Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019.
Identifieur interne : 000103 ( PubMed/Corpus ); précédent : 000102; suivant : 000104Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019.
Auteurs : Jianbo Lai ; Simeng Ma ; Ying Wang ; Zhongxiang Cai ; Jianbo Hu ; Ning Wei ; Jiang Wu ; Hui Du ; Tingting Chen ; Ruiting Li ; Huawei Tan ; Lijun Kang ; Lihua Yao ; Manli Huang ; Huafen Wang ; Gaohua Wang ; Zhongchun Liu ; Shaohua HuSource :
- JAMA network open [ 2574-3805 ] ; 2020.
Abstract
Health care workers exposed to coronavirus disease 2019 (COVID-19) could be psychologically stressed.
DOI: 10.1001/jamanetworkopen.2020.3976
PubMed: 32202646
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019.</title><author><name sortKey="Lai, Jianbo" sort="Lai, Jianbo" uniqKey="Lai J" first="Jianbo" last="Lai">Jianbo Lai</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Ma, Simeng" sort="Ma, Simeng" uniqKey="Ma S" first="Simeng" last="Ma">Simeng Ma</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Ying" sort="Wang, Ying" uniqKey="Wang Y" first="Ying" last="Wang">Ying Wang</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Cai, Zhongxiang" sort="Cai, Zhongxiang" uniqKey="Cai Z" first="Zhongxiang" last="Cai">Zhongxiang Cai</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Hu, Jianbo" sort="Hu, Jianbo" uniqKey="Hu J" first="Jianbo" last="Hu">Jianbo Hu</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wei, Ning" sort="Wei, Ning" uniqKey="Wei N" first="Ning" last="Wei">Ning Wei</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Jiang" sort="Wu, Jiang" uniqKey="Wu J" first="Jiang" last="Wu">Jiang Wu</name><affiliation><nlm:affiliation>Department of Psychiatry, Wuhan Youfu Hospital, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Du, Hui" sort="Du, Hui" uniqKey="Du H" first="Hui" last="Du">Hui Du</name><affiliation><nlm:affiliation>Department of Psychiatry, Jingmen No. 2 People's Hospital, Jingmen, China.</nlm:affiliation></affiliation></author><author><name sortKey="Chen, Tingting" sort="Chen, Tingting" uniqKey="Chen T" first="Tingting" last="Chen">Tingting Chen</name><affiliation><nlm:affiliation>Department of Psychiatry, Wuhan Wudong Hospital, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Li, Ruiting" sort="Li, Ruiting" uniqKey="Li R" first="Ruiting" last="Li">Ruiting Li</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Tan, Huawei" sort="Tan, Huawei" uniqKey="Tan H" first="Huawei" last="Tan">Huawei Tan</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Kang, Lijun" sort="Kang, Lijun" uniqKey="Kang L" first="Lijun" last="Kang">Lijun Kang</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Yao, Lihua" sort="Yao, Lihua" uniqKey="Yao L" first="Lihua" last="Yao">Lihua Yao</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Huang, Manli" sort="Huang, Manli" uniqKey="Huang M" first="Manli" last="Huang">Manli Huang</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Huafen" sort="Wang, Huafen" uniqKey="Wang H" first="Huafen" last="Wang">Huafen Wang</name><affiliation><nlm:affiliation>Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Gaohua" sort="Wang, Gaohua" uniqKey="Wang G" first="Gaohua" last="Wang">Gaohua Wang</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Liu, Zhongchun" sort="Liu, Zhongchun" uniqKey="Liu Z" first="Zhongchun" last="Liu">Zhongchun Liu</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Hu, Shaohua" sort="Hu, Shaohua" uniqKey="Hu S" first="Shaohua" last="Hu">Shaohua Hu</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32202646</idno><idno type="pmid">32202646</idno><idno type="doi">10.1001/jamanetworkopen.2020.3976</idno><idno type="wicri:Area/PubMed/Corpus">000103</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000103</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019.</title><author><name sortKey="Lai, Jianbo" sort="Lai, Jianbo" uniqKey="Lai J" first="Jianbo" last="Lai">Jianbo Lai</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Ma, Simeng" sort="Ma, Simeng" uniqKey="Ma S" first="Simeng" last="Ma">Simeng Ma</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Ying" sort="Wang, Ying" uniqKey="Wang Y" first="Ying" last="Wang">Ying Wang</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Cai, Zhongxiang" sort="Cai, Zhongxiang" uniqKey="Cai Z" first="Zhongxiang" last="Cai">Zhongxiang Cai</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Hu, Jianbo" sort="Hu, Jianbo" uniqKey="Hu J" first="Jianbo" last="Hu">Jianbo Hu</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wei, Ning" sort="Wei, Ning" uniqKey="Wei N" first="Ning" last="Wei">Ning Wei</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Jiang" sort="Wu, Jiang" uniqKey="Wu J" first="Jiang" last="Wu">Jiang Wu</name><affiliation><nlm:affiliation>Department of Psychiatry, Wuhan Youfu Hospital, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Du, Hui" sort="Du, Hui" uniqKey="Du H" first="Hui" last="Du">Hui Du</name><affiliation><nlm:affiliation>Department of Psychiatry, Jingmen No. 2 People's Hospital, Jingmen, China.</nlm:affiliation></affiliation></author><author><name sortKey="Chen, Tingting" sort="Chen, Tingting" uniqKey="Chen T" first="Tingting" last="Chen">Tingting Chen</name><affiliation><nlm:affiliation>Department of Psychiatry, Wuhan Wudong Hospital, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Li, Ruiting" sort="Li, Ruiting" uniqKey="Li R" first="Ruiting" last="Li">Ruiting Li</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Tan, Huawei" sort="Tan, Huawei" uniqKey="Tan H" first="Huawei" last="Tan">Huawei Tan</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Kang, Lijun" sort="Kang, Lijun" uniqKey="Kang L" first="Lijun" last="Kang">Lijun Kang</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Yao, Lihua" sort="Yao, Lihua" uniqKey="Yao L" first="Lihua" last="Yao">Lihua Yao</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Huang, Manli" sort="Huang, Manli" uniqKey="Huang M" first="Manli" last="Huang">Manli Huang</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Huafen" sort="Wang, Huafen" uniqKey="Wang H" first="Huafen" last="Wang">Huafen Wang</name><affiliation><nlm:affiliation>Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Gaohua" sort="Wang, Gaohua" uniqKey="Wang G" first="Gaohua" last="Wang">Gaohua Wang</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Liu, Zhongchun" sort="Liu, Zhongchun" uniqKey="Liu Z" first="Zhongchun" last="Liu">Zhongchun Liu</name><affiliation><nlm:affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</nlm:affiliation></affiliation></author><author><name sortKey="Hu, Shaohua" sort="Hu, Shaohua" uniqKey="Hu S" first="Shaohua" last="Hu">Shaohua Hu</name><affiliation><nlm:affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</nlm:affiliation></affiliation></author></analytic><series><title level="j">JAMA network open</title><idno type="eISSN">2574-3805</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">Health care workers exposed to coronavirus disease 2019 (COVID-19) could be psychologically stressed.</div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">32202646</PMID><DateRevised><Year>2020</Year><Month>03</Month><Day>24</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">2574-3805</ISSN><JournalIssue CitedMedium="Internet"><Volume>3</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>Mar</Month><Day>02</Day></PubDate></JournalIssue><Title>JAMA network open</Title><ISOAbbreviation>JAMA Netw Open</ISOAbbreviation></Journal><ArticleTitle>Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019.</ArticleTitle><Pagination><MedlinePgn>e203976</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1001/jamanetworkopen.2020.3976</ELocationID><Abstract><AbstractText Label="Importance" NlmCategory="UNASSIGNED">Health care workers exposed to coronavirus disease 2019 (COVID-19) could be psychologically stressed.</AbstractText><AbstractText Label="Objective" NlmCategory="UNASSIGNED">To assess the magnitude of mental health outcomes and associated factors among health care workers treating patients exposed to COVID-19 in China.</AbstractText><AbstractText Label="Design, Settings, and Participants" NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="Main Outcomes and Measures" NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">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]; P = .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]; P < .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]; P < .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; P < .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; P = .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; P = .01), anxiety (OR, 1.57; 95% CI, 1.22-2.02; P < .001), insomnia (OR, 2.97; 95% CI, 1.92-4.60; P < .001), and distress (OR, 1.60; 95% CI, 1.25-2.04; P < .001).</AbstractText><AbstractText Label="Conclusions and Relevance" NlmCategory="UNASSIGNED">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lai</LastName><ForeName>Jianbo</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ma</LastName><ForeName>Simeng</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Ying</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cai</LastName><ForeName>Zhongxiang</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hu</LastName><ForeName>Jianbo</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wei</LastName><ForeName>Ning</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Jiang</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Wuhan Youfu Hospital, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Du</LastName><ForeName>Hui</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Jingmen No. 2 People's Hospital, Jingmen, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Tingting</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Wuhan Wudong Hospital, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Ruiting</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tan</LastName><ForeName>Huawei</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kang</LastName><ForeName>Lijun</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yao</LastName><ForeName>Lihua</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>Manli</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Huafen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Nursing, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Gaohua</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Zhongchun</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hu</LastName><ForeName>Shaohua</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>03</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>JAMA Netw Open</MedlineTA><NlmUniqueID>101729235</NlmUniqueID><ISSNLinking>2574-3805</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate 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