Association between Working Hours and Anxiety/Depression of Medical Staff during Large-Scale Epidemic Outbreak of COVID-19: A Cross-Sectional Study
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Objective This present study aimed to investigate the relationship between working hours and anxiety/depression mood of medical staff in China during COVID-19 epidemic.<br/>Methods The cross-sectional interview study was conducted during the period between February 14th and February 29th, 2020. A total of 291 Chinese medical professionals were recruited from 4 cities and participated in the study.<br/>Results In 291 participants, 116 (40.0%) medical staff experienced anxiety and 151 (51.8%) underwent depressed mood. In male, the level of GAD-7 and PHQ-9 scores increased with the elevation of working hours per day (WHPD) (β=0.579, p=0.003 and β=0.943; p=0.001) respectively. In female, nonlinear relationship mode was demonstrated. The levels of GAD-7 and PHQ-9 scores increased with the elevation of working hours when it was above 5 hours (β=1.432; p<0.001 and β=1.177; p<0.001), but it did not have a significant association with WHPD when it was less than 5 (p>0.05).<br/>Conclusion During the COVID-19 epidemic, we found a strong correlation between the psychological mood and WHPD. The correlation followed different modes in male and female medical workers. Enforcing an upper time limit of WHPD may help decrease the risk of pandemic-related psychological problems in medical workers.
Abstract
Objective This present study aimed to investigate the relationship between working hours and anxiety/depression mood of medical staff in China during COVID-19 epidemic.<br/>Methods The cross-sectional interview study was conducted during the period between February 14th and February 29th, 2020. A total of 291 Chinese medical professionals were recruited from 4 cities and participated in the study.<br/>Results In 291 participants, 116 (40.0%) medical staff experienced anxiety and 151 (51.8%) underwent depressed mood. In male, the level of GAD-7 and PHQ-9 scores increased with the elevation of working hours per day (WHPD) (β=0.579, p=0.003 and β=0.943; p=0.001) respectively. In female, nonlinear relationship mode was demonstrated. The levels of GAD-7 and PHQ-9 scores increased with the elevation of working hours when it was above 5 hours (β=1.432; p<0.001 and β=1.177; p<0.001), but it did not have a significant association with WHPD when it was less than 5 (p>0.05).<br/>Conclusion During the COVID-19 epidemic, we found a strong correlation between the psychological mood and WHPD. The correlation followed different modes in male and female medical workers. Enforcing an upper time limit of WHPD may help decrease the risk of pandemic-related psychological problems in medical workers.
참고문헌 (24)
- Huang G, "Diagnosis and treatment of SARS", Chin J Respir Crit Care Med, 002, pp.153~160 (2003)
- "Joint prevention and control mechanism for novel coronavirus pneumoni"[URL]
- Nickell LA, "Psychosocial effects of SARS on hospital staff : survey of a large tertiary care institution", CMAJ, 170, pp.793~798 (2004)
- Chen CS, "Psychological distress of nurses in Taiwan who worked during the outbreak of SARS", Psychiatr Serv, 56, pp.76~79 (2005)
- Lung FW, "Mental symptoms in different health professionals during the SARS attack : a follow-up study", Psychiatr Q, 80, pp.107~116 (2009)
- Qiu J, "A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic : implications and policy recommendations", Gen Psychiatr, 33, pp.e100213~ (2020)
- Wang C, "Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease(COVID-19)epidemic among the general population in China", Int J Environ Res Public Health, 17 (2020)
- Bannai A, "The association between long working hours and health : a systematic review of epidemiological evidence", Scand J Work Environ Health, 40, pp.5~18 (2014)
- Gong Y, "Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China : a cross-sectional study", Plos One, 9, pp.e103242~ (2014)
- Wang W, "Reliability and validity of the Chinese version of the Patient Health Questionnaire(PHQ-9)in the general population", Gen Hosp Psychiatry, 36, pp.539~544 (2014)
- He X, "Reliability and validity of a generalized anxiety scale in general hospital outpatients", Shanghai Arch Psychiatry, 22, pp.200~203 (2010)
- Wang Y, "Reliability and validity of generalized anxiety scale-7 in patients in Chinese general hospital", J Clin Psychiatr, 28, pp.168~171 (2018)
- Kang L, "The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus", Lancet Psychiatry, 7, pp.e14~ (2020)
- Chan AO, "Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore", Occup Med(Lond), 54, pp.190~196 (2004)
- Lee SM, "Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients", Compr Psychiatry, 87, pp.123~127 (2018)
- Zhang WR, "Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China", Psychother Psychosom, 89, pp.242~250 (2020)
- Luo M, "The psychological and mental impact of coronavirus disease 2019(COVID-19)on medical staff and general public-A systematic review and meta-analysis", Psychiatry Res, 291, pp.113190~ (2020)
- Virtanen M, "Long working hours and symptoms of anxiety and depression : a 5-year follow-up of the Whitehall II study", Psychol Med, 41, pp.2485~2494 (2011)
- Lai J, "Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019", JAMA Netw Open, 3, pp.e203976~ (2020)
- Kang MY, "The relationship between shift work and mental health among electronics workers in South Korea : a cross-sectional study", PLoS One, 12, pp.e0188019~ (2017)
- Su TP, "Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak : a prospective and periodic assessment study in Taiwan", J Psychiatr Res, 41, pp.119~130 (2007)
- Dai Y, "Psychological impact of the coronavirus disease 2019(COVID-19)outbreak on healthcare workers in China", MedRxiv (2020)
- Virtanen M, "Overtime work as a predictor of major depressive episode : a 5-year follow-up of the Whitehall II study", PLoS One, 7, pp.e30719~ (2012)
- Khoa LD, "The prevalence of job stressors among nurses in private in vitro fertilization(IVF)centres", Nurs Open, 6, pp.39~49 (2019)
