Acute Stress Disorder Among Frontline Health Professionals During the COVID-19 Outbreak: A Structural Equation Modeling Investigation

Wang, Yuan‐Yuan; Duan, Zhizhou; Peng, Ke; Li, Dan; Ou, Jianjun; Wilson, Amanda; Wang, Nan; Liu, Si; Chen, Runsen

doi:10.1097/psy.0000000000000851

Cited by 30 publications

(31 citation statements)

References 36 publications

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“…Our findings, along with previous conclusions, indicated that acute stress response was associated with QoL. A study on front-line health professionals during the outbreak of COVID-19 showed that acute stress response led to serious emotional distress and chest pain (Wang et al, 2020). Chaudhury et al (2015) demonstrated that a history of acute stress increased individuals' susceptibility to depression by changing molecular activity in the brain.…”

Section: Discussionsupporting

confidence: 80%

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Relationship Between Acute Stress Responses and Quality of Life in Chinese Health Care Workers During the COVID-19 Outbreak

Zhang

et al. 2021

Front. Psychol.

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This study aimed to determine the relationship between acute stress and quality of life and explore their influencing factors on health care workers. A descriptive cross-sectional study was conducted, and a sample of 525 health care workers was recruited from 15 hospitals through a convenient sampling method. Participants completed an online self-report questionnaire to assess their acute stress and quality of life. Descriptive and multiple linear regression statistics were used for this analysis. The results regarding acute stress responses varied significantly among the differences in marital status, physical activity, work status, perceived risk of contracting COVID-19, and the expected duration of the pandemic. Moreover, a younger age, lack of physical activity, being a front-line medical staff, and higher acute stress scores indicated a worse quality of life. Healthcare workers’ acute stress was negatively correlated with their quality of life. Therefore, the authorities should pay special attention to health care workers’ mental health and provide them with timely protection during the pandemic.

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Section: Discussionsupporting

confidence: 80%

“…Our findings suggested that the front-line medical staff exhibited greater levels of acute stress. Wang et al (2020) highlighted that acute stress disorder is a prominent psychological problem for front-line health professionals. Working on the front-line is an independent risk factor for negative emotions (Lai et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Acute Stress Responses and Quality of Life in Chinese Health Care Workers During the COVID-19 Outbreak

Zhang

et al. 2021

Front. Psychol.

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“…This study also observed a strong link between COVID-19 pandemic and emotional distress such as depressive symptoms and anxiety, acute stress disorder and psychosomatic symptoms (such as chest pain). 7 In the UK National Health Service (NHS), frontline healthcare workers are likely to be particularly vulnerable to mental health issues as a result of COVID-19 outbreak. Their work environment has changed dramatically, and they have been exposed to alarming levels of stress.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Psychological and occupational impact of the COVID-19 pandemic on UK surgeons: a qualitative investigation

et al. 2021

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BackgroundThe COVID-19 pandemic represents the greatest biopsychosocial emergency the world has faced for a century. The pandemic has changed how individuals live and work, and in particular, frontline healthcare professionals have been exposed to alarming levels of stress.ObjectiveThe aim of this study was to understand the professional and personal effects of COVID-19 pandemic on surgeons working in the UK National Health Service (NHS).SettingSurgical departments in the NHS.DesignBetween May and July 2020, as part of an ongoing study, we asked surgeons two open-ended questions: ‘What challenges are the COVID-19 crisis currently presenting to you in your work and home life?’ and ‘How is this stress affecting you personally?’ Thematic analysis was used for the qualitative data. Responses to the second question were also categorised into four groups reflecting valence: positive, neutral, mildly negative and strongly negative.ResultsA total of 141 surgeons responded to the survey and the results indicated that 85.8% reported that they were generally negatively affected by the COVID-19 pandemic, of which 7.8% were strongly affected in a negative way. Qualitative thematic analysis identified four key themes from responses relating to the impact of the pandemic: (1) changing and challenging work environment as a result of COVID-19; (2) challenges to professional life and development; (3) management of change and loss in the respondents’ personal lives; (4) emotional and psychological impacts.ConclusionThe results highlighted the substantial emotional and psychological effects of the COVID-19 pandemic on surgeons’ mental health, particularly in relation to fear and anxiety, loss of motivation, low mood, stress and burnout. There is an urgent need for workplace support and mental health interventions to help surgeons cope with the difficulties they face during the ongoing COVID-19 pandemic.

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“…A meta-analysis revealed that the COVID-19 pandemic increases the mental health problems of the global population, particularly health care workers (5). Some other studies conducted during the outbreak period also showed the high prevalence of mental health problems such as depression, anxiety, insomnia, and acute stress among medical staffs (6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

“…Zhang's study suggests that insomnia symptoms are positively associated with low education level, currently working in an isolation unit, worried about being infected, perceiving lack of helpfulness in terms of psychological support from the news or social media concerning COVID-19, and having very strong uncertainty regarding effective disease control (7). Besides, acute stress disorder is found to be associated with psychosomatic symptoms as well as hostility (9). Furthermore, social support, coping style, and personality are also considered to play an important role in the prevalence of mental health problems.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Related Factors of Depression, Anxiety, Acute Stress, and Insomnia Symptoms Among Medical Staffs Experiencing the Second Wave of COVID-19 Pandemic in Xinjiang, China

Zhao

Guo

Liu

et al. 2021

Front. Public Health

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The prevalence and related factors of mental health impact among medical staffs who experienced the second wave of the COVID-19 pandemic in China is unknown. Therefore, this survey was conducted to investigate the prevalence and related factors of depressive, anxiety, acute stress, and insomnia symptoms in medical staffs in Kashi, Xinjiang, China during the second wave of the COVID-19 pandemic. A cross-sectional online survey was conducted among medical staffs working in First People's Hospital of Kashi, Xinjiang. The questionnaire collected demographic data and self-design questions related to the COVID-19 pandemic. The Impact of Events Scale-6, the Insomnia Severity Index, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder Scale-7, the Perceived Social Support Scale, the Chinese Big Five Personality Inventory-15, and the Trait Coping Style Questionnaire were used to measure psychological symptoms or characteristics. Binary logistic regression was carried out to examine the associations between socio-demographic factors and symptoms of depression, anxiety, stress, and insomnia. In total, data from 123 participants were finally included, among which the prevalence rate of depressive, anxiety, acute stress, and insomnia symptoms is 60.2, 49.6, 43.1, and 41.1%, respectively. The regression model revealed that minority ethnicity, being worried about infection, spending more time on following pandemic information, and neurotic personality were positively associated with the mental health symptoms, while extraversion personality, higher education level, and better social support were negatively associated. In our study, the prevalence of mental health impact was high among medical staffs in Kashi, China who experienced the second wave of the COVID-19 pandemic. Several factors were found to be associated with mental health conditions. These findings could help identify medical staffs at risk for mental health problems and be helpful for making precise mental health intervention policies during the resurgence. Our study may pave way for more research into Xinjiang during the COVID-19 pandemic.

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Acute Stress Disorder Among Frontline Health Professionals During the COVID-19 Outbreak: A Structural Equation Modeling Investigation

Cited by 30 publications

References 36 publications

Relationship Between Acute Stress Responses and Quality of Life in Chinese Health Care Workers During the COVID-19 Outbreak

Relationship Between Acute Stress Responses and Quality of Life in Chinese Health Care Workers During the COVID-19 Outbreak

Psychological and occupational impact of the COVID-19 pandemic on UK surgeons: a qualitative investigation

Prevalence and Related Factors of Depression, Anxiety, Acute Stress, and Insomnia Symptoms Among Medical Staffs Experiencing the Second Wave of COVID-19 Pandemic in Xinjiang, China

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