A study on mental health status among  the staff in  a  designated hospital for COVID- 19

Abstract

Background: We investigate the mental health status of all the staff members who worked for the designated hospital during the initial stage of COVID-19, so as to understand the severity of mental health problems, and analyze the risk factors.Methods: Through the patients health questionnaire-9(PHQ-9) and panic disorder severity scales(PDSS), we surveyed the status of depression and panic disorder of the staff who participated in the prevention and treatment of COVID-19 in designated hospital in the early stage of epidemic. The data is described by the number of cases (percentage), median and interquartile range. The chi square test was used for categorical variables and the rank sum test was used for continuous variables. The risk factors of severe depression or panic disorder were analyzed by binary logistic regression test.Results: Totally 702 questionnaires were sent out and 694(98.9%) was received and qualified, the median score of PHQ-9 among all the staff was 1 (IQR,0-4), 143(20.6%) of them had depression, 39 (5.6%) had serious depression; the median score of PDSS was 2 (IQR,0-5), 81 (11.7%) of them had panic disorder and 47(6.7%) of them had severe panic disorder; Among the people in different work lines, the first-line staff scored the highest: PHQ-9 score was 4 (0-8); PDSS score was 4 (1-9), which were significantly higher than the second-line and third-line staff (P<0.001). Multivariate logistic regression analysis showed that the adjusted risk of severe depression in first-line staff was 6.63 fold(P < 0.001); the risk of severe panic disorder was 2.62 fold (P=0.003) higher than that of non-first line group.Conclusions: Many staff in the designated hospital for COVID-19 have mental health problems. Among them, first-line workers are a high-risk group with severe depression and panic disorder, and further psychological intervention is needed for them.

Update Alert: Epidemiology of and Risk Factors for Coronavirus Infection in Health Care Workers

“…One analysis of all cases in Italy estimated slightly higher mortality due to COVID-19 in physicians and dentists (0.046%) than in the general population (0.039%), due to increased infection incidence (20). Eight new studies were consistent with previous findings that HCWs in areas affected by COVID-19 report high levels of depression, anxiety, and psychological distress (Supplement Table 2) (4, 9, 10, 16,26,34,36,38). Like prior studies, the new studies used a cross-sectional design, did not control for baseline symptoms, did not have a non-HCW control group, and did not control for work exposures.…”

Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis

“…All studies were conducted between January 2020 and September 2020: eight in January, 36 in February, 13 in March, 13 in April, six in May, two in June, two in July and one in September. Twenty preprint studies [ [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] ] were included in the analyses. All studies included in this meta-analysis were of cross sectional design.…”

“…Stress was estimated in 40 studies [ 18 , 20 , 25 , 27 , 29 , 33 , 35 , 36 , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] , [66] , [67] , [68] , [69] , [70] ]. The overall pooled point estimates of prevalence for stress varied between 10% and 84% ( Fig.…”

“…The overall pooled point estimates of depression reported by the 62 studies [ 19 , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , 34 , 35 , 37 , 39 , 42 , 43 , 45 , 48 , 49 , 51 , [53] , [54] , [55] , [56] , [57] , 62 , [64] , [65] , [66] , [67] , [71] , [72] , [73] , [74] , [77] , [78] , [79] , [80] , [81] , [82] , [83] , [84] , [85] , [86] , [87] , [88] , 90 , 91 , [94] , [95] , [96] , [99] , [100] , [101] , [102] , [103] , [105] , [106] , [107] , [108] ] varied between 9% and 89% ( Fig. 4 : forest plots).…”

Evaluation of the Changes in Mental Health State at the Beginning of COVID-19 in Hospital Personnel

“…Information Form The Information Form was created at the beginning of the pandemic, taking into account the relevant literature [14][15][16] and the purpose of the study.The form consisted of a total of 21 items regarding sociodemographic data, medical history and certain features associated with COVID-19. Based on their duties in the hospital, the participants consisted of the participants, who were directly involved in patient care and treatment (physician, nurse, midwife, health officer, physiotherapist), the participants, who were not directly involved in patient care and treatment (medical secretary, social worker, social services expert, laboratory technician, civil servant, forensic interviewer, psychologist, child development specialist, security guard, audiologist, ambulance driver), and service staff (cleaning, clinical support).…”