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Meng X, Wang Y, Jiang Y, Li T, Duan Y. Mental health survey among front-line medical workers after 2 years of supporting COVID-19 efforts in Hubei Province. PLoS One 2023; 18:e0287154. [PMID: 37847704 PMCID: PMC10581499 DOI: 10.1371/journal.pone.0287154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 05/31/2023] [Indexed: 10/19/2023] Open
Abstract
During the outbreak of COVID-19 in China, many health care workers have been involved in the front-line fight against the epidemic and have experienced major psychological challenges. This study was aimed at assessing the mental health of front-line health workers after 2 years of COVID-19 efforts. We recruited front-line health workers from Liaoning province who supported Hubei, the epicenter of the COVID-19 outbreak. The Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder scale (GAD-7), and Insomnia Severity Index (ISI) were used to assess psychological status. A total of 1101 of 1354 contacted individuals completed the survey (participation rate of 81.31%): 963 (87.5%) were 20-45 years of age, 919 (83.47%) were women, 845 (76.7%) were nurses, and 245 (22.3%) were physicians. After 2 years, the mental health symptoms among survey respondents were as follows: 46.6% had depression, 35.5% had anxiety, and 38.1% had insomnia. Thus, 2 years after the COVID-19 pandemic, the front-line health workers who had assisted Hubei province during the COVID‑19 pandemic in China still had high levels of depression, anxiety, and insomnia. Our findings suggest that the pandemic has had significant long-term effects on the mental health of front-line health workers. Therefore, mental health policies should offer long-term rather than short-term services.
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Affiliation(s)
- Xianfeng Meng
- The Mental Health Center of Liaoning Province, Shenyang, Liaoning, China
| | - Yan Wang
- Liaoning Delight Mental Health Service Company Ltd, Shenyang, Liaoning, China
| | - Yuna Jiang
- Liaoning Delight Mental Health Service Company Ltd, Shenyang, Liaoning, China
| | - Ting Li
- Panjin Kangning Hospital, Panjin, Liaoning, China
| | - Ying Duan
- The Mental Health Center of Liaoning Province, Shenyang, Liaoning, China
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Zhang W, Huang L, Xu F, Liu H, Wang G. Impact of campus living conditions on Chinese medical school students' mental health during the COVID-19 campus lockdown: the chain mediating role of cognitive reappraisal and expression suppression. Front Psychiatry 2023; 14:1171425. [PMID: 37265559 PMCID: PMC10229781 DOI: 10.3389/fpsyt.2023.1171425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 04/27/2023] [Indexed: 06/03/2023] Open
Abstract
Objective To investigate the effect of changes in campus living conditions related to the Corona Virus Disease 2019 (COVID-19) pandemic on medical school students' mental health status, to explore the mediating role of emotion regulation strategies, and to provide effective suggestions for promoting medical school students' mental health. Methods A self-report questionnaire, an emotion regulation questionnaire (ERQ), and psychological questionnaires for emergent events of public health (PQEEPH) were used to interview 998 medical school students who experienced campus lockdowns during the COVID-19 pandemic. Results The mean total PQEEPH score was 3.66 ± 3.06. The degrees of inconvenience in daily life and change in routine and expression suppression as an emotion regulation strategy were significantly positively correlated with all PQEEPH dimensions. Cognitive reappraisal was significantly negatively associated with depression, neurosis, obsessive-compulsive anxiety, and hypochondriasis (ps < 0.05). Cognitive reappraisal and expression suppression demonstrated a chain mediating role between the degree of inconvenience in life and mental health and between the degree of change in routine and mental health (F = 32.883, 41.051, ps < 0.05). Conclusion Campus lockdown management significantly impacts medical school students' mental health. Extensive use of cognitive reappraisal and expression suppression can reduce students' adverse psychological reactions during campus lockdowns to an extent.
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Affiliation(s)
- Wei Zhang
- School of Marxism, Wannan Medical College, Wuhu, China
| | - Long Huang
- School of Humanities and Management, Wannan Medical College, Wuhu, China
| | - Fengyun Xu
- School of Humanities and Management, Wannan Medical College, Wuhu, China
| | - Hairong Liu
- School of Humanities and Management, Wannan Medical College, Wuhu, China
- Anhui Key Laboratory of Philosophy and Social Sciences for Public Health Crisis Management, Wuhu, China
| | - Guoping Wang
- School of Humanities and Management, Wannan Medical College, Wuhu, China
- Anhui Key Laboratory of Philosophy and Social Sciences for Public Health Crisis Management, Wuhu, China
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Lin B, Liu J, He W, Pan H, Zhong X. Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1333. [PMID: 36674087 PMCID: PMC9858883 DOI: 10.3390/ijerph20021333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 01/03/2023] [Accepted: 01/07/2023] [Indexed: 06/17/2023]
Abstract
Background: The psychological status of men who have sex with men (MSM) as a vulnerable population during COVID-19 is worthy of attention. However, studies of Chinese MSM are limited. The aim of this study was to investigate the psychological status and influencing factors of MSM population and to provide a scientific basis for this group to actively respond to public health emergencies. Methods: From June to September 2020, we conducted an online survey. MSMs were recruited through collaboration with non-governmental organizations (NGOs) and peer recommendations. The variables we collected included four aspects: demographic and HIV-related characteristics; COVID-19-related knowledge, attitudes, and behaviors; COVID-19-related risk perception; epidemic exposure. The psychological status was assessed by the Psychological Questionnaire for Emergent Events of Public Health (PQEEPH), which defined the psychological status as five primary disorders: depression, neurasthenia, fear, anxiety, and hypochondria. Multivariate logistic regression was used to explore the influences of COVID-19-related factors on the psychological status. Results: We surveyed 412 MSM online during COVID-19. The five psychological status of high-risk states accounted for 16.99% (depression), 14.08% (neurasthenia), 16.75% (fear), 16.50% (anxiety), and 18.20% (hypochondria), respectively. Not being well-informed about the causes of COVID-19 (p = 0.020) and having experienced epidemic exposure (p = 0.006) were able to promote the occurrence of depression. Lack of knowledge of the curative effect of COVID-19 has a higher risk of occurrence neurasthenia (p < 0.001). Being afraid of the novel coronavirus (p < 0.001) promoted fear. The perceived prevalence of the epidemic (p = 0.003), being more susceptible to COVID-19 (p < 0.001), and not being well-informed about the causes of COVID-19 (p = 0.005) had a positive effect on anxiety. Considering that the epidemic was not effectively controlled (p = 0.017), being more susceptible to COVID-19 (p < 0.001) was a contributing factor to the hypochondria. Conclusions: The incidence of psychological disorders in Chinese MSM was higher than that in other groups during COVID-19. Factors associated with COVID-19 may cause a range of mental health problems in this population. Greater attention should be paid to the mental health status of special populations during the epidemic, and effective preventive education and intervention measures should be taken.
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Affiliation(s)
- Bing Lin
- School of Public Health, Chongqing Medical University, Chongqing 400016, China
- Research Center for Medicine and Social Development, Chongqing 400010, China
| | - Jiaxiu Liu
- School of Medical Informatics, Chongqing Medical University, Chongqing 400016, China
| | - Wei He
- School of Public Health, Chongqing Medical University, Chongqing 400016, China
- Research Center for Medicine and Social Development, Chongqing 400010, China
| | - Haiying Pan
- School of Public Health, Chongqing Medical University, Chongqing 400016, China
- Research Center for Medicine and Social Development, Chongqing 400010, China
| | - Xiaoni Zhong
- School of Public Health, Chongqing Medical University, Chongqing 400016, China
- Research Center for Medicine and Social Development, Chongqing 400010, China
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Study on the Mental Health Service Behavior of Medical Staff Based on Electrocardiogram. CONTRAST MEDIA & MOLECULAR IMAGING 2022; 2022:7580008. [PMID: 36110980 PMCID: PMC9448627 DOI: 10.1155/2022/7580008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 06/27/2022] [Accepted: 07/08/2022] [Indexed: 11/20/2022]
Abstract
Acquired Immune Deficiency Syndrome (AIDS) is a fatal infectious disease caused by human immunodeficiency virus, which poses a serious threat to human health. The contagion of AIDS has greatly increased the psychological pressure of frontline medical staff. The mental health service behavior of medical staff based on electrocardiograms is analyzed. Firstly, an automatic ECG analysis technique is employed to evaluate the mental health service behavior of medical staff. Then, in order to promote the relationship between doctors and patients, Holter's algorithm is applied to improve mental health services. Subsequently, the experiment based on ECG data is conducted to solve the problem of relieving the psychological pressure of medical staff. All samples are divided into high group (average score is 29.21), average group (average score is 31.43), and low group (average score is 34.85) according to the first 20%, middle 60%, and last 20%. The experimental results show that a considerable number of frontline medical personnel have psychological problems in AIDS surgery.
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Saeed H, Eslami A, Nassif NT, Simpson AM, Lal S. Anxiety Linked to COVID-19: A Systematic Review Comparing Anxiety Rates in Different Populations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042189. [PMID: 35206374 PMCID: PMC8871867 DOI: 10.3390/ijerph19042189] [Citation(s) in RCA: 29] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 02/09/2022] [Accepted: 02/10/2022] [Indexed: 12/20/2022]
Abstract
The COVID-19 pandemic has incited a rise in anxiety, with uncertainty regarding the specific impacts and risk factors across multiple populations. A qualitative systematic review was conducted to investigate the prevalence and associations of anxiety in different sample populations in relation to the COVID-19 pandemic. Four databases were utilised in the search (Medline, EMBASE, CINAHL, and PsycINFO). The review period commenced in April 2021 and was finalised on 5 July 2021. A total of 3537 studies were identified of which 87 were included in the review (sample size: 755,180). Healthcare workers had the highest prevalence of anxiety (36%), followed by university students (34.7%), the general population (34%), teachers (27.2%), parents (23.3%), pregnant women (19.5%), and police (8.79%). Risk factors such as being female, having pre-existing mental conditions, lower socioeconomic status, increased exposure to infection, and being younger all contributed to worsened anxiety. The review included studies published before July 2021; due to the ongoing nature of the COVID-19 pandemic, this may have excluded relevant papers. Restriction to only English papers and a sample size > 1000 may have also limited the range of papers included. These findings identify groups who are most vulnerable to developing anxiety in a pandemic and what specific risk factors are most common across multiple populations.
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Affiliation(s)
- Hafsah Saeed
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
| | - Ardalan Eslami
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
| | - Najah T. Nassif
- School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (N.T.N.); (A.M.S.)
| | - Ann M. Simpson
- School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (N.T.N.); (A.M.S.)
| | - Sara Lal
- Neuroscience Research Unit, School of Life Sciences, University of Technology Sydney, Sydney, NSW 2007, Australia; (H.S.); (A.E.)
- Correspondence:
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Ren C, Zhou D, Fan Y, Li B, Zhang W, Shen Y, Yu S, Jiang L, Yu F, Duan Y, Peng D, Cheng X, Wu L, Wu C, Ye D. Prevalence and influencing factors of anxiety and depression symptoms among surgical nurses during COVID-19 pandemic: A large-scale cross-sectional study. Nurs Open 2021; 9:752-764. [PMID: 34784442 PMCID: PMC8661822 DOI: 10.1002/nop2.1127] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 09/16/2021] [Accepted: 10/14/2021] [Indexed: 12/12/2022] Open
Abstract
Aim To evaluate the prevalence and influencing factors of anxiety and depression symptoms in surgical nurses during the COVID‐19 epidemic in Anhui, China. Methods A cross‐sectional, multic'entre quantitative study was conducted among surgical nurses in Anhui province. SAS, SDS and SSRS scales were used for the investigation. Data were collected between 3 March 2020 to 19 March 2020. Results A total of 3,492 surgical nurses completed the survey. The average level of anxiety and depression of surgical nurses were higher than that of the Chinese norm. Levels of social support for surgical nurses were significantly negatively associated with the degree of anxiety and depression. Fertility status, participation in care for COVID‐19 patients, likelihood of being infected with COVID‐19 and social support were significantly influencing surgical nurses’ anxiety degree. Similarly, these characteristics were significantly associated with the odds of depression symptoms in surgical nurses. Conclusion These findings suggest that targeted psychological interventions to promote mental health of surgical nurses need to be immediately implemented.
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Affiliation(s)
- Chunxia Ren
- Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Decun Zhou
- Department of Clinical Medicine, Anhui Medical College, Hefei, China.,Department of Cardiothoracic Surgery, Anhui No2 Provincial People's Hospital, Hefei, China
| | - Yinguang Fan
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.,Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Medical University, Hefei, China
| | - Baozhu Li
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.,Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Medical University, Hefei, China
| | - Wanfei Zhang
- Department of Thoracic Surgery, Quanzhou First Affiliated Hospital of Fujian Medical University, Quanzhou, China
| | - Yun Shen
- Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Shihui Yu
- Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Li Jiang
- Department of Pediatric Surgery, Bozhou People's Hospital, Bozhou, China
| | - Fengqiong Yu
- Department of Medical Psychology, Chaohu Clinical Medical College, Anhui Medical University, Hefei, China
| | - Yongli Duan
- Department of Nursing, Fuyang People's Hospital, Fuyang, China
| | - Deqing Peng
- Department of Nursing, The People's Hospital of Xuancheng City, Xuancheng, China
| | - Xuehong Cheng
- Department of General Surgery, Anqing Hospital Affiliated to Anhui Medical, Anqing, China
| | - Le Wu
- Department of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Changhao Wu
- Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | - Dongqing Ye
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.,Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Medical University, Hefei, China
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Liu H, Wang L. Focus on the Mental Health of Pediatric Medical Workers in China After the COVID-19 Epidemic. Front Psychol 2021; 12:657814. [PMID: 33959081 PMCID: PMC8093376 DOI: 10.3389/fpsyg.2021.657814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Accepted: 03/25/2021] [Indexed: 11/13/2022] Open
Abstract
As was previously known, pediatric medical staff in China faced several hurdles including high occupational risk, multiple contradictions, heavy workload, and long working hours. After the outbreak of 2019 novel coronavirus, facing the overload of work and the potential risk of infection, pediatric medical workers may be under great psychological pressure. The purpose of this article was to call attention to the impact of the epidemic on the mental health of Chinese pediatric workers, and developing psychological intervention program that are tailored to them. The experiences from this public health emergency should inform the efficiency and quality of future crisis intervention of the Chinese government and authorities around the world.
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Affiliation(s)
- Hui Liu
- Department of Pediatrics, University-Town Hospital of Chongqing Medical University, Chongqing, China.,Department of Pediatrics, Daping Hospital, Army Medical University, Chongqing, China
| | - Li Wang
- Department of Pediatrics, University-Town Hospital of Chongqing Medical University, Chongqing, China
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