Mental health outcome and resilience among aiding Wuhan nurses: One year after the COVID-19 outbreak in China

Zhang, Ruili; Lai, Jianbo; Wang, Ying; Huang, Jinwen; Hu, Shaohua; Wang, Huafen

doi:10.1016/j.jad.2021.10.050

Cited by 20 publications

(25 citation statements)

References 29 publications

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“…Compared to previous studies (Wang et al., 2021; Zhang et al., 2022), the lower rates of PTSD and depression among medical staff were reported in this study. In addition to differences of participants, this may be largely related to the period of investigation.…”

Section: Discussioncontrasting

confidence: 96%

Posttraumatic stress disorder and depression of Chinese medical staff after 2 years of COVID‐19: A multicenter study

Liu

Zou

et al. 2022

Brain and Behavior

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Background: In December 2019, coronavirus disease (COVID-19) was first reported in Wuhan, China, and has had a negative psychological impact on the medical staff. However, the long-term psychological effects of COVID-19 were still unclear. We aimed to assess the posttraumatic stress disorder (PTSD) and depression among medical staff 2 years after COVID-19 pandemic in Wuhan, China. Methods: We conducted a multicenter study in five general hospitals in Wuhan, China. PTSD was assessed using the PTSD Checklist-5. Depression was measured by the Center for Epidemiologic Studies Depression Scale. Multivariate adjusted logistic regression models were used to evaluate the association among demographic variables, depressive indicators, and PTSD. Results: In a sample of 1795 medical staff, 295 (16.40%) participants reported PTSD and 329 (18.30%) reported depression. After multivariate adjusted logistic regression analyses, participants involved in COVID-19 clinical work, unsafe working environment, poor doctor-patient relationship, unhealth status, work dissatisfaction, and low family support were at a high risk for PTSD and depression 2 years after the outbreak of COVID-19 pandemic. Conclusions:Although it has been more than 2 years after the COVID-19 pandemic outbreak, the mental health of medical staff remains a concern. In particular, medical staff involved in the clinical care of COVID-19 patients showed a higher risk of PTSD and depression 2 years after the COVID-19 pandemic. This study may provide some useful suggestions for psychological interventions for medical staff.

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Section: Discussioncontrasting

confidence: 96%

Posttraumatic stress disorder and depression of Chinese medical staff after 2 years of COVID‐19: A multicenter study

Liu

Zou

et al. 2022

Brain and Behavior

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“…The 9-item Patient Health Questionnaire (PHQ-9): there are 9 items to evaluate and monitor the severity of depression, and the frequency of each symptom from 0 (no at all) to 3 (almost every day) in the past 2 weeks is scored on a 4-point scale. The total scores are as follows: lowest/no depression (0-4), mild depression (5-9), moderate depression (10)(11)(12)(13)(14), moderate-severe depression (15- 19) or severe depression (20)(21)(22)(23)(24)(25)(26)(27)(28). According to the total score, we classify depression into dichotomous variables by <10 (no or mild depression) of the PHQ-9 total score.…”

Section: Methodsmentioning

confidence: 99%

“…To maintain global public health safety, countless front-line healthcare workers enrolled in exhaustion fighting against the pandemic (17). Due to the unprecedented overload and different levels of pressure, the risk of infection, moral injury, depression, anxiety, and WPV among healthcare workers increases (18)(19)(20). However, when the healthcare workers are exhausted, they can not provide the best medical care and are more likely to make mistakes, which should further increase the risk of conflict between healthcare workers and patients (21).…”

Section: Introductionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on the prevalence and risk factors of workplace violence among healthcare workers in China

et al. 2022

Front. Public Health

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BackgroundThe pandemic of COVID-19 has significantly increased the burden on healthcare workers and potentially affect their risk of workplace violence (WPV). This study aimed to explore the prevalence and risk factors of WPV among healthcare workers during the peaking and the remission of the COVID-19 pandemic in China.MethodsUsing the snowball method, a repeated online questionnaire survey was conducted among Chinese healthcare workers from March 27th to April 26th in 2020 and 2021, respectively. Data included healthcare workers' socio-demographic and occupational characteristics, psychological status, and workplace violence.ResultsA total of 3006 samples in 2020 and 3465 samples in 2021 were analyzed. In 2020, the prevalence of WPV and witnessing colleagues suffering from WPV among healthcare workers were 64.2% and 79.7% respectively. Compared with 2020, the prevalence decreased by 11.0% and 14.4% in 2021, respectively. Logistic regression showed that WPV in 2020 was influenced by males, long working experience, working in the psychiatric department, direct contact with COVID-19 patients, self-discovery of medical errors, moral injury, depression, and anxiety (minimum OR = 1.22, maximum OR = 2.82). While risk factors of WPV in 2021 included males, working in psychiatric departments, self-discovery of medical errors, moral injury, depression, and anxiety (minimum OR = 1.33, maximum OR = 3.32); and protective factors were holding a master's degree (OR = 0.78) and working in other departments (OR = 0.54).ConclusionThis study retains the common effects of WPV among healthcare workers, though after the baptism of the COVID-19 pandemic, the prevalence of WPV among healthcare workers decreased; however, part of the influencing factors changed. In addition, COVID-19 has seriously affected the mental health of healthcare workers, and the effect of mental health problems on WPV should also attract more attention.

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“…Approximately two-fifths of the nurses suffered from anxiety and depression symptoms after the breakout of the COVID-19 pandemic ( 1 ), which led to their impaired quality of life and attrition ( 2 , 3 ). Moreover, growing evidence demonstrated the psychological harm of the pandemic persisted even long after the initial peak of the pandemic ( 4 – 8 ). These studies warranted long-term investigation, identification, and intervention of mental distress among nurses in the late stage of COVID-19.…”

Section: Introductionmentioning

confidence: 99%

A network analysis of anxiety and depression symptoms among Chinese nurses in the late stage of the COVID-19 pandemic

Peng

Chen

Liang

et al. 2022

Front. Public Health

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BackgroundNurses are at high risk for depression and anxiety symptoms after the outbreak of the COVID-19 pandemic. We aimed to assess the network structure of anxiety and depression symptoms among Chinese nurses in the late stage of this pandemic.MethodA total of 6,183 nurses were recruited across China from Oct 2020 to Apr 2021 through snowball sampling. We used Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder scale-7 (GAD-7) to assess depression and anxiety, respectively. We used the Ising model to estimate the network. The index “expected influence” and “bridge expected influence” were applied to determine the central symptoms and bridge symptoms of the anxiety-depression network. We tested the stability and accuracy of the network via the case-dropping procedure and non-parametric bootstrapping procedure.ResultThe network had excellent stability and accuracy. Central symptoms included “restlessness”, “trouble relaxing”, “sad mood”, and “uncontrollable worry”. “Restlessness”, “nervous”, and “suicidal thoughts” served as bridge symptoms.ConclusionRestlessness emerged as the strongest central and bridge symptom in the anxiety-depression network of nurses. Intervention on depression and anxiety symptoms in nurses should prioritize this symptom.

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Mental health outcome and resilience among aiding Wuhan nurses: One year after the COVID-19 outbreak in China

Cited by 20 publications

References 29 publications

Posttraumatic stress disorder and depression of Chinese medical staff after 2 years of COVID‐19: A multicenter study

Posttraumatic stress disorder and depression of Chinese medical staff after 2 years of COVID‐19: A multicenter study

The impact of the COVID-19 pandemic on the prevalence and risk factors of workplace violence among healthcare workers in China

A network analysis of anxiety and depression symptoms among Chinese nurses in the late stage of the COVID-19 pandemic

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