Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China.
Identifieur interne : 000323 ( Main/Corpus ); précédent : 000322; suivant : 000324Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China.
Auteurs : Jianyu Que ; Le Shi ; Jiahui Deng ; Jiajia Liu ; Li Zhang ; Suying Wu ; Yimiao Gong ; Weizhen Huang ; Kai Yuan ; Wei Yan ; Yankun Sun ; Maosheng Ran ; Yanping Bao ; Lin LuSource :
- General psychiatry [ 2517-729X ] ; 2020.
Abstract
Background
Healthcare workers fighting against the coronavirus disease 2019 (COVID-19) pandemic are under tremendous pressure, which puts them at an increased risk of developing psychological problems.
Aims
This study aimed to investigate the prevalence of psychological problems in different healthcare workers (ie, physicians, medical residents, nurses, technicians and public health professionals) during the COVID-19 pandemic in China and explore factors that are associated with the onset of psychological problems in this population during this public health crisis.
Methods
A cross-sectional, web-based survey was conducted in February 2020 among healthcare workers during the COVID-19 pandemic. Psychological problems were assessed using the Generalized Anxiety Disorder Scale, Patient Health Questionnaire and Insomnia Severity Index. Logistic regression analyses were used to explore the factors that were associated with psychological problems.
Results
The prevalence of symptoms of anxiety, depression, insomnia and the overall psychological problems in healthcare workers during the COVID-19 pandemic in China was 46.04%, 44.37%, 28.75% and 56.59%, respectively. The prevalence of the overall psychological problems in physicians, medical residents, nurses, technicians and public health professionals was 60.35%, 50.82%, 62.02%, 57.54% and 62.40%, respectively. Compared with healthcare workers who did not participate in front-line work, front-line healthcare workers had a higher risk of anxiety, insomnia and overall psychological problems. In addition, attention to negative or neutral information about the pandemic, receiving negative feedback from families and friends who joined front-line work, and unwillingness to join front-line work if given a free choice were three major factors for these psychological problems.
Conclusions
Psychological problems are pervasive among healthcare workers during the COVID-19 pandemic. Receiving negative information and participating in front-line work appear to be important risk factors for psychological problems. The psychological health of different healthcare workers should be protected during the COVID-19 pandemic with timely interventions and proper information feedback.
DOI: 10.1136/gpsych-2020-100259
PubMed: 32596640
PubMed Central: PMC7299004
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China.</title><author><name sortKey="Que, Jianyu" sort="Que, Jianyu" uniqKey="Que J" first="Jianyu" last="Que">Jianyu Que</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Shi, Le" sort="Shi, Le" uniqKey="Shi L" first="Le" last="Shi">Le Shi</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Deng, Jiahui" sort="Deng, Jiahui" uniqKey="Deng J" first="Jiahui" last="Deng">Jiahui Deng</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Liu, Jiajia" sort="Liu, Jiajia" uniqKey="Liu J" first="Jiajia" last="Liu">Jiajia Liu</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Li" sort="Zhang, Li" uniqKey="Zhang L" first="Li" last="Zhang">Li Zhang</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Mental Health Institute of Inner Mongolia Autonomous Region, Hohhot, Inner Mongolia, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Suying" sort="Wu, Suying" uniqKey="Wu S" first="Suying" last="Wu">Suying Wu</name><affiliation><nlm:affiliation>Xiamen City Xianyue Hospital, Xiamen, Fujian, China.</nlm:affiliation></affiliation></author><author><name sortKey="Gong, Yimiao" sort="Gong, Yimiao" uniqKey="Gong Y" first="Yimiao" last="Gong">Yimiao Gong</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Huang, Weizhen" sort="Huang, Weizhen" uniqKey="Huang W" first="Weizhen" last="Huang">Weizhen Huang</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Yuan, Kai" sort="Yuan, Kai" uniqKey="Yuan K" first="Kai" last="Yuan">Kai Yuan</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Yan, Wei" sort="Yan, Wei" uniqKey="Yan W" first="Wei" last="Yan">Wei Yan</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Sun, Yankun" sort="Sun, Yankun" uniqKey="Sun Y" first="Yankun" last="Sun">Yankun Sun</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Ran, Maosheng" sort="Ran, Maosheng" uniqKey="Ran M" first="Maosheng" last="Ran">Maosheng Ran</name><affiliation><nlm:affiliation>Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China.</nlm:affiliation></affiliation></author><author><name sortKey="Bao, Yanping" sort="Bao, Yanping" uniqKey="Bao Y" first="Yanping" last="Bao">Yanping Bao</name><affiliation><nlm:affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Lu, Lin" sort="Lu, Lin" uniqKey="Lu L" first="Lin" last="Lu">Lin Lu</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Beijing, China.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32596640</idno><idno type="pmid">32596640</idno><idno type="doi">10.1136/gpsych-2020-100259</idno><idno type="pmc">PMC7299004</idno><idno type="wicri:Area/Main/Corpus">000323</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000323</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China.</title><author><name sortKey="Que, Jianyu" sort="Que, Jianyu" uniqKey="Que J" first="Jianyu" last="Que">Jianyu Que</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Shi, Le" sort="Shi, Le" uniqKey="Shi L" first="Le" last="Shi">Le Shi</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Deng, Jiahui" sort="Deng, Jiahui" uniqKey="Deng J" first="Jiahui" last="Deng">Jiahui Deng</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Liu, Jiajia" sort="Liu, Jiajia" uniqKey="Liu J" first="Jiajia" last="Liu">Jiajia Liu</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Li" sort="Zhang, Li" uniqKey="Zhang L" first="Li" last="Zhang">Li Zhang</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Mental Health Institute of Inner Mongolia Autonomous Region, Hohhot, Inner Mongolia, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Suying" sort="Wu, Suying" uniqKey="Wu S" first="Suying" last="Wu">Suying Wu</name><affiliation><nlm:affiliation>Xiamen City Xianyue Hospital, Xiamen, Fujian, China.</nlm:affiliation></affiliation></author><author><name sortKey="Gong, Yimiao" sort="Gong, Yimiao" uniqKey="Gong Y" first="Yimiao" last="Gong">Yimiao Gong</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Huang, Weizhen" sort="Huang, Weizhen" uniqKey="Huang W" first="Weizhen" last="Huang">Weizhen Huang</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Yuan, Kai" sort="Yuan, Kai" uniqKey="Yuan K" first="Kai" last="Yuan">Kai Yuan</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Yan, Wei" sort="Yan, Wei" uniqKey="Yan W" first="Wei" last="Yan">Wei Yan</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Sun, Yankun" sort="Sun, Yankun" uniqKey="Sun Y" first="Yankun" last="Sun">Yankun Sun</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Ran, Maosheng" sort="Ran, Maosheng" uniqKey="Ran M" first="Maosheng" last="Ran">Maosheng Ran</name><affiliation><nlm:affiliation>Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China.</nlm:affiliation></affiliation></author><author><name sortKey="Bao, Yanping" sort="Bao, Yanping" uniqKey="Bao Y" first="Yanping" last="Bao">Yanping Bao</name><affiliation><nlm:affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Lu, Lin" sort="Lu, Lin" uniqKey="Lu L" first="Lin" last="Lu">Lin Lu</name><affiliation><nlm:affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Beijing, China.</nlm:affiliation></affiliation></author></analytic><series><title level="j">General psychiatry</title><idno type="ISSN">2517-729X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Healthcare workers fighting against the coronavirus disease 2019 (COVID-19) pandemic are under tremendous pressure, which puts them at an increased risk of developing psychological problems.</p></div><div type="abstract" xml:lang="en"><p><b>Aims</b></p><p>This study aimed to investigate the prevalence of psychological problems in different healthcare workers (ie, physicians, medical residents, nurses, technicians and public health professionals) during the COVID-19 pandemic in China and explore factors that are associated with the onset of psychological problems in this population during this public health crisis.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>A cross-sectional, web-based survey was conducted in February 2020 among healthcare workers during the COVID-19 pandemic. Psychological problems were assessed using the Generalized Anxiety Disorder Scale, Patient Health Questionnaire and Insomnia Severity Index. Logistic regression analyses were used to explore the factors that were associated with psychological problems.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>The prevalence of symptoms of anxiety, depression, insomnia and the overall psychological problems in healthcare workers during the COVID-19 pandemic in China was 46.04%, 44.37%, 28.75% and 56.59%, respectively. The prevalence of the overall psychological problems in physicians, medical residents, nurses, technicians and public health professionals was 60.35%, 50.82%, 62.02%, 57.54% and 62.40%, respectively. Compared with healthcare workers who did not participate in front-line work, front-line healthcare workers had a higher risk of anxiety, insomnia and overall psychological problems. In addition, attention to negative or neutral information about the pandemic, receiving negative feedback from families and friends who joined front-line work, and unwillingness to join front-line work if given a free choice were three major factors for these psychological problems.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>Psychological problems are pervasive among healthcare workers during the COVID-19 pandemic. Receiving negative information and participating in front-line work appear to be important risk factors for psychological problems. The psychological health of different healthcare workers should be protected during the COVID-19 pandemic with timely interventions and proper information feedback.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32596640</PMID><DateRevised><Year>2020</Year><Month>06</Month><Day>30</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2517-729X</ISSN><JournalIssue CitedMedium="Print"><Volume>33</Volume><Issue>3</Issue><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>General psychiatry</Title><ISOAbbreviation>Gen Psychiatr</ISOAbbreviation></Journal><ArticleTitle>Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China.</ArticleTitle><Pagination><MedlinePgn>e100259</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/gpsych-2020-100259</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Healthcare workers fighting against the coronavirus disease 2019 (COVID-19) pandemic are under tremendous pressure, which puts them at an increased risk of developing psychological problems.</AbstractText><AbstractText Label="Aims" NlmCategory="UNASSIGNED">This study aimed to investigate the prevalence of psychological problems in different healthcare workers (ie, physicians, medical residents, nurses, technicians and public health professionals) during the COVID-19 pandemic in China and explore factors that are associated with the onset of psychological problems in this population during this public health crisis.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">A cross-sectional, web-based survey was conducted in February 2020 among healthcare workers during the COVID-19 pandemic. Psychological problems were assessed using the Generalized Anxiety Disorder Scale, Patient Health Questionnaire and Insomnia Severity Index. Logistic regression analyses were used to explore the factors that were associated with psychological problems.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">The prevalence of symptoms of anxiety, depression, insomnia and the overall psychological problems in healthcare workers during the COVID-19 pandemic in China was 46.04%, 44.37%, 28.75% and 56.59%, respectively. The prevalence of the overall psychological problems in physicians, medical residents, nurses, technicians and public health professionals was 60.35%, 50.82%, 62.02%, 57.54% and 62.40%, respectively. Compared with healthcare workers who did not participate in front-line work, front-line healthcare workers had a higher risk of anxiety, insomnia and overall psychological problems. In addition, attention to negative or neutral information about the pandemic, receiving negative feedback from families and friends who joined front-line work, and unwillingness to join front-line work if given a free choice were three major factors for these psychological problems.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">Psychological problems are pervasive among healthcare workers during the COVID-19 pandemic. Receiving negative information and participating in front-line work appear to be important risk factors for psychological problems. The psychological health of different healthcare workers should be protected during the COVID-19 pandemic with timely interventions and proper information feedback.</AbstractText><CopyrightInformation>© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="Y"><LastName>Que</LastName><ForeName>Jianyu</ForeName><Initials>J</Initials><Identifier Source="ORCID">0000-0003-0660-5134</Identifier><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Shi</LastName><ForeName>Le</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deng</LastName><ForeName>Jiahui</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Jiajia</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Li</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Mental Health Institute of Inner Mongolia Autonomous Region, Hohhot, Inner Mongolia, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Suying</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Xiamen City Xianyue Hospital, Xiamen, Fujian, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gong</LastName><ForeName>Yimiao</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>Weizhen</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yuan</LastName><ForeName>Kai</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yan</LastName><ForeName>Wei</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sun</LastName><ForeName>Yankun</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ran</LastName><ForeName>Maosheng</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bao</LastName><ForeName>Yanping</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lu</LastName><ForeName>Lin</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Beijing, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Gen Psychiatr</MedlineTA><NlmUniqueID>101735271</NlmUniqueID><ISSNLinking>2517-729X</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">anxiety</Keyword><Keyword MajorTopicYN="N">depression</Keyword><Keyword MajorTopicYN="N">prevalence</Keyword><Keyword MajorTopicYN="N">psychological phenomena</Keyword><Keyword MajorTopicYN="N">risk factors</Keyword></KeywordList><CoiStatement>Competing interests: None declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>05</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>7</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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