Anxiety, Depression, and Resilience of Healthcare Workers in Japan During the Coronavirus Disease 2019 Outbreak.

Anxiety, Depression, and Resilience of Healthcare Workers in Japan During the Coronavirus Disease 2019 Outbreak.
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DOI:
10.2169/internalmedicine.5694-20
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发表时间:
2020
期刊:
Internal medicine (Tokyo, Japan)
影响因子:
--
通讯作者:
Izumo T
Izumo T
中科院分区:
其他
文献类型:
--
作者:
Awano N;Oyama N;Akiyama K;Inomata M;Kuse N;Tone M;Takada K;Muto Y;Fujimoto K;Akagi Y;Mawatari M;Ueda A;Kawakami J;Komatsu J;Izumo T

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2019 年冠状病毒病 (COVID-19) 正在世界各地传播。本研究的目的是评估 COVID-19 大流行期间日本医护人员的焦虑、抑郁、复原力和其他精神症状的程度。 这项调查涉及2020年4月22日至5月15日期间日本红十字医疗中心(日本东京)的医疗保健工作者。使用日本版的7项广泛性焦虑症量表(GAD-7)、流行病学研究中心抑郁量表(CES-D)和10项康纳-戴维森复原力量表评估焦虑、抑郁和复原力症状的程度。此外,我们添加了包含三个因素的原始问卷:(i)对感染和死亡的焦虑和恐惧; (二)隔离和不合理待遇; (iii) 工作中的动机和逃避行为。 共有 848 名医护人员参与了本次调查:104 名医生、461 名护士、184 名其他医务人员和 99 名办公室工作人员。在所有参与者中,85 人(10.0%)患有中度至重度焦虑症,237 人(27.9%)患有抑郁症。抑郁组对感染和死亡的焦虑和恐惧、隔离和不合理治疗、工作动力和逃避工作等问题均高于非抑郁组(CES-D总分≥16分)。作为一名护士和高 GAD-7 总分是抑郁症的危险因素。与其他人相比,年龄较大的工人和具有较高复原力的工人患抑郁症的可能性较小。 在 COVID-19 疫情期间,许多医护人员出现了精神症状。需要心理支持和干预措施来保护他们的心理健康。
Coronavirus disease 2019 (COVID-19) is spreading around the world. The aim of this study was to assess the degree of anxiety, depression, resilience, and other psychiatric symptoms among healthcare workers in Japan during the COVID-19 pandemic. This survey involved medical healthcare workers at the Japanese Red Cross Medical Center (Tokyo, Japan) between April 22 and May 15, 2020. The degree of symptoms of anxiety, depression, and resilience was assessed using the Japanese versions of the 7-item Generalized Anxiety Disorder Scale (GAD-7), Center for Epidemiologic Studies Depression Scale (CES-D), and 10-item Connor-Davidson Resilience Scale. Furthermore, we added original questionnaires comprising three factors: (i) anxiety and fear of infection and death; (ii) isolation and unreasonable treatment; and (iii) motivation and escape behavior at work. In total, 848 healthcare workers participated in this survey: 104 doctors, 461 nurses, 184 other co-medical staff, and 99 office workers. Among all participants, 85 (10.0%) developed moderate-to-severe anxiety disorder, and 237 (27.9%) developed depression. Problems with anxiety and fear of infection and death, isolation and unreasonable treatment, and motivation and escape from work were higher in the depression group than in the non-depression group (total CES-D score ≥ 16 points). Being a nurse and high total GAD-7 scores were risk factors of depression. Older workers and those with higher resilience were less likely to develop depression than others. During the COVID-19 epidemic, many healthcare workers suffered from psychiatric symptoms. Psychological support and interventions for protecting the mental health of them are needed.
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