The Impact of the Coronavirus Disease 2019 (COVID-19) Pandemic on Healthcare Workers with Pre-Existing Psychiatric Conditions.

The Psychiatric quarterly Pub Date : 2021-09-01 Epub Date: 2021-01-07 DOI:10.1007/s11126-020-09870-y
Megan MacKenzie, Sydney Daviskiba, Miriam Dow, Peyton Johnston, Richard Balon, Arash Javanbakht, Cynthia L Arfken
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引用次数: 6

Abstract

Both healthcare workers (HCWs) and psychiatric patients during the COVID-19 pandemic appear to have elevated prevalence of psychiatric symptoms, but little is known about HCWs with psychiatric diagnoses. To examine their response to the pandemic, we analyzed their perspective, and association with psychiatric symptoms and stress among HCW with psychiatric diagnosis. Using an online survey of HCW, we analyzed demographics, work information, health factors, open-ended question, sources of stress and standardized mental health scales (Perceived Stress Scale (PSS), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-8 (PHQ-8), and Posttraumatic Stress Disorder Checklist (PCL)). Sixteen out of 129 HCWs reported a pre-existing psychiatric diagnosis (median age 32 years, 8 were females, 8 work in the emergency department). Their perception of the impact severity on symptoms was significantly correlated with all the mental health scales and with stress from avoiding physical contact. In multivariate analysis, PSS score and PCL score were associated with self-rated impact of the COVID-19 pandemic on symptoms (standardized beta = .51 for PCL and standardized beta = .55 for PSS). GAD-7 score was significantly related to both impact (standardized beta = .44) and stress from avoiding physical contact (standardized beta = .53). HCWs with psychiatric diagnoses reported a range of perception of the impact of the pandemic on their symptoms with increased severity associated with worse psychiatric outcomes and more stress from avoiding physical contact with others. There is a growing importance to protect HCWs mental health, including those with pre-existing psychiatric diagnosis, and proactively counter psychosocial consequences of healthcare crises.

2019冠状病毒病(COVID-19)大流行对已有精神疾病的医护人员的影响
在COVID-19大流行期间,卫生保健工作者(HCWs)和精神病患者似乎都有精神症状的患病率升高,但对具有精神诊断的卫生保健工作者知之甚少。为了检查他们对大流行的反应,我们分析了他们的观点,以及与精神病诊断的HCW中精神症状和压力的关系。通过HCW的在线调查,我们分析了人口统计学、工作信息、健康因素、开放式问题、压力来源和标准化心理健康量表(感知压力量表(PSS)、广泛性焦虑障碍-7 (GAD-7)、患者健康问卷-8 (PHQ-8)和创伤后应激障碍检查表(PCL))。129名卫生保健员中有16名报告已有精神病诊断(中位年龄32岁,8名女性,8名在急诊科工作)。他们对症状影响严重程度的感知与所有心理健康量表和避免身体接触的压力显著相关。在多变量分析中,PSS评分和PCL评分与COVID-19大流行对症状的自评影响相关(标准化β =。PCL为51,标准化β =。55为PSS)。GAD-7评分与冲击(标准化beta值= 0.44)和避免身体接触造成的压力(标准化beta值= 0.53)均显著相关。被诊断为精神病的卫生保健工作者报告说,他们对大流行对其症状的影响有一系列认识,这些症状的严重程度增加,与更糟的精神结果和避免与他人身体接触带来的更大压力有关。保护卫生保健工作者的精神健康,包括那些先前就有精神病诊断的人的精神健康,并积极应对卫生保健危机的心理社会后果,这一点越来越重要。
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