Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Disaster Med Public Health Prep. 2024 Sep 18;18:e114. doi: 10.1017/dmp.2024.98.
The COVID-19 pandemic has impacted communities worldwide. Behavioral health providers are at the forefront providing services and are thus vulnerable to psychological sequalae. This study hypothesizes that the fear of COVID-19 predicts depression and anxiety among these providers.
A questionnaire was delivered to community behavioral health providers to assess fear of COVID-19 using the Fear of COVID-19 Scale (FCV-19S). Anxiety and depression were assessed using Generalized Anxiety Disorder (GAD-2) scale and Patient Health Questionnaire (PHQ-2). Demographic data were analyzed using descriptive statistics, and the relationship between explanatory variables and outcomes was assessed using univariate generalized linear models and 1-way analysis of variance (ANOVA).
FCV-19S scores were significantly higher among persons who smoked ( = 2.4, < 0.05) or had a predisposing health condition. The multivariate models showed significant association with fear of COVID-19 and having a predisposing health condition, belonging to an ethnic minority group, not been diagnosed positive, and having a high total anxiety score.
The study indicated that 50% of the behavioral health providers screened had poor mental health owing to multiple factors identified. Hence, it is essential to strengthen their support to better mitigate situations contributing to fear.
新冠疫情已在全球各社区蔓延。行为健康服务提供者站在抗疫一线，为民众提供服务，因此他们极易产生心理方面的问题。本研究假设，对新冠病毒的恐惧会预测这些服务提供者的抑郁和焦虑症状。
我们向社区行为健康服务提供者发放问卷，采用新冠恐惧量表（FCV-19S）评估他们对新冠的恐惧。采用广泛性焦虑障碍量表（GAD-2）和患者健康问卷（PHQ-2）评估焦虑和抑郁。使用描述性统计分析人口统计学数据，并使用单变量广义线性模型和单因素方差分析（ANOVA）评估解释变量与结果之间的关系。
与不吸烟或无基础健康状况的人相比，吸烟者（ = 2.4， < 0.05）或有基础健康状况的人 FCV-19S 评分更高。多元模型显示，与对新冠的恐惧显著相关的因素包括存在基础健康状况、属于少数民族群体、未被诊断为阳性以及总焦虑评分较高。
研究表明，筛查出的行为健康服务提供者中有 50%存在心理健康问题，这与多种因素有关。因此，必须加强对他们的支持，以更好地缓解导致恐惧的情况。
