The prevalence and risk factors of PTSD symptoms among medical assistance workers during the COVID-19 pandemic

Li, Xueyuan; Li, Shijian; Xiang, Ming; Fang, Yue; Qian, Kun; Xu, Jiawei; Li, Jiahui; Zhang, Zhiruo; Wang, Bing

doi:10.1016/j.jpsychores.2020.110270

Cited by 54 publications

(51 citation statements)

References 29 publications

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“…32 , 35 – 38 Physicians specifically who treat COVID-19 patients in Turkey, 39 , 40 China, 1 and Pakistan 41 are similarly experiencing an increase in depression and anxiety symptoms. Furthermore, healthcare workers in Italy 42 and China 43 who treated patients with COVID-19 experienced an increase in PTSD symptomatology, with similar findings to our data.…”

Section: Discussionsupporting

confidence: 90%

Association Between Proportion of Workday Treating COVID-19 and Depression, Anxiety, and PTSD Outcomes in US Physicians

Gainer

Nahhas

Bhatt

et al. 2020

Journal of Occupational &Amp; Environmental Medicine

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Objective: The primary objective of this cross-sectional study was to examine the association between time spent treating patients with Coronavirus disease 2019 (COVID-19) and levels of depression, anxiety, and posttraumatic stress disorder (PTSD) in US physicians. Methods: The authors conducted an anonymous online survey of US physicians. Linear regression was used to test the association between proportion of day treating COVID-19 and symptoms of depression, anxiety, and PTSD. Results: In a sample of 1724 US physicians, proportion of day treating COVID-19 was positively and significantly associated with depression, anxiety, and PTSD scores ( P < 0.001 for each). Conclusions: Mental health resources should be provided to physicians who treat COVID-19 because the proportion of day treating COVID-19 is associated with depression, anxiety, and PTSD outcomes.

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Section: Discussionsupporting

confidence: 90%

Association Between Proportion of Workday Treating COVID-19 and Depression, Anxiety, and PTSD Outcomes in US Physicians

Gainer

Nahhas

Bhatt

et al. 2020

Journal of Occupational &Amp; Environmental Medicine

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“…Receiving direct social support from friends, family, colleagues and supervisors was a key protective factor in all of the 19 studies that examined its association with psychological distress ( Table 2 ). For example, in HCW during the COVID-19 outbreak, higher levels of social support were associated with significantly lower levels of stress, depression, anxiety, depression and PTSD ( 28 , 31 , 38 , 62 , 70 , 78 , 88 , 90 , 94 , 102 , 139 , 156 ). These findings were consistent with that of a study of frontline medical staff during the COVID-19 outbreak who reported that a positive attitude from co-workers was important for reducing their distress ( 39 ).…”

Section: Resultsmentioning

confidence: 99%

“…In nurses working during the SARS outbreak in Canada, higher perceived organizational support in the form of receiving positive performance feedback from doctors and co-workers, was associated with lower perceptions of SARS-related threat and reduced feelings of emotional exhaustion ( 59 ). Similarly, nurses, physicians, and HCW working during the MERS, COVID-19, and SARS outbreaks who perceived support from their supervisors and colleagues, experienced better mental health in the form of lower PTSD symptoms, lower distress, and being less likely to develop psychiatric symptoms, respectively ( 24 , 28 , 41 , 54 , 59 , 70 , 79 , 80 , 88 , 99 , 116 ).…”

Section: Resultsmentioning

confidence: 99%

Factors Associated With Psychological Distress in Health-Care Workers During an Infectious Disease Outbreak: A Rapid Systematic Review of the Evidence

2021

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Objective: Health-care workers (HCW) are at risk for psychological distress during an infectious disease outbreak, such as the coronavirus pandemic, due to the demands of dealing with a public health emergency. This rapid systematic review examined the factors associated with psychological distress among HCW during an outbreak.Method: We systematically reviewed literature on the factors associated with psychological distress (demographic characteristics, occupational, social, psychological, and infection-related factors) in HCW during an outbreak (COVID-19, SARS, MERS, H1N1, H7N9, and Ebola). Four electronic databases were searched (2000 to 15 November 2020) for relevant peer-reviewed research according to a pre-registered protocol. A narrative synthesis was conducted to identify fixed, modifiable, and infection-related factors linked to distress and psychiatric morbidity.Results: From the 4,621 records identified, 138 with data from 143,246 HCW in 139 studies were included. All but two studies were cross-sectional. The majority of the studies were conducted during COVID-19 (k = 107, N = 34,334) and SARS (k = 21, N = 18,096). Consistent evidence indicated that being female, a nurse, experiencing stigma, maladaptive coping, having contact or risk of contact with infected patients, and experiencing quarantine, were risk factors for psychological distress among HCW. Personal and organizational social support, perceiving control, positive work attitudes, sufficient information about the outbreak and proper protection, training, and resources, were associated with less psychological distress.Conclusions: This review highlights the key factors to the identify HCW who are most at risk for psychological distress during an outbreak and modifying factors to reduce distress and improve resilience. Recommendations are that HCW at risk for increased distress receive early interventions and ongoing monitoring because there is evidence that HCW distress can persist for up to 3 years after an outbreak. Further research needs to track the associations of risk and resilience factors with distress over time and the extent to which certain factors are inter-related and contribute to sustained or transient distress.

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“…The IES-R has been validated in COVID-19 studies in China [ 30 , 31 ]. We calculated a COVID-19-related PTSS/PTSD composite score (Cronbach’s α = 0.97) with the cut-off score being 24 [ 32 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence of psychiatric diagnosis and related psychopathological symptoms among patients with COVID-19 during the second wave of the pandemic

et al. 2021

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Background The possibility of psychopathological symptoms and related risk factors among normal persons and patients infected during the outbreak of COVID-19 has been widely investigated. The mental health outcomes of the second wave of the pandemic remain unclear, especially those of patients with an infection. Thus, this study aims to explore the prevalence of and related risk factors associated with psychopathological symptoms among patients infected with COVID-19 during the second wave. Method A cross-sectional survey was conducted in five isolated wards of a designated hospital in Beijing, China, from July 1 to July 15, 2020. The Mini International Neuropsychiatric Interview (MINI) was conducted to assess psychiatric disorders, and a series of scales were used to measure self-reported psychopathological symptoms and psychosomatic factors. Multivariate regression analysis was used to analyze the risk factors associated with psychopathological symptoms. Results Among 119 participants with infections, the prevalence of generalized anxiety symptoms (51.3%), depressive symptoms (41.2%), and posttraumatic stress symptoms (PTSS)/posttraumatic stress disorder (PTSD) symptoms (33.6%) was observed. Loneliness, hope, coping strategies, and history of mental disorders were the shared risk or protective factors across several psychopathological symptoms. The perceived impact of COVID-19 is the specific risk factor associated with state anxiety symptoms. Conclusions The prevalence of symptoms of depression, anxiety, and PTSS/PTSD is high among patients with infections during the second wave of the pandemic in Beijing. Clinical doctors must realize that these patients will probably experience depressive disorder, anxiety disorders, and PTSS/PTSD, as well as some neuropsychiatric syndromes. Specific mental health care is urgently required to help patients manage the virus during the second wave of the pandemic.

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The prevalence and risk factors of PTSD symptoms among medical assistance workers during the COVID-19 pandemic

Cited by 54 publications

References 29 publications

Association Between Proportion of Workday Treating COVID-19 and Depression, Anxiety, and PTSD Outcomes in US Physicians

Association Between Proportion of Workday Treating COVID-19 and Depression, Anxiety, and PTSD Outcomes in US Physicians

Factors Associated With Psychological Distress in Health-Care Workers During an Infectious Disease Outbreak: A Rapid Systematic Review of the Evidence

Prevalence of psychiatric diagnosis and related psychopathological symptoms among patients with COVID-19 during the second wave of the pandemic

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