Prakash Aathira J, Agarwal Vivek, Kar Sujita Kumar, Dalal P K
Department of Psychiatry, King George's Medical University, Lucknow, Uttar Pradesh, India.
Indian J Psychiatry. 2023 Jan;65(1):107-112. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_159_22. Epub 2023 Jan 13.
There is a dearth of longitudinal research that measures the impact of the pandemic on the mental health of resident doctors.
This study aimed to estimate depression, anxiety, stress, burnout, and sleep disturbances (insomnia and nightmares) among resident doctors after COVID-19 duty. The study was a prospective longitudinal study among resident doctors posted in COVID-19 wards in a tertiary hospital in North India.
The participants were assessed at two points of time, two months apart, on a semistructured questionnaire and self-rated scales for depression, anxiety, stress, insomnia, sleep quality, nightmare experience, and burnout.
A significant proportion of resident doctors working in a COVID hospital had symptoms of depression (29.6%), anxiety (28.6%), stress (18.1%), insomnia (22%), and burnout (32.4%), even after two months of being off COVID duty. It was seen that these psychological outcomes had a strong positive correlation with each other. Compromised sleep quality and burnout significantly predicted depression, anxiety, stress, and insomnia.
The current study has added to the psychiatric aspects of COVID-19 among resident doctors and the changes in these symptoms with time and highlights the need for targeted interventions to decrease these adverse outcomes.
缺乏衡量疫情对住院医生心理健康影响的纵向研究。
本研究旨在评估新冠疫情值班后住院医生的抑郁、焦虑、压力、职业倦怠和睡眠障碍（失眠和噩梦）情况。该研究是对印度北部一家三级医院新冠病房的住院医生进行的一项前瞻性纵向研究。
通过一份半结构化问卷和抑郁、焦虑、压力、失眠、睡眠质量、噩梦经历及职业倦怠自评量表，在相隔两个月的两个时间点对参与者进行评估。
即使在脱离新冠疫情值班两个月后，相当一部分在新冠医院工作的住院医生仍有抑郁症状（29.6%）、焦虑症状（28.6%）、压力症状（18.1%）、失眠症状（22%）和职业倦怠症状（32.4%）。结果显示，这些心理结果之间存在很强的正相关性。睡眠质量受损和职业倦怠显著预示着抑郁、焦虑、压力和失眠。
本研究补充了新冠疫情在住院医生中引发的精神问题以及这些症状随时间的变化情况，并强调了采取针对性干预措施以减少这些不良后果的必要性。
