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Article ; Online: Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan.

Du, Jiang / Dong, Lu / Wang, Tao / Yuan, Chenxin / Fu, Rao / Zhang, Lei / Liu, Bo / Zhang, Mingmin / Yin, Yuanyuan / Qin, Jiawen / Bouey, Jennifer / Zhao, Min / Li, Xin

General hospital psychiatry

2020 Volume 67, Page(s) 144–145

MeSH term(s)	Adult ; COVID-19/epidemiology ; COVID-19/psychology ; China ; Female ; Health Personnel/psychology ; Health Personnel/statistics & numerical data ; Humans ; Male ; Occupational Stress/epidemiology ; Occupational Stress/etiology ; Psychiatric Status Rating Scales ; Psychological Distress
Keywords	covid19
Language	English
Publishing date	2020-04-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	392299-6
ISSN	1873-7714 ; 0163-8343
ISSN (online)	1873-7714
ISSN	0163-8343
DOI	10.1016/j.genhosppsych.2020.03.011
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan

Du, Jiang / Dong, Lu / Wang, Tao / Yuan, Chenxin / Fu, Rao / Zhang, Lei / Liu, Bo / Zhang, Mingmin / Yin, Yuanyuan / Qin, Jiawen / Bouey, Jennifer / Zhao, Min / Li, Xin

Gen. hosp. psychiatr

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32381270
Database	COVID19

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Article ; Online: Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan

Du, Jiang / Dong, Lu / Wang, Tao / Yuan, Chenxin / Fu, Rao / Zhang, Lei / Liu, Bo / Zhang, Mingmin / Yin, Yuanyuan / Qin, Jiawen / Bouey, Jennifer / Zhao, Min / Li, Xin

General Hospital Psychiatry ; ISSN 0163-8343

2020

Keywords	Psychiatry and Mental health ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
DOI	10.1016/j.genhosppsych.2020.03.011
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The psychological states of people after Wuhan eased the lockdown.

Lu, Peixin / Li, Xin / Lu, Long / Zhang, Yue

PloS one

2020 Volume 15, Issue 11, Page(s) e0241173

Abstract: ... pressure during COVID-19. The psychological status among healthcare workers and residents were barely know ... among citizens in Wuhan was conducted. Among 1417 participants, 387(27.0%) were frontline healthcare workers and ... Checklist-Civilian Version (PCL-C). Results show that 16.1%,22.3% and 17.2% healthcare workers and 21.2%, 16 ...

Abstract	It has been two months since Wuhan eased the lockdown and the people of Wuhan have been under great pressure during COVID-19. The psychological status among healthcare workers and residents were barely know due to the lack of research after Wuhan eased of the lockdown. The purpose of this study was to assess people's mental health and the changes after Wuhan eased the lockdown. A cross-sectional online study among citizens in Wuhan was conducted. Among 1417 participants, 387(27.0%) were frontline healthcare workers and 1035(73.0%) were residents from the general public. Their COVID-19 psychological status was evaluated using Patient Health Questionnaire-9(PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), and the PTSD Checklist-Civilian Version (PCL-C). Results show that 16.1%,22.3% and 17.2% healthcare workers and 21.2%, 16.7% and 17.2% general public had symptoms of depression, anxiety and PTSD ranging from moderate to severe. Anxiety levels were not significantly different between healthcare workers and the general public. The decreased income and the frequent social media exposure are the risk factors for general public. Compared to the early COVID-19 epidemic period, the proportion of anxiety and depression among both the general public and health workers decreased after Wuhan eased the lockdown. Our finding can be used to help the government of Wuhan to develop psychological interventions to improve the mental health of the population and work as a reference of public health guidelines for other cities with severe COVID-19 outbreak.
MeSH term(s)	Adolescent ; Adult ; Anxiety/epidemiology ; Betacoronavirus ; COVID-19 ; China ; Coronavirus Infections/psychology ; Cross-Sectional Studies ; Depression/epidemiology ; Female ; Health Personnel/psychology ; Humans ; Male ; Mental Health ; Pandemics ; Patient Health Questionnaire ; Pneumonia, Viral/psychology ; Psychological Distress ; Quarantine/psychology ; SARS-CoV-2 ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-11-12
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0241173
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The psychological states of people after Wuhan eased the lockdown

Lu, Peixin / Li, Xin / Lu, Long / Zhang, Yue

PLOS ONE

2020 Volume 15, Issue 11, Page(s) e0241173

Abstract	It has been two months since Wuhan eased the lockdown and the people of Wuhan have been under great pressure during COVID-19. The psychological status among healthcare workers and residents were barely know due to the lack of research after Wuhan eased of the lockdown. The purpose of this study was to assess people’s mental health and the changes after Wuhan eased the lockdown. A cross-sectional online study among citizens in Wuhan was conducted. Among 1417 participants, 387(27.0%) were frontline healthcare workers and 1035(73.0%) were residents from the general public. Their COVID-19 psychological status was evaluated using Patient Health Questionnaire-9(PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), and the PTSD Checklist-Civilian Version (PCL-C). Results show that 16.1%,22.3% and 17.2% healthcare workers and 21.2%, 16.7% and 17.2% general public had symptoms of depression, anxiety and PTSD ranging from moderate to severe. Anxiety levels were not significantly different between healthcare workers and the general public. The decreased income and the frequent social media exposure are the risk factors for general public. Compared to the early COVID-19 epidemic period, the proportion of anxiety and depression among both the general public and health workers decreased after Wuhan eased the lockdown. Our finding can be used to help the government of Wuhan to develop psychological interventions to improve the mental health of the population and work as a reference of public health guidelines for other cities with severe COVID-19 outbreak.
Keywords	General Biochemistry, Genetics and Molecular Biology ; General Agricultural and Biological Sciences ; General Medicine ; covid19
Language	English
Publisher	Public Library of Science (PLoS)
Publishing country	us
Document type	Article ; Online
ISSN	1932-6203
DOI	10.1371/journal.pone.0241173
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: The psychological states of people after Wuhan eased the lockdown

Lu, Peixin / Li, Xin / Lu, Long / Zhang, Yue

PLoS One

Abstract	It has been two months since Wuhan eased the lockdown and the people of Wuhan have been under great pressure during COVID-19. The psychological status among healthcare workers and residents were barely know due to the lack of research after Wuhan eased of the lockdown. The purpose of this study was to assess people's mental health and the changes after Wuhan eased the lockdown. A cross-sectional online study among citizens in Wuhan was conducted. Among 1417 participants, 387(27.0%) were frontline healthcare workers and 1035(73.0%) were residents from the general public. Their COVID-19 psychological status was evaluated using Patient Health Questionnaire-9(PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), and the PTSD Checklist-Civilian Version (PCL-C). Results show that 16.1%,22.3% and 17.2% healthcare workers and 21.2%, 16.7% and 17.2% general public had symptoms of depression, anxiety and PTSD ranging from moderate to severe. Anxiety levels were not significantly different between healthcare workers and the general public. The decreased income and the frequent social media exposure are the risk factors for general public. Compared to the early COVID-19 epidemic period, the proportion of anxiety and depression among both the general public and health workers decreased after Wuhan eased the lockdown. Our finding can be used to help the government of Wuhan to develop psychological interventions to improve the mental health of the population and work as a reference of public health guidelines for other cities with severe COVID-19 outbreak.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #922704
Database	COVID19

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Article ; Online: The psychological states of people after Wuhan eased the lockdown.

Peixin Lu / Xin Li / Long Lu / Yue Zhang

PLoS ONE, Vol 15, Iss 11, p e

2020 Volume 0241173

Abstract	It has been two months since Wuhan eased the lockdown and the people of Wuhan have been under great pressure during COVID-19. The psychological status among healthcare workers and residents were barely know due to the lack of research after Wuhan eased of the lockdown. The purpose of this study was to assess people's mental health and the changes after Wuhan eased the lockdown. A cross-sectional online study among citizens in Wuhan was conducted. Among 1417 participants, 387(27.0%) were frontline healthcare workers and 1035(73.0%) were residents from the general public. Their COVID-19 psychological status was evaluated using Patient Health Questionnaire-9(PHQ-9), Generalized Anxiety Disorder 7-item (GAD-7), and the PTSD Checklist-Civilian Version (PCL-C). Results show that 16.1%,22.3% and 17.2% healthcare workers and 21.2%, 16.7% and 17.2% general public had symptoms of depression, anxiety and PTSD ranging from moderate to severe. Anxiety levels were not significantly different between healthcare workers and the general public. The decreased income and the frequent social media exposure are the risk factors for general public. Compared to the early COVID-19 epidemic period, the proportion of anxiety and depression among both the general public and health workers decreased after Wuhan eased the lockdown. Our finding can be used to help the government of Wuhan to develop psychological interventions to improve the mental health of the population and work as a reference of public health guidelines for other cities with severe COVID-19 outbreak.
Keywords	Medicine ; R ; Science ; Q
Subject code	360
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Acute psychological impact of coronavirus disease 2019 outbreak among psychiatric professionals in China: a multicentre, cross-sectional, web-based study.

Guo, Xin / McCutcheon, Robert / Pillinger, Toby / Arumuham, Atheeshaan / Chen, Jianhua / Ma, Simeng / Yang, Jun / Wang, Ying / Hu, Shaohua / Wang, Gaohua / Liu, Zhong-Chun

BMJ open

2021 Volume 11, Issue 5, Page(s) e047828

Abstract: ... in Wuhan, and 22.5% were frontline workers. A considerable proportion of participants reported ... among psychiatric professionals in mental health services during COVID-19 in China.: Design, setting and ... in China. Hospitals equipped with fever clinics or deployed on wards for patients with COVID-19 were ...

Abstract	Objectives: To assess the magnitude of mental health outcomes and associated factors among psychiatric professionals in mental health services during COVID-19 in China. Design, setting and participants: This cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from psychiatric professionals in 34 hospitals between 29 January and 7 February 2020, in China. Hospitals equipped with fever clinics or deployed on wards for patients with COVID-19 were eligible. Primary outcome and measures: The severity of symptoms of depression, anxiety, insomnia and distress were assessed by the Chinese versions of 9-item Patient Health Questionnaire, 7-item Generalised Anxiety Disorder, 7-item Insomnia Severity Index and 22-item Impact of Event Scale-Revised, respectively. Multivariable logistic regression and structural equation modelling was performed to identify factors associated with mental health outcomes. Results: A total of 610 psychiatric professionals were included. 29.8% were employed in Wuhan, and 22.5% were frontline workers. A considerable proportion of participants reported symptoms of depression (461 (75.6%)), anxiety (282 (46.2%)), insomnia (336 (55.1%)) and mental stress (481 (78.9%)). Psychiatric symptoms were associated with worrying about infection (eg, OR 2.36 (95% CI 1.27 to 4.39) for anxiety), risks of exposure to COVID-19 (eg, having inadequate personal protection equipment, OR 2.43 (1.32 to 4.47) for depression) and self-perceived physical health (eg, OR 3.22 (2.24 to 4.64) for mental stress). Information sources of COVID-19 were also found to be both positively (eg, information from relatives, OR 2.16 (1.46 to 3.21) for mental stress) and negatively (eg, information from TV, OR 0.52 (0.35 to 0.77) for mental stress) associated with mental stress. There is preliminary evidence that mental health might benefit from greater availability of mental healthcare services. The structural equation model analysis indicated that worrying about infection may be the primary mediator via which risk of exposure to COVID-19 pandemic affects the mental health of psychiatric professionals. Conclusions: The current findings demonstrate several pathways via which the COVID-19 pandemic may have negatively affected the mental health of psychiatric professionals in China.
MeSH term(s)	Anxiety/epidemiology ; COVID-19 ; China/epidemiology ; Cross-Sectional Studies ; Depression/epidemiology ; Disease Outbreaks ; Humans ; Internet ; Pandemics ; SARS-CoV-2 ; Stress, Psychological/epidemiology
Language	English
Publishing date	2021-05-11
Publishing country	England
Document type	Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2020-047828
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Acute psychological impact of coronavirus disease 2019 outbreak among psychiatric professionals in China

Jun Yang / Jianhua Chen / Gaohua Wang / Xin Guo / Robert McCutcheon / Toby Pillinger / Atheeshaan Arumuham / Simeng Ma / Shaohua Hu / Zhong-Chun Liu

BMJ Open, Vol 11, Iss

a multicentre, cross-sectional, web-based study

2021 Volume 5

Abstract: ... were frontline workers. A considerable proportion of participants reported symptoms of depression (461 ... among psychiatric professionals in mental health services during COVID-19 in China.Design, setting and participants ... with fever clinics or deployed on wards for patients with COVID-19 were eligible.Primary outcome and measures ...

Abstract	Objectives To assess the magnitude of mental health outcomes and associated factors among psychiatric professionals in mental health services during COVID-19 in China.Design, setting and participants This cross-sectional, survey-based, region-stratified study collected demographic data and mental health measurements from psychiatric professionals in 34 hospitals between 29 January and 7 February 2020, in China. Hospitals equipped with fever clinics or deployed on wards for patients with COVID-19 were eligible.Primary outcome and measures The severity of symptoms of depression, anxiety, insomnia and distress were assessed by the Chinese versions of 9-item Patient Health Questionnaire, 7-item Generalised Anxiety Disorder, 7-item Insomnia Severity Index and 22-item Impact of Event Scale-Revised, respectively. Multivariable logistic regression and structural equation modelling was performed to identify factors associated with mental health outcomes.Results A total of 610 psychiatric professionals were included. 29.8% were employed in Wuhan, and 22.5% were frontline workers. A considerable proportion of participants reported symptoms of depression (461 (75.6%)), anxiety (282 (46.2%)), insomnia (336 (55.1%)) and mental stress (481 (78.9%)). Psychiatric symptoms were associated with worrying about infection (eg, OR 2.36 (95% CI 1.27 to 4.39) for anxiety), risks of exposure to COVID-19 (eg, having inadequate personal protection equipment, OR 2.43 (1.32 to 4.47) for depression) and self-perceived physical health (eg, OR 3.22 (2.24 to 4.64) for mental stress). Information sources of COVID-19 were also found to be both positively (eg, information from relatives, OR 2.16 (1.46 to 3.21) for mental stress) and negatively (eg, information from TV, OR 0.52 (0.35 to 0.77) for mental stress) associated with mental stress. There is preliminary evidence that mental health might benefit from greater availability of mental healthcare services. The structural equation model analysis indicated that worrying about infection may be the ...
Keywords	Medicine ; R
Subject code	150
Language	English
Publishing date	2021-06-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China.

Cai, Zhongxiang / Cui, Qin / Liu, Zhongchun / Li, Juanjuan / Gong, Xuan / Liu, Jingfang / Wan, Zhiying / Yuan, Xiaoping / Li, Xiaofen / Chen, Chuang / Wang, Gaohua

Journal of psychiatric research

2020 Volume 131, Page(s) 132–137

Abstract: ... the coronavirus disease 2019 (COVID-19) outbreak.: Aims: To assess the magnitude of the psychological status ... The psychological status of nurses needs more attention during the COVID-19 pandemic, especially ... Background: Health care workers, especially frontline nurses, faced great challenges during ...

Abstract	Background: Health care workers, especially frontline nurses, faced great challenges during the coronavirus disease 2019 (COVID-19) outbreak. Aims: To assess the magnitude of the psychological status and associated risk factors among nurses in the pandemic center in Wuhan, China. Methods: In this study, we enrolled nurses from Renmin Hospital of Wuhan University. The questionnaire was designed to obtain basic information of the participants, and included four psychological assessment scales. We issued the questionnaires at two different points of time. We conducted the first survey on January 29 to February 2 (outbreak period) with 709 eligible responses, and the second survey on February 26 to February 28 (stable period) with 621 eligible responses. The nurses from Wuchang Fangcang shelter hospital were also enrolled in the second survey. Results: During the pandemic, over one-third of nurses suffered from depression, anxiety, and insomnia. In the outbreak period, the nurses showed significantly higher risks for depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms than those in the stable period (P < 0.01). Notably, the nurses from the Fangcang shelter hospitals were more likely to present psychological problems than those from other frontline or non-frontline (all P < 0.001) units, especially for insomnia (38.3% with severe insomnia). The nurses from the frontline, with worse physical condition and uncertain concerns about this pandemic as compared to the others, were more likely to bear psychological problems. Thus, online psychological information and sufficient protection conditions were effective interventions to help mitigate psychological distress. The nurses from Fangcang shelter hospitals suffered a significantly higher risk of psychological problems than those from other units. Conclusion: The psychological status of nurses needs more attention during the COVID-19 pandemic, especially for those who fought in the frontline during the peak of the outbreak.
MeSH term(s)	Adult ; Anxiety/epidemiology ; Anxiety/psychology ; COVID-19 ; China/epidemiology ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Depression/epidemiology ; Depression/psychology ; Epidemics ; Female ; Humans ; Longitudinal Studies ; Middle Aged ; Nursing Staff, Hospital/psychology ; Nursing Staff, Hospital/statistics & numerical data ; Occupational Diseases/epidemiology ; Occupational Diseases/psychology ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Risk Factors ; Sleep Initiation and Maintenance Disorders/epidemiology ; Sleep Initiation and Maintenance Disorders/psychology ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/psychology
Keywords	covid19
Language	English
Publishing date	2020-09-14
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	3148-3
ISSN	1879-1379 ; 0022-3956
ISSN (online)	1879-1379
ISSN	0022-3956
DOI	10.1016/j.jpsychires.2020.09.007
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