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Prevalence and Associated Factors of Depression and Anxiety Among Healthcare Workers During the Coronavirus Disease 2019 Pandemic: A Nationwide Study in Korea
被引:0
|作者:
Lee, Shinwon
[1
,2
]
Hwang, Soyoon
[3
]
Kwon, Ki Tae
[3
]
Nam, Eunkyung
[3
]
Chung, Un Sun
[4
]
Kim, Shin-Woo
[5
]
Chang, Hyun-Ha
[5
]
Kim, Yoonjung
[5
]
Bae, Sohyun
[5
]
Shin, Ji-Yeon
[6
]
Bae, Sang-geun
[6
]
Ryoo, Hyun Wook
[7
]
Jeong, Juhwan
[8
]
Oh, Namhee
[9
]
Lee, So Hee
[10
]
Kim, Yeonjae
[11
]
Kang, Chang Kyung
[12
]
Park, Hye Yoon
[13
]
Park, Jiho
[14
]
Park, Se Yoon
[15
]
Kim, Bongyoung
[15
]
Cheong, Hae Suk
[16
]
Son, Ji Woong
[17
]
Lim, Su Jin
[18
]
Yun, Seongcheol
[19
]
Oh, Won Sup
[20
]
Park, Kyung-Hwa
[21
]
Lee, Ju-Yeon
[22
]
Heo, Sang Taek
[23
]
Lee, Ji-yeon
[24
]
机构:
[1] Pusan Natl Univ, Sch Med, Dept Internal Med, Pusan Natl Univ, Busan, South Korea
[2] Pusan Natl Univ Hosp, Med Res Inst, Busan, South Korea
[3] Kyungpook Natl Univ, Sch Med, Dept Internal Med, Div Infect Dis,Chilgok Hosp, 807 Hoguk Ro, Daegu 41404, South Korea
[4] Kyungpook Natl Univ, Childrens Hosp, Sch Med, Dept Psychiat, 807 Hoguk Ro, Daegu 41404, South Korea
[5] Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Internal Med,Div Infect Dis, Daegu, South Korea
[6] Kyungpook Natl Univ, Sch Med, Dept Prevent Med, Daegu, South Korea
[7] Kyungpook Natl Univ, Sch Med, Dept Emergency Med, Daegu, South Korea
[8] Kyungpook Natl Univ, Chilgok Hosp, Div Infect Dis, Daegu, South Korea
[9] Daegu Med Ctr, Hosp Infect Control Team, Daegu, South Korea
[10] Natl Med Ctr, Dept Psychiat, Seoul, South Korea
[11] Natl Med Ctr, Dept Internal Med, Div Infect Dis, Seoul, South Korea
[12] Seoul Natl Univ, Coll Med, Dept Internal Med, Seoul, South Korea
[13] Seoul Natl Univ, Seoul Natl Univ Hosp, Coll Med, Dept Psychiat, Seoul, South Korea
[14] Konkuk Univ, Sch Med, Med Ctr, Dept Internal Med, Seoul, South Korea
[15] Hanyang Univ, Coll Med, Dept Internal Med, Seoul, South Korea
[16] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Dept Internal Med, Div Infect Dis,Sch Med, Seoul, South Korea
[17] Konyang Univ Hosp, Dept Internal Med, Daejeon, South Korea
[18] Masan Med Ctr, Dept Internal Med, Div Resp Dis, Chang Won, South Korea
[19] Andong Med Ctr, Dept Internal Med, Andong, South Korea
[20] Kangwon Natl Univ, Dept Internal Med, Div Infect Dis, Sch Med, Chunchon, South Korea
[21] Chonnam Natl Univ, Med Sch, Dept Infect Dis, Gwangju, South Korea
[22] Chonnam Natl Univ, Med Sch, Dept Psychiat, Gwangju, South Korea
[23] Jeju Natl Univ, Dept Internal Med, Div Infect Dis, Coll Med, Jeju, South Korea
[24] Hankuk Univ Foreign Studies, Dept Counseling Psychol, Seoul, South Korea
关键词:
Depression;
Anxiety;
COVID-19;
Pandemic;
Healthcare Worker;
ACUTE RESPIRATORY SYNDROME;
GENERAL-POPULATION;
SUICIDAL IDEATION;
INSOMNIA;
SEVERITY;
COVID-19;
VALIDATION;
VERSION;
SYMPTOMS;
FATIGUE;
D O I:
10.3346/jkms.2024.39.e120
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Background: A healthcare system's collapse due to a pandemic, such as the coronavirus disease 2019 (COVID-19), can expose healthcare workers (HCWs) to various mental health problems. This study aimed to investigate the impact of the COVID-19 pandemic on the depression and anxiety of HCWs. Methods: A nationwide questionnaire -based survey was conducted on HCWs who worked in healthcare facilities and public health centers in Korea in December 2020. Patient Health Questionnaire -9 (PHQ-9) and Generalized Anxiety Disorder -7 (GAD -7) were used to measure depression and anxiety. To investigate factors associated with depression and anxiety, stepwise multiple logistic regression analysis was performed. Results: A total of 1,425 participating HCWs were included. The mean depression score (PHQ-9) of HCWs before and after COVID-19 increased from 2.37 to 5.39, and the mean anxiety score (GAD -7) increased from 1.41 to 3.41. The proportion of HCWs with moderate to severe depression (PHQ-9 >= 10) increased from 3.8% before COVID-19 to 19.5% after COVID-19, whereas that of HCWs with moderate to severe anxiety (GAD -7 >= 10) increased from 2.0% to 10.1%. In our study, insomnia, chronic fatigue symptoms and physical symptoms after COVID-19, anxiety score (GAD -7) after COVID-19, living alone, and exhaustion were positively correlated with depression. Furthermore, post -traumatic stress symptoms, stress score (Global Assessment of Recent Stress), depression score (PHQ-9) after COVID-19, and exhaustion were positively correlated with anxiety. Conclusion: In Korea, during the COVID-19 pandemic, HCWs commonly suffered from mental health problems, including depression and anxiety. Regularly checking the physical and mental health problems of HCWs during the COVID-19 pandemic is crucial, and social support and strategy are needed to reduce the heavy workload and psychological distress of HCWs.
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