Prevalence and Associated Factors of Depression and Anxiety Among Healthcare Workers During the Coronavirus Disease 2019 Pandemic: A Nationwide Study in Korea

被引：1

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

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2024年 / 39卷 / 13期

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.

引用

页数：18

共 66 条

[1] Physical and psychological workloads and their association with occupational fatigue among hospital service personnel [J].