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Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against the COVID-19 in Gansu
23 Pages Posted: 13 Mar 2020
More...Abstract
Background: The outbreak of novel coronavirus pneumonia (COVID-19) has brought enormous physical and psychological pressure on Chinese medical staff. It is extremely important to understand the prevalence and influencing factors of anxiety and depression symptoms in first-line anti epidemic medical staff and their coping styles for these negative emotions.
Methods: A cross-sectional survey was conducted in Gansu (China), with a questionnaire packet which consisted of the self-rating anxiety scale (SAS), self-rating depression scale (SDS) and the simplified coping style questionnaire (SCSQ). A total of 79 doctors and 86 nurses participated in the survey. Correlation analysis was performed to explore the relationship between SAS, SDS and SCSQ score. A linear regression model was placed at determine the influencing factors for anxiety or depression symptoms.
Results: The prevalence rate of anxiety and depression symptoms among doctors was 11.4% and 45.6%, respectively. And history of depression or anxiety (T=-2.644, p= 0.010, 95%CI: -10.514~-1.481) was a risk factor for anxiety symptoms in doctors, while male (T=2.970, p=0.004, 95%CI: 2.667~13.521) was a protective factor for depression. The prevalence rate of anxiety and depression symptoms among nurses was 27.9% and 43.0%, respectively. And history of depression or anxiety was a common risk factor for anxiety symptoms (T=-3.635, p=0.000, 95%CI: -16.360~-4.789) and depression symptoms (T=-2.835, p=0.005, 95%CI:-18.238~-3.254) in nurses. The results of partial correlation analysis (controlled for gender and history of depression or anxiety) indicated that the total score of positive coping was negatively correlated with the total score of anxiety (r=-0.182, p=0.002) and depression (r=-0.253, p=0.001).
Conclusions: The first-line anti epidemic medical staff has high anxiety and depression symptoms, and adopting positive coping style will help to improve their negative emotions.
Funding Statement: This work was supported by grants from the China Ministry of Science and Technology (2009BAI77B03), National Natural Science Foundation of China (number 81671402), Clinical research center project of Shanghai Mental Health Center (CRC2017ZD02), the National Key R&D program of China (2017YFC1310501500), the Cultivation of Multidisciplinary interdisciplinary Project in Shanghai Jiaotong University (YG2019QNA10) and curriculum reform of Medical College of Shanghai Jiaotong University.
Declaration of Interests: The authors declare that they have no competing interests.
Ethics Approval Statement: Ethical approval was issued by the Ethics Committee of the Second Clinical Medical College of Lanzhou University, and all the participants had signed an informed consent before the study was initiated.
Keywords: COVID-19, anxiety, depression, medical staff, Chinese
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