COVID-19 in Wuhan: Immediate Psychological Impact on 5062 Health Workers

Zhu, Zhou; Xu, Shabei; Wang, Hui; Liu, Zheng; Wu, Jianhong; Guo, Li; Miao, Jinfeng; Zhang, Chenyan; Yang, Yuan; Sun, Wenzhe; Zhu, Suiqiang; Fan, Yebin; Hu, Junbo; Liu, Jihong; Wang, Wei

doi:10.1101/2020.02.20.20025338

Cited by 262 publications

(388 citation statements)

References 20 publications

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“…About the demographics, a major predictor of such worries was the female gender, that incremented the perception of risk, both at personal and family level, and of a number of worries about social situation and people's behaviors. In particular, female healthcare workers were reported to be at higher risk of stress, anxiety, and depression during the COVID-19 outbreak in China (Lai et al, 2020;Zhu et al, 2020). This increased distress level in female health workers could be related to an increased perception of risk for themselves and for their relatives as we found in our study, as also reported usually in researches about risk perception in female participants (Gustafsod, 1998).…”

Section: Predictors Of Risk Perception and Worries About Covid-19supporting

confidence: 84%

“…In fact, these health workers showed a symptomatology characterized by tiredness, worry, fear, frustration, isolation, depression, anxiety, stress, insomnia, anger, and negation (Kang et al, 2020). In particular, in this group of workers, women, workers with over 10 years of service and operators who had a history of past psychological suffering showed higher risk of stress, anxiety and depression (Zhu et al, 2020).…”

Section: Introductionmentioning

confidence: 86%

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Differences between health workers and general population in risk perception, behaviors, and psychological distress related to COVID-19 spread in Italy.

Simione¹,

Gnagnarella²

2020

Preprint

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In this study, we investigated the perception of risk and the worries about COVID-19 infection in both healthcare workers and general population in Italy. We studied the difference in risk perception in these two groups, and how this related to demographic variables and psychological factors such as stress, anxiety, and death anxiety. To this aim, we administered an online questionnaire about COVID-19 together with other questionnaires assessing the psychological condition of participants. First, we found that the exposition to infection risk, due to living area or job, increased the perceived stress and anxiety (i.e. medical staff in North Italy was more stressed and anxious respect to both medical- and non-medical participants from Center and South Italy). Then, we conducted hierarchical logistic regression models on our data to assess the response odds ratio relatively to each predictor on each dependent variable. We found that health workers reported higher risk perception, level of worry, and knowledge as related to COVID-19 infection compared to general population. Also psychological state, gender, and living area were important predictors of these factors. Instead, judgments about behaviors and containment rules were more linked to demographics, such as gender and alcohol consumption. We discussed these results in the light of risk factors for psychological distress and possible interventions to meet the psychological needs of healthcare workers.

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Section: Predictors Of Risk Perception and Worries About Covid-19supporting

confidence: 84%

Section: Introductionmentioning

confidence: 86%

Differences between health workers and general population in risk perception, behaviors, and psychological distress related to COVID-19 spread in Italy.

Simione¹,

Gnagnarella²

2020

Preprint

View full text Add to dashboard Cite

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“…This theme was reflected in several qualitative studies (Meyer et al, 2018;Raven et al, 2018). Furthermore, the use, availability, training with, and faith in, infection prevention measures were identified as reducing distress (Chua et al, 2004;Khalid et al, 2016;Lee et al, 2005Lee et al, , 2005Marjanovic et al, 2007;Maunder et al, 2006;Nickell et al, 2004;Sim et al, 2004;Zhu et al, 2020) A sense of professional duty and altruistic acceptance of risk were found to be a protective factor in several studies (Goulia et al, 2010;Liu et al, 2012;Oh et al, 2017;Wu et al, 2009) which was a theme that was strongly reflected in qualitative studies (Chung et al, 2005;Hewlett and Hewlett, 2005;Raven et al, 2018;Wong et al, 2012) although one study found accepting the risk of SARS infection as part of the job was not associated with reduced psychopathology (Koh et al, 2005).…”

Section: Risk and Protective Factorsmentioning

confidence: 99%

“…In terms of protective factors that reduced the chance of poor mental health or psychological distress, social support, team cohesion or organisational support were identified by numerous studies (Chan and Huak, 2004;Chang et al, 2006;Fiksenbaum et al, 2006;Khalid et al, 2016;Lee et al, 2005;Marjanovic et al, 2007;Sun et al, 2020;von Strauss et al, 2017;Xiao et al, 2020;Zhu et al, 2020). This theme was reflected in several qualitative studies (Meyer et al, 2018;Raven et al, 2018).…”

Section: Risk and Protective Factorsmentioning

confidence: 99%

Mental Health of Clinical Staff Working in High-Risk Epidemic and Pandemic Health Emergencies: A Rapid Review of the Evidence and Meta-Analysis

Bell

Wade

2020

Preprint

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The global pandemic of SARS-CoV-2 / COVID-19 has raised concerns about the potential mental health impact on frontline clinical staff. However, given that poor mental health is common in staff working in acute medicine, we aimed to estimate the additional burden of working directly with infected patients during epidemic and pandemic health emergencies. We completed a rapid review of the evidence and identified 74 relevant studies from outbreaks of COVID-19, Ebola, H1N1 influenza, Middle East respiratory syndrome (MERS), and severe acute respiratory syndrome (SARS). Due to varying caseness criteria, a metaanalysis of prevalence was not possible. However, it was clear that levels of self-reported depression, anxiety and posttraumatic stress disorder (PTSD) related symptoms were high, and somewhat higher in clinical staff working in high exposure roles. To assess the impact of high-versus low-exposure healthcare work more formally, we estimated the standardised mean difference (SMD) of scale means using a random effects meta-analysis. High exposure work was associated with only a small additional burden of acute mental health problems compared to low exposure work (anxiety: SMD=0.22, 95% CI 0.06 -0.38; PTSD symptoms: SMD=0.21, 95% CI 0.01 -0.4; depression: SMD=0.20, -0.07 -0.47). This effect was potentially inflated by publication bias and there was a moderate risk of bias in the studies in the meta-analysis. A narrative review of candidate risk factors identified being a nurse, seeing colleagues infected, experiencing quarantine, non-voluntary role assignment, and experiencing stigma, as associated with particularly poor mental health outcomes. Protective factors included team and institutional support, use and faith in infection prevention measures, and a sense of professional duty and altruistic acceptance of risk. Notably, formal psychological support services were valued by frontline staff, although those with the highest burden of mental health difficulties were the least likely to request or receive support.

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“…Le soutien social et l'aide logistique de l'institution diminuent les niveaux de stress, d'anxiété et de dépression chez les soignants (38). La réorganisation participative des équipes avec un encadrement cohérent, des temps de débriefing, et assurer les EPI entraînent une diminution du stress professionnel.…”

Section: Favoriser La Résilienceunclassified

Les professionnels de santé face à la pandémie de la maladie à coronavirus (COVID-19) : quels risques pour leur santé mentale ?

et al. 2020

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Objectifs : La pandémie de la maladie à coronavirus (COVID-19) a provoqué une crise sanitaire majeure et mis en quarantaine la moitié de la population planétaire. En France, elle a provoqué une réorganisation en urgence de l'offre de soins mobilisant les soignants dans un climat d'incertitude. L'objectif du présent article est de faire le point sur les risques associés à l'exposition des soignants au COVID-19 pour leur santé mentale. Méthodes : Les auteurs ont conduit une revue de la littérature internationale tenant compte des données des précédentes épidémies (SARS-CoV-1, H1N1) et des données plus récentes concernant le COVID-19. Résultats : Les caractéristiques de cette pandémie (rapidité de diffusion, connaissances incertaines, sévérité, morts de soignants) ont installé un climat anxiogène. Des facteurs organisationnels peuvent être source de stress : déficit d'équipement de protection individuel, réaffectation de postes, manque de communication, manque de matériels de soins, bouleversement de la vie quotidienne familiale et sociale. D'autres facteurs de risque sont identifiés comme l'absence de soutien, la crainte de contaminer un proche, l'isolement ou la stigmatisation sociale, le haut niveau de stress au travail, ou les patterns d'attachement insécure. Les soignants ont ainsi un risque augmenté d'anxiété, de dépression, d'épuisement, d'addiction et de trouble de stress post-traumatique. Conclusions : Cette crise sanitaire devrait nous aider à mieux comprendre la vulnérabilité des soignants à la souffrance psychologique afin de renforcer les stratégies de prévention primaire et la formation aux enjeux psychologiques des soins, de la relation, et de la gestion des situations de crises sanitaires.

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COVID-19 in Wuhan: Immediate Psychological Impact on 5062 Health Workers

Abstract: BACKGROUNDThe outbreak of COVID-19 has laid unprecedented psychological stress on health workers (HWs). We aimed to assess the immediate psychological impact on HWs at Tongji Hospital in Wuhan, China.

Cited by 262 publications

References 20 publications

Differences between health workers and general population in risk perception, behaviors, and psychological distress related to COVID-19 spread in Italy.

Differences between health workers and general population in risk perception, behaviors, and psychological distress related to COVID-19 spread in Italy.

Mental Health of Clinical Staff Working in High-Risk Epidemic and Pandemic Health Emergencies: A Rapid Review of the Evidence and Meta-Analysis

Les professionnels de santé face à la pandémie de la maladie à coronavirus (COVID-19) : quels risques pour leur santé mentale ?

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