Psychosocial impact of the COVID-19 pandemic on 4378 UK healthcare workers and ancillary staff: initial baseline data from a cohort study collected during the first wave of the pandemic.
Psychosocial impact of the COVID-19 pandemic on 4378 UK healthcare workers and ancillary staff: initial baseline data from a cohort study collected during the first wave of the pandemic.
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DOI：
10.1136/oemed-2020-107276
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发表时间：
2021-11
影响因子：
4.9
通讯作者：
Wessely S
中科院分区：
文献类型：
--
作者：
Lamb D;Gnanapragasam S;Greenberg N;Bhundia R;Carr E;Hotopf M;Razavi R;Raine R;Cross S;Dewar A;Docherty M;Dorrington S;Hatch S;Wilson-Jones C;Leightley D;Madan I;Marlow S;McMullen I;Rafferty AM;Parsons M;Polling C;Serfioti D;Gaunt H;Aitken P;Morris-Bone J;Simela C;French V;Harris R;Stevelink SAM;Wessely S
这项研究报告了英国COVID-19大流行最初几个月（4月至6月）期间医护人员心理健康和福祉结果的患病率及其相关因素的初步结果。初步的横断面数据进行了分析，从队列研究（n=4378）。三个伦敦NHS信托基金的临床和非临床工作人员，包括急性和精神健康信托基金，参加了在线基线调查。使用的主要结局指标是可能的常见精神障碍（CMD）的存在，通过一般健康问卷测量。次要结果是可能的焦虑（七项广泛性焦虑症），抑郁症（九项患者健康问卷），创伤后应激障碍（PTSD）（六项创伤后应激障碍检查表），自杀意念（临床访谈时间表）和酒精使用（酒精使用障碍识别测试）。道德伤害是使用马里伤害事件量表测量的。分析显示可能的CMD水平很高（58.9%，95% CI 58.1至60.8）和PTSD（30.2%，95% CI 28.1 - 32.5），抑郁水平较低（27.3%，95% CI 25.3 - 29.4）、焦虑（23.2%，95% CI 21.3 - 25.3）和酒精滥用（10.5%，95% CI 9.2 - 11.9）。女性，年轻的工作人员和护士往往比其他工作人员有更差的结果，除了酒精滥用。较高的报告暴露于道德伤害（因违反一个人的道德准则而导致的痛苦）与可能的CMD，焦虑，抑郁，PTSD症状和酒精滥用水平的增加密切相关。我们的研究结果表明，对医护人员的心理健康支持应该考虑那些风险最高的人口统计学和职业。为了应对这一流行病可能对心理健康造成的长期影响，需要严格的纵向数据。
This study reports preliminary findings on the prevalence of, and factors associated with, mental health and well-being outcomes of healthcare workers during the early months (April–June) of the COVID-19 pandemic in the UK. Preliminary cross-sectional data were analysed from a cohort study (n=4378). Clinical and non-clinical staff of three London-based NHS Trusts, including acute and mental health Trusts, took part in an online baseline survey. The primary outcome measure used is the presence of probable common mental disorders (CMDs), measured by the General Health Questionnaire. Secondary outcomes are probable anxiety (seven-item Generalised Anxiety Disorder), depression (nine-item Patient Health Questionnaire), post-traumatic stress disorder (PTSD) (six-item Post-Traumatic Stress Disorder checklist), suicidal ideation (Clinical Interview Schedule) and alcohol use (Alcohol Use Disorder Identification Test). Moral injury is measured using the Moray Injury Event Scale. Analyses showed substantial levels of probable CMDs (58.9%, 95% CI 58.1 to 60.8) and of PTSD (30.2%, 95% CI 28.1 to 32.5) with lower levels of depression (27.3%, 95% CI 25.3 to 29.4), anxiety (23.2%, 95% CI 21.3 to 25.3) and alcohol misuse (10.5%, 95% CI 9.2 to 11.9). Women, younger staff and nurses tended to have poorer outcomes than other staff, except for alcohol misuse. Higher reported exposure to moral injury (distress resulting from violation of one’s moral code) was strongly associated with increased levels of probable CMDs, anxiety, depression, PTSD symptoms and alcohol misuse. Our findings suggest that mental health support for healthcare workers should consider those demographics and occupations at highest risk. Rigorous longitudinal data are needed in order to respond to the potential long-term mental health impacts of the pandemic.
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