Mental Health of Staff in a Key Frontline Hospital During COVID-19: A Single-Center Cross-Sectional China-Based Study

Coronavirus disease-2019 has become a worldwide pandemic, threatening medical staff’s mental health. We aimed to investigate the mental health status of staff at Wuhan Jinyintan Hospital, the largest hospital specializing in infectious diseases in Wuhan. A total of 507 staff members (82.64% were female, age: mean = 37.53, SD = 10.08) in Wuhan Jinyintan Hospital were recruited from March 15, 2020, to May 1, 2020. Questionnaires of the PHQ-9 (Patient Health Questionnaire), GAD-7 (Generalized Anxiety Disorder Scale), and ISI (Insomnia Severity Index) were adopted. The results showed 39.64%,19.53%, and 6.90% had mild, moderate, and moderate-severe depression, respectively. In addition, 41.03%, 10.45%, and 3.94% had mild, moderate, and moderate-severe anxiety, respectively, and 27.02% and 12.03% had mild and moderate-severe insomnia, respectively. Multivariate logistic regression models revealed that those unmarried and females were more likely to exhibit depression symptoms, while being a nurse, having a normal body mass index, and not experiencing severe acute respiratory syndrome increased the likelihood for insomnia.

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Prevalence of Depression Symptoms and Associated Sociodemographic and Clinical Correlates Among Syrian Refugees in Lebanon

10.21203/rs.3.rs-62968/v1 ◽

2020 ◽

Author(s):

Hady Naal ◽

Dana Nabulsi ◽

Nour El Arnaout ◽

Lina Abdouni ◽

Hani Dimassi ◽

...

Keyword(s):

Mental Health ◽

Large Scale ◽

Severe Depression ◽

Depression Symptoms ◽

Syrian Refugees ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Clinical Correlates ◽

Syrian Refugee ◽

Prevalence Of Depression

Abstract Background: Since the outbreak of the Syrian war in 2011, close to 6 million Syrian refugees have escaped to Syria’s neighbouring countries, including Lebanon. Evidence suggests rising levels of mental health disorders among Syrian refugee populations. Yet, to the best of our knowledge, large-scale studies addressing the mental health of adult Syrian refugees in Lebanon are lacking. Aims: We examined the prevalence of depression symptoms, which represent a common and debilitating mental health disorder among Syrian refugee populations in Lebanon, along with their sociodemographic and clinical correlates.Methods: A cross-sectional survey design was conducted as part of a collaborative project-“Sijilli”- led by the Global Health Institute at the American University of Beirut (Beirut, Lebanon) across 4 informal tented settlements for refugees (Beirut, Bekaa, North, South) in Lebanon among adult Syrian refugees (≥18), over a period extending from 2018 to 2020. The survey inquired about participants’ sociodemographic and clinical characteristics, and screened participants for symptoms of depression through sequential methodology using the Patient Health Questionnaire (PHQ-2 and PHQ-9). Results: A total of 3255 adult Syrian refugees were enrolled in the study. Of those refugees, only 51.6% (n=1678) screened positive on the PHQ-2 and were therefore eligible to complete the PHQ-9. The PHQ-9 analysis revealed high prevalence (25%) of moderate to severe depression in the total sample, suggestive of high probability for major depression disorder (MDD). Further analyses indicate that being ≥45 years of age (OR 1.70, 95% CI 1.22-2.36), a woman (OR 1.35, 95% CI 1.07-1.69), divorced/separated (OR 3.32, 95% CI 1.57-7.01), reporting a neurological (OR 1.77, 95% CI 1.20-2.61) or a mental health condition (OR 5.30, 95% CI 2.40-11.66) are major risk factors for MDD.Conclusion: Our study suggests that one in four Syrian refugees in Lebanon have probable MDD, and our findings have important public health and clinical implications on refugee health. There is a need to enhance screening efforts, to improve access and referral to mental health services, and to improve post-migration factors among Syrian refugees in Lebanon.

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Impact on Mental Health of students due to restriction caused by COVID-19 pandemic: Cross-sectional study

10.1101/2021.02.07.21250695 ◽

2021 ◽

Author(s):

Amar Prashad Chaudhary ◽

Narayan Sah Sonar ◽

Jamuna TR ◽

Moumita Banerjee ◽

Shailesh Yadav

Keyword(s):

Severe Depression ◽

Cross Sectional Study ◽

Depression Symptoms ◽

Strong Positive Correlation ◽

Depression And Anxiety ◽

Cross Sectional ◽

Web Based ◽

Psychometric Scales ◽

Patient Health ◽

Behavioral Impact

AbstractBackgroundThe aim of the study was to investigate fear, depression and anxiety symptoms among students of India due to COVID-19 pandemic and its restriction.MethodThe cross-sectional web-based research was conducted between mid-November and mid-December 2020 with the objective of understanding the psychological and behavioral consequences of the COVID-19 pandemic effect on students due to the constraint of forced control. The questionnaire included a) socio-demographic questions and b) psychometric scales evaluating the psychological and behavioral impact caused by COVID-19 pandemic and restrictions.ResultsTotal number of 324 students participated in this study in which 44.4% were male and 55.6% were female. Fear of COVID-19 scale showed 68.8% of students had high fear, 24.4% had moderate to severe depression and 51.5% had moderate to severe anxiety. The correlation of fear of COVID-19 scale (FCV-19s) with Generalized Anxiety scale (GAD-7) and brief patient health questionnaire scale (PHQ-9) was found to be 0.492 and 0.474 respectively.ConclusionThis research concludes that there is a very strong fear of COVID-19 among students, along with anxiety and depression symptoms. This study also concludes that the fear of the COVID-19 scale has strong positive correlation with the anxiety (GAD-7) and depression (PHQ-9) scales.

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Novel Coronavirus (COVID-19) Knowledge, Precaution Practice, and Associated Depression Symptoms among University Students in Korea, China, and Japan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186671 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6671 ◽

Cited By ~ 2

Author(s):

Bo Zhao ◽

Fanlei Kong ◽

Myo Nyein Aung ◽

Motoyuki Yuasa ◽

Eun Woo Nam

Keyword(s):

Mental Health ◽

University Students ◽

Severe Depression ◽

Depression Symptoms ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

China And Japan ◽

Novel Coronavirus ◽

Depressive States

This study assessed university students’ knowledge and precaution practices of Novel Coronavirus (COVID-19) in South Korea, China, and Japan, and investigated their depressive states during the pandemic. This cross-sectional survey collected data from 821 respondents, using an anonymous online questionnaire designed by the Yonsei Global Health Center, from 23 March to 20 April 2020, which included socio-demographic questions, knowledge and perceptions of COVID-19, preventative practices, and the Patient Health Questionnaire-9 (PHQ-9) scale to assess mental health. High proportions of respondents showed good knowledge of the transmission pathways and information related to COVID-19. Contact history as well as concerns about family members and the disease showed statistically significant distinctions by nationality and gender. On the whole, all participants reported good levels of preventative practices. The Chinese group reported the highest preventative practice scores; and females scored higher than males. Moreover, the Japanese group showed the most severe depressive states; overall, females experienced more severe depression than males. Thus, authorities should especially emphasize the importance of COVID-19 precautions to males. Educational departments and health authorities should observe the mental health of university adults during the pandemic and plan interventions to improve it.

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A Longitudinal Study on the Mental Health of College Students in Jinan During the Peak Stage of the COVID-19 Epidemic and the Society Reopening

Biomedicine Hub ◽

10.1159/000519586 ◽

2021 ◽

pp. 102-110

Author(s):

Xiaolei Zheng ◽

Yuji Guo ◽

Wen Ma ◽

Hui Yang ◽

Liyan Luo ◽

...

Keyword(s):

Mental Health ◽

College Students ◽

Severe Depression ◽

Severity Index ◽

Depression And Anxiety ◽

Health Issues ◽

Mental Health Issues ◽

Prevalence Of Depression ◽

Patient Health ◽

Peak Versus

Introduction: COVID-19, a continuously emerging human-to-human infectious disease, has exerted a significant impact on the mental health of college students. However, little is known regarding the variations in the mental health issues experienced by college students during the peak versus reopening stages of the COVID-19 epidemic in China. Methods: To assess these issues, an online longitudinal survey was conducted via a WeChat applet. Undergraduates (n = 300) were recruited from 26 universities throughout Jinan in February 2020 (T1 – the epidemic peak stage) and in January 2021 (T2 – the society reopening stage). Their mental status was determined using the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 item, and the Insomnia Severity Index. Results: Of the original 300 college students recruited for this survey, 294 responses at T1 and 285 at T2 were analyzed. Compared with responses obtained at T1, college students at T2 showed a greater prevalence of depression (65.3 vs. 51.0%; p = 0.001) and anxiety (47.7 vs. 38.1%, p = 0.019), and experienced more severe depression (p < 0.001) and anxiety (p < 0.001). Both males (p = 0.03) and females (p < 0.01) showed higher levels of depression at T2 versus T1, while no differences were obtained with regard to anxiety and insomnia. At T1, Grade 4 students showed greater levels of depression (p = 0.005) and anxiety (p = 0.008) than that of Grade 1 students. While at T2, only greater levels of depression (p = 0.004) were present when compared with that of Grade 1 students. Additionally, Grade 4 college students demonstrated a greater prevalence of depression at T2 versus T1 (p = 0.03), but no statistically differences were present for anxiety and insomnia. No statistically significant differences were obtained among the 4 grades of college students for insomnia at either the T1 or T2. Conclusion: With progression of the COVID-19 epidemic, college students showed increasing levels of depression and anxiety, with Grade 4 college students being most seriously affected. It is imperative that intervention strategies be implemented to mitigate against these mental health issues resulting from the COVID-19 epidemic.

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Prevalence of Depression Symptoms and Associated Sociodemographic and Clinical Correlates among Syrian Refugees in Lebanon

10.21203/rs.3.rs-62968/v3 ◽

2021 ◽

Author(s):

Hady Naal ◽

Dana Nabulsi ◽

Nour El Arnaout ◽

Lina Abdouni ◽

Hani Dimassi ◽

...

Keyword(s):

Mental Health ◽

Large Scale ◽

Severe Depression ◽

Depression Symptoms ◽

Syrian Refugees ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Clinical Correlates ◽

Syrian Refugee ◽

Prevalence Of Depression

Abstract Background: Since the outbreak of the Syrian war in 2011, close to 6 million Syrian refugees have escaped to Syria’s neighbouring countries, including Lebanon. Evidence suggests rising levels of mental health disorders among Syrian refugee populations. Yet, to the best of our knowledge, large-scale studies addressing the mental health of adult Syrian refugees in Lebanon are lacking.Aims: We examined the prevalence of depression symptoms, which represent a common and debilitating mental health disorder among Syrian refugee populations in Lebanon, along with their sociodemographic and clinical correlates.Methods: A cross-sectional survey design was conducted as part of a collaborative project-“Sijilli”- led by the Global Health Institute at the American University of Beirut (Beirut, Lebanon) across 4 informal tented settlements for refugees (Beirut, Bekaa, North, South) in Lebanon among adult Syrian refugees (≥18), over a period extending from 2018 to 2020. The survey inquired about participants’ sociodemographic and clinical characteristics, and screened participants for symptoms of depression through sequential methodology using the Patient Health Questionnaire (PHQ-2 and PHQ-9).Results: A total of 3255 adult Syrian refugees were enrolled in the study. Of those refugees, 46.73% (n=1521) screened positive on the PHQ-2 and were therefore eligible to complete the PHQ-9. In the entire sample (n=3255), the prevalence of moderate to severe depression symptoms (PHQ-2 ≥2 and then PHQ-9 ≥10) was 22% (n=706). Further analyses indicate that being ≥45 years of age (OR 1.61, 95% CI 1.13-2.30), a woman (OR 1.34, 95% CI 1.06-1.70), widowed (OR 2.88, 95% CI 1.31-6.32), reporting a neurological (OR 1.73, 95% CI 1.15-2.60) or a mental health condition (OR 3.98, 95% CI 1.76-8.97) are major risk factors for depression.Conclusion: Our study suggests that an estimated one in four Syrian refugees in Lebanon shows moderate to severe depression symptoms, and our findings have important public health and clinical implications on refugee health. There is a need to enhance screening efforts, to improve access and referral to mental health services, and to improve post-migration factors among Syrian refugees in Lebanon.

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Impact of COVID -19 on Depression and Anxiety among Healthcare Professionals in Abu Dhabi

10.1101/2021.04.11.21253563 ◽

2021 ◽

Author(s):

Amal Abdul Rahim Al Zarooni ◽

Aljazia Khalfan Alghfeli ◽

Hamda Musabbah Alremeithi ◽

Roqayah Abdulla Almadhaani ◽

Latifa Baynouna Alketbi

Keyword(s):

Mental Health ◽

Health Care Providers ◽

Healthcare Workers ◽

Healthcare Professionals ◽

Severe Depression ◽

Well Being ◽

Depression Symptoms ◽

Depression And Anxiety ◽

Care Providers ◽

Cross Sectional

COVID-19 have affected Healthcare workers is many ways. One of the important areas is the psychological impact. The aim of this study is to examine the effects of the COVID-19 outbreak on the mental health of healthcare Professionals (HCP). A cross-sectional study was conducted between April 11th, and July 23rd, 2020, to assess depression and anxiety of healthcare workers, during the COVID-19 pandemic. An online, self-administered, anonymous questionnaire evaluated 1,268 HCP. More than half of the participants reported symptoms of anxiety (51.5%). Mild anxiety was reported in 28.8% of participating HCP, and 12.68 % of the participants registered moderate anxiety scores, while 9.95 % reported severe anxiety. Depression symptoms were revealed in 38.3 % of participating providers. Among all participates, 4.3 % and 2.7 % reported moderately severe and severe depression, accordingly, while 22.5%, and 8.8 % of the participating health care providers documented mild and moderate depression. The high prevalence of anxiety and depression recorded among HCP during the pandemic suggests that mental health intervention and support are necessary to ensure the psychological well-being of HCP.

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Prevalence and risk factors of depression symptoms among Chinese seafarers during the COVID-19 pandemic: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2021-048660 ◽

2021 ◽

Vol 11 (6) ◽

pp. e048660

Author(s):

Wenzhe Qin ◽

Lei Li ◽

Dongshan Zhu ◽

Chengfei Ju ◽

Pengfei Bi ◽

...

Keyword(s):

Risk Factors ◽

Depression Scale ◽

Severe Depression ◽

Cross Sectional Study ◽

Depression Symptoms ◽

Poor Sleep ◽

Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models ◽

Chinese Seafarers

BackgroundTo curb the spread of COVID-19, most countries have adopted measures such as banning shore leave at ports and placed restrictions on crew change. Seafarers may bear an excess pressure during the COVID-19 pandemic. This study aimed to investigate the prevalence and risk factors associated with depression symptoms among Chinese seafarers during the COVID-19 pandemic.DesignCross-sectional study.MethodsThis field survey-based study was conducted at Rongcheng Port, Shandong Province, China, from 10 June 2020 to 25 July 2020. Sociodemographic and occupational characteristics and health-related behaviours were collected through a face-to-face questionnaire. The Self-Rating Depression Scale was used to evaluate depression status during the preceding week. Logistic regression models were used to explore factors related to depression.Results441 male Chinese seafarers were enrolled. Overall, the proportions of seafarers with low, moderate and severe depression symptoms were 23.35%, 9.30% and 9.07%, respectively. Compared with those with good self-rated health (SRH), seafarers with poor SRH had higher odds of depression (OR, 2.24, 95% CI 1.22 to 4.11). Less leisure time or physical exercise was associated with more severe self-reported depression symptoms (1–3 per week vs ≥4 per week: OR, 1.72, 95% CI 0.71 to 4.14; none vs ≥4 per week: OR, 3.93, 95% CI 1.67 to 9.26). Poor sleep quality was associated with higher likelihood of reporting severe depression (fair vs good: OR, 2.78, 95% CI 1.54 to 5.01; poor vs good: OR, 4.30, 95% CI 1.65 to 11.24). The more frequent seafarers worked overtime a week, the higher the likelihood of reporting severe depression symptoms (1–2 per week vs none: OR, 1.82, 95% CI 1.04 to 3.18; ≥3 per week vs none: OR, 2.49, 95% CI 1.05 to 5.92). Also, high perceived work stress was linked to higher odds of being depressed (intermediate vs low: OR, 2.06, 95% CI 0.78 to 5.46; high vs low: OR, 3.83, 95% CI 1.35 to 10.90).ConclusionsThere is a high burden of depression associated with COVID-19 among seafarers. Special interventions that protect the mental health of seafarers are more critical than ever in the context of the pandemic.

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Heterogeneity in Symptoms in Depression - A replication study in a Digital Mental Health Intervention using the PHQ-9 Questionnaire (Preprint)

10.2196/preprints.31560 ◽

2021 ◽

Author(s):

Silvan Hornstein ◽

Valerie Forman-Hoffman ◽

Nicholas C. Peiper ◽

Markus J. Rantala

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Severe Depression ◽

Depression Symptoms ◽

Depression And Anxiety ◽

Symptom Pattern ◽

Patient Health ◽

Symptom Patterns ◽

Treatment Procedures ◽

Core Symptoms

BACKGROUND Past work has shown massive variation in depressive symptoms between patients, challenging the perception of major depressive disorder (MDD) as being uniform. This appears quite relevant also for digital mental health (DMH) interventions. While individualization is one of the key potentials of these approaches, this is regularly not utilized and the same static depression treatment is offered to all patients. OBJECTIVE This paper aims to replicate the approach from Fried & Nesse (2015), analyzing the variation of depressive symptoms within 1757 participants in a DMH intervention for depression and anxiety. METHODS Participants’ answers to the single items of the Patient Health Questionnaire 9-item scale (PHQ-9) were used to identify distinct patterns out of the 9 core symptoms of the DSM-5. RESULTS Overall, the 1757 participants showed 231 different patterns of symptoms. The most regular pattern occurred for 8% of the patients. 85% of the participants had a symptom pattern that was shared with less than 4% of the whole sample. The number of unique symptom patterns per participant decreased with higher symptom severity, but the 342 patients with overall severe depression symptoms still exhibited 34 different constellations of single symptoms. CONCLUSIONS The large variation in symptoms challenges the assignment of static depression interventions in DMH and calls for more individualized treatment procedures. Luckily, such procedures can be implemented particularly easily in an app-based context, for example by modular program structures.

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Prevalence of Depression Symptoms and Associated Sociodemographic and Clinical Correlates among Syrian Refugees in Lebanon

10.21203/rs.3.rs-62968/v2 ◽

2020 ◽

Author(s):

Hady Naal ◽

Dana Nabulsi ◽

Nour El Arnaout ◽

Lina Abdouni ◽

Hani Dimassi ◽

...

Keyword(s):

Mental Health ◽

Large Scale ◽

Severe Depression ◽

Depression Symptoms ◽

Syrian Refugees ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Clinical Correlates ◽

Syrian Refugee ◽

Prevalence Of Depression

Abstract Background: Since the outbreak of the Syrian war in 2011, close to 6 million Syrian refugees have escaped to Syria’s neighbouring countries, including Lebanon. Evidence suggests rising levels of mental health disorders among Syrian refugee populations. Yet, to the best of our knowledge, large-scale studies addressing the mental health of adult Syrian refugees in Lebanon are lacking.Aims: We examined the prevalence of depression symptoms, which represent a common and debilitating mental health disorder among Syrian refugee populations in Lebanon, along with their sociodemographic and clinical correlates.Methods: A cross-sectional survey design was conducted as part of a collaborative project-“Sijilli”- led by the Global Health Institute at the American University of Beirut (Beirut, Lebanon) across 4 informal tented settlements for refugees (Beirut, Bekaa, North, South) in Lebanon among adult Syrian refugees (≥18), over a period extending from 2018 to 2020. The survey inquired about participants’ sociodemographic and clinical characteristics, and screened participants for symptoms of depression through sequential methodology using the Patient Health Questionnaire (PHQ-2 and PHQ-9).Results: A total of 3255 adult Syrian refugees were enrolled in the study. Of those refugees, only 46.73% (n=1521) screened positive on the PHQ-2 and were therefore eligible to complete the PHQ-9. The PHQ-9 analysis revealed high prevalence (22%) of moderate to severe depression in the total sample, suggestive of high probability for Major Depression Disorder (MDD). Further analyses indicate that being ≥45 years of age (OR 1.61, 95% CI 1.13-2.30), a woman (OR 1.34, 95% CI 1.06-1.70), widowed (OR 2.88, 95% CI 1.31-6.32), reporting a neurological (OR 1.73, 95% CI 1.15-2.60) or a mental health condition (OR 3.98, 95% CI 1.76-8.97) are major risk factors for depression.Conclusion: Our study suggests that an estimated one in four Syrian refugees in Lebanon have probable MDD, and our findings have important public health and clinical implications on refugee health. There is a need to enhance screening efforts, to improve access and referral to mental health services, and to improve post-migration factors among Syrian refugees in Lebanon.

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Prevalence of Anxiety and Depression Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study

Journal of Medical Education and Curricular Development ◽

10.1177/2382120521991150 ◽

2021 ◽

Vol 8 ◽

pp. 238212052199115 ◽

Cited By ~ 1

Author(s):

Scott J Halperin ◽

Matthew N Henderson ◽

Sofia Prenner ◽

Jonathan N Grauer

Keyword(s):

Mental Health ◽

Medical Students ◽

Demographic Data ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Physical And Mental Health ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Patient Health

Purpose: The Covid-19 pandemic is a public health emergency with both physical and mental health risks. Medical students have baseline elevated rates of anxiety, depression and burnout. As such, they may be especially susceptible to the psychological stresses of Covid-19. The current study aimed to evaluate the prevalence of anxiety and depression among United States medical students during the Covid-19 pandemic. Methods: A cross-sectional, survey-based study collected demographic data as well as the 7-item Generalized Anxiety Disorder (GAD-7) and the 9-item Patient Health Questionnaire (PHQ-9) to assess anxiety and depression symptoms, respectively. The survey was administered from April 13, 2020 to April 28, 2020 amidst the height of the Covid-19 pandemic. Results: A total of 1,428 students from 40 US medical schools completed the survey. From those surveyed, 30.6% and 24.3% of respondents screened positive for anxiety and depression, respectively. Median GAD-7 scores were higher among females (7.0 vs 5.0, P < .00001), pre-clinical students (7.0 vs 6.0, P < .00004), and those with a friend or relative diagnosed with Covid-19 (7.0 vs 6.0, P=.001). Median PHQ-9 scores were higher among females (6.0 vs 4.0, P < .00001) and pre-clinical students (6.0 vs 4.0, P < .00001). Conclusion: When compared to previous medical student studies, these results are 61% higher for anxiety and 70% higher for depression during the Covid-19 era. The current study suggests that there should be a heightened awareness of and sensitivity to student’s mental health during the Covid-19 pandemic with certain cohorts at greater potential risk.

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