Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China

Song, Xingyue; Fu, Wenning; Liu, Xiaoran; Luo, Zhiqian; Wang, Rixing; Zhou, Ning; Yan, Shijiao; Lv, Chuanzhu

doi:10.1016/j.bbi.2020.06.002

Cited by 246 publications

(226 citation statements)

References 22 publications

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“…Previous studies showed that exposure to a public health emergency can cause mental health problems, depression and even PTSD [13,29,30]. However, results of the present study showed that the psychological status of the participants was not bad and most mental health scores were in the uppermiddle range, which is also inconsistent with some recent studies [12,31,32]. The reason for the difference may be that the study was conducted in different periods and regions.…”

Section: In Uencing Factors For Coping Ability and Mental Health Statuscontrasting

confidence: 99%

“…This study was conducted in the early stage of the epidemic in Henan Province, and Henan Province did not experience a large-scale spread of the epidemic and took timely countermeasures. In line with previous studies, age, participation in the event, health condition and trust in uno cial information were the main in uencing factors to mental health [12,31,[33][34][35]. Contrary to a recent study, age worked as a facilitating factor to mental health.…”

Section: In Uencing Factors For Coping Ability and Mental Health Statussupporting

confidence: 82%

“…Contrary to a recent study, age worked as a facilitating factor to mental health. This may be because although the older participants were not as physically t or vigorous as the younger ones, they had more experience and skills, which allowed them to have a calmer attitude, especially in the early stages of the epidemic [12]. Participation in epidemic control means close contact with infected patients, increasing the risk of infection, which inevitably leads to an altered mental state of medical workers [31].…”

Section: In Uencing Factors For Coping Ability and Mental Health Statusmentioning

confidence: 99%

“…In the face of the high risk of infection, an increasing number of cases, long-hours and intensive work and sacri ce of colleagues, tremendous psychological pressure was posed on medical workers [5,6,11,12]. Especially in the early stage of the epidemic when not all information about the virus was clear and most people were still in a state of shock and fear, medical personnel were particularly vulnerable, they may get mental disorders and even psychological diseases based on previous research on public health emergencies [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Coping Ability and Mental Health of Medical Staff on COVID-19 in Henan, China

Cui

Yin²,

Shi

et al. 2020

Preprint

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Backgrounds Outbreak of COVID-19 imposed great pressure on the professional work and psychological health of medical staff, especially in the early stage. This study aims to assess the coping ability and mental health status of medical workers and find influencing factors on them during the early stage of the COVID-19 outbreak. Methods A cross-sectional study was conducted among medical staff in Henan from January 29th to February 4th with a total of 1739 participates. A self-made questionnaire was used to evaluate their coping ability and mental health status (Both total score 110). Chi-square analysis and multivariate logistic regression analysis was used to identify influencing factors on them. Results The majority of the participants (96.8%) had coping ability scores (Median, 81; IQR, 75~87) above the passing line, most (65.0%) were in normal mental health (median, 58; IQR, 44~68). Analyses showed that older age, higher education level, and distrust in unofficial information were facilitating factors for better copying ability among medical workers. For mental health status, medical workers had 3 promoting factors: older age, distrust of unofficial information, and non-participation in epidemic prevention and control. On the other hand, poor physical health was a risk factor. (P<0.05) Conclusions In early stage of the epidemic, medical staff in Henan performed well in coping ability and mental health, but the government still needs to pay more attention to the coping capacity and mental health of medical workers who are younger, less educated, blind to unofficial information and in poor physical condition who may have worse coping ability and mental health status. And other studies are needed to determine the follow-up status.

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Section: In Uencing Factors For Coping Ability and Mental Health Statuscontrasting

confidence: 99%

Section: In Uencing Factors For Coping Ability and Mental Health Statussupporting

confidence: 82%

Section: In Uencing Factors For Coping Ability and Mental Health Statusmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysis of Coping Ability and Mental Health of Medical Staff on COVID-19 in Henan, China

Cui

Yin²,

Shi

et al. 2020

Preprint

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“…China is the first country to be severely affected by COVID-19, and the mental health of Chinese frontline medical staff has been greatly affected. A considerable proportion of Chinese healthcare workers have reported symptoms of depression (25.2%-58%), anxiety (29.18%-54.2%), or insomnia (34.0%-36.1%) during the COVID-19 epidemic [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population

Liang

Zhou

et al. 2020

IJERPH

143

114

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Background: Since December 2019, China has been affected by a severe outbreak of coronavirus disease 2019 (COVID-19). Frontline medical workers experienced difficulty due to the high risk of being infected and long and distressing work shifts. The current study aims to evaluate psychological symptoms in frontline medical workers during the COVID-19 epidemic in China and to perform a comparison with the general population. Methods: An online survey was conducted from 14 February 2020 to 29 March 2020. A total of 899 frontline medical workers and 1104 respondents in the general population participated. Depression, anxiety, insomnia, and resilience were assessed via the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), Insomnia Severity Index (ISI), and abbreviated Connor–Davidson Resilience Scale (CD-RISC-10), respectively. Results: Overall, 30.43%, 20.29%, and 14.49% of frontline medical workers in Hubei Province and 23.13%, 13.14%, and 10.64% of frontline medical workers in other regions reported symptoms of depression, anxiety, and insomnia, respectively. In addition, 23.33%, 16.67%, and 6.67% of the general population in Hubei Province and 18.25%, 9.22%, and 7.17% of the general population in other regions reported symptoms of depression, anxiety, and insomnia, respectively. The resilience of frontline medical staff outside Hubei Province was higher than that of the general population outside Hubei Province. Conclusion: A large proportion of frontline medical workers and the general public experienced psychological symptoms during the COVID-19 outbreak. Psychological services for frontline medical workers and the general public are needed.

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The impact of SARS-CoV-2 on the mental health of healthcare workers in a hospital setting—A Systematic Review

Sanghera

Pattani

Hashmi

et al. 2020

Journal of Occupational Health

211

194

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Objectives The SARS‐CoV‐2 global pandemic has subjected healthcare workers (HCWs) to high risk of infection through direct workplace exposure, coupled with increased workload and psychological stress. This review aims to determine the impact of SARS‐CoV‐2 on mental health outcomes of hospital‐based HCWs and formulate recommendations for future action. Methods A systematic review was performed between 31st December 2019 and 17th June 2020 through Ovid Medline and Embase databases (PROSPERO ID CRD42020181204). Studies were included for review if they investigated the impact of SARS‐CoV‐2 on mental health outcomes of hospital‐based HCWs and used validated psychiatric scoring tools. Prevalence of ICD‐10 classified psychiatric disorders was the primary outcome measure. Results The initial search returned 436 articles. Forty‐four studies were included in final analysis, with a total of 69,499 subjects. Prevalence ranges of six mental health outcomes were identified: depression 13.5%‐44.7%; anxiety 12.3%‐35.6%; acute stress reaction 5.2%‐32.9%; post‐traumatic stress disorder 7.4%‐37.4%; insomnia 33.8%‐36.1%; and occupational burnout 3.1%‐43.0%. Direct exposure to SARS‐CoV‐2 patients was the most common risk factor identified for all mental health outcomes except occupational burnout. Nurses, frontline HCWs, and HCWs with low social support and fewer years of working experience reported the worst outcomes. Conclusion The SARS‐CoV‐2 pandemic has significantly impacted the mental health of HCWs. Frontline staff demonstrate worse mental health outcomes. Hospitals should be staffed to meet service provision requirements and to mitigate the impact onmental health. This can be improved with access to rapid‐response psychiatric teams and should be continually monitored throughout the pandemic and beyond its conclusion.

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Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China

Cited by 246 publications

References 22 publications

Analysis of Coping Ability and Mental Health of Medical Staff on COVID-19 in Henan, China

Analysis of Coping Ability and Mental Health of Medical Staff on COVID-19 in Henan, China

Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population

The impact of SARS-CoV-2 on the mental health of healthcare workers in a hospital setting—A Systematic Review

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