Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019
Identifieur interne : 000949 ( Pmc/Curation ); précédent : 000948; suivant : 000950Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019
Auteurs : Jianbo Lai [République populaire de Chine] ; Simeng Ma [République populaire de Chine] ; Ying Wang [République populaire de Chine] ; Zhongxiang Cai [République populaire de Chine] ; Jianbo Hu [République populaire de Chine] ; Ning Wei [République populaire de Chine] ; Jiang Wu [République populaire de Chine] ; Hui Du [République populaire de Chine] ; Tingting Chen [République populaire de Chine] ; Ruiting Li [République populaire de Chine] ; Huawei Tan [République populaire de Chine] ; Lijun Kang [République populaire de Chine] ; Lihua Yao [République populaire de Chine] ; Manli Huang [République populaire de Chine] ; Huafen Wang [République populaire de Chine] ; Gaohua Wang [République populaire de Chine] ; Zhongchun Liu [République populaire de Chine] ; Shaohua Hu [République populaire de Chine]Source :
- JAMA Network Open [ 2574-3805 ] ; 2020.
Abstract
What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)?
In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19.
These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
Url:
DOI: 10.1001/jamanetworkopen.2020.3976
PubMed: 32202646
PubMed Central: 7090843
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Medicine, Hangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Wu, Jiang" sort="Wu, Jiang" uniqKey="Wu J" first="Jiang" last="Wu">Jiang Wu</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff3">Department of Psychiatry, Wuhan Youfu Hospital, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Wuhan Youfu Hospital, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Du, Hui" sort="Du, Hui" uniqKey="Du H" first="Hui" last="Du">Hui Du</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff4">Department of Psychiatry, Jingmen No. 2 People’s Hospital, Jingmen, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Jingmen No. 2 People’s Hospital, Jingmen</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Tingting" sort="Chen, Tingting" uniqKey="Chen T" first="Tingting" 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Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Kang, Lijun" sort="Kang, Lijun" uniqKey="Kang L" first="Lijun" last="Kang">Lijun Kang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Yao, Lihua" sort="Yao, Lihua" uniqKey="Yao L" first="Lihua" last="Yao">Lihua Yao</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Manli" sort="Huang, Manli" uniqKey="Huang M" first="Manli" last="Huang">Manli Huang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff1">Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Huafen" sort="Wang, Huafen" uniqKey="Wang H" first="Huafen" last="Wang">Huafen Wang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff6">Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Gaohua" sort="Wang, Gaohua" uniqKey="Wang G" first="Gaohua" last="Wang">Gaohua Wang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Zhongchun" sort="Liu, Zhongchun" uniqKey="Liu Z" first="Zhongchun" last="Liu">Zhongchun Liu</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Hu, Shaohua" sort="Hu, Shaohua" uniqKey="Hu S" first="Shaohua" last="Hu">Shaohua Hu</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff1">Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32202646</idno><idno type="pmc">7090843</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7090843</idno><idno type="RBID">PMC:7090843</idno><idno type="doi">10.1001/jamanetworkopen.2020.3976</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000949</idno><idno type="wicri:explorRef" 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first="Simeng" last="Ma">Simeng Ma</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Ying" sort="Wang, Ying" uniqKey="Wang Y" first="Ying" last="Wang">Ying Wang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Cai, Zhongxiang" sort="Cai, Zhongxiang" uniqKey="Cai Z" first="Zhongxiang" last="Cai">Zhongxiang Cai</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Hu, Jianbo" sort="Hu, Jianbo" uniqKey="Hu J" first="Jianbo" last="Hu">Jianbo Hu</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff1">Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Wei, Ning" sort="Wei, Ning" uniqKey="Wei N" first="Ning" last="Wei">Ning Wei</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff1">Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Wu, Jiang" sort="Wu, Jiang" uniqKey="Wu J" first="Jiang" last="Wu">Jiang Wu</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff3">Department of Psychiatry, Wuhan Youfu Hospital, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Wuhan Youfu Hospital, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Du, Hui" sort="Du, Hui" uniqKey="Du H" first="Hui" last="Du">Hui Du</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff4">Department of Psychiatry, Jingmen No. 2 People’s Hospital, Jingmen, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Jingmen No. 2 People’s Hospital, Jingmen</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Tingting" sort="Chen, Tingting" uniqKey="Chen T" first="Tingting" last="Chen">Tingting Chen</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff5">Department of Psychiatry, Wuhan Wudong Hospital, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Wuhan Wudong Hospital, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Li, Ruiting" sort="Li, Ruiting" uniqKey="Li R" first="Ruiting" last="Li">Ruiting Li</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Tan, Huawei" sort="Tan, Huawei" uniqKey="Tan H" first="Huawei" last="Tan">Huawei Tan</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Kang, Lijun" sort="Kang, Lijun" uniqKey="Kang L" first="Lijun" last="Kang">Lijun Kang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Yao, Lihua" sort="Yao, Lihua" uniqKey="Yao L" first="Lihua" last="Yao">Lihua Yao</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Manli" sort="Huang, Manli" uniqKey="Huang M" first="Manli" last="Huang">Manli Huang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff1">Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Huafen" sort="Wang, Huafen" uniqKey="Wang H" first="Huafen" last="Wang">Huafen Wang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff6">Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Wang, Gaohua" sort="Wang, Gaohua" uniqKey="Wang G" first="Gaohua" last="Wang">Gaohua Wang</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Liu, Zhongchun" sort="Liu, Zhongchun" uniqKey="Liu Z" first="Zhongchun" last="Liu">Zhongchun Liu</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff2">Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan</wicri:regionArea></affiliation></author><author><name sortKey="Hu, Shaohua" sort="Hu, Shaohua" uniqKey="Hu S" first="Shaohua" last="Hu">Shaohua Hu</name><affiliation wicri:level="1"><nlm:aff id="zoi200192aff1">Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou</wicri:regionArea></affiliation></author></analytic><series><title level="j">JAMA Network Open</title><idno type="eISSN">2574-3805</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Key Points</title><sec id="ab-zoi200192-1"><title>Question</title><p>What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)?</p></sec><sec id="ab-zoi200192-2"><title>Findings</title><p>In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19.</p></sec><sec id="ab-zoi200192-3"><title>Meaning</title><p>These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Li, Q" uniqKey="Li Q">Q Li</name></author><author><name sortKey="Guan, X" uniqKey="Guan X">X Guan</name></author><author><name sortKey="Wu, P" uniqKey="Wu P">P Wu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rothe, C" uniqKey="Rothe C">C Rothe</name></author><author><name sortKey="Schunk, M" uniqKey="Schunk M">M Schunk</name></author><author><name sortKey="Sothmann, P" uniqKey="Sothmann P">P Sothmann</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">JAMA Netw Open</journal-id><journal-id journal-id-type="iso-abbrev">JAMA Netw Open</journal-id><journal-id journal-id-type="pmc">JAMA Netw Open</journal-id><journal-title-group><journal-title>JAMA Network Open</journal-title></journal-title-group><issn pub-type="epub">2574-3805</issn><publisher><publisher-name>American Medical Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32202646</article-id><article-id pub-id-type="pmc">7090843</article-id><article-id pub-id-type="doi">10.1001/jamanetworkopen.2020.3976</article-id><article-id pub-id-type="publisher-id">zoi200192</article-id><article-categories><subj-group subj-group-type="category" specific-use="electronic"><subject>Research</subject></subj-group><subj-group subj-group-type="heading"><subject>Original Investigation</subject></subj-group><subj-group subj-group-type="online-only"><subject>Online Only</subject></subj-group><subj-group subj-group-type="subject-area"><subject>Psychiatry</subject></subj-group></article-categories><title-group><article-title>Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019</article-title><alt-title alt-title-type="headline">Mental Health Outcomes Among Health Care Workers Exposed to COVID-19</alt-title><alt-title alt-title-type="running-head">Mental Health Outcomes Among Health Care Workers Exposed to COVID-19</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lai</surname><given-names>Jianbo</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="zoi200192aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ma</surname><given-names>Simeng</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Ying</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cai</surname><given-names>Zhongxiang</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Hu</surname><given-names>Jianbo</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="zoi200192aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wei</surname><given-names>Ning</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wu</surname><given-names>Jiang</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Du</surname><given-names>Hui</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chen</surname><given-names>Tingting</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Li</surname><given-names>Ruiting</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Tan</surname><given-names>Huawei</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kang</surname><given-names>Lijun</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Yao</surname><given-names>Lihua</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Huang</surname><given-names>Manli</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Huafen</given-names></name><degrees>BD</degrees><xref ref-type="aff" rid="zoi200192aff6"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Gaohua</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Liu</surname><given-names>Zhongchun</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Hu</surname><given-names>Shaohua</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="zoi200192aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="zoi200192aff1"><label>1</label>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</aff><aff id="zoi200192aff2"><label>2</label>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China</aff><aff id="zoi200192aff3"><label>3</label>Department of Psychiatry, Wuhan Youfu Hospital, Wuhan, China</aff><aff id="zoi200192aff4"><label>4</label>Department of Psychiatry, Jingmen No. 2 People’s Hospital, Jingmen, China</aff><aff id="zoi200192aff5"><label>5</label>Department of Psychiatry, Wuhan Wudong Hospital, Wuhan, China</aff><aff id="zoi200192aff6"><label>6</label>Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China</aff><author-notes><title>Article Information</title><p><bold>Accepted for Publication:</bold> March 2, 2020.</p><p content-type="published-online"><bold>Published:</bold> March 23, 2020. doi:<uri content-type="doi">10.1001/jamanetworkopen.2020.3976</uri></p><p content-type="open-access-note"><bold>Open Access:</bold> This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://jamanetwork.com/journals/jamanetworkopen/pages/instructions-for-authors#SecOpenAccess">CC-BY License</ext-link>. © 2020 Lai J et al. <italic>JAMA Network Open</italic>.</p><corresp id="zoi200192cor1"><bold>Corresponding Authors:</bold> Zhongchun Liu, MD, Department of Psychiatry, Renmin Hospital of Wuhan University, 238 Jiefang Rd, Wuhan 430060, China (<email xlink:href="zcliu6@whu.edu.cn">zcliu6@whu.edu.cn</email>); Shaohua Hu, MD, Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, 79 Qingchun Rd, Hangzhou 310003, China (<email xlink:href="dorhushaohua@zju.edu.cn">dorhushaohua@zju.edu.cn</email>).</corresp><p content-type="author-contributions"><bold>Author Contributions:</bold> Drs Liu and S. Hu had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Drs Lai, Ma, and Y. Wang contributed equally and share first authorship. Drs Liu and S. Hu contributed equally as senior authors.</p><p><italic>Concept and design:</italic> Liu, S. Hu.</p><p><italic>Acquisition, analysis, or interpretation of data:</italic> Lai, Ma, Y. Wang, Cai, J. Hu, Wei, Wu, Du, Chen, Li, Tan, Kang, Yao, Huang, H. Wang, G. Wang.</p><p><italic>Drafting of the manuscript:</italic> Lai, Ma, Y. Wang, Liu, S. Hu.</p><p><italic>Critical revision of the manuscript for important intellectual content: </italic>Lai, Cai, J. Hu, Wei, Wu, Du, Chen, Li, Tan, Kang, Yao, Huang, H. Wang, G. Wang, Liu, S. Hu.</p><p><italic>Statistical analysis:</italic> Ma, Y. Wang, Liu, S. Hu.</p><p><italic>Obtained funding:</italic> Liu, S. Hu.</p><p><italic>Administrative, technical, or material support:</italic> Lai, Cai, J. Hu, Wei, Wu, Du, Chen, Li, Tan, Kang, Yao, Huang, H. Wang, G. Wang.</p><p><italic>Supervision:</italic> G. Wang, Liu, S. Hu.</p><p content-type="COI-statement"><bold>Conflict of Interest Disclosures:</bold> None reported.</p><p content-type="funding-statement"><bold>Funding/Support:</bold> This study was supported by grants 2018YFC1314600 and 2016YFC1307100 from the <funding-source rid="sp1">National Key Research and Development Program of China</funding-source>.</p><p><bold>Role of the Funder/Sponsor:</bold> The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.</p><p><bold>Additional Contributions:</bold> We thank all the participants who contributed to our work.</p></author-notes><pub-date pub-type="epub" iso-8601-date="2020-03-23T10:00"><day>23</day><month>3</month><year>2020</year></pub-date><pub-date pub-type="collection"><month>3</month><year>2020</year></pub-date><pub-date pub-type="pmc-release"><day>23</day><month>3</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and
0 days and was based on the
<volume>3</volume><issue>3</issue><elocation-id>e203976</elocation-id><history><date date-type="received"><day>21</day><month>2</month><year>2020</year></date><date date-type="accepted"><day>2</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>Copyright 2020 Lai J et al. <italic>JAMA Network Open</italic>.</copyright-statement><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the terms of the CC-BY License.</license-p></license></permissions><self-uri content-type="pdf-version" xlink:href="jamanetwopen-3-e203976.pdf">jamanetwopen-3-e203976.pdf</self-uri><self-uri content-type="silverchair" xlink:href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2020.3976"></self-uri><related-article related-article-type="commentary" id="d35e399" ext-link-type="doi" xlink:href="10.1001/jamanetworkopen.2020.4006"></related-article><abstract abstract-type="key-points"><title>Key Points</title><sec id="ab-zoi200192-1"><title>Question</title><p>What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)?</p></sec><sec id="ab-zoi200192-2"><title>Findings</title><p>In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19.</p></sec><sec id="ab-zoi200192-3"><title>Meaning</title><p>These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.</p></sec></abstract><abstract abstract-type="teaser"><p>This cross-sectional study assesses the magnitude of mental health consequences and associated factors among health care workers treating patients exposed to coronavirus disease 2019 (COVID-19) in China.</p></abstract><abstract><sec id="ab-zoi200192-4"><title>Importance</title><p>Health care workers exposed to coronavirus disease 2019 (COVID-19) could be psychologically stressed.</p></sec><sec id="ab-zoi200192-5"><title>Objective</title><p>To assess the magnitude of mental health outcomes and associated factors among health care workers treating patients exposed to COVID-19 in China.</p></sec><sec id="ab-zoi200192-6"><title>Design, Settings, and Participants</title><p>This cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from 1257 health care workers in 34 hospitals from January 29, 2020, to February 3, 2020, in China. Health care workers in hospitals equipped with fever clinics or wards for patients with COVID-19 were eligible.</p></sec><sec id="ab-zoi200192-7"><title>Main Outcomes and Measures</title><p>The degree of symptoms of depression, anxiety, insomnia, and distress was assessed by the Chinese versions of the 9-item Patient Health Questionnaire, the 7-item Generalized Anxiety Disorder scale, the 7-item Insomnia Severity Index, and the 22-item Impact of Event Scale–Revised, respectively. Multivariable logistic regression analysis was performed to identify factors associated with mental health outcomes.</p></sec><sec id="ab-zoi200192-8"><title>Results</title><p>A total of 1257 of 1830 contacted individuals completed the survey, with a participation rate of 68.7%. A total of 813 (64.7%) were aged 26 to 40 years, and 964 (76.7%) were women. Of all participants, 764 (60.8%) were nurses, and 493 (39.2%) were physicians; 760 (60.5%) worked in hospitals in Wuhan, and 522 (41.5%) were frontline health care workers. A considerable proportion of participants reported symptoms of depression (634 [50.4%]), anxiety (560 [44.6%]), insomnia (427 [34.0%]), and distress (899 [71.5%]). Nurses, women, frontline health care workers, and those working in Wuhan, China, reported more severe degrees of all measurements of mental health symptoms than other health care workers (eg, median [IQR] Patient Health Questionnaire scores among physicians vs nurses: 4.0 [1.0-7.0] vs 5.0 [2.0-8.0]; <italic>P</italic> = .007; median [interquartile range {IQR}] Generalized Anxiety Disorder scale scores among men vs women: 2.0 [0-6.0] vs 4.0 [1.0-7.0]; <italic>P</italic> < .001; median [IQR] Insomnia Severity Index scores among frontline vs second-line workers: 6.0 [2.0-11.0] vs 4.0 [1.0-8.0]; <italic>P</italic> < .001; median [IQR] Impact of Event Scale–Revised scores among those in Wuhan vs those in Hubei outside Wuhan and those outside Hubei: 21.0 [8.5-34.5] vs 18.0 [6.0-28.0] in Hubei outside Wuhan and 15.0 [4.0-26.0] outside Hubei; <italic>P</italic> < .001). Multivariable logistic regression analysis showed participants from outside Hubei province were associated with lower risk of experiencing symptoms of distress compared with those in Wuhan (odds ratio [OR], 0.62; 95% CI, 0.43-0.88; <italic>P</italic> = .008). Frontline health care workers engaged in direct diagnosis, treatment, and care of patients with COVID-19 were associated with a higher risk of symptoms of depression (OR, 1.52; 95% CI, 1.11-2.09; <italic>P</italic> = .01), anxiety (OR, 1.57; 95% CI, 1.22-2.02; <italic>P</italic> < .001), insomnia (OR, 2.97; 95% CI, 1.92-4.60; <italic>P</italic> < .001), and distress (OR, 1.60; 95% CI, 1.25-2.04; <italic>P</italic> < .001).</p></sec><sec id="ab-zoi200192-9"><title>Conclusions and Relevance</title><p>In this survey of heath care workers in hospitals equipped with fever clinics or wards for patients with COVID-19 in Wuhan and other regions in China, participants reported experiencing psychological burden, especially nurses, women, those in Wuhan, and frontline health care workers directly engaged in the diagnosis, treatment, and care for patients with COVID-19.</p></sec></abstract><funding-group><award-group><funding-source id="sp1">National Key Research and Development Program of China</funding-source></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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