Abstract：
The COVID-19 pandemic has precipitated a significant mental health crisis among frontline healthcare workers (FHCWs), with increased reports of depression, anxiety, post-traumatic stress, insomnia, and suicidal thoughts. This letter to the editor responds to a recent study on the psychological burden among FHCWs in Mexico and presents complementary findings from Taiwan. We found that fear of COVID-19, trust in information, and resilience were significant factors contributing to mental health outcomes, including insomnia and suicidal thoughts, among outpatients, healthcare workers, and the general population during the pandemic. These findings suggest that mental health interventions for healthcare workers should consider these factors and include strategies for clear communication, stress management, and resilience building. Particular attention should be given to nurses and residents/fellows who seem to be bearing a disproportionate share of the psychological burden. Ultimately, understanding these contributing factors can guide the development of targeted interventions to support the mental well-being of FHCWs during the pandemic.
摘要：
COVID-19大流行在一线医护人员(FHCWs)中引发了严重的心理健康危机，随着抑郁症报告的增加，焦虑,创伤后应激,失眠,和自杀的想法。这封写给编辑的信回应了最近一项关于墨西哥FHCW心理负担的研究，并提出了台湾的补充发现。我们发现对COVID-19的恐惧，对信息的信任，和弹性是导致心理健康结果的重要因素，包括失眠和自杀念头,在门诊病人中，医护人员,以及大流行期间的普通民众。这些结果表明，针对医护人员的心理健康干预措施应考虑这些因素，并包括明确沟通的策略，压力管理，和韧性建设。应特别注意似乎承受着不成比例的心理负担的护士和住院医师/研究员。最终,了解这些影响因素可以指导制定有针对性的干预措施,以支持FHCW在大流行期间的心理健康.
