Department of Prosthetic Dentistry, Dental Faculty, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Pediatric Dentistry, Dental Faculty, Ardabil University of Medical Sciences, Ardabil, Iran.
Work. 2023;75(3):787-797. doi: 10.3233/WOR-220370.
The coronavirus 2019 (COVID-19) pandemic had several mental effects on medical staff.
This study intended to evaluate deviations in Frontline Dental Staff (FDS) depression, perceived stress and hypochondria during the COVID-19 outbreak, and to assess whether the existence of potential risk-factors influenced these symptoms over time.
This prospective cohort study surveyed FDS three periods from February 1, 2021 to April 8, 2022. FDSs' mental health was assessed through Beck Depression Inventory, Cohen Perceived Stress and the Evans Self-Illness Questionnaires; multivariate linear regression were used to identify potential factors associated with changes on each outcome (depression, perceived stress and hypochondria) over time. All analyses were performed in STATA ver. 14.
In a total of 635 FDS, about 69%, 83%, and 71% reported relative depression, 77%, 87%, and 64% reported moderate to high stress level, and 60%, 76% and 74% reported moderate hypochondriac from first, second, and third survives, respectively. The mean and standard deviation of the variables increased dramatically at second survive (July 17 to October 21, 2021) and decreased again at third survive significantly. Being female, working in public sector, and low socioeconomic level were main predictors of higher levels of depression (p < 0.001) and perceived stress (p < 0.001). Perceived stress was a strong predictor of high-level depression (t = 7.79, p < 0.001).
FDSs' depression, stress and hypochondria were high and positively associated with being female, working in public-sector, and low socioeconomic level. To increase the effectiveness and decrease work burnout, psychological support should be provided.
2019 年冠状病毒病（COVID-19）大流行对医务人员造成了多种心理影响。
本研究旨在评估 COVID-19 爆发期间一线牙科医护人员（FDS）的抑郁、感知压力和疑病症的偏差，并评估是否存在潜在的风险因素会随时间影响这些症状。
本前瞻性队列研究于 2021 年 2 月 1 日至 2022 年 4 月 8 日期间对 FDS 进行了三个阶段的调查。通过贝克抑郁量表、科恩感知压力量表和埃文斯自我疾病问卷评估 FDS 的心理健康；使用多元线性回归来确定与每个结果（抑郁、感知压力和疑病症）随时间变化相关的潜在因素。所有分析均在 STATA 版本 14 中进行。
在总共 635 名 FDS 中，约 69%、83%和 71%在第一、二、三阶段分别报告了相对抑郁、77%、87%和 64%报告了中高度压力水平、60%、76%和 74%报告了中高度疑病症。在第二阶段（2021 年 7 月 17 日至 10 月 21 日），变量的平均值和标准差急剧增加，在第三阶段显著下降。女性、在公共部门工作和低社会经济水平是较高抑郁水平（p<0.001）和感知压力（p<0.001）的主要预测因素。感知压力是高水平抑郁的有力预测因素（t=7.79，p<0.001）。
FDS 的抑郁、压力和疑病症较高，且与女性、在公共部门工作和低社会经济水平呈正相关。为了提高效率和减少工作倦怠，应提供心理支持。
