Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against the COVID-19 in Gansu

Zhu, Juhong; Sun, Lin; Zhang, Lan; Wang, Huan; Fan, Ajiao; Yang, Bin; Xiao, Shifu; Li, Wei

doi:10.2139/ssrn.3550054

Cited by 52 publications

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“…Twenty-two studies reported one or more variables associated with mental health problems in health care workers during the pandemic. The most common risk factors correlated with increased risk of mental health problems were exposure to covid-19 patients 28, 39, 46, 49, 60, 63, 74 , being female 8, 25, 39, 46, 54, 60 , and worry about being infected 25, 46, 58, 63 . In three studies, worrying about family members being infected was a risk factor 42, 58 62 .…”

Section: Resultsmentioning

confidence: 99%

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review

Muller

Hafstad

Himmels

et al. 2020

Preprint

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Background: The covid-19 pandemic has heavily burdened, and in some cases overwhelmed, healthcare systems throughout the world. Healthcare workers are not only at heightened risk of infection, but also of adverse mental health outcomes. Identification of organizational, collegial and individual risk and resilience factors impacting the mental health of healthcare workers are needed to inform preparedness planning and sustainable response. Methods: We performed a rapid systematic review to identify, assess and summarize available research on the mental health impact of the covid-19 pandemic on healthcare workers. On 11 May 2020, we utilized the Norwegian Institute of Public Health's Live map of covid-19 evidence, the visualization of a database of 20,738 screened studies, to identify studies for inclusion. We included studies reporting on any type of mental health outcome in any type of healthcare workers during the pandemic. We described interventions reported by the studies, and narratively summarized mental health-related outcomes, as study heterogeneity precluded meta-analysis. We assessed study quality using design-specific instruments. Results: We included 59 studies, reporting on a total of 54,707 healthcare workers. The prevalence of general psychological distress across the studies ranged from 7-97% (median 37%), anxiety 9-90% (median 24%), depression 5-51% (median 21%), and sleeping problems 34-65% (median 37%). Seven studies reported on implementing mental health interventions, and most focused on individual symptom reduction, but none reported on effects of the interventions. In most studies, healthcare workers reported low interest in and use of professional help, and greater reliance on social support and contact with family and friends. Exposure to covid-19 was the most commonly reported correlate of mental health problems, followed by female gender, and worry about infection or about infecting others. Social support correlated with less mental health problems. Discussion: Healthcare workers in a variety of fields, positions, and exposure risks are reporting anxiety, depression, sleep problems, and distress during the covid-19 pandemic, but most studies do not report comparative data on mental health symptoms. before the pandemic. There seems to be a mismatch between risk factors for adverse mental health outcomes among healthcare workers in the current pandemic and their needs and preferences, and the individual psychopathology focus of current interventions. Efforts to help healthcare workers sustain healthy relationships to colleagues, family and friends over time may be paramount to safeguard what is already an important source of support during the prolonged crisis. Expanding interventions' focus to incorporate organizational, collegial and family factors to support healthcare workers responding to the pandemic could improve acceptability and efficacy of interventions. Other: The protocol for this review is available online. No funding was received.

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Section: Resultsmentioning

confidence: 99%

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review

Muller

Hafstad

Himmels

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Zhu J et al found that the prevalence of anxiety and depression symptoms was 11.4% and 45.6% in physicians and 27.9% and 43.0% in nurses (31). In a study in Singapore and India, the depression symptoms was reported 10.6% and anxiety symptoms was In the current study, 51.4% and 52% of the nurses and doctors had depression symptoms while 68.6% and 68.5% had anxiety symptoms .The nurses and doctors in Iran have experienced higher symptoms of anxiety and depression than the chines(31) and other countries(32) during the outbreak.…”

Section: Zhang Et Al Investigated the Effects Of Psychiatric Crisis mentioning

confidence: 99%

Anxiety and Depression in Health Workers and General Population During COVID-19 Epidemic in IRAN: A Web-Based Cross-Sectional Study

Hassannia

Taghizadeh

Moosazadeh

et al. 2020

Preprint

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medRxiv preprintThe COVID-19 outbreak has exerted a great deal of psychological pressure on Iranian health workers and the general population. In the present study, the prevalence of anxiety and depression symptoms along with the related variables in this epidemic were investigated. MethodAn online cross-sectional study was conducted for the general public and healthcare workers in IRAN using a questionnaire comprised of demographic questions and Hospital Anxiety and Depression Scale. Chi square test was used to compare categorical variables, and univariate and multivariate logistic regression models were conducted. ResultsOf the 2045 participants,1136 (65.6%) were considered to have moderate and severe anxiety symptoms, and 865(42.3%) had moderate and severe depression symptoms. Based on the logistic regression models, the prevalence of anxiety was higher in the females than in the males (OR=1.4, 95% CI: 1.123-1.643, P=.002); the prevalence of anxiety was significantly higher in those aged 30-39 years than in other age groups (OR=1.6, 95% CI: 1.123-2.320, P=0.001); furthermore, the prevalence of anxiety and depression was significantly higher in doctors and nurses compared with other occupations (OR=1.9, 95% CI: 1.367-2.491, P< 0.001) and(OR=1.5, 95% CI: 1.154-2.021, P=0.003). In addition, the prevalence of anxiety symptoms in the likely-infected COVID-19 group was higher than in the noninfected COVID-19 group (OR=1.35, 95% CI: 1.093-1.654, P=0.005). ConclusionsRegarding the high prevalence of anxiety and depression symptoms, especially among health care workers, appropriate psychological/psychiatric intervention necessitates.

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“…The emergency physicians participating in this study consisted of general practitioners, emergency medicine (EM) residents, EM specialists, and academicians from the Department of Emergency Medicine, Faculty of Medicine. We used a similar study as a point of reference to which we compared the anxiety and depression scores of the physicians; we based the average mean anxiety score in the anxiety group on 20.56 ± 4.85 and the average mean non-anxiety score in the non-anxiety group on 17.30 ± 4.54 [8]. According to a t-test power analysis with a 95% confidence interval and 95% test power, we determined that 55 participants should be included in each group.…”

Section: Study Design and Populationmentioning

confidence: 99%

The Evaluation of Knowledge, Attitudes, Depression and Anxiety Levels among Emergency Physicians during the COVID-19 Pandemic

2020

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Background:The outbreak of COVID-19 has put enormous physical and psychological pressure on emergency physicians. The purpose of this study is to evaluate the levels of anxiety, depression, and related factors in this group during the COVID-19 pandemic. Materials and Methods: After obtaining ethics committee approval, we gathered the data for this descriptive study using an online questionnaire from March 14-20, 2020, from 290 emergency physicians in health care settings in Turkey. Results: The 290 emergency physicians who participated in the study had a high level of knowledge about COVID-19. According to their Hospital Anxiety Depression Scale (HADS) scores, depression was detected in 180 participants (62%) while anxiety was detected in 103 participants (35.5%), with the median depression and anxiety scores found to be 8 (0-21) and 7 (0-21), respectively. As to the requirement of a 14-day quarantine for an emergency physician performing an intubation, a statistically significant difference was found among job titles (p = 0.039). Conclusion: This study emphasizes the importance of recognizing psychological trauma caused by providing care during the COVID-19 pandemic and the necessity of providing psychological support for the protection of emergency physicians' mental health.

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Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against the COVID-19 in Gansu

Cited by 52 publications

References 0 publications

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review

The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: a rapid systematic review

Anxiety and Depression in Health Workers and General Population During COVID-19 Epidemic in IRAN: A Web-Based Cross-Sectional Study

The Evaluation of Knowledge, Attitudes, Depression and Anxiety Levels among Emergency Physicians during the COVID-19 Pandemic

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