Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China

Zhang, Wen Rui; Wang, Kun; Lu, Yin; Zhao, Wen; Qin, Xue; Peng, Mao; Min, Bao Quan; Tian, Qing; Leng, Hai Xia; Du, Jia; Chang, Hong; Yang, Yuan; Li, Wei; Shangguan, Fang Fang; Yan, Tian; Dong, Hui; Han, Ying; Wang, Yu Ping; Cosci, Fiammetta; Wang, Hong Xing

doi:10.1159/000507639

Cited by 1,321 publications

(1,633 citation statements)

References 20 publications

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“…However, this is not the way the analysis is conducted (see above). majority were German-speaking (n = 1124, 79.7%), women (n = 934, 66.2%), had a median age of 34 years [ [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] and median professional experience of 10 years [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Median working hours in the sample was 45 [36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51]…”

Section: Resultsmentioning

confidence: 99%

“…19 In a third Chinese study conducted between the end of February and the beginning of March, Zhang et al reported that 927 medical HCWs had a higher prevalence of insomnia, anxiety, depression, somatization, and obsessive-compulsives symptoms than 1255 non-medical HCWs. 20 Furthermore, being a woman was a significant predictor of insomnia, anxiety, and depression, and exposure to patients was a predictor of anxiety and insomnia. 20 However, a study among 470 HCWs in Singapore undertaken during the same period of time found the opposite, namely lower levels of stress-related symptoms in medical compared to non-medical HCWs.…”

Section: Several Studies Conductedmentioning

confidence: 99%

“…20 Furthermore, being a woman was a significant predictor of insomnia, anxiety, and depression, and exposure to patients was a predictor of anxiety and insomnia. 20 However, a study among 470 HCWs in Singapore undertaken during the same period of time found the opposite, namely lower levels of stress-related symptoms in medical compared to non-medical HCWs. 21 Lastly, in a qualitative study among 69 HCWs in the Unites States, Shanafelt et al identified key concerns causing anxiety among HCWs including lack of access to appropriate personal protective equipment, support, and up-to-date information.…”

Section: Several Studies Conductedmentioning

confidence: 99%

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Health Care Workers’ Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland – A Cross-Sectional Study

Weilenmann

Ernst

Petry

et al. 2020

Preprint

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Section: Resultsmentioning

confidence: 99%

Section: Several Studies Conductedmentioning

confidence: 99%

Section: Several Studies Conductedmentioning

confidence: 99%

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Health Care Workers’ Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland – A Cross-Sectional Study

Weilenmann

Ernst

Petry

et al. 2020

Preprint

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“…Our results agree with past research demonstrating that working at home or working without restrictions when compared to not working was associated with better mental health, life satisfaction and lower distress in Chinese individuals during the COVID-19 pandemic (S. X. . On the other hand, healthcare workers presented elevated values of insomnia/poor sleep quality, fear, anxiety, depression, and OC symptoms due to COVID-19 (Huang and Zhao, 2020;Lu et al, 2020;W.-R. Zhang et al, 2020). Thus, further analyses should explore the effect of riskier job categories on mental health.…”

Section: Discussionmentioning

confidence: 99%

Protective elements of mental health status during the COVID-19 outbreak in the Portuguese population

Moreira

Ferreira

Couto

et al. 2020

Preprint

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The outbreak of COVID-19 might produce dramatic psychological effects on the individuals' life. In this study, we aimed to explore the elements that may reduce the negative effects on mental health of the quarantine period imposed by most governments during this worldwide crisis. We conducted an online survey to evaluate demographic, lifestyle and mental health variables in the Portuguese population. We observed that factors related with living conditions, maintaining the work either online or in the workplace, frequency of exercise and absence of a previous psychological or physic disorders are protective features of psychological well-being (anxiety, depression, stress and obsessivecompulsive symptoms). Finally, the individuals previously receiving psychotherapeutic support exhibited better psychological indicators if they did not interrupt the process as a consequence of the outbreak. Our results indicate that the practice of physical exercise, reduced consumption of COVID-19 information and the implementation of remote mental healthcare measures might prevent larger impacts on mental health during the COVID-19 outbreak.

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“…Healthcare workers at higher risk of exposure to the virus experience a greater psychological impact than those with less exposure (e.g., [10]: SARS). In China, frontline healthcare workers caring directly for patients with COVID-19 experienced stress, anxiety and insomnia, and exhibited higher levels of severe mental health symptoms than those in secondary roles [13][14][15]. Conversely, other studies have shown a higher prevalence of psychological distress among non-frontline staff, possibly due to these workers having less access to information and psychological support [16].…”

Section: Introductionmentioning

confidence: 99%

Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package

Blake

Bermingham

Johnson

et al. 2020

IJERPH

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557

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The coronavirus pandemic (COVID-19) will undoubtedly have psychological impacts for healthcare workers, which could be sustained; frontline workers will be particularly at risk. Actions are needed to mitigate the impacts of COVID-19 on mental health by protecting and promoting the psychological wellbeing of healthcare workers during and after the outbreak. We developed and evaluated a digital learning package using Agile methodology within the first three weeks of UK outbreak. This e-package includes evidence-based guidance, support and signposting relating to psychological wellbeing for all UK healthcare employees. A three-step rapid development process included public involvement activities (PPIs) (STEP 1), content and technical development with iterative peer review (STEP 2), and delivery and evaluation (STEP 3). The package outlines the actions that team leaders can take to provide psychologically safe spaces for staff, together with guidance on communication and reducing social stigma, peer and family support, signposting others through psychological first aid (PFA), self-care strategies (e.g., rest, work breaks, sleep, shift work, fatigue, healthy lifestyle behaviours), and managing emotions (e.g., moral injury, coping, guilt, grief, fear, anxiety, depression, preventing burnout and psychological trauma). The e-package includes advice from experts in mental wellbeing as well as those with direct pandemic experiences from the frontline, as well as signposting to public mental health guidance. Rapid delivery in STEP 3 was achieved via direct emails through professional networks and social media. Evaluation included assessment of fidelity and implementation qualities. Essential content was identified through PPIs (n = 97) and peer review (n = 10) in STEPS 1 and 2. The most important messages to convey were deemed to be normalisation of psychological responses during a crisis, and encouragement of self-care and help-seeking behaviour. Within 7 days of completion, the package had been accessed 17,633 times, and healthcare providers had confirmed immediate adoption within their health and wellbeing provisions. Evaluation (STEP 3, n = 55) indicated high user satisfaction with content, usability and utility. Assessment of implementation qualities indicated that the package was perceived to be usable, practical, low cost and low burden. Our digital support package on 'psychological wellbeing for healthcare workers' is free to use, has been positively evaluated and was highly accessed within one week of release. It is available here: Supplementary Materials. This package was deemed to be appropriate, meaningful and useful for the needs of UK healthcare workers. We recommend provision of this e-package to healthcare workers alongside wider strategies to support their psychological wellbeing during and after the COVID-19 pandemic.

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Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China

Abstract: Objective: We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak. Methods

Cited by 1,321 publications

References 20 publications

Health Care Workers’ Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland – A Cross-Sectional Study

Health Care Workers’ Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland – A Cross-Sectional Study

Protective elements of mental health status during the COVID-19 outbreak in the Portuguese population

Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package

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