Factors affecting mental illness and social stress in hospital workers treating COVID-19: Paradoxical distress during pandemic era.
Factors affecting mental illness and social stress in hospital workers treating COVID-19: Paradoxical distress during pandemic era.
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DOI：
10.1016/j.jpsychires.2021.03.007
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发表时间：
2021-05
影响因子：
4.8
通讯作者：
Takahashi H
中科院分区：
文献类型：
--
作者：
Matsumoto Y;Fujino J;Shiwaku H;Miyajima M;Doi S;Hirai N;Jitoku D;Takagi S;Tamura T;Maruo T;Shidei Y;Kobayashi N;Ichihashi M;Noguchi S;Oohashi K;Takeuchi T;Sugihara G;Okada T;Fujiwara T;Takahashi H
2019冠状病毒病（COVID-19）已影响全球所有国家。医院工作人员患精神疾病的风险很高，如焦虑和抑郁。此外，他们还面临许多社会压力，例如人际关系恶化和收入减少。除了精神疾病，这些社会压力会降低积极性，导致自愿缺勤，从而导致医疗系统崩溃。因此，为了维持医疗系统，澄清精神疾病和医院工作人员社会压力增加的风险因素至关重要。然而，很少有人注意到影响社会压力的因素，因此，我们的目标是解决这一差距。在对588名医院工作人员的横断面调查中，使用7项广泛性焦虑症量表（GAD-7）、9项患者健康问卷（PHQ-9）和东京都流行病痛苦量表（TMDP）评估焦虑、抑郁和社会压力水平。进行了多元回归分析，以确定影响这些问题的人口变量。年龄较大和女性是焦虑、抑郁和社会压力的常见危险因素。此外，职业性接触COVID-19和医院工作人员（医生除外）/非工作日减少分别是焦虑和抑郁增加的风险因素。此外，与家人/其他人生活在一起是这一流行病期间社会压力增加的一个风险因素。我们的研究结果可能有助于制定政策和实践，以尽量减少精神疾病的风险和增加医院工作人员的社会压力，强调应注意社会因素，如个人的家庭情况。
The coronavirus disease 2019 (COVID-19) has affected all countries in the world. Hospital workers are at high risk of mental illness, such as anxiety and depression. Furthermore, they also face many social stresses, such as deterioration of human relations and income reduction. Apart from mental illness, these social stresses can reduce motivation and lead to voluntary absenteeism, which contribute to a collapse of medical systems. Thus, for maintaining medical systems, it is crucial to clarify risk factors for both mental illness and increased social stress among hospital workers. However, little attention has been paid to factors affecting social stress, and thus, we aimed to address this gap. In this cross-sectional survey of 588 hospital workers, the levels of anxiety, depression, and social stress were assessed using the 7-item Generalized Anxiety Disorder scale (GAD-7), 9-item Patient Health Questionnaire (PHQ-9), and Tokyo Metropolitan Distress Scale for Pandemic (TMDP). Multiple regression analyses were conducted to identify the demographic variables affecting these problems. Older age and female sex were common risk factors for anxiety, depression, and social stress. Moreover, occupational exposure to COVID-19 and hospital staff other than doctors/fewer non-work days were risk factors for increased anxiety and depression, respectively. Furthermore, living with families/others was a risk factor for increased social stress during this pandemic. Our findings could be useful for developing policies and practices to minimize the risk of mental illness and increased social stress among hospital workers, highlighting that attention should be paid to social factors, such as an individual's household situation.
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影响因子：
6.8
作者：
Tei S;Becker C;Kawada R;Fujino J;Jankowski KF;Sugihara G;Murai T;Takahashi H
通讯作者：
Takahashi H
影响因子：
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通讯作者：
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影响因子：
6.6
作者：
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通讯作者：
Xiang, Yu-Tao