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COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures
associated with the immediate psychological impact on healthcare workers
#MMPMID32766545
Zhu Z
; Xu S
; Wang H
; Liu Z
; Wu J
; Li G
; Miao J
; Zhang C
; Yang Y
; Sun W
; Zhu S
; Fan Y
; Chen Y
; Hu J
; Liu J
; Wang W
EClinicalMedicine
2020[Jul]; 24
(?): 100443
PMID32766545
show ga
BACKGROUND: The outbreak of COVID-19 has laid unprecedented threats and
challenges to health workers (HWs) in Wuhan, China. We aimed to assess the
sociodemographic characteristics and hospital support measures associated with
the immediate psychological impact on HWs at Tongji Hospital in Wuhan during
COVID-19 outbreak. 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 IES-R, PHQ-9, and GAD-7,
respectively. We also designed a questionnaire to assess the perceptions of
threat of COVID-19, and the satisfactions of the hospital's support measures.
Multivariate logistic regressions were used to identify associated variables of
acute stress, depression, and anxiety. FINDINGS: We received 5062 completed
questionnaires (response rate, 77.1%). 29.8%, 13.5% and 24.1% HWs reported
stress, depression and anxiety symptoms. Women (odds ratio [OR], 1.31; 95% CI,
0.47-0.97; p = 0.032), years of working >10 years (OR, 2.02; 95% CI, 1.47-2.79;
p<0.001), concomitant chronic diseases (OR, 1.51; 95% CI, 1.27-1.80; p<0.001),
history of mental disorders (OR, 3.27; 95% CI, 1.77-6.05; p<0.001), family
members or relatives confirmed or suspected (OR, 1.23; 95% CI, 1.02-1.48;
p = 0.03), hospital-based and department-based care (OR, 0.76; 95% CI, 0.60-0.97;
p = 0.024) and full coverage of all departments for avoiding nosocomial infection
(OR, 0.69; 95% CI, 0.53-0.89; p = 0.004) were associated with stress.
INTERPRETATION: 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 pandemic. In addition, since HWs often have a
greater stigma against mental problems than the general public, it is worthwhile
to address the needs of the HWs during this pandemic and to provide appropriate
psychological supports for those people at high risk of mental problems.
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