■COVID-19大流行对福祉产生了负面影响。然而,对中国精神科医生心理健康状况的影响及其与生活质量(QOL)的关系尚未研究。
■这是一项在2021年1月11日至3月15日之间进行的全国性横断面调查。使用在线问卷匿名收集人口统计学和工作相关数据。常见的心理健康症状和生活质量评估使用抑郁焦虑压力量表-中文版和世界卫生组织生活质量表-简报,分别。
■共有3,783名精神科医生完成了这份问卷。抑郁症的患病率,焦虑,压力症状为26.7%(95CI=25.3-28.1%),24.1%(95CI=22.8-25.5%),和11.6%(95CI=10-12%),分别。此外,11.1%的参与者认可抑郁和焦虑症状,在所有三个领域都有8%的认可症状。二元Logistic回归分析显示,年龄30~39岁(OR=1.5,P=0.03),男性(OR=1.2,P=0.04),单(OR=1.44,P=0.01),以及在医疗保健方面对COVID-19的负面看法(OR=2.34,P<0.001)是与抑郁症状水平升高相关的因素。离婚和丧偶的参与者(OR=1.56,P=0.03),工作超过4个夜班/月(OR=1.33,P<0.001)和/或更长的工作年限(OR=1.71,P<0.001),并且对COVID-19对医疗保健有负面影响(OR=2.05,P<0.001),更倾向于出现焦虑症状。此外,生活质量分数高的精神科医生经历抑郁的几率较低,焦虑,和压力症状(均P<0.001)。多因素分析显示,三种心理健康症状的存在均与较低的生活质量独立相关(均P<0.05)。此外,抑郁×焦虑×应激交互作用与较低的生活质量显著相关(P<0.05)。
■在COVID-19大流行期间,中国大约四分之一的精神科医生出现了抑郁和焦虑症状,超过十分之一的人报告了压力。心理健康症状是降低生活质量的重要原因。精神科医生在大流行期间的心理健康需要更多的关注,需要采取干预措施,以改善照顾精神障碍患者的医生的心理健康和生活质量。
UNASSIGNED: The COVID-19 pandemic has negatively affected wellbeing. However, the impact on the mental health status of Chinese
psychiatrists and their relationship with quality of life (QOL) has not been examined.
UNASSIGNED: This was a national cross-sectional survey performed between January 11 and March 15, 2021. Demographic and work-related data were collected anonymously using an online questionnaire. Common mental health symptoms and QOL were assessed using the Depression Anxiety Stress Scale-Chinese version and the World Health Organization Quality of Life Schedule-Brief, respectively.
UNASSIGNED: A total of 3,783
psychiatrists completed this questionnaire. The prevalence of depressive, anxious, and stress symptoms were 26.7% (95%CI = 25.3-28.1%), 24.1% (95%CI = 22.8-25.5%), and 11.6% (95%CI = 10-12%), respectively. Moreover, 11.1% of the participants endorsed both depressive and anxious symptoms, and 8% endorsed symptoms in all three domains. Binary logistic regression showed that aged 30-39 years (OR = 1.5, P = 0.03), male gender (OR = 1.2, P = 0.04), single (OR = 1.44, P = 0.01), and having a negative perception of the COVID-19 on healthcare (OR = 2.34, P <0.001) were factors associated with higher levels of depressive symptoms. Participants who were divorced and widowed (OR = 1.56, P = 0.03), worked more than 4 night shifts/month (OR = 1.33, P<0.001) and/or longer working years (OR = 1.71, P < 0.001), and had a negative perceived impact of the COVID-19 on healthcare (OR = 2.05, P < 0.001) were more inclined to experience anxious symptoms. In addition,
psychiatrists with high QOL scores had lower odds of experiencing depressive, anxious, and stress symptoms (all P < 0.001). Multivariate analysis showed that the presence of each of the three types of mental health symptoms was independently associated with lower QOL (all P < 0.05). In addition, the depression × anxious × stress interaction was significantly correlated with lower QOL (P < 0.05).
UNASSIGNED: Approximately one-fourth of
psychiatrists in
China experienced depressive and anxious symptoms during the COVID-19 pandemic, and more than one-tenth reported stress. Mental health symptoms were significant contributors to lower QOL. The psychological wellbeing of
psychiatrists during the pandemic requires more attention, and interventions are needed to improve the psychological wellbeing and QOL of physicians who care for individuals with mental disorders.