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Mental Health Status of Doctors and Nurses During COVID-19 Epidemic in China

25 Pages Posted: 18 Mar 2020

See all articles by Zhaorui Liu

Zhaorui Liu

Peking University - NHC Key Laboratory of Mental Health

Bing Han

Capital Medical University - Clinical and Research Center of Infectious Disease

Rongmeng Jiang

Capital Medical University - Clinical and Research Center of Infectious Disease

Yueqin Huang

Peking University - Institute of Mental Health

Chao Ma

Peking University - NHC Key Laboratory of Mental Health

Jing Wen

Capital Medical University - Clinical and Research Center of Infectious Disease

Tingting Zhang

Peking University - NHC Key Laboratory of Mental Health

Ying Wang

Capital Medical University - Clinical and Research Center of Infectious Disease

Hongguang Chen

Peking University - NHC Key Laboratory of Mental Health

Yongchun Ma

Tongde Hospital of Zhejiang Province

More...

Abstract

Background: The sudden epidemic of COVID-19 in China caused attention globally. Health staff are in heavy workload and at high-risk infection. The aims of this study were to investigate the mental health status of health staff and to identify the key population of psychological intervention.

Methods: Health staff were invited to attend an anonymous WeChat-based survey between Feb 17 to 24, 2020. Sample was collected based on a non-probability sampling procedure. Three mental health problems during the past week including psychological distress, anxious symptoms, and depressive symptoms were evaluated by WHO 20-item Self-Reporting Questionnaire (SRQ-20), the Zung Self-rating Anxiety Scale (SAS), and the Zung Self-rating Depression Scale (SDS) respectively. The characteristics of hospitals and participants were also collected in the survey.

Findings: Totally 4679 doctors and nurses from 348 hospitals in 31 provinces of mainland China completed the survey. The prevalence of psychological distress, anxious symptoms, and depressive symptoms were 15‧9% (95% CI 14‧8-16‧9), 16‧0% (95% CI 15‧0-17‧1), and 34‧6% (95% CI 33‧2-35‧9). Those with middle age, being divorced or widowed, seldom or not living with family members, being a nurse, working at high-risk departments, having experiences of treatment for COVID-19 or other infectious diseases, from designated hospitals for COVID-19 treatment, non-infectious disease hospitals, and higher level hospitals had higher risk to have at least one of the mental health problems. Medical staff with three mental health problems (23‧2%) received less psychological help compared with those without any problem (35‧3%).

Interpretation: Those with features of high-risk mental health problems should be set as priority for psychiatric interventions, especially when mental health professionals are not sufficient in China.

Funding Statement: This project is an independent scientific research project approved by the Scientific Committee of Beijing Ditan Hospital Capital Medical University.

Declaration of Interests: The authors declare no competing interests.

Ethics Approval Statement: This survey was approved by the Ethical Committee of Beijing Ditan Hospital Capital Medical University (BJDTH) (JINGDILUNKE(2020)-(012)-01). All participants voluntarily attended this WeChat-based anonymous survey and were thus considered exempting from written informed consent.

Keywords: COVID-19; mental health; medical staff; epidemiology

Suggested Citation

Liu, Zhaorui and Han, Bing and Jiang, Rongmeng and Huang, Yueqin and Ma, Chao and Wen, Jing and Zhang, Tingting and Wang, Ying and Chen, Hongguang and Ma, Yongchun, Mental Health Status of Doctors and Nurses During COVID-19 Epidemic in China (3/4/2020). Available at SSRN: https://ssrn.com/abstract=3551329 or http://dx.doi.org/10.2139/ssrn.3551329

Zhaorui Liu

Peking University - NHC Key Laboratory of Mental Health

Beijing, 100083
China

Bing Han

Capital Medical University - Clinical and Research Center of Infectious Disease

Beijing, 100015
China

Rongmeng Jiang (Contact Author)

Capital Medical University - Clinical and Research Center of Infectious Disease ( email )

Beijing, 100015
China

Yueqin Huang

Peking University - Institute of Mental Health ( email )

China

Chao Ma

Peking University - NHC Key Laboratory of Mental Health

Beijing, 100083
China

Jing Wen

Capital Medical University - Clinical and Research Center of Infectious Disease

Beijing, 100015
China

Tingting Zhang

Peking University - NHC Key Laboratory of Mental Health

Beijing, 100083
China

Ying Wang

Capital Medical University - Clinical and Research Center of Infectious Disease

Beijing, 100015
China

Hongguang Chen

Peking University - NHC Key Laboratory of Mental Health

Beijing, 100083
China

Yongchun Ma

Tongde Hospital of Zhejiang Province

Hangzhou
China

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