 |
“Protecting health care workers is an important component of public health measures for addressing the COVID-19 epidemic. Special interventions to promote mental well-being in health care workers exposed to COVID-19 need to be immediately implemented, with women, nurses, and frontline workers requiring particular attention,” wrote Jianbo Lai, M.Sc., of Renmin Hospital of Wuhan University in China and colleagues.
The researchers surveyed health care workers from 34 hospitals in China with fever clinics or wards for COVID-19 between January 29, 2020, and February 3, 2020. (During this period, the total confirmed cases of COVID-19 exceeded 10,000 in China, according to the authors.) The researchers assessed the survey respondents’ depression, anxiety, insomnia, and distress using the Chinese versions of the Patient Health Questionnaire, the Generalized Anxiety Disorder scale, the Insomnia Severity Index, and the Impact of Event Scale–Revised.
Of the 1,257 surveyed (493 physicians and 764 nurses), 634 (50.4%) reported depression symptoms, 560 (44.6%) reported anxiety, 427 (34.0%) reported insomnia, and 899 (71.5%) reported distress. Health care workers engaged in the direct diagnosis, treatment, and care of patients with COVID-19 were more likely to report symptoms of depression (odds ratio, 1.52), anxiety (odds ratio, 1.57), insomnia (odds ratio, 2.97), and distress (odds ratio, 1.60) compared with those not involved in the diagnosis, treatment, and care of patients with COVID-19.
“These findings, consistent with those observed in the 2003 severe acute respiratory system (SARS) epidemic, may help to guide strategies for responding to mental health sequelae of this and future epidemics,” wrote Roy Perlis, M.D., a professor of psychiatry at Harvard Medical School, in an accompanying commentary.
“While the peak of the COVID-19 epidemic remains to be seen, it will ultimately subside. The work of Lai et al. provides a reminder of the toll that will likely linger: the consequences of chronic stress, including major depression and anxiety disorders. … [J]ust as the world has joined efforts to manage COVID-19 infection, it will be critical not to neglect the mental health consequences of the fight against the epidemic.”
For related information, see “Coronavirus and Mental Health: Taking Care of Ourselves During Infectious Disease Outbreaks,” by Joshua Morganstein, M.D., chair of the APA Committee on Psychiatric Dimensions of Disasters.
(Image: iStock/Hispanolistic)
APA’s COVID-19 Resource Center Keeps You Updated
APA’s COVID-19 Resource Center brings together a number of useful resources from APA and other authoritative sources to help you deal with the COVID-19 crisis.
How to Participate in 2020 Minority and Underrepresented Group Caucus Election
The Caucus of Asian-American Psychiatrists is holding an election for three leadership positions: president, Assembly representative, and Assembly deputy representative. To be eligible to vote in the election, APA members must join the caucus by Wednesday, April 1. Find more information on how to join the caucus here.