Depression and its relationship with quality of life in frontline psychiatric clinicians during the COVID-19 pandemic in China: a national survey

Zhang, Honghe; Zhao, Yan; Wang, Chun; Zhang, Qinge; Yu, Haiyang; Cheung, Teris; Hall, Brian J.; An, Feng-Rong; Xiang, Yu Tao

doi:10.7150/ijbs.56037

Cited by 18 publications

(17 citation statements)

References 30 publications

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“…The psychometric characteristics of the GAD-7 are reliable to measure anxiety allied with clinical features [ 20 ] with strong consistency (Cronbach’s alpha = 0.92) and good test–retest reliability (r = 0.88). The PSQI has [ 16 ] internal uniformity and a reliability coefficient (Cronbach’s alpha) of 0.83 for its seven components. The overall PSQI global score correlation coefficient for test–retest reliability was r = 0.87.…”

Section: Methodsmentioning

confidence: 99%

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Comparison of Generalized Anxiety and Sleep Disturbance among Frontline and Second-Line Healthcare Workers during the COVID-19 Pandemic

Meo

Alkhalifah

Alshammari

et al. 2021

IJERPH

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Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection, also known as COVID-19, has developed into an alarming situation around the world. Healthcare workers are playing the role of frontline defense to safeguard the lives of everyone during the COVID-19 pandemic. The present study aimed to investigate the anxiety levels and sleep quality among frontline and second-line healthcare workers during the COVID-19 pandemic. In this cross-sectional study, a validated, self-administered, electronic questionnaire was distributed through email to healthcare workers. The selection of 1678 healthcare workers was based on a convenience sampling technique. The General Anxiety Disorder-7 (GAD-7) and Pittsburgh Sleep Quality Index (PSQI) instrument scales were used to assess healthcare workers’ anxiety levels and sleep quality during the COVID-19 pandemic. Out of 1678 respondents, 1200 (71.5%) were frontline healthcare workers, while 478 (28.5%) were second-line healthcare workers. Among all the healthcare workers, 435 (25.92%) were experiencing moderate to severe anxiety. Among them, 713 (59.4%) frontline healthcare workers were experiencing anxiety in comparison with 277 (57.9%) second-line healthcare workers. Severe anxiety symptoms were seen in 137 (11.41%) frontline healthcare workers compared to 44 (9.20%) second-line healthcare workers. In total, 1376 (82.0%) healthcare workers were found to have poor sleep quality; 975 (58.10%) were frontline, and 407 (23.89%) were second-line healthcare workers. The highest poor sleep quality levels were found among 642 (84.6%) of the healthcare workers who work in frontline areas (emergency departments, intensive care units, and wards) compared to 734 (79.9%) of the healthcare workers who work in second-line areas. These findings provide a substantial contribution to the consolidation of evidence concerning the negative impact of the pandemic on the mental health of healthcare workers (HCWs). These results have established an association that the COVID-19 pandemic causes larger negative psychological symptoms in frontline healthcare workers, such as severe anxiety and poor sleep quality. Preventive measures to minimize anxiety levels and maintain sleep quality, addressing this issue nationally and globally, are essential to support the healthcare workers who are sacrificing their mental health for the future of our nations.

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Section: Methodsmentioning

confidence: 99%

“…The adverse effects of stress can lead to mental health problems, such as anxiety and sleep disturbances, which may affect work performance, family, and social relationships. Healthcare providers are frequently in contact with SARS-CoV-2 patients, and therefore more prone to fear, stress, insomnia [ 15 ], and depression [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Generalized Anxiety and Sleep Disturbance among Frontline and Second-Line Healthcare Workers during the COVID-19 Pandemic

Meo

Alkhalifah

Alshammari

et al. 2021

IJERPH

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“…Only 7.6% of the participants had an IES score ≥26. 20 Zhang 33 Depression and its relationship with quality of life in frontline psychiatric clinicians during the COVID-19 pandemic in China: a national survey Cross-sectional study Frontline psychiatric clinicians Convenience sampling 10,516 From 15 to 20 March 2020 2020 China Depression and QOL were assessed using the Patient Health Questionnaire nine items (PHQ-9) and the World Health Organization Quality of Life Questionnaire-brief version (WHOQOL-BREF). The overall (Quality of Life) QoL of the study participants was 6.64 (1.60%), whereas the QoL of No depression participants was (N=7517) - 7.12 (1.42%) and with depression symptoms of participants was (N=2999) - 5.46 (1.39%) 21 Herrero San Martin 19 Sleep characteristics in health workers exposed to the COVID-19 pandemic Cross-sectional study Health workers A stratified sampling technique with subsequent simple randomization.…”

Section: Assessment Of Quality Of Life Among Health Professionalsmentioning

confidence: 99%

“…The overall (Quality of Life) QoL of the study participants was 6.64 (1.60%), whereas the QoL of no depression participants (N=7517) was 7.12 (1.42%), and for individuals with depressive symptoms (N=2999) was 5.46 (1.39%). 33 …”

Section: Assessment Of Quality Of Life Among Health Professionalsmentioning

confidence: 99%

Assessment of Quality of Life Among Health Professionals During COVID-19: Review

Kandula¹,

Wake²

2021

JMDH

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In 2019, coronavirus disease pandemic (COVID-19) influences the quality of life of health personnel who are on the front lines in dealing with COVID-19 patients. The purpose of this study is to assess the quality of life of health professionals during the COVID-19 epidemic. The novel coronavirus disease-19 (COVID-19) has spread across the globe with the direct causal viral agent of severe acute respiratory syndrome-corona virus-2 (SARS-CoV-2) and infected many people. All health professionals (HPs) such as physicians, nurses, and other allied health staff members are primary caregivers in hospitals and other health care settings, specifically under pandemic situations such as COVID-19. The emergence of the COVID-19 pandemic has caused numerous diversions in the preservation of the quality of life (QoL) of health professionals by deviations from normal physical, mental, and social wellbeing aspects. HPs are the most vulnerable population to COVID-19 viral transmission while delivering emergency medical services to persons infected with the virus in various health care sectors, such as direct engagement in lifesaving management. In this perspective, some recent literature on QoL of health professionals was examined, uncovering that they frequently experience fear and anxiety due to viral transmissions in the place of work and probable cross-contamination among family members, tend to experience insomnia caused by sudden increased work pressure, struggle to balance professional and personal life, suffering from mental health disturbances such as depressive episodes, mood disturbances, and suicidal tendencies due to the unpredictability of the disease outbreak. The current review is looking to determine and address the degree of QoL maintained by specific types of health professionals during critical moments of COVID-19 pandemics. This study may assist health organization stakeholders in enhancing QoL among health professionals by introducing required provisions, measures, or initiatives for the welfare of health professionals, notably in resolving pandemic demands in all health organizations.

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“…Conversely, this may be viewed as a limitation when compared to studies that used more codified tools to assess quality of life such as the World Health Organisation tools (WHOQOL-100 and WHOQOL-BREF [ 13 ]), the Depression Anxiety Stress Scales (DASS-21, [ 14 ]) or the Professional Quality of Life Scale (ProQOL, [ 15 ]). Several studies using these scales to assess quality of life among HCWs during the COVID-19 first wave have been published [ 9 , 12 , 15 – 19 ]. However, while such approaches allowed to quantify stress, anxiety and burnout, they did not offer any qualitative data in contrast to our study.…”

Section: Discussionmentioning

confidence: 99%

Personal and professional quality of life among French health care workers during the first COVID-19 wave: a cross-sectional study

et al. 2022

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Background We aimed to assess the personal and professional quality of life changes among health care workers of different professions during the COVID-19 pandemic in a large French university hospital. Other published data originated from countries with different health care systems and outbreak dynamics. Methods All health care workers from our hospital were invited to fill-in an anonymous e-questionnaire of 71 questions regarding perceived personal, professional and overall quality of life before and during the first COVID-19 wave, general profile, occupation and job characteristics, change of assignment, COVID-care features if relevant, general perception during the first wave, and personal experience of being encouraged or stigmatised. Results There were 794 participants, with a majority of nursing professionals (n = 416, 56%), including 57 nurse managers, 243 nurses, and 116 nurse assistants. Other participants were physicians (n = 188) and other health care staff (n = 140). Before the crisis, professional quality of life was low (6.5 on a 10-point scale) overall. The personal quality of life was higher (8.1) particularly for physicians and nurse managers. The COVID crisis saw a marked decrease in the personal quality of life (− 1.7), more pronounced in younger health care workers. Professional quality of life was less affected (− 0.4) and stayed almost constant for physicians. Staff in COVID units had a more positive perception of the crisis but experienced more fatigue, which resulted in similar quality of life levels in COVID and non-COVID units. Encouragements originated more often from relatives or colleagues than hospital managers and were exceptionally common: 63.4% of all participants, from 50.5% for other staff to 71.3% for physicians (p = 0.0005). Stigmatisation was reported by 19.3% of participants, with a higher proportion (p = 0.0001) among nurses (26.3%) and assistant nurses (23.3%) than among physicians (8.5%). From multivariate analysis, higher age, working as a physician and receiving encouragements were independently associated with lower loss of overall quality of life. Conclusions The resilience of health care workers was high overall during the first COVID wave although the quality of life decreased more among nursing staff. Social support in the form of encouragements is a key part of management, particularly in times of crisis.

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Depression and its relationship with quality of life in frontline psychiatric clinicians during the COVID-19 pandemic in China: a national survey

Cited by 18 publications

References 30 publications

Comparison of Generalized Anxiety and Sleep Disturbance among Frontline and Second-Line Healthcare Workers during the COVID-19 Pandemic

Comparison of Generalized Anxiety and Sleep Disturbance among Frontline and Second-Line Healthcare Workers during the COVID-19 Pandemic

Assessment of Quality of Life Among Health Professionals During COVID-19: Review

Personal and professional quality of life among French health care workers during the first COVID-19 wave: a cross-sectional study

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