COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers

Zhou Zhu · Shabei Xu · Hui Wang · Zheng Liu · Li Guo · Jinfeng Miao +9 more

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COVID-19 and Mental Health Occupational Health and Burnout Healthcare professionals’ stress and burnout

Abstract

ABSTRACT BACKGROUND The outbreak of COVID-19 has laid unprecedented psychological stress on health workers (HWs). We aimed to assess the immediate psychological impact on HWs at Tongji Hospital in Wuhan, China. METHODS We conducted a single-center, cross-sectional survey of HWs via online questionnaires between February 8th and 10th, 2020. We evaluated stress, depression and anxiety by Impact of Event Scale-Revised (IES-R), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder 7-item (GAD-7), respectively. We also designed a questionnaire to assess the effect of psychological protective measures taken by Tongji Hospital. Multivariate logistic regression was used to identify predictors of acute stress, depression, and anxiety. RESULTS We received 5062 completed questionnaires (response rate, 77.1 percent). 1509 (29.8 percent), 681 (13.5 percent) and 1218 (24.1 percent) HWs reported stress, depression and anxiety symptoms. Women (hazard ratio[HR], 1.31; P=0.032), years of working> 10 years (HR, 2.02; P<0.001), concomitant chronic diseases (HR, 1.51; P<0.001), history of mental disorders (HR, 3.27; P<0.001), and family members or relatives confirmed or suspected (HR, 1.23; P=0.030) were risk factors for stress, whereas care provided by hospital and department administrators(odds ratio [OR], 0.76; P=0.024) and full coverage of all departments with protective measures (OR, 0.69; P=0.004) were protective factors. CONCLUSIONS Women and those who have more than 10 years of working, concomitant chronic diseases, history of mental disorders, and family members or relatives confirmed or suspected are susceptible to stress, depression and anxiety among HWs during the COVID-19 pandemic. Psychological protective measures implemented by the hospital could be helpful.

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References

2001The PHQ-9 2020La certeza de lo impredecible: Cultura Educación y Sociedad en tiempos de COVID19 2020Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China 2020Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019 2007Anxiety Disorders in Primary Care: Prevalence, Impairment, Comorbidity, and Detection 2020Mental health care for medical staff in China during the COVID-19 outbreak 2020The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus 2003Psychometric properties of the Impact of Event Scale—Revised

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