COVID-19 has a significant impact on public health and poses a challenge to medical staffs, especially to front-line medical staffs who are exposed to direct contact with patients. To understand the psychological stress status of medical staffs during the outbreak of COVID-19. Random sample questionnaire survey was conducted among 2110 medical staffs and 2158 college students in all provinces of china through a questionnaire which was compiled and completed through the Questionnaire Star platform relying on Wechat, QQ and other social software. The differences in psychological stress status of different groups were compared through This article is protected by copyright. All rights reserved. Accepted Articlethe analysis of the questionnaire. Results revealed that in all provinces of china, medical staffs scored significantly higher on all items of psychological stress than college students(P<0.001). In Wuhan, medical staff scored significantly higher than college students in all items of psychological stress(P<0.001). While for medical staff, the group in Wuhan area scored significantly higher than the group outside Wuhan on "Thought of being in danger", "The possibility of self-illness", "Worrying about family infection"(P<0.05), "Poor sleep quality", "Needing psychological guidance" and "Worrying about being infected"(P<0.01) items in the psychological stress questionnaire, and in the item of "Confidence in the victory of the epidemic", the group in Wuhan area scored significantly lower than the group in the area outside Wuhan(P<0.05). The emotion, cognition, physical and mental response of front-line medical staff showed obvious "exposure effect", and psychological crisis intervention strategy can be helpful.

Background: Since the outbreak of COVID-19, physical and psychological harm has been spreading across the global population alongside the spread of the virus. Currently, the novel coronavirus has spread to most countries in the world, and its impact on the public is also increasing. As a high-risk group in direct contact with the virus, medical workers should be monitored, and their mental health deserves extensive attention. The aim of this study was to explore the mental health of medical workers facing the novel coronavirus and the main factors affecting it. Methods: The present cross-sectional study including 2,100 eligible individuals from 1,050 hospitals in China was conducted through the network platform powered by www. wjx.cn, a platform providing functions equivalent to Amazon Mechanical Turk. We used a self-designed questionnaire to collect demographic information and data on mental states, including gender, age (years), educational level, job rank, body and mind reaction, cognition of risk, and the judgment of the epidemic situation. Independent samples t-tests and one-way (ANOVA) analysis were carried out to compare the differences in the mental reactions according to the demographic and psychological states of the participants. Results: There were 502 males (23.9%) and 1,598 females (76.1%). The participants reported feeling calm (39.1%), tense (63.0%), scared (31.4%), angry (18.8%), sad (49.0%), afraid (34.7%), optimistic (5.1%), impressed (65.0%), and confident (31.1%) during the epidemic. At the same time, the psychological stress responses of medical staff were significantly different according to the levels of exposure in their environments, duration and personal experience. Conclusions: Prolonged exposure to the virus and intense work are detrimental to the mental health of medical care personnel. It is necessary to adjust work conditions and intensity according to workers' mental state flexibly and systematically.

Objective The problem of learning burnout of medical students is becoming prominent, and empathy can play a good predictive role in learning burnout. The present study aimed to investigate the relationship between empathy and learning burnout, as well as the mediation effect of resilience in this relation. Methods Five hundred and eighty-eighth college students from a key medical university in Yunnan Province was investigated using the Basic Empathy Scale, Learning Burnout Scale, and Connor-Davidson Resilience Scale. All the measures showed good reliability and validity in the present study. Data were analyzed using SPSS 23.0 and Amos 22.0. Results Using structural equation modeling, we tested a conceptual model indicated that: (1) medical students' empathy negatively and significantly predicted learning burnout; (2) medical students' empathy positively predicts mental resilience; (3) resilience of medical students negatively predicts learning burnout; (4) resilience partially mediated the relationship between empathy and learning burnout of medical students, while also controlling for family socioeconomic status. Conclusion These findings highlight the mediating role of resilience in the effect of empathy on learning burnout of medical college students. It may contribute to a better understanding of the effect of empathy. Moreover, it can also provide constructive suggestions for protecting and improve empathy and resilience of medical college students.