Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of Technology, Auckland, New Zealand.
Br J Sports Med. 2023 Nov;57(21):1382-1387. doi: 10.1136/bjsports-2022-106582. Epub 2023 May 31.
To explore the prevalence of symptoms of mental health conditions and burnout of healthcare professionals (HCPs) working during the Tokyo 2020 Paralympic Games and the Beijing 2022 Paralympic Winter Games.
In this cross-sectional, observational study, HCPs working during the Tokyo 2020 and Beijing 2022 Paralympic Games were asked to complete an online, anonymous survey, which included demographic questions and questions regarding mental health symptoms including depression (Patient Health Questionnaire 9-item depression scale) and anxiety (Generalized Anxiety Disorder 7-item scale) as well as burnout (Maslach Burnout Inventory-Human Services Survey: depersonalisation, emotional exhaustion, personal accomplishment). Correlation coefficients (r) were calculated between demographic characteristics and mental health symptoms.
In total, 256 HCPs (of 857 HCPs; 30%) completed the surveys. Twelve and eight per cent of HCP scores fell within the moderate to severe depression and moderate to severe anxiety categories, respectively. More than 30% reported moderate to high burnout (depersonalisation: 36%; emotional exhaustion: 36%; personal accomplishment: 58%). In addition, thoughts of self-harm and/or suicidality were reported by some HCPs (8%). Weak correlations were observed between age and depression (r=-0.13, p=0.046), anxiety (r=-0.16, p=0.010) and burnout (emotional exhaustion: r=-0.14, p=0.032; personal accomplishment: r=0.27, p<0.001).
Although most HCPs reported good mental health, this study suggests that a subset of HCPs experienced symptoms of depression, anxiety, burnout or thoughts of self-harm during the Tokyo 2020 and Beijing 2022 Paralympic Games. While the generalisability of these findings outside of COVID-19 restrictions should be tested, appropriate guidance and mental health support of HCPs leading up to the Paralympic Games should be prioritised.
探讨在东京 2020 年残奥会和北京 2022 年冬残奥会期间工作的医疗保健专业人员（HCPs）心理健康状况和倦怠症状的流行情况。
在这项横断面观察性研究中，要求在东京 2020 年和北京 2022 年残奥会期间工作的 HCP 完成在线匿名调查，其中包括人口统计学问题以及心理健康症状问题，包括抑郁（患者健康问卷 9 项抑郁量表）和焦虑（广泛性焦虑症 7 项量表）以及倦怠（马斯拉赫倦怠量表-人类服务调查：去人性化、情感耗竭、个人成就感）。计算人口统计学特征与心理健康症状之间的相关系数（r）。
共有 256 名 HCP（857 名 HCP 中的 30%）完成了调查。12%和 8%的 HCP 得分分别属于中重度抑郁和中重度焦虑类别。超过 30%的人报告了中高度倦怠（去人性化：36%；情感耗竭：36%；个人成就感：58%）。此外，一些 HCP 报告了自残和/或自杀念头（8%）。年龄与抑郁（r=-0.13，p=0.046）、焦虑（r=-0.16，p=0.010）和倦怠（情感耗竭：r=-0.14，p=0.032；个人成就感：r=0.27，p<0.001）之间存在弱相关性。
尽管大多数 HCP 报告了良好的心理健康状况，但这项研究表明，在东京 2020 年和北京 2022 年残奥会期间，有一部分 HCP 出现了抑郁、焦虑、倦怠或自残念头的症状。虽然这些发现在 COVID-19 限制之外的普遍性尚待检验，但应优先考虑在残奥会前为 HCP 提供适当的指导和心理健康支持。
