■2019年冠状病毒病大流行指出了一线医护人员(HCWs)的严重精神症状。
■我们旨在评估创伤后应激症状(PTSS)的患病率和合并症,大流行期间,方仓收容所医院的医护人员出现抑郁和焦虑症状。
■人口统计信息,DSM-5(PCL-5)创伤后应激障碍检查表,2022年4月,基于分层随机抽样设计,在线获取患者健康问卷(PHQ-9)和广义焦虑症问卷(GAD-7),共284份合格回答。
■分层回归分析用于调查与心理状态结果相关的独立变量(PHQ-9,GAD-7和PCL-5),使用PCL-5,PHQ-9和GAD-7的所有项目进行网络分析以探讨共病。
■(1)10.56%,13.03%和8.10%的HCW报告了PTSS,抑郁和焦虑症状。53名(18.66%)的医护人员至少经历了一种精神健康障碍,其中26.42-37.74%的医护人员有两种或三种精神障碍的共病;(2)确定了心理健康的几个影响因素,包括医疗专业,工作时间,接触患者(p<0.05);(3)PTSS和抑郁症之间的突出桥梁症状是睡眠问题,自杀意念,集中困难和鲁莽。PTSS和焦虑之间的共病被认为主要源于负面影响,比如害怕,焦虑,烦恼和担忧。抑郁情绪和忧虑可能是治疗抑郁和焦虑共病的良好目标。
■我们的数据表明PTSS轻度水平,大流行期间医护人员的抑郁和焦虑症状,可能为共病的评估和干预提供新的见解。
UNASSIGNED: Coronavirus disease 2019 pandemic pointed out significant mental symptoms of frontline healthcare workers (HCWs).
UNASSIGNED: We aimed to estimate the prevalence and comorbidity of post-traumatic stress symptoms (PTSS), depression and anxiety symptoms in HCWs from Fangcang shelter hospitals during the pandemic.
UNASSIGNED: Demographic information, post-traumatic stress disorder checklist for DSM-5 (PCL-5), Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder Questionnaire (GAD-7) were obtained online based on stratified random sampling design during April 2022, with 284 eligible responses.
UNASSIGNED: Hierarchical regression analyses were applied to investigate independent variables associated with psychological status outcomes (PHQ-9, GAD-7 and PCL-5), and the network analyses were applied to explore the comorbidity using all items of PCL-5, PHQ-9 and GAD-7.
UNASSIGNED: (1) 10.56%, 13.03% and 8.10% of HCWs reported PTSS, depression and anxiety symptoms. Fifty-three (18.66%) HCWs experienced at least one mental health disorder, among which 26.42-37.74% HCWs had comorbidity of two or three mental disorders; (2) several influence factors of mental health were identified, including medical professions, working hours, contacted patients (p < 0.05); (3) prominent bridge symptoms between PTSS and depression were sleep problems, suicide ideation, concentration difficulties and recklessness. Comorbidity between PTSS and anxiety was thought to mainly stem from negative affect, such as afraid, anxious, annoyed and worrying. Depressed mood and worry might be good targets during treatment of comorbidity of depression and anxiety.
UNASSIGNED: Our data suggest mild level of PTSS, depression and anxiety symptoms among HCWs during the pandemic and might give novel insights into assessment and intervention of comorbidity.