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The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing

BACKGROUND: There was an outbreak of COVID-19 towards the end of 2019 in China, which spread all over the world rapidly. The Chinese healthcare system is facing a big challenge where hospital workers are experiencing enormous psychological pressure. This study aimed to (1) investigate the psychologi...

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Autores principales: Xiaoming, Xu, Ming, Ai, Su, Hong, Wo, Wang, Jianmei, Chen, Qi, Zhang, Hua, Hu, Xuemei, Li, Lixia, Wang, Jun, Cao, Lei, Shi, Zhen, Lv, Lian, Du, Jing, Li, Handan, Yang, Haitang, Qiu, Xiaoting, He, Xiaorong, Chen, Ran, Chen, Qinghua, Luo, Xinyu, Zhou, Jian, Tan, Jing, Tu, Guanghua, Jiang, Zhiqin, Han, Nkundimana, Baltha, Li, Kuang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369013/
https://www.ncbi.nlm.nih.gov/pubmed/32871686
http://dx.doi.org/10.1016/j.jad.2020.07.092
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author Xiaoming, Xu
Ming, Ai
Su, Hong
Wo, Wang
Jianmei, Chen
Qi, Zhang
Hua, Hu
Xuemei, Li
Lixia, Wang
Jun, Cao
Lei, Shi
Zhen, Lv
Lian, Du
Jing, Li
Handan, Yang
Haitang, Qiu
Xiaoting, He
Xiaorong, Chen
Ran, Chen
Qinghua, Luo
Xinyu, Zhou
Jian, Tan
Jing, Tu
Guanghua, Jiang
Zhiqin, Han
Nkundimana, Baltha
Li, Kuang
author_facet Xiaoming, Xu
Ming, Ai
Su, Hong
Wo, Wang
Jianmei, Chen
Qi, Zhang
Hua, Hu
Xuemei, Li
Lixia, Wang
Jun, Cao
Lei, Shi
Zhen, Lv
Lian, Du
Jing, Li
Handan, Yang
Haitang, Qiu
Xiaoting, He
Xiaorong, Chen
Ran, Chen
Qinghua, Luo
Xinyu, Zhou
Jian, Tan
Jing, Tu
Guanghua, Jiang
Zhiqin, Han
Nkundimana, Baltha
Li, Kuang
author_sort Xiaoming, Xu
collection PubMed
description BACKGROUND: There was an outbreak of COVID-19 towards the end of 2019 in China, which spread all over the world rapidly. The Chinese healthcare system is facing a big challenge where hospital workers are experiencing enormous psychological pressure. This study aimed to (1) investigate the psychological status of hospital workers and (2) provide references for psychological crisis intervention in the future. METHOD: An online survey was conducted to collect sociodemographic features, epidemic-related factors, results of PHQ-9, GAD-7, PHQ-15, suicidal and self-harm ideation (SSI), and the score of stress and support scales. Chi-square test, t-test, non-parametric, and logistic regression analysis were used to detect the risk factors to psychological effect and SSI. RESULTS: 8817 hospital workers participated in this online survey. The prevalence of depression, anxiety, somatic symptoms, and SSI were 30.2%, 20.7%, 46.2%, and 6.5%, respectively. Logistic regression analysis showed that female, single, Tujia minority, educational background of junior or below, designated or county hospital, need for psychological assistance before or during the epidemic, unconfident about defeating COVID-19, ignorance about the epidemic, willingness of attending parties, and poor self-rated health condition were independent factors associated with high-level depression, somatic symptom, and SSI among hospital workers (P<0.05). LIMITATIONS: This cross-sectional study cannot reveal the causality, and voluntary participation could be prone to selection bias. A modified epidemic-related stress and support scale without standardization was used. The number of hospital workers in each hospital was unavailable. CONCLUSION: There were a high level of psychological impact and SSI among hospital workers, which needed to be addressed. County hospital workers were more severe and easier to be neglected. More studies on cognitive and behavioral subsequence after a public health disaster among hospital workers are needed.
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spelling pubmed-73690132020-07-20 The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing Xiaoming, Xu Ming, Ai Su, Hong Wo, Wang Jianmei, Chen Qi, Zhang Hua, Hu Xuemei, Li Lixia, Wang Jun, Cao Lei, Shi Zhen, Lv Lian, Du Jing, Li Handan, Yang Haitang, Qiu Xiaoting, He Xiaorong, Chen Ran, Chen Qinghua, Luo Xinyu, Zhou Jian, Tan Jing, Tu Guanghua, Jiang Zhiqin, Han Nkundimana, Baltha Li, Kuang J Affect Disord Article BACKGROUND: There was an outbreak of COVID-19 towards the end of 2019 in China, which spread all over the world rapidly. The Chinese healthcare system is facing a big challenge where hospital workers are experiencing enormous psychological pressure. This study aimed to (1) investigate the psychological status of hospital workers and (2) provide references for psychological crisis intervention in the future. METHOD: An online survey was conducted to collect sociodemographic features, epidemic-related factors, results of PHQ-9, GAD-7, PHQ-15, suicidal and self-harm ideation (SSI), and the score of stress and support scales. Chi-square test, t-test, non-parametric, and logistic regression analysis were used to detect the risk factors to psychological effect and SSI. RESULTS: 8817 hospital workers participated in this online survey. The prevalence of depression, anxiety, somatic symptoms, and SSI were 30.2%, 20.7%, 46.2%, and 6.5%, respectively. Logistic regression analysis showed that female, single, Tujia minority, educational background of junior or below, designated or county hospital, need for psychological assistance before or during the epidemic, unconfident about defeating COVID-19, ignorance about the epidemic, willingness of attending parties, and poor self-rated health condition were independent factors associated with high-level depression, somatic symptom, and SSI among hospital workers (P<0.05). LIMITATIONS: This cross-sectional study cannot reveal the causality, and voluntary participation could be prone to selection bias. A modified epidemic-related stress and support scale without standardization was used. The number of hospital workers in each hospital was unavailable. CONCLUSION: There were a high level of psychological impact and SSI among hospital workers, which needed to be addressed. County hospital workers were more severe and easier to be neglected. More studies on cognitive and behavioral subsequence after a public health disaster among hospital workers are needed. Elsevier B.V. 2020-11-01 2020-07-19 /pmc/articles/PMC7369013/ /pubmed/32871686 http://dx.doi.org/10.1016/j.jad.2020.07.092 Text en © 2020 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Xiaoming, Xu
Ming, Ai
Su, Hong
Wo, Wang
Jianmei, Chen
Qi, Zhang
Hua, Hu
Xuemei, Li
Lixia, Wang
Jun, Cao
Lei, Shi
Zhen, Lv
Lian, Du
Jing, Li
Handan, Yang
Haitang, Qiu
Xiaoting, He
Xiaorong, Chen
Ran, Chen
Qinghua, Luo
Xinyu, Zhou
Jian, Tan
Jing, Tu
Guanghua, Jiang
Zhiqin, Han
Nkundimana, Baltha
Li, Kuang
The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing
title The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing
title_full The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing
title_fullStr The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing
title_full_unstemmed The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing
title_short The psychological status of 8817 hospital workers during COVID-19 Epidemic: A cross-sectional study in Chongqing
title_sort psychological status of 8817 hospital workers during covid-19 epidemic: a cross-sectional study in chongqing
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369013/
https://www.ncbi.nlm.nih.gov/pubmed/32871686
http://dx.doi.org/10.1016/j.jad.2020.07.092
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