Lu Yanyu, Zhou Yuliang, Li Yahong, Cao Jing, Zhao Wenyan, Hu Yingying, Wang Jing, Zhu Hong, Xu Zhipeng
Department of Applied Psychology, South-Central Minzu University, Wuhan, Hubei, China.
Department of Neuropsychology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
J Affect Disord. 2023 Nov 1;340:221-227. doi: 10.1016/j.jad.2023.08.005. Epub 2023 Aug 2.
A considerable number of people suffered from mental disorders due to coronavirus disease 2019 (COVID-19). As the virus mutated, the effect of COVID-19 changed. This study intends to compare the mental health between the medical staff and non-medical staff during the Omicron pandemic, and to analyze the relevant risk factors.
The cross-sectional study was conducted by a set of online questionnaires, 1246 medical staff and 1246 non-medical staff were selected after a 1:1 propensity score matching. The questionnaires included the demographic characteristics, the Coronavirus Anxiety Scale (CAS), the Center for Epidemiologic Studies Depression Scale (CES-D), the Insomnia Severity Index Scale (ISI), and the Psychological Resilience Scale(CD-RISC).
Compared with medical staff, non-medical staff scored higher on CAS and CES-D (both P < 0.001). Non-medical staff had higher prevalence of anxiety (55.0 % versus 47.3 %; adjusted OR = 1.45, 95 % CI = 1.23-1.70), depression (62.4 % versus 53.4 %; adjusted OR = 1.46, 95 % CI = 1.23-1.73) and insomnia (46.5 % versus 43.4 %; adjusted OR = 1.21, 95 % CI = 1.02-1.43). Multivariate logistic regression analysis showed that being female, being younger than 40 years, having an annual income of <50,000 yuan, paying attention to omicron, in the course of an infection and below bachelor degree influenced anxiety, depression and insomnia of the medical staff and non-medical staff to different degree.
This study only collected data through the network. Therefore, the validity was reduced to some extent. The outbreak of the Omicron epidemic posed a significant challenge to public mental health, with non-medical staff at the highest risk for mental health problems.
相当一部分人因2019冠状病毒病（COVID-19）而患有精神障碍。随着病毒变异，COVID-19的影响也发生了变化。本研究旨在比较奥密克戎大流行期间医护人员和非医护人员的心理健康状况，并分析相关危险因素。
采用一组在线问卷进行横断面研究，经过1:1倾向得分匹配后，选取1246名医护人员和1246名非医护人员。问卷包括人口统计学特征、冠状病毒焦虑量表（CAS）、流行病学研究中心抑郁量表（CES-D）、失眠严重程度指数量表（ISI）和心理韧性量表（CD-RISC）。
与医护人员相比，非医护人员在CAS和CES-D上得分更高（均P<0.001）。非医护人员焦虑（55.0%对47.3%；调整后OR=1.45，95%CI=1.23-1.70）、抑郁（62.4%对53.4%；调整后OR=1.46，95%CI=1.23-1.73）和失眠（46.5%对43.4%；调整后OR=1.21，95%CI=1.02-1.43）的患病率更高。多因素logistic回归分析显示，女性、年龄小于40岁、年收入<50000元、关注奥密克戎、处于感染过程中以及本科以下学历对医护人员和非医护人员的焦虑、抑郁和失眠有不同程度的影响。
本研究仅通过网络收集数据。因此，有效性在一定程度上有所降低。奥密克戎疫情的爆发对公众心理健康构成了重大挑战，非医护人员面临心理健康问题的风险最高。
