Mental health and insomnia problems in healthcare workers after the COVID-19 pandemic: A multicenter cross-sectional study

IF 3.9 4区医学 Q1 PSYCHIATRY

World Journal of Psychiatry Pub Date : 2024-05-19 DOI:10.5498/wjp.v14.i5.704

Wei Ding, Minzhong Wang, Xianwei Zeng, Zhen-Hua Liu, Yao Meng, Hui-Ting Hu, Yuan Zhang, Yu-Guang Guan, Fan-Gang Meng, Jian-Guo Zhang, Shu Wang

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Abstract

BACKGROUND Healthcare workers (HCWs) are at increased risk of contracting coronavirus disease 2019 (COVID-19) as well as worsening mental health problems and insomnia. These problems can persist for a long period, even after the pandemic. However, less is known about this topic. AIM To analyze mental health, insomnia problems, and their influencing factors in HCWs after the COVID-19 pandemic. METHODS This multicenter cross-sectional, hospital-based study was conducted from June 1st, 2023 to June 30th, 2023, which was a half-year after the end of the COVID-19 emergency. Region-stratified population-based cluster sampling was applied at the provincial level for Chinese HCWs. Symptoms such as anxiety, depression, and insomnia were evaluated by the Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index. Factors influencing the symptoms were identified by multivariable logistic regression. RESULTS A total of 2000 participants were invited, for a response rate of 70.6%. A total of 1412 HCWs [618 (43.8%) doctors, 583 (41.3%) nurses and 211 (14.9%) nonfrontline], 254 (18.0%), 231 (16.4%), and 289 (20.5%) had symptoms of anxiety, depression, and insomnia, respectively; severe symptoms were found in 58 (4.1%), 49 (3.5%), and 111 (7.9%) of the participants. Nurses, female sex, and hospitalization for COVID-19 were risk factors for anxiety, depression, and insomnia symptoms; moreover, death from family or friends was a risk factor for insomnia symptoms. During the COVID-19 outbreak, most [1086 (76.9%)] of the participating HCWs received psychological interventions, while nearly all [994 (70.4%)] of them had received public psychological education. Only 102 (7.2%) of the HCWs received individual counseling from COVID-19. CONCLUSION Although the mental health and sleep problems of HCWs were relieved after the COVID-19 pandemic, they still faced challenges and greater risks than did the general population. Identifying risk factors would help in providing targeted interventions. In addition, although a major proportion of HCWs have received public psychological education, individual interventions are still insufficient.

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COVID-19 大流行后医护人员的心理健康和失眠问题：多中心横断面研究

背景医疗保健工作者（HCWs）感染 2019 年冠状病毒病（COVID-19）以及精神健康问题和失眠恶化的风险增加。这些问题可能会持续很长时间，甚至在大流行之后。然而，人们对这一主题的了解却较少。目的分析 COVID-19 大流行后高危人群的心理健康、失眠问题及其影响因素。方法该多中心横断面医院研究于 2023 年 6 月 1 日至 2023 年 6 月 30 日（COVID-19 紧急事件结束后半年）进行。研究以省级为单位，对中国医护人员进行了地区分层人群集群抽样。焦虑、抑郁和失眠等症状由广泛性焦虑症-7、患者健康问卷-9 和失眠严重程度指数进行评估。通过多变量逻辑回归确定了影响症状的因素。结果共邀请了 2000 名参与者，回复率为 70.6%。共有 1412 名医护人员[618 名（43.8%）医生、583 名（41.3%）护士和 211 名（14.9%）非一线人员]、254 名（18.0%）、231 名（16.4%）和 289 名（20.5%）有焦虑、抑郁和失眠症状；58 名（4.1%）、49 名（3.5%）和 111 名（7.9%）有严重症状。护士、女性和因 COVID-19 住院是焦虑、抑郁和失眠症状的危险因素；此外，家人或朋友的死亡也是失眠症状的危险因素。在 COVID-19 爆发期间，大多数参与的医护人员[1086 人（76.9%）]接受了心理干预，几乎所有医护人员[994 人（70.4%）]都接受了公共心理教育。只有 102 名 (7.2%) 高危工人接受了 COVID-19 提供的个别辅导。结论尽管在 COVID-19 大流行后，高危行业工人的心理健康和睡眠问题得到了缓解，但他们仍然面临着挑战和比一般人群更大的风险。找出风险因素将有助于提供有针对性的干预措施。此外，虽然大部分高危职业工作者接受了公共心理教育，但个别干预措施仍然不足。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.