Kussainova Diana K, Orazalina Ainash S, Khismetova Zaituna A, Serikova-Esengeldina Dinara, Khamidullina Zaituna G, Akhmetova Kamila M, Tursynbekova Anar E, Tukinova Assel R, Shalgumbayeva Gulnar M
Department of Public Health, Semey Medical University, 103 Abay St., Semey 071400, Kazakhstan.
Department of Public Health, Astana Medical University, Beybitshilik Street 49a, Astana 010000, Kazakhstan.
Int J Environ Res Public Health. 2025 Mar 10;22(3):407. doi: 10.3390/ijerph22030407.
: Studying the prevalence of anxiety, depression, and insomnia among medical workers in emergency medical services is a relevant task that will improve our understanding of scope of the problem and develop effective strategies to support and prevent psychological problems among medical staff. Insomnia is closely linked to anxiety and depression, as sleep disturbances can exacerbate emotional distress, while persistent anxiety and depressive symptoms contribute to sleep disruptions. Individuals suffering from insomnia are at a higher risk of developing anxiety and depression, creating a bidirectional relationship that negatively impacts overall mental well-being. This raises a crucial question: "What specific measures and intervention strategies can be implemented to reduce the levels of anxiety, depression, and insomnia among EMS personnel?" : A cross-sectional study was conducted with the participation of 592 medical workers employed in emergency medical services in the East Kazakhstan and Abay regions of the Republic of Kazakhstan. This study included questions regarding the socio-demographic data of the respondents, questions assessing the severity of insomnia using the Insomnia Severity Index (ISI), and questions from the Hospital Anxiety and Depression Scale (HADS) scale assessing the level of anxiety and depression among the participants. : Nearly a third of the EMS personnel reported symptoms of insomnia (28.2% subthreshold, 16.2% insomnia, and 3.0% severe), anxiety (22.1% subclinical, and 13.0% clinical), or depression (20.4% subclinical, and 9.8% clinical). Feldshers (nursing staff) and those with higher education had elevated levels of these conditions. The insomnia was strongly correlated with anxiety (r = 0.539, < 0.001) and depression (r = 0.415, < 0.001), emphasizing the need for targeted mental health interventions. : This study found elevated levels of insomnia, anxiety, and depression among emergency medical service (EMS) personnel-especially nursing staff and those with higher education. We recommend comprehensive mental health support, routine screenings, stress management training, and integrating sleep hygiene into wellness programs.
研究紧急医疗服务人员中焦虑、抑郁和失眠的患病率是一项具有现实意义的任务，这将增进我们对该问题范围的理解，并制定有效的策略来支持和预防医务人员的心理问题。失眠与焦虑和抑郁密切相关，因为睡眠障碍会加剧情绪困扰，而持续的焦虑和抑郁症状会导致睡眠中断。患有失眠症的个体患焦虑和抑郁的风险更高，从而形成一种双向关系，对整体心理健康产生负面影响。这就引出了一个关键问题：“可以采取哪些具体措施和干预策略来降低紧急医疗服务人员的焦虑、抑郁和失眠水平？”：在哈萨克斯坦共和国东哈萨克斯坦州和阿拜州从事紧急医疗服务的592名医务人员参与了一项横断面研究。这项研究包括有关受访者社会人口数据的问题、使用失眠严重程度指数（ISI）评估失眠严重程度的问题，以及来自医院焦虑和抑郁量表（HADS）评估参与者焦虑和抑郁水平的问题。：近三分之一的紧急医疗服务人员报告有失眠症状（28.2%为亚阈值、16.2%为失眠、3.0%为严重）、焦虑（22.1%为亚临床、13.0%为临床）或抑郁（20.4%为亚临床、9.8%为临床）。护士和受过高等教育的人员这些情况的发生率较高。失眠与焦虑（r = 0.539，<0.001）和抑郁（r = 0.415，<0.001）密切相关，强调了针对性心理健康干预的必要性。：这项研究发现，紧急医疗服务（EMS）人员，尤其是护士和受过高等教育的人员，失眠、焦虑和抑郁水平较高。我们建议提供全面的心理健康支持、定期筛查、压力管理培训，并将睡眠卫生纳入健康计划。
