Mental health of healthcare workers during theCOVID-19 pandemic in Italy
Mental health of healthcare workers during theCOVID-19 pandemic in Italy
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DOI：
10.1111/jep.13444
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发表时间：
2020-07-25
影响因子：
2.4
通讯作者：
Castelli, Lorys
中科院分区：
文献类型：
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作者：
Di Tella, Marialaura;Romeo, Annunziata;Castelli, Lorys
背景 COVID-19 大流行是近来压力最大的事件之一。在人群中，治疗 COVID-19 患者的医疗保健专业人员最有可能出现心理困扰和创伤后应激症状 (PTSS)。因此，本研究旨在调查 COVID-19 爆发对意大利医护人员的心理影响。方法 145 名医护人员（72 名医生和 73 名护士）的回答包含在最终数据集中。参与者被要求提供社会人口统计和临床信息，并完成：(a) 生活质量和健康相关视觉模拟量表，(b) 状态-特质焦虑量表 Y1，(c) 贝克抑郁量表，以及 (d) DSM-5 的 PTSD 清单。结果 对在 COVID-19 病房和其他单位工作的医疗保健专业人员进行比较发现，前者报告的抑郁症状和 PTSS 水平较高。此外，回归分析的结果表明，在处理 COVID-19 患者的医疗保健专业人员中，性别和婚姻状况以及性别和年龄分别显着预测抑郁症状和 PTSS。特别是，女性且没有恋爱关系被发现与较高水平的抑郁症状相关，而女性和老年人被发现与较高水平的 PTSS 相关。结论 目前的研究结果表明，特定的诱发因素可以识别出在面对 COVID-19 患者时面临出现心理健康症状的高风险的医护人员。
Background The COVID-19 pandemic represents one of the most stressful events of recent times. Among the population, healthcare professionals who treat COVID-19 patients are most likely to develop psychological distress and posttraumatic stress symptoms (PTSS). The present study thus aimed to investigate the psychological impact of the COVID-19 outbreak on Italian healthcare workers. Methods The responses of 145 healthcare workers (72 medical doctors and 73 nurses) were included in the final dataset. Participants were asked to provide sociodemographic and clinical information, and to complete: (a) quality of life and health-related Visual Analogue Scales, (b) State-Trait Anxiety Inventory-Form Y1, (c) Beck Depression Inventory, and (d) PTSD Checklist for DSM-5. Results A comparison between healthcare professionals working in COVID-19 wards and other units revealed that the former reported higher levels of both depressive symptoms and PTSS. Moreover, the results of regression analyses showed that in healthcare professionals working with COVID-19 patients, gender and marital status, and gender and age significantly predicted depressive symptoms and PTSS, respectively. Particularly, being female and not in a relationship were found to be associated with higher levels of depressive symptoms, whereas being female and older were found to be related to higher levels of PTSS. Conclusions The current findings suggest that specific predisposing factors could identify healthcare workers who are at high risk of developing mental health symptoms when faced with COVID-19 patients.