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Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population

Author

Listed:
  • Yiming Liang

    (CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
    Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China
    These authors contributed equally to this work.)

  • Kankan Wu

    (CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
    Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China
    These authors contributed equally to this work.)

  • Yongjie Zhou

    (Research Center for Psychological and Health Sciences, China University of Geosciences, Wuhan 430074, China)

  • Xin Huang

    (CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
    Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China)

  • Yueyue Zhou

    (CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
    Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China)

  • Zhengkui Liu

    (CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
    Department of Psychology, University of Chinese Academy of Sciences, Beijing 100049, China)

Abstract

Background: Since December 2019, China has been affected by a severe outbreak of coronavirus disease 2019 (COVID-19). Frontline medical workers experienced difficulty due to the high risk of being infected and long and distressing work shifts. The current study aims to evaluate psychological symptoms in frontline medical workers during the COVID-19 epidemic in China and to perform a comparison with the general population. Methods: An online survey was conducted from 14 February 2020 to 29 March 2020. A total of 899 frontline medical workers and 1104 respondents in the general population participated. Depression, anxiety, insomnia, and resilience were assessed via the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), Insomnia Severity Index (ISI), and abbreviated Connor–Davidson Resilience Scale (CD-RISC-10), respectively. Results: Overall, 30.43%, 20.29%, and 14.49% of frontline medical workers in Hubei Province and 23.13%, 13.14%, and 10.64% of frontline medical workers in other regions reported symptoms of depression, anxiety, and insomnia, respectively. In addition, 23.33%, 16.67%, and 6.67% of the general population in Hubei Province and 18.25%, 9.22%, and 7.17% of the general population in other regions reported symptoms of depression, anxiety, and insomnia, respectively. The resilience of frontline medical staff outside Hubei Province was higher than that of the general population outside Hubei Province. Conclusion: A large proportion of frontline medical workers and the general public experienced psychological symptoms during the COVID-19 outbreak. Psychological services for frontline medical workers and the general public are needed.

Suggested Citation

  • Yiming Liang & Kankan Wu & Yongjie Zhou & Xin Huang & Yueyue Zhou & Zhengkui Liu, 2020. "Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population," IJERPH, MDPI, vol. 17(18), pages 1-12, September.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6550-:d:410868
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    References listed on IDEAS

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    1. Lourdes Luceño-Moreno & Beatriz Talavera-Velasco & Yolanda García-Albuerne & Jesús Martín-García, 2020. "Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience and Burnout in Spanish Health Personnel during the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(15), pages 1-29, July.
    2. Cuiyan Wang & Riyu Pan & Xiaoyang Wan & Yilin Tan & Linkang Xu & Cyrus S. Ho & Roger C. Ho, 2020. "Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China," IJERPH, MDPI, vol. 17(5), pages 1-25, March.
    3. Yingfei Zhang & Zheng Feei Ma, 2020. "Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(7), pages 1-12, March.
    4. Raffaele Palladino & Jordy Bollon & Luca Ragazzoni & Francesco Barone-Adesi, 2020. "Excess Deaths and Hospital Admissions for COVID-19 Due to a Late Implementation of the Lockdown in Italy," IJERPH, MDPI, vol. 17(16), pages 1-6, August.
    5. Paweł Wańkowicz & Aleksandra Szylińska & Iwona Rotter, 2020. "Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients," IJERPH, MDPI, vol. 17(16), pages 1-8, August.
    6. Cristina Mazza & Eleonora Ricci & Silvia Biondi & Marco Colasanti & Stefano Ferracuti & Christian Napoli & Paolo Roma, 2020. "A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors," IJERPH, MDPI, vol. 17(9), pages 1-14, May.
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