Abstract
BackgroundTo explore the psychological status and vulnerability characteristics of medical staff with the progress of the epidemic.MethodsThis study investigated the prevalence of mental problems of 2748 medical staff in four stages. The PHQ-9 (Patient Health Questionnaire), GAD-7 (Generalized Anxiety Disorder questionnaire), SSS (Somatization Symptom Checklist), Pittsburgh sleep quality index, and PCL-C (Self-rating scale for post-traumatic stress disorder) were used for the psychological evaluation, and univariate logistic standardised analysis, and multivariate logistic regression for data analysis.ResultsThe prevalence of mental problems showed a statistically significant difference. In Stage 1, mild anxiety and mild depression reached the highest value of 41.4 and 40.72% respectively. Between 4 and 17 March that of mild depression rose from 16.07 to 26.7%, and between 17 and 26 March the prevalence of mild anxiety increased from 17.28 to 20.02%. Female, unmarried, and working in Wuhan are the risk factors of mental health of medical staff (P < 0.05).ConclusionThe psychological status of the medical staff has changed dynamically. Stage 1 and the latter period of Stages 2 and 3 are the high-risk stages. Female and unmarried are the dangerous characteristics of psychological vulnerability.
Highlights
At the end of 2019, no one expected that a potentially new malignant infectious disease was spreading quietly
The depression level was assessed by the PHQ-9 depression screening scale, the anxiety level was assessed by the GAD-7 anxiety screening scale, and physical disorder was assessed by the Somatization Symptom Checklist (SSS), the Pittsburgh sleep post-traumatic stress disorder (PCL-C) was used for the evaluation of post-traumatic stress disorder
A total of 442 medical staff working outside Hubei Province were investigated at Stage 1, which was the main period of investigation for medical staff working outside Hubei Province
Summary
At the end of 2019, no one expected that a potentially new malignant infectious disease was spreading quietly. The Chinese government quickly launched a first-level emergency response plan and issued warning signals to the world. On 11 February 2020, the World Health Organization named this pandemic the Coronavirus Disease 2019 (COVID-2019), declaring a new round of confrontation between humans and infectious disease on a global scale. The cumulative number of confirmed cases increased from 291 on 21 January to 24,325 on 4 February. Around 15 February, China’s prevention and control of the epidemic began to achieve results. The number of new confirmed cases in China’s epidemic declined dramatically, and achieved zero cases reported for the first time on 19 March [1]. To explore the psychological status and vulnerability characteristics of medical staff with the progress of the epidemic
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