High psychological burden of young family physicians early in the COVID-19 pandemic: Results from an exploratory survey; [Hohe psychische Belastung junger Hausärzte zu Beginn der COVID-19-Pandemie: Ergebnisse aus einer explorativen Umfrage]

被引：0

作者：

Küppers L. ^{[1
]}

Amarell N. ^{[1
]}

Thielmann A. ^{[1
]}

Filbert A.-L. ^{[1
]}

Schmidt M. ^{[1
]}

Kasten S. ^{[1
]}

Heser K. ^{[2
]}

Schneider A. ^{[2
]}

Westerteicher C. ^{[2
]}

Weltermann B. ^{[1
]}

机构：

[1] Institute of General Practice and Family Medicine, University Hospital Bonn

[2] Department for Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn

来源：

Zeitschrift für Allgemeinmedizin | 2021年 / 97卷 / 7-8期

关键词：

COVID-19; Family medicine; Healthcare professionals; Pandemic; Psychological distress;

D O I：

10.3238/zfa.2021.0325-0331

中图分类号：

学科分类号：

摘要：

Background Previous pandemics such as SARS in 2002 revealed an especially high psychological burden of frontline healthcare professionals in hospitals directly involved in the treatment of confirmed cases. As family physicians are among the first exposed to the SARS-CoV-2 virus, assessing their psychological burden and needs for support is important. Methods A web-based survey was distributed among family physicians of a German university teaching practice network. The questionnaire consisted of validated instruments to evaluate symptoms of psychological distress, i.e., the patient health questionnaire (PHQ-9), generalized anxiety disorder 7 (GAD-7), peritraumatic distress inventory (PDI), and insomnia severity index (ISI). Additional self-developed items addressed sociodemographic and professional characteristics including professional duties and protective equipment available. Effects between the symptoms were examined using bivariate Pearson correlation. Results The participation rate was 31 % (36 of 116) with 33 valid cases. About 47 % (n = 17) of the respondents were 56 years old or more. 66.7 % (n = 22) physicians reported moderate to severe depressive symptoms (PHQ-9 ≥ 10) and 51.5 % (n = 17) moderate to severe signs of anxiety (GAD-7 _ 10). Physicians with depressive symptoms showed more signs of anxiety (p <.001) and insomnia (p <.001). There is a negative correlation between age and severity of depressive symptoms (p =.041) and insomnia (p =.002). The regression analysis showed that younger participants were more likely to show depressive symptoms (β = –.358, p =.046), even after correcting for gender (R2 =.402). Conclusions Depressive symptoms were frequent among family physicians, especially in younger physicians who were also more likely to report symptoms of insomnia. The symptoms of psychological distress are unlikely to be explained by a lack of protective equipment, because the majority had sufficient supplies. © 2021, Deutscher Arzte-Verlag GmbH. All rights reserved.

引用

页码：325 / 331

页数：6

共 20 条

[1]

Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y., A nationwide survey of psychological distress among chinese people in the covid-19 epidemic: Implications and policy recommendations, Gen Psychiatr, 33, (2020)

[2]

Moccia L, Janiri D, Pepe M, Et al., Affective temperament, attachment style, and the psychological impact of the covid-19 outbreak: An early report on the italian general population, Brain Behav Immun, 87, pp. 75-79, (2020)

[3]

Yao H, Chen J-H, Xu Y-F., Patients with mental health disorders in the co-vid-19 epidemic, Lancet Psychiatry, 7, (2020)

[4]

Chew NWS, Lee GKH, Tan BYQ, Et al., A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during covid-19 outbreak, Brain Behav Immun, 88, pp. 559-565, (2020)

[5]

Lai J, Ma S, Wang Y, Et al., Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019, JAMA Open, 3, (2020)

[6]

Imai H, Matsuishi K, Ito A, Et al., Factors associated with motivation and hesitation to work among health professionals during a public crisis: A cross sectional study of hospital workers in japan during the pandemic (h1n1) 2009, BMC Public Health, 10, (2010)

[7]

Lee A, Chuh AAT., Facing the threat of influenza pandemic - roles of and implications to general practitioners, BMC Public Health, 10, (2010)

[8]

Modenese A, Gobba F., Increased risk of covid-19-related deaths among general practitioners in Italy, Healthcare (Basel), (2020)

[9]

Amerio A, Bianchi D, Santi F, Et al., Covid-19 pandemic impact on mental health: A web-based cross-sectional survey on a sample of italian general practitioners, Acta Biomed, 91, pp. 83-88, (2020)

[10]

Spitzer RL, Kroenke K, Williams JB., Validation and utility of a self-report version of prime-md: The phq primary care study. Primary care evaluation of mental disorders. Patient health questionnaire, JAMA, 282, pp. 1737-1744, (1999)

← 1 2 →