Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan

Chen Zhang,1– 3 Daihui Peng,1– 3 Lu Lv,4 Kaiming Zhuo,1,3 Kai Yu,5 Tian Shen,4 Yifeng Xu,1,2 Zhen Wang1– 3 1Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 2Shanghai Key Laboratory of Psych...

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Autores principales:	Zhang C, Peng D, Lv L, Zhuo K, Yu K, Shen T, Xu Y, Wang Z
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	covid-19 stress anxiety depression wuhan Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8e65ac81493b46c493a40cbe9e48f5e2
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spelling	oai:doaj.org-article:8e65ac81493b46c493a40cbe9e48f5e22021-12-02T12:45:28ZIndividual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan1178-2021https://doaj.org/article/8e65ac81493b46c493a40cbe9e48f5e22020-10-01T00:00:00Zhttps://www.dovepress.com/individual-perceived-stress-mediates-psychological-distress-in-medical-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Chen Zhang,1– 3 Daihui Peng,1– 3 Lu Lv,4 Kaiming Zhuo,1,3 Kai Yu,5 Tian Shen,4 Yifeng Xu,1,2 Zhen Wang1– 3 1Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 2Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 3Shanghai Psychological Medical Team Supporting Hubei, Shanghai, People’s Republic of China; 4School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 5MoE Key Laboratory of Artificial Intelligence, AI Institute Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaCorrespondence: Zhen Wang Email wangzhen@smhc.org.cnYifeng Xu Email xuyifeng@smhc.org.cnBackground: Since the novel coronavirus disease (COVID-19) outbreak in Wuhan, thousands of medical workers have been dispatched to support Wuhan against the virus. The purpose of this study was to identify the independent risk factors for psychological distress in order to develop a more effective strategy and precise evidence-based psychological intervention for medical workers.Methods: This multisite cross-sectional survey recruited doctors and nurses from local and nonlocal medical teams working at 16 hospitals in Wuhan to complete this online survey from February to March, 2020. Psychological status was evaluated through Perceived Stress Scales (PSS), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder Scale (GAD-7) and Acute Stress Disorder Scale (ASDS).Results: Of 966 participants, the prevalence of stress (95.9%), depression (46.0%) and anxiety (39.3%) were high. Local medical workers exhibited even higher scores of PSS, PHQ-9, GAD-7 and ASDS than those from outside Hubei (P< 0.001). Females had more severe perceived stress, depression and anxiety than males (P< 0.001). Multiple logistic regression showed that perceived stress is associated with increased odds of depression (OR=1.413; 95% CI: 1.338– 1.493; P< 0.001) and anxiety (OR=1.515; 95% CI: 1.407– 1.631; P< 0.001).Conclusion: Our findings demonstrated a high prevalence of stress, depression, anxiety and acute distress among medical workers on the front-line during the COVID-19 outbreak in Wuhan. The level of psychological impact may be mediated by individual perceptions of stressful events.Keywords: COVID-19, stress, anxiety, depression, WuhanZhang CPeng DLv LZhuo KYu KShen TXu YWang ZDove Medical Pressarticlecovid-19stressanxietydepressionwuhanNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 2529-2537 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 stress anxiety depression wuhan Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	covid-19 stress anxiety depression wuhan Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Zhang C Peng D Lv L Zhuo K Yu K Shen T Xu Y Wang Z Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan
description	Chen Zhang,1– 3 Daihui Peng,1– 3 Lu Lv,4 Kaiming Zhuo,1,3 Kai Yu,5 Tian Shen,4 Yifeng Xu,1,2 Zhen Wang1– 3 1Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 2Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 3Shanghai Psychological Medical Team Supporting Hubei, Shanghai, People’s Republic of China; 4School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 5MoE Key Laboratory of Artificial Intelligence, AI Institute Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaCorrespondence: Zhen Wang Email wangzhen@smhc.org.cnYifeng Xu Email xuyifeng@smhc.org.cnBackground: Since the novel coronavirus disease (COVID-19) outbreak in Wuhan, thousands of medical workers have been dispatched to support Wuhan against the virus. The purpose of this study was to identify the independent risk factors for psychological distress in order to develop a more effective strategy and precise evidence-based psychological intervention for medical workers.Methods: This multisite cross-sectional survey recruited doctors and nurses from local and nonlocal medical teams working at 16 hospitals in Wuhan to complete this online survey from February to March, 2020. Psychological status was evaluated through Perceived Stress Scales (PSS), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder Scale (GAD-7) and Acute Stress Disorder Scale (ASDS).Results: Of 966 participants, the prevalence of stress (95.9%), depression (46.0%) and anxiety (39.3%) were high. Local medical workers exhibited even higher scores of PSS, PHQ-9, GAD-7 and ASDS than those from outside Hubei (P< 0.001). Females had more severe perceived stress, depression and anxiety than males (P< 0.001). Multiple logistic regression showed that perceived stress is associated with increased odds of depression (OR=1.413; 95% CI: 1.338– 1.493; P< 0.001) and anxiety (OR=1.515; 95% CI: 1.407– 1.631; P< 0.001).Conclusion: Our findings demonstrated a high prevalence of stress, depression, anxiety and acute distress among medical workers on the front-line during the COVID-19 outbreak in Wuhan. The level of psychological impact may be mediated by individual perceptions of stressful events.Keywords: COVID-19, stress, anxiety, depression, Wuhan
format	article
author	Zhang C Peng D Lv L Zhuo K Yu K Shen T Xu Y Wang Z
author_facet	Zhang C Peng D Lv L Zhuo K Yu K Shen T Xu Y Wang Z
author_sort	Zhang C
title	Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan
title_short	Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan
title_full	Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan
title_fullStr	Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan
title_full_unstemmed	Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan
title_sort	individual perceived stress mediates psychological distress in medical workers during covid-19 epidemic outbreak in wuhan
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/8e65ac81493b46c493a40cbe9e48f5e2
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Individual Perceived Stress Mediates Psychological Distress in Medical Workers During COVID-19 Epidemic Outbreak in Wuhan

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