A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak
A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak
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DOI：
10.1016/j.bbi.2020.04.049
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发表时间：
2020-08-01
影响因子：
15.1
通讯作者：
Sharma, Vijay K.
中科院分区：
文献类型：
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作者：
Chew, Nicholas W. S.;Lee, Grace K. H.;Sharma, Vijay K.
目的：自从2019年冠状病毒（Covid-19）爆发为大流行以来，有关于普通人群观察到的身体症状患病率增加的报道。我们调查了医护人员之间的心理成果与身体症状之间的联系。问卷调查问卷范围内2月19日至2020年4月17日。文书人员和维护人员。该问卷收集了有关人口统计学，病史，过去一个月症状的信息，抑郁焦虑应激量表（DASS-21）以及事件量表重新介绍（IES-R）仪器的影响。评估了医疗保健工作者表现出的身体症状的患病率以及身体症状与抑郁，焦虑，压力和创伤后应激障碍（PTSD）的心理结局之间的关联（PTSD）。 ，48（5.3％）的中度至非常严重的抑郁症呈阳性，中度至极端焦虑的79（8.7％）， 20（2.2％）适用于中度至极端的压力，中度至严重的心理困扰水平为34（3.8％）。报告最常见的症状是头痛（32.3％），大量参与者（33.4％）报告了四个以上的症状。在前一个月中出现症状的参与者更可能年龄较大，患有合并症，并且对抑郁症，焦虑，压力和PTSD的积极筛选。调整了年龄，性别和合并症后，发现抑郁症（OR 2.79，95％CI 1.54-5.07，p = 0.001），焦虑症（OR 2.18，95％CI 1.36-3.48，p = 0.001），压力（OR） 3.06，95％CI 1.27-7.41，p = 0.13）和PTSD（OR 2.20，95％CI 1.12-4.35，p = 0.023）与前一个月中经历的身体症状存在显着相关。线性回归表明，身体症状的存在与IES-R，DASS焦虑，压力和抑郁量分量表中的平均得分较高有关。结论：我们的研究表明，在医疗保健工作者期间，身体症状的患病率与心理成果的流行之间存在显着关联。 COVID-19爆发。我们假设这种关联可能是双向的，并且一旦排除感染，应考虑对具有身体症状的医疗人员的及时心理干预。
Objective: Since the declaration of the coronavirus 2019 (COVID-19) outbreak as pandemic, there are reports on the increased prevalence of physical symptoms observed in the general population. We investigated the association between psychological outcomes and physical symptoms among healthcare workers.Methods: Healthcare workers from 5 major hospitals, involved in the care for COVID-19 patients, in Singapore and India were invited to participate in a study by performing a self-administered questionnaire within the period of February 19 to April 17, 2020. Healthcare workers included doctors, nurses, allied healthcare workers, administrators, clerical staff and maintenance workers. This questionnaire collected information on demographics, medical history, symptom prevalence in the past month, Depression Anxiety Stress Scales (DASS-21) and the Impact of Events Scale-Revised (IES-R) instrument. The prevalence of physical symptoms displayed by healthcare workers and the associations between physical symptoms and psychological outcomes of depression, anxiety, stress, and post-traumatic stress disorder (PTSD) were evaluated.Results: Out of the 906 healthcare workers who participated in the survey, 48 (5.3%) screened positive for moderate to very-severe depression, 79 (8.7%) for moderate to extremely-severe anxiety, 20 (2.2%) for moderate to extremely-severe stress, and 34 (3.8%) for moderate to severe levels of psychological distress. The commonest reported symptom was headache (32.3%), with a large number of participants (33.4%) reporting more than four symptoms. Participants who had experienced symptoms in the preceding month were more likely to be older, have pre-existing comorbidities and a positive screen for depression, anxiety, stress, and PTSD. After adjusting for age, gender and comorbidities, it was found that depression (OR 2.79, 95% CI 1.54-5.07, p = 0.001), anxiety (OR 2.18, 95% CI 1.36-3.48, p = 0.001), stress (OR 3.06, 95% CI 1.27-7.41, p = 0.13), and PTSD (OR 2.20, 95% CI 1.12-4.35, p = 0.023) remained significantly associated with the presence of physical symptoms experienced in the preceding month. Linear regression revealed that the presence of physical symptoms was associated with higher mean scores in the IES-R, DASS Anxiety, Stress and Depression subscales.Conclusions: Our study demonstrates a significant association between the prevalence of physical symptoms and psychological outcomes among healthcare workers during the COVID-19 outbreak. We postulate that this association may be bi-directional, and that timely psychological interventions for healthcare workers with physical symptoms should be considered once an infection has been excluded.