历经济困难、未接种疫苗以及在精神科工作年限较短的精神科医护人员抑郁症状水平较高，OR分别为0.31（置信区间：1.19-11.27）、3.21（置信区间：0.97-10.52）和1.01（置信区间：1.00-1.02）。受访者的回避应对得分每增加一个单位，出现焦虑和抑郁的几率分别增加1.25倍（置信区间：1.15-1.37）和1.20倍（置信区间：1.09-1.32），而受访者的宗教应对得分每增加一个单位，出现焦虑的几率降低1.42倍（置信区间：1.10-1.84）。作者强调，针对精神科医护人员中相对较高的焦虑和抑郁水平采取心理社会干预措施，应成为关键优先事项，以确保在这场长期疫情期间心理健康服务的持续开展。
