Prevalence and Related Factors of Depression, Anxiety, Acute Stress, and Insomnia Symptoms Among Medical Staffs Experiencing the Second Wave of COVID-19 Pandemic in Xinjiang, China.

Yongzhi Zhao,Qiong Zeng,Aisikaerjiang Kudireti,Atikan Taineikuli,Shuai Liu,Junlong Guo,Ashenggu Sidike,Yan Xie,Muyeseer Aizezi,Raziya Abliz,Bin Zhang

doi:10.3389/fpubh.2021.671400

Abstract

The prevalence and related factors of mental health impact among medical staffs who experienced the second wave of the COVID-19 pandemic in China is unknown. Therefore, this survey was conducted to investigate the prevalence and related factors of depressive, anxiety, acute stress, and insomnia symptoms in medical staffs in Kashi, Xinjiang, China during the second wave of the COVID-19 pandemic. A cross-sectional online survey was conducted among medical staffs working in First People's Hospital of Kashi, Xinjiang. The questionnaire collected demographic data and self-design questions related to the COVID-19 pandemic. The Impact of Events Scale-6, the Insomnia Severity Index, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder Scale-7, the Perceived Social Support Scale, the Chinese Big Five Personality Inventory-15, and the Trait Coping Style Questionnaire were used to measure psychological symptoms or characteristics. Binary logistic regression was carried out to examine the associations between socio-demographic factors and symptoms of depression, anxiety, stress, and insomnia. In total, data from 123 participants were finally included, among which the prevalence rate of depressive, anxiety, acute stress, and insomnia symptoms is 60.2, 49.6, 43.1, and 41.1%, respectively. The regression model revealed that minority ethnicity, being worried about infection, spending more time on following pandemic information, and neurotic personality were positively associated with the mental health symptoms, while extraversion personality, higher education level, and better social support were negatively associated. In our study, the prevalence of mental health impact was high among medical staffs in Kashi, China who experienced the second wave of the COVID-19 pandemic. Several factors were found to be associated with mental health conditions. These findings could help identify medical staffs at risk for mental health problems and be helpful for making precise mental health intervention policies during the resurgence. Our study may pave way for more research into Xinjiang during the COVID-19 pandemic.

Highlights

The coronavirus disease 2019 (COVID-19), which first broke out in Wuhan, China at the end of 2019 brought about a global public health emergency
There has been a resurgence of the pandemic first in Xinjiang followed by other provinces of China, putting the whole country into another round of major public health event
We identified that minority ethnicity, being worried about the pandemic, spending more time on pandemic information, and neurotic personality were positively associated with the four mental health conditions, while extraversion personality, higher education level, and better social support were negatively associated

Summary

Introduction

The coronavirus disease 2019 (COVID-19), which first broke out in Wuhan, China at the end of 2019 brought about a global public health emergency. On January 23rd, 2020, the first two confirmed cases were reported in Xinjiang, China, and Xinjiang was going through a major public health event [1]. Since August 21st, 2020, neither new confirmed nor new asymptomatic indigenous cases had been reported in the mainland of China [3]. The pandemic began to rebound in the mainland of China, starting with Xinjiang where a new indigenous asymptomatic case was reported again on October 24th [4]. There has been a resurgence of the pandemic first in Xinjiang followed by other provinces of China, putting the whole country into another round of major public health event

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