• Psychother Psychosom · Jan 2020

    Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China.

    • Wen-Rui Zhang, Kun Wang, Lu Yin, Wen-Feng Zhao, Qing Xue, Mao Peng, Bao-Quan Min, Qing Tian, Hai-Xia Leng, Jia-Lin Du, Hong Chang, Yuan Yang, Wei Li, Fang-Fang Shangguan, Tian-Yi Yan, Hui-Qing Dong, Ying Han, Yu-Ping Wang, Fiammetta Cosci, and Hong-Xing Wang.
    • Division of Neuropsychiatry and Psychosomatics,Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
    • Psychother Psychosom. 2020 Jan 1; 89 (4): 242-250.

    ObjectiveWe explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak.MethodsAn online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Severity Index (ISI), the Symptom Check List-revised (SCL-90-R), and the Patient Health Questionnaire-4 (PHQ-4), which included a 2-item anxiety scale and a 2-item depression scale (PHQ-2).ResultsCompared with nonmedical health workers (n = 1,255), medical health workers (n = 927) had a higher prevalence of insomnia (38.4 vs. 30.5%, p < 0.01), anxiety (13.0 vs. 8.5%, p < 0.01), depression (12.2 vs. 9.5%; p< 0.04), somatization (1.6 vs. 0.4%; p < 0.01), and obsessive-compulsive symptoms (5.3 vs. 2.2%; p < 0.01). They also had higher total scores of ISI, GAD-2, PHQ-2, and SCL-90-R obsessive-compulsive symptoms (p ≤ 0.01). Among medical health workers, having organic disease was an independent factor for insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms (p < 0.05 or 0.01). Living in rural areas, being female, and being at risk of contact with COVID-19 patients were the most common risk factors for insomnia, anxiety, obsessive-compulsive symptoms, and depression (p < 0.01 or 0.05). Among nonmedical health workers, having organic disease was a risk factor for insomnia, depression, and obsessive-compulsive symptoms (p < 0.01 or 0.05).ConclusionsDuring the COVID-19 outbreak, medical health workers had psychosocial problems and risk factors for developing them. They were in need of attention and recovery programs.© 2020 S. Karger AG, Basel.

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