Comparison of psychological symptoms between infected and non-infected COVID-19 health care workers.
Anxiety
COVID-19
Depression
Health care workers
PTSD
Stress
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
26 03 2021
26 03 2021
Historique:
received:
12
11
2020
accepted:
17
03
2021
entrez:
27
3
2021
pubmed:
28
3
2021
medline:
2
4
2021
Statut:
epublish
Résumé
Studies have shown that health care workers (HCWs), as front liners of the coronavirus (COVID-19) pandemic, are at high risk for psychological symptoms, but few studies have compared these symptoms in infected and non-infected HCWs. This study compares psychological symptoms among these two groups. In this cross-sectional study, 938 HCWs from various medical fields working in the leading general hospitals of Alborz province, Iran, were selected using a multistage sampling method. The participants had contact with COVID-19 patients. Post-traumatic stress disorder-8 (PTSD-8) is a validated questionnaire that we used to evaluate PTSD symptoms along with its subscales, including intrusion, avoidance, and hypervigilance. Also, the Depression, Anxiety, and Stress Scale-21 questionnaire was used to assess the severity of the aforementioned conditions in HCWs. Multivariate logistic regression was used to compare psychological symptoms in infected and non-infected HCWs. Among 938 included HCWs, 55 had a history of confirmed COVID-19 infection. Prevalence of stress, anxiety, depression, intrusion, hypervigilance, and avoidance among infected HCWs were significantly higher in comparison to non-infected HCWs. In the multivariate logistic model, history of COVID-19 infection among HCWs was associated with a significantly increased risk of anxiety, depression, stress, intrusion, hyper-vigilance, and avoidance. The present study showed that the HCWs with COVID-19 infection were at a high risk of displaying psychological symptoms. Therefore, it is also necessary to develop psychological support and interventions for HCWs, especially those who got infected with the virus.
Sections du résumé
BACKGROUND
Studies have shown that health care workers (HCWs), as front liners of the coronavirus (COVID-19) pandemic, are at high risk for psychological symptoms, but few studies have compared these symptoms in infected and non-infected HCWs. This study compares psychological symptoms among these two groups.
METHODS
In this cross-sectional study, 938 HCWs from various medical fields working in the leading general hospitals of Alborz province, Iran, were selected using a multistage sampling method. The participants had contact with COVID-19 patients. Post-traumatic stress disorder-8 (PTSD-8) is a validated questionnaire that we used to evaluate PTSD symptoms along with its subscales, including intrusion, avoidance, and hypervigilance. Also, the Depression, Anxiety, and Stress Scale-21 questionnaire was used to assess the severity of the aforementioned conditions in HCWs. Multivariate logistic regression was used to compare psychological symptoms in infected and non-infected HCWs.
RESULTS
Among 938 included HCWs, 55 had a history of confirmed COVID-19 infection. Prevalence of stress, anxiety, depression, intrusion, hypervigilance, and avoidance among infected HCWs were significantly higher in comparison to non-infected HCWs. In the multivariate logistic model, history of COVID-19 infection among HCWs was associated with a significantly increased risk of anxiety, depression, stress, intrusion, hyper-vigilance, and avoidance.
CONCLUSION
The present study showed that the HCWs with COVID-19 infection were at a high risk of displaying psychological symptoms. Therefore, it is also necessary to develop psychological support and interventions for HCWs, especially those who got infected with the virus.
Identifiants
pubmed: 33771122
doi: 10.1186/s12888-021-03173-7
pii: 10.1186/s12888-021-03173-7
pmc: PMC7995388
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
170Références
CMAJ. 2003 May 13;168(10):1245-51
pubmed: 12743065
Clin Pract Epidemiol Ment Health. 2010 Sep 28;6:101-8
pubmed: 21253461
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Mar 20;38(3):192-195
pubmed: 32131151
Iran J Psychiatry. 2020 Oct;15(4):340-350
pubmed: 33240384
Clin Psychol Psychother. 2020 May;27(3):384-395
pubmed: 32415733
Acad Med. 2020 Aug;95(8):1136-1139
pubmed: 32282344
Diabetes Metab Syndr. 2020 Sep - Oct;14(5):779-788
pubmed: 32526627
J Travel Med. 2020 May 18;27(3):
pubmed: 32125413
J Med Internet Res. 2020 May 19;22(5):e19556
pubmed: 32369026
JAMA Netw Open. 2020 Mar 2;3(3):e203976
pubmed: 32202646
Psychiatry Clin Neurosci. 2020 Sep;74(9):499-501
pubmed: 32592626
PLoS One. 2020 May 19;15(5):e0233145
pubmed: 32428041
J Travel Med. 2020 May 18;27(3):
pubmed: 32307545
Asian J Psychiatr. 2020 Jun;51:102157
pubmed: 32416532
Philos Trans R Soc Lond B Biol Sci. 2004 Jul 29;359(1447):1117-25
pubmed: 15306398
Front Psychiatry. 2021 Jun 07;12:562899
pubmed: 34163377
J Psychosom Res. 2008 Feb;64(2):177-83
pubmed: 18222131
Int J Epidemiol. 2016 Apr;45(2):565-75
pubmed: 27097747
Brain Behav Immun. 2020 Jul;87:11-17
pubmed: 32240764
Annu Rev Public Health. 2015 Mar 18;36:89-108
pubmed: 25785886
Gen Psychiatr. 2020 Mar 6;33(2):e100213
pubmed: 32215365
Psychiatry Res. 2020 Jun;288:113024
pubmed: 32315874
Public Health. 2020 May;182:187
pubmed: 32339884
Lancet Psychiatry. 2020 Jul;7(7):611-627
pubmed: 32437679
Psychiatr Q. 2009 Jun;80(2):107-16
pubmed: 19247834
Psychiatry Res. 2020 Jun;288:112936
pubmed: 32276196
Psychol Health Med. 2021 Jan;26(1):23-34
pubmed: 32286091
Psychiatry Res. 2020 May;287:112934
pubmed: 32229390
Eur J Emerg Med. 2005 Feb;12(1):13-8
pubmed: 15674079
PLoS One. 2020 Apr 16;15(4):e0231924
pubmed: 32298385
Int J Clin Pract. 2020 Sep;74(9):e13559
pubmed: 32460433
Arch Iran Med. 2020 Apr 01;23(4):284
pubmed: 32271606
Brain Behav Immun. 2020 Aug;88:559-565
pubmed: 32330593
N Engl J Med. 2020 Aug 6;383(6):510-512
pubmed: 32283003