The development of the 'COVID-19 Psychological Resilience Model' and its efficacy during the COVID-19 pandemic in China

He, Zongling; Chen, Jiajia; Pan, Keliang; Yue, Yuchuan; Cheung, Teris; Yuan, Yin; Du, Na; Zhao, Yan; Feng, Yusu; Zhou, Die; Zhou, You; Lu, Fengmei; Chen, Yong; He, Meiling; Xiang, Yu Tao

doi:10.7150/ijbs.50127

Cited by 39 publications

(85 citation statements)

References 23 publications

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“…Frontline clinicians play a pivotal role in health services by rendering clinical care, advocating health education, and contributing to rehabilitation 31 , 32 . Compared with their counterparts working in other specialties, clinicians in psychiatric hospitals are more prone to suffer from psychological distress, such as burnout and depression because psychiatric patients may exhibit severe psychiatric symptoms, such as aggressive behaviors and suicidality 33 .…”

Section: Discussionmentioning

confidence: 99%

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

Zhang¹,

Zhao²,

Wang³

et al. 2021

Int. J. Biol. Sci.

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This was a national survey that determined the prevalence of depressive symptoms (depression thereafter) and its relationship with quality of life (QOL) in frontline clinicians working in psychiatric hospitals in China during the COVID-19 pandemic. 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), respectively. Multivariable logistic regression analyses and analysis of covariance were used. A total of 10,516 frontline clinicians participated in this study, of which, 28.52% (n=2,999) met screening criteria for depression. Compared to those without depression, clinicians with depression had a lower quality of life ( F (1, 10515) =2874.66, P <0.001). Higher educational level ( OR =1.225, P =0.014), if the number of COVID-19 patients in the hospital catchment area surpassed 500 ( OR =1.146, P =0.032), having family/friends/colleagues who were infected ( OR =1.695, P <0.001), being a current smoker ( OR =1.533, P <0.001), and longer working hours ( OR =1.020, P =0.022) were independently associated with higher risk of depression. Living with family members ( OR =0.786, P <0.001), and being junior clinicians ( OR =0.851, P =0.011) were independently associated with lower odds of depression. The results showed that depression was common in frontline psychiatric clinicians during the COVID-19 pandemic. Timely assessment and effective interventions of depression for frontline clinicians in psychiatric hospitals were warranted.

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Section: Discussionmentioning

confidence: 99%

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

Zhang¹,

Zhao²,

Wang³

et al. 2021

Int. J. Biol. Sci.

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“…Such a psychological resilience model has been developed and tested for its effectiveness in China and was found to improve the overall mental health of the target population during the COVID-19 pandemic. [19] In our study, doctors had higher psychological distress, but low levels of fear of COVID-19; nurses had medium to high resilient coping. A recent systematic review of 24 studies with 13,731 health and social care workers showed that female nurses, comorbidities, lack of personal protective equipment, concerns about family, fear of infections and close contact with COVID-19 patients were the predictors for poor mental wellbeing amongst healthcare workers.…”

Section: Discussionmentioning

confidence: 42%

COVID-19: Factors Associated with Psychological Distress, Fear, and Coping Strategies among Community Members Across 17 Countries

Rahman

Islam

Tungpunkom

et al. 2021

Preprint

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Background: The current pandemic of COVID-19 impacted the psychological wellbeing of populations globally. Objectives: We aimed to examine the extent and identify associated factors of psychological distress, fear of COVID-19, and coping.Methods: We conducted a cross-sectional study across 17 countries during Jun-2020 to Jan-2021. Levels of psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale), and coping (Brief Resilient Coping Scale) were assessed. Results: A total of 8,559 people participated; mean age (±SD) was 33(±13) years, 64% were females and 40% self-identified as frontline workers. More than two-thirds (69%) experienced moderate-to-very high levels of psychological distress, which was 46% in Thailand and 91% in Egypt. A quarter (24%) had high levels of fear of COVID-19, which was as low as 9% in Libya and as high as 38% in Bangladesh. More than half (57%) exhibited medium to high resilient coping; the lowest prevalence (3%) was reported in Australia and the highest (72%) in Syria. Being female (AOR 1.31 [95% CIs 1.09-1.57]), perceived distress due to change of employment status (1.56 [1.29-1.90]), comorbidity with mental health conditions (3.02 [1.20-7.60]) were associated with higher levels of psychological distress and fear. Doctors had higher psychological distress (1.43 [1.04-1.97]), but low levels of fear of COVID-19 (0.55 [0.41-0.76]); nurses had medium to high resilient coping (1.30 [1.03-1.65]). Conclusions: The extent of psychological distress, fear of COVID and coping varied by country; however, some groups were more vulnerable than others. There is an urgent need to prioritise health and well-being of these people through well-designed intervention that may need to be tailored to meet country specific requirements.

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“… Strategy 1: Using online services for psychological issues in the population . A hospital in Chengdu implemented a multi-tiered intervention program, with online media, free hotline consultation, and online video interventions provided to citizens with psychological problems, with crisis intervention provided on-site (He et al, 2020,). Strategy 2: Developing online screening mechanism for potential patients . A range of strategies were suggested to provide web-based consultations, appointments, prescription services and drug delivery, and other services, as a complement to the physical hospital services.…”

Section: Resultsmentioning

confidence: 99%

“…The introduction of teleconsultations reduced the difficulties of patients with chronic illnesses regarding the management and purchase of medicines (Luo, Chen et al 2020) and the time required for consultation was also further shortened using teleconsultation (Li, Chan et al 2020). Furthermore, the implementation of e-health interventions allowed staff to address the needs of a higher number of patients, reduced hospital load, while also helping to spread understanding regarding the virus risks and public health knowledge (He et al, 2020.…”

Section: Impactsmentioning

confidence: 99%

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Lessons learned from the resilience of Chinese hospitals to the COVID-19 pandemic: a scoping review

Stennett

Hou

Traverson

et al. 2021

Preprint

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As the SARS-CoV-2 pandemic has brought huge strain on hospitals worldwide, the resilience shown by China's hospitals appears to have been a critical factor in their successful response to the pandemic. This paper aims to determine the key findings, recommendations and lessons learned in terms of hospital resilience during the pandemic, as well as the quality and limitations of research in this field at present. We conducted a scoping review of evidence on the resilience of hospitals in China during the COVID-19 crisis in the first half of 2020. Two online databases (the CNKI and WHO databases) were used to identify papers meeting the eligibility criteria, from which we selected 59 publications (English: n= 26; Chinese: n= 33). After extracting the data, we present an information synthesis using a resilience framework. We found that much research was rapidly produced in the first half of 2020, describing certain strategies used to improve hospital resilience, particularly in three key areas: human resources; management and communication; and security, hygiene and planning. Our search revealed that considerable attention was focused on interventions related to training, healthcare worker well-being, e-health/ telemedicine, and work organization, while other areas, such as hospital financing, information systems and healthcare infrastructure, were less well represented in the literature. We identified a number of lessons learned regarding how China's hospitals have maintained resilience when confronted with the SARS-CoV-2 pandemic. However, we also noted that the literature was dominated by descriptive case studies, often lacking consideration of methodological limitations, and that there was a lack of both highly-focused research on individual interventions and holistic research that attempted to unite the topics within a resilience framework. Research on Chinese hospitals would benefit from a greater range of analysis in order to draw more nuanced and contextualised lessons from the responses to the crisis.

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The development of the 'COVID-19 Psychological Resilience Model' and its efficacy during the COVID-19 pandemic in China

Cited by 39 publications

References 23 publications

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

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

COVID-19: Factors Associated with Psychological Distress, Fear, and Coping Strategies among Community Members Across 17 Countries

Lessons learned from the resilience of Chinese hospitals to the COVID-19 pandemic: a scoping review

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The development of the 'COVID-19 Psychological Resilience Model' and its efficacy during the COVID-19 pandemic in China

Cited by 39 publications

References 23 publications

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

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

COVID-19: Factors Associated with Psychol­­­ogical Distress, Fear, and Coping Strategies among Community Members Across 17 Countries

Lessons learned from the resilience of Chinese hospitals to the COVID-19 pandemic: a scoping review

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COVID-19: Factors Associated with Psychological Distress, Fear, and Coping Strategies among Community Members Across 17 Countries