Two-stage mental health survey of first-line medical staff after ending COVID-19 epidemic assistance and isolation

AbstractFacing with COVID-19 epidemic such a catastrophic health emergency, the mental health status of medical staff deserves attention. We conducted a two-stage of psychological status monitoring after the end of the assistance and 14 days of isolation, further targeted the vulnerable groups in need of intervention. The study is a cross-sectional survey on 1156 Yunnan medical staff aid to Hubei. Used Cluster sampling method to collect data at 2 time points (at the end of returning from Wuhan and the 14th day of isolation), from March 18, 2020 to April 6, 2020. Female and nurse had higher rates of depressive symptoms than male and doctors and other occupations. The proportion of female with mild and above moderate anxiety levels (22.91%, 2.61%) was higher than male (17.35%, 1.03%) (p < 0.05). Female had a better impaired sleep quality (45.06%, 17.49%) more than male (28.57%, 7.94%). Medical staff supported in Wuhan and with junior professional titles reported a higher proportion of sleep quality impairment. At the 14th isolation day stage, the proportion of nurses changed from depression to health (9.15%) and from health to depression (6.1%) better than doctors. The front-line medical staffs had suffered greater psychological pressure in the treatment process of major public health emergency. Researches on the dynamic monitor for the change of psychological status after aiding epidemic areas were still in relatively blank stage. Targeting the vulnerable characteristics of aiding medical staff is significant for effective psychological intervention and sustainable operation of health system.

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The Differences of the Psychological Status of the Public Between Hubei Provinces and Other Provinces After the COVID-19 Outbreak: a Cross-sectional Study

10.21203/rs.3.rs-56124/v1 ◽

2020 ◽

Author(s):

Na Du ◽

Yingjie Ouyang ◽

Yunge Li ◽

Manxi He ◽

Ting Geng ◽

...

Keyword(s):

Mental Health ◽

Physical Health ◽

Psychological Intervention ◽

Linear Regression Analysis ◽

Educational Background ◽

Psychological Status ◽

Anxiety And Depression ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Public

Abstract Background: Assessing the psychological status of public from different areas after the COVID-19 outbreak in China and analyzing the risk factors. Methods: A cross-sectional survey via online questionnaires was conducted. Occurrence of pressure, anxiety and depression were measured with Perceived Stress Scale (PSS), Generalized Anxiety Scale (GAD-7), and Patient Health Questionnaire-9 (PHQ-9), respectively. Results: The study included 3300 participants, with 1644 from Hubei and 1656 from outside Hubei. The rates of anxiety and depression among subjects from Hubei were 59.6% and 52.3%, while the corresponding rates for those outside Hubei were 44.4% and 46.6%. The scores of PSS, GAD-7, and PHQ-9 in Hubei were significantly higher than those in other areas (t = 3.823, 5.860, 2.211; P < 0.05). Multiple linear regression analysis indicated that among the participants from Hubei, the higher the educational background, the history of psychosis, the worse their physical health, the COVID-19 infected, isolated, and their families infected with the COVID-19, their mental health was relatively poor. In the participants outside Hubei, the more unstable their marriage status, the worse their physical health, isolated, and their families infected with the COVID-19, the worse their mental health level. Conclusions: The stress, anxiety, and depression of the public in Hubei are more prominent and the factors that affect their mental health are more complex. When conducting psychological intervention on the general public, we still need to formulate special intervention plans according to the different characteristics of different groups of people to provide them with appropriate crisis intervention services.

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Use of online cultural content for mental health and well-being during COVID-19 restrictions: cross-sectional survey

BJPsych Bulletin ◽

10.1192/bjb.2021.103 ◽

2021 ◽

pp. 1-10

Author(s):

Rebecca J. Syed Sheriff ◽

Helen Adams ◽

Evgenia Riga ◽

Andrew K. Przybylski ◽

Laura Bonsaver ◽

...

Keyword(s):

Mental Health ◽

Well Being ◽

Vulnerable Groups ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Online Culture ◽

Reported Data ◽

June July ◽

The Uk ◽

Health And Well Being

Aims and method To gain a deeper understanding of the use of online culture and its potential benefits to mental health and well-being, sociodemographic characteristics and self-reported data on usage, perceived mental health benefits and health status were collected in an online cross-sectional survey during COVID-19 restrictions in the UK in June–July 2020. Results In total, 1056 people completed the survey. A high proportion of participants reported finding online culture helpful for mental health; all but one of the benefits were associated with regular use and some with age. Reported benefits were wide-ranging and interconnected. Those aged under 25 years were less likely to be regular users of online culture or to have increased their use during lockdown. Clinical implications There may be benefits in targeting cultural resources for mental health to vulnerable groups such as young adults.

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Study on the correlation between mental health and socio-demographics of patients in five designated treatment hospitals in China during the COVID-19 outbreak : a cross-sectional survey

10.21203/rs.3.rs-443751/v1 ◽

2021 ◽

Author(s):

Zhonghuan Liang ◽

Xiuli Ou ◽

Jieming Li ◽

Gang He ◽

Qingdong Xu ◽

...

Keyword(s):

Mental Health ◽

Health Care Professionals ◽

Mental Health Problems ◽

Psychological Intervention ◽

Health Problems ◽

Occurrence Rate ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Peak Period ◽

Cross Sectional

Abstract Purpose The global epidemic of 2019 Novel Coronavirus Diseases (COVID-19) has caused many psychological problems. At present, there are few studies on the mental health status and correlation of COVID-19 patients. Methods During the peak period of COVID-19 outbreak in China, COVID-19 patients from 5 designated hospitals with new coronary pneumonia were selected by convenient sampling method. Symptom Checklist 90 (SCL-90) were investigated by either a convenient online questionnaire at: WJX.cn as a data collecting platform or an equivalent paper questionnaire. Results It showed that the positive detection rate of SCL-90 in the COVID-19 patients was 29.83%. The most common mental health problem was anxiety (28.3%), and the top three prominent mental health problems are depression (9.4%), interpersonal sensitivity (9.4%), paranoia ideation (7.7%). Compared with the Chinese adult norm, there were significant differences in the SCL-90 total score and somatization, depression, anxiety, and phobic anxiety dimension (P < 0.05). The main influencing factors of mental health of COVID-19 patients are the number of confirmed cases nationwide, sex, marital status and psychological intervention. Conclusion The mental state of some groups is relatively low, which leads to depression and anxiety more easily. In particular, the most vulnerable group was found to be unmarried women who have a high occurrence rate of mental health problems. We need to pay particular attention to high risk groups, and support patients with increased susceptibility, which will require timely assessment by mental health care professionals.

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Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: a web-based cross-sectional survey

10.21203/rs.3.rs-17172/v1 ◽

2020 ◽

Cited By ~ 7

Author(s):

Yeen Huang ◽

Ning Zhao

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Sleep Quality ◽

Healthcare Workers ◽

Influence Factors ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Web Based

Abstract Background China has been severely affected by COVID-19 (Corona Virus Disease 2019) since December, 2019. This study aimed to assess the population mental health burden during the epidemic, and to explore the potential influence factors. Methods Using a web-based cross-sectional survey, we collected data from 7,236 self-selected volunteers assessed with demographic information, COVID-19 related knowledge, Generalized Anxiety Disorder-7 (GAD-7), Center for Epidemiology Scale for Depression (CES-D), and Pittsburgh Sleep Quality Index (PSQI). Logistic regressions were used to identify influence factors associated with mental health problem. Results Of the total sample analyzed, the overall prevalence of GAD, depressive symptoms, and sleep quality were 35.1%, 20.1%, and 18.2%, respectively. Young people reported a higher prevalence of GAD and depressive symptoms than older people ( P <0.001). Compared with other occupational group, healthcare workers have the highest rate of poor sleep quality ( P <0.001). Multivariate logistic regression showed that age (< 35 years) and times to focus on the COVID-19 (≥ 3 hours per day) were associated with GAD, and healthcare workers were associated with poor sleep quality. Conclusions Our study identified a major mental health burden of the public during COVID-19 epidemic in China. Young people, people who spent too much time on the epidemic, and healthcare workers were at high risk for mental illness. Continuous surveillance and monitoring of the psychological consequences for outbreaks should become routine as part of preparedness efforts worldwide.

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Psychological impact of COVID-19 in the Swedish population: Depression, anxiety, and insomnia and their associations to risk and vulnerability factors

European Psychiatry ◽

10.1192/j.eurpsy.2020.81 ◽

2020 ◽

Vol 63 (1) ◽

Cited By ~ 1

Author(s):

Lance M. McCracken ◽

Farzaneh Badinlou ◽

Monica Buhrman ◽

Karin C. Brocki

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Health Problems ◽

Poor Mental Health ◽

Vulnerable Groups ◽

Vulnerability Factors ◽

Cross Sectional Survey ◽

Swedish Population ◽

Cross Sectional ◽

Health And Wellbeing

Abstract Background: The 2019 coronavirus disease (COVID-19) pandemic, with its associated restrictions on daily life, is like a perfect storm for poor mental health and wellbeing. The purpose of this study was therefore to examine the impacts of COVID-19 on mental health and wellbeing during the ongoing pandemic in Sweden. Method: Standardized measures of depression, anxiety, and insomnia as well as measures of risk and vulnerability factors known to be associated with poor mental health outcomes were administered through a national, online, cross-sectional survey (n = 1,212; mean age 36.1 years; 73% women). Result: Our findings show significant levels of depression, anxiety, and insomnia in Sweden, at rates of 30%, 24.2%, and 38%, respectively. The strongest predictors of these outcomes included poor self-rated overall health and a history of mental health problems. The presence of COVID-19 symptoms and specific health and financial worries related to the pandemic also appeared important. Conclusions: The impacts of COVID-19 on mental health in Sweden are comparable to impacts shown in previous studies in Italy and China. Importantly, the pandemic seems to impose most on the mental health of those already burdened with the impacts of mental health problems. These results provide a basis for providing more support for vulnerable groups, and for developing psychological interventions suited to the ongoing pandemic and for similar events in the future.

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Effects of Covid-19 Lockdown on Mental Health and Sleep Disturbances in Italy

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17134779 ◽

2020 ◽

Vol 17 (13) ◽

pp. 4779 ◽

Cited By ~ 44

Author(s):

Maria Rosaria Gualano ◽

Giuseppina Lo Moro ◽

Gianluca Voglino ◽

Fabrizio Bert ◽

Roberta Siliquini

Keyword(s):

Mental Health ◽

Sleep Disturbances ◽

Healthcare Access ◽

Peer Pressure ◽

Severity Index ◽

Vulnerable Groups ◽

The Internet ◽

Italian Population ◽

Cross Sectional Survey ◽

Cross Sectional

Italy was the first European country that entered a nationwide lockdown during the COVID-19 pandemic. Since quarantine can impact on mental health, this study aimed to estimate the prevalence of depressive symptoms, anxiety symptoms and sleeping disturbances in the Italian population during lockdown. The factors that might influence such outcomes were explored. A national cross-sectional survey was performed during the last 14 days of the Italian lockdown. Questionnaires assessed socio-demographics characteristic, behaviors and healthcare access. The outcomes were assessed using Patient Health Questionnaire-2 and Generalized Anxiety Disorder-2. Participants with sleep disturbances completed the Insomnia Severity Index. The sample size was 1515. Depression and anxiety symptom prevalence was 24.7% and 23.2%; 42.2% had sleep disturbances and, among them, 17.4% reported moderate/severe insomnia. Being female, an increased time spent on the internet and an avoidance of activities through peer pressure increased the likelihood of at least one mental health outcome. Increasing age, an absence of work-related troubles and being married or being a cohabitant reduced such a probability. Females and participants with chronic conditions were associated with a higher prevalence of sleep disturbances. It is crucial to study effective interventions, specifically planning strategies, for more vulnerable groups and to consider the role of the internet.

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PaLS Study of Sleep Deprivation and Mental Health Consequences of the COVID-19 Pandemic among University Students: A Cross-Sectional Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18189581 ◽

2021 ◽

Vol 18 (18) ◽

pp. 9581

Author(s):

Grzegorz Gruba ◽

Przemysław Seweryn Kasiak ◽

Joanna Gębarowska ◽

Natalia Adamczyk ◽

Zuzanna Sikora ◽

...

Keyword(s):

Mental Health ◽

University Students ◽

Sleep Quality ◽

Light Exposure ◽

Well Being ◽

Cross Sectional Survey ◽

Short Sleep Duration ◽

Cross Sectional ◽

Short Sleep ◽

Sleeping Habits

The COVID-19 pandemic has changed the way many people live. To assess its impact on sleep quality and quantity, blue light exposure, and the mental health of Polish university students, a cross-sectional survey was conducted. Almost half of the participants were medical students (47.62%; n = 630). The majority of students were suffering from insomnia (58.13%, n = 769). Almost every third student was sleeping less than 7 h a day (30.39%, n = 402). Our study showed that a short sleep duration correlates with poorer mental health outcomes. Respondents who declared sadness and depression were more likely to suffer from insomnia (OR = 5.6997, 95% CI: 4.3641–7.4441). Difficulty with tasks was also more likely to co-occur with insomnia (OR = 5.4723, 95% CI: 4.3007 to 6.9630). The results of this study showed that the COVID-19 pandemic contributed to the deterioration of sleep quality and quantity as well as the psychological well-being of Polish students. It is important to take steps to promote proper sleeping habits to alleviate the risk of mental health disorders in this group of people.

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The effect of mental health on sleep quality of front-line medical staff during the COVID-19 outbreak in China: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0253753 ◽

2021 ◽

Vol 16 (6) ◽

pp. e0253753

Author(s):

Leiyu Yue ◽

Rui Zhao ◽

Qingqing Xiao ◽

Yu Zhuo ◽

Jianying Yu ◽

...

Keyword(s):

Mental Health ◽

Sleep Quality ◽

Medical Staff ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Poor Sleep ◽

Front Line ◽

Poor Sleep Quality ◽

Cross Sectional

Background The 2019 coronavirus disease (COVID-19) pandemic is a public health emergency of international concern and poses a challenge to the mental health and sleep quality of front-line medical staff (FMS). The aim of this study was to investigate the sleep quality of FMS during the COVID-19 outbreak in China and analyze the relationship between mental health and sleep quality of FMS. Methods From February 24, 2020 to March 22, 2020, a cross-sectional study was performed with 543 FMS from a medical center in Western China. A self-reported questionnaire was used to collect data anonymously. The following tests were used: The Self-Rating Anxiety Scale (SAS) for symptoms of anxiety, the Beck Depression Inventory (BDI) for depressive symptoms, and the Pittsburgh Sleep Quality Index (PSQI) for sleep quality assessment. Results Of the 543 FMS, 216 (39.8%) were classified as subjects with poor sleep quality. Anxiety (P<0.001), depression (P<0.001), and the prevalence of those divorced or widowed (P<0.05) were more common in FMS with poor sleep quality than in participants with good sleep quality. The FMS exhibiting co-occurrence of anxiety and depression were associated with worse scores on sleep quality than those medical staff in the other three groups/categories. The difference in sleep quality between the FMS with only depression and the FMS experiencing co-occurrence of anxiety and depression was statistically significant (P<0.05). However, there was no significant difference in sleep quality between the FMS experiencing only anxiety and the FMS with co-occurrence of anxiety and depression (P > 0.05). Conclusions During the COVID-19 pandemic, there was a noteworthy increase in the prevalence of negative emotions and sentiments among the medical staff, along with poor overall sleep quality. We anticipate that this study can stimulate more research into the mental state of FMS during outbreaks and other public health emergencies. In addition, particular attention must be paid to enhance the sleep quality of FMS, along with better planning and support for FMS who are continuously exposed to the existing viral epidemic by virtue of the nature of their profession.

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Mental Health Burden in Different Professions During the Final Stage of the COVID-19 Lockdown in China: Cross-sectional Survey Study

Journal of Medical Internet Research ◽

10.2196/24240 ◽

2020 ◽

Vol 22 (12) ◽

pp. e24240

Author(s):

Junfeng Du ◽

Gwendolyn Mayer ◽

Svenja Hummel ◽

Neele Oetjen ◽

Nadine Gronewold ◽

...

Keyword(s):

Mental Health ◽

Coping Strategies ◽

Medical Staff ◽

Observational Studies ◽

Survey Study ◽

Vulnerable Groups ◽

Cross Sectional ◽

Stress Scale ◽

Health Burden ◽

Care Workers

Background COVID-19 resulted in considerable mental health burden in the Chinese general population and among health care workers at the beginning and peak of the pandemic. However, little is known about potentially vulnerable groups during the final stage of the lockdown. Objective The aim of this survey study was to assess the mental health burden of different professions in China in order to find vulnerable groups, possible influencing factors, and successful ways of coping during the last 4 weeks of the lockdown in Hubei Province. Methods A cross-sectional online survey asked participants about current residence, daily working hours, exposure to COVID-19 at work, and media preferences. We used a shortened version of the Depression, Anxiety and Stress Scale (DASS-21) to assess mental health. Further assessments included perceived stress (Simplified Chinese version of the 14-item Perceived Stress Scale), coping strategies for all participants, and specific stressors for health care workers. We followed the reporting guidelines of the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) statement for observational studies. Results The sample (N=687) consisted of 158 doctors, 221 nurses, 24 other medical staff, 43 students, 60 teachers/government staff, 135 economy staff, 26 workers/farmers, and 20 professions designated under the “other” category. We found increased depression (n=123, 17.9%), anxiety (n=208, 30.3%), and stress (n=94, 13.7%) in our sample. Professions that were vulnerable to depression were other medical staff and students. Doctors, nurses, and students were vulnerable to anxiety; and other medical staff, students, and economy staff were vulnerable to stress. Coping strategies were reduced to three factors: active, mental, and emotional. Being female and emotional coping were independently associated with depression, anxiety, or stress. Applying active coping strategies showed lower odds for anxiety while mental coping strategies showed lower odds for depression, anxiety, and stress. Age, being inside a lockdown area, exposure to COVID-19 at work, and having a high workload (8-12 hours per day) were not associated with depression, anxiety, or stress. WeChat was the preferred way of staying informed across all groups. Conclusions By the end of the lockdown, a considerable part of the Chinese population showed increased levels of depression and anxiety. Students and other medical staff were the most affected, while economy staff were highly stressed. Doctors and nurses need support regarding potential anxiety disorders. Future work should focus on longitudinal results of the pandemic and develop targeted preventive measures.

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Sleep Duration, Sleep Quality and Physical Activity, but Not Sedentary Behaviour, Are Associated with Positive Mental Health in a Multi-Ethnic Asian Population: A Cross-Sectional Evaluation

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17228489 ◽

2020 ◽

Vol 17 (22) ◽

pp. 8489

Author(s):

Janhavi Ajit Vaingankar ◽

Falk Müller-Riemenschneider ◽

Anne Hin Yee Chu ◽

Mythily Subramaniam ◽

Linda Wei Lin Tan ◽

...

Keyword(s):

Mental Health ◽

Physical Activity ◽

Sleep Quality ◽

Sedentary Behaviour ◽

Sleep Duration ◽

Personal Growth ◽

Asian Population ◽

Positive Mental Health ◽

Cross Sectional Survey ◽

Cross Sectional

Background: We assessed the associations of sleep, physical activity and sedentary behaviour with positive mental health (PMH) in the multi-ethnic population of Singapore. Methods: The Singapore Health 2 study is a nationally representative cross-sectional survey among residents aged 18–79 years. A PMH instrument was administered to 1925 participants to obtain total PMH and six sub-component scores. Self-rated sleep duration, sleep quality, sedentary behaviour and physical activity were assessed. Multivariable linear regression analyses were conducted. Results: The mean age of the participants was 40.1 (SD 14.3) years. Sleep duration (≥8 h/night: β = 0.17,95% CI: 0.02–0.32; 7–< 8 h/night: β = 0.17,95% CI: 0.03–0.30 versus <6 h/night, p = 0.002), sleep quality (very good: β = 0.45,95% CI: 0.29–0.60; fairly good: β = 0.20,95% CI: 0.06–0.33 versus very/fairly bad; ptrend < 0.001) and physical activity (high: β = 0.19,95% CI: 0.05–0.32; moderate: β = 0.15, 95% CI: 0.03–0.27 versus low; ptrend < 0.001) were directly associated with total PMH. Sedentary behaviour was not significantly associated with PMH. Sleep duration, sleep quality and physical activity were directly associated with the PMH sub-components ‘emotional support’ and ‘personal growth and autonomy’. Conclusions: Duration and quality of sleep and physical activity were directly associated with PMH in an urban Asian population. These findings support incorporating sleep and physical activity interventions to improve population mental health.

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