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Social Psychiatry and Psychiatric Epidemiology

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01-01-2021 | SARS-CoV-2 | Original Paper

Risk factors for anxiety of otolaryngology healthcare workers in Hubei province fighting coronavirus disease 2019 (COVID-19)

Authors: Xiuping Yang, Ya Zhang, Shuang Li, Xiong Chen

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2021

Abstract

Purpose

To ensure the mental health of the otolaryngology healthcare workers in the fight against coronavirus disease 2019 (COVID-19), it is important to know their mental status and to identify possible risk factors. In this study, we investigated the risk factors for the anxiety in the otolaryngology healthcare workers in Hubei province under the COVID-19 epidemic.

Methods

The otolaryngology healthcare workers in Hubei Province were surveyed using an online questionnaire in which anxiety was measured against the Zung Self-rating Anxiety Scale. Univariate and multivariate logistic regression analyses were used to evaluate the risk factors of anxiety.

Results

A total of 449 otolaryngology healthcare workers participated in the study. Of all the participants, 131 (29.18%) had anxiety symptoms. Compared with doctors, nurses were at a higher risk for anxiety (OR = 2.162, 95% CI 1.311–3.566). Participants who often suspected self-infection (OR = 4.239, 95% CI 1.647–10.909) or family member infection by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (OR = 4.485, 95% CI 1.511–13.313) were more likely to develop anxiety than those who never. The subjects who had colleagues diagnosed with COVID-19 were more vulnerable to anxiety (OR = 2.014, 95% CI 1.205–3.366). Respondents working in infectious isolation wards had a 3.522-fold increased risk of anxiety compared to those on leave (OR = 3.522, 95% CI 1.634–7.593).

Conclusion

Some otolaryngology healthcare workers in Hubei province experienced anxiety during the epidemic, but most of them did not receive treatment. The healthcare providers themselves should be informed about and aware of their own mental health, and should be given support as appropriate.

Trial registration number and date of registration

Chinese Clinical Trial Registry: ChiCTR2000030768, 2020/3/14.

Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, Zhang LJ (2020) Coronavirus disease 2019 (COVID-19): a perspective from China. Radiology. https://doi.org/10.1148/radiol.2020200490CrossRefPubMed

Chan JF, Yuan S, Kok KH, To KK, Chu H, Yang J, Xing F, Liu J, Yip CC, Poon RW, Tsoi HW, Lo SK, Chan KH, Poon VK, Chan WM, Ip JD, Cai JP, Cheng VC, Chen H, Hui CK, Yuen KY (2020) A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet 395:514–523. https://doi.org/10.1016/S0140-6736(20)30154-9CrossRefPubMedPubMedCentral

Cheng ZJ, Shan J (2020) 2019 Novel coronavirus: where we are and what we know. Infection. https://doi.org/10.1007/s15010-020-01401-yCrossRefPubMedPubMedCentral

Remes O, Brayne C, van der Linde R, Lafortune L (2016) A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain Behav 6(7):e00497. https://doi.org/10.1002/brb3.497CrossRefPubMedPubMedCentral

Baxter AJ, Scott KM, Vos T, Whiteford HA (2013) Global prevalence of anxiety disorders: a systematic review and meta-regression. Psychol Med 43:897–910CrossRefPubMed

Steel Z, Marnane C, Iranpour C et al (2014) The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol 43:476–493CrossRefPubMedPubMedCentral

Demyttenaere K, Bruffaerts R, Posada-Villa J et al (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291:2581–2590CrossRefPubMed

Zung WW (1971) A rating instrument for anxiety disorders. Psychosomatics 12:371–379CrossRefPubMed

Zung WW (1986) Prevalence of clinically significant anxiety in a family practice setting. Am J Psychiatry 143:1471–1472CrossRefPubMed

10.

Liu XC, Oda S, Peng X, Asai K (1997) Life events and anxiety in Chinese medical students. Soc Psychiatry Psychiatr Epidemiol 32:63–67CrossRefPubMed

11.

Dunstan DA, Scott N (2020) Norms for Zung's self-rating anxiety scale. BMC Psychiatry 20:90. https://doi.org/10.1186/s12888-019-2427-6CrossRefPubMedPubMedCentral

12.

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, Liu L, Shan H, Lei CL, DSC H, Du B, Li LJ, Zeng G, Yuen KY, Chen RC, Tang CL, Wang T, Chen PY, Xiang J, Li SY, Wang JL, Liang ZJ, Peng YX, Wei L, Liu Y, Hu YH, Peng P, Wang JM, Liu JY, Chen Z, Li G, Zheng ZJ, Qiu SQ, Luo J, Ye CJ, Zhu SY, Zhong NS (2020) Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 382:1708–1720. https://doi.org/10.1056/NEJMoa2002032CrossRefPubMed

13.

Jeong H, Yim HW, Song YJ, Ki M, Min JA, Cho J, Chae JH (2016) Mental health status of people isolated due to Middle East Respiratory Syndrome. Epidemiol Health 38:e2016048. https://doi.org/10.4178/epih.e2016048CrossRefPubMedPubMedCentral

14.

Costantini A, Mazzotti E (2020) Italian validation of CoViD-19 Peritraumatic Distress Index and preliminary data in a sample of general population. Riv Psichiatr 55:145–151. https://doi.org/10.1708/3382.33570CrossRefPubMed

15.

Ma HJ, Wang HW, Fang LQ, Jiang JF, Wei MT, Liu W, Zhao QM, Ma J, Cao WC (2004) A case–control study on the risk factors of severe acute respiratory syndromes among health care workers. Zhonghua Liu Xing Bing Xue Za Zhi 25:741–744PubMed

16.

Alexander AJ, Tan AK, Evans GA, Allen J (2003) Infection control for the otolaryngologist in the era of severe acute respiratory syndrome. J Otolaryngol 32:281–287. https://doi.org/10.2310/7070.2003.11398CrossRefPubMed

17.

Weaver MD, Vetter C, SMW R, O'Brien CS, Qadri S, Benca RM, Rogers AE, Leary EB, Walsh JK, Czeisler CA, Barger LK (2018) Sleep disorders, depression and anxiety are associated with adverse safety outcomes in healthcare workers: a prospective cohort study. J Sleep Res 27:e12722. https://doi.org/10.1111/jsr.12722CrossRefPubMedPubMedCentral

18.

Zhou C, Shi L, Gao L, Liu W, Chen Z, Tong X, Xu W, Peng B, Zhao Y, Fan L (2018) Determinate factors of mental health status in Chinese medical staff: a cross-sectional study. Medicine (Baltimore) 97:e0113. https://doi.org/10.1097/MD.0000000000010113CrossRef

19.

Ji D, Ji YJ, Duan XZ, Li WG, Sun ZQ, Song XA, Meng YH, Tang HM, Chu F, Niu XX, Chen GF, Li J, Duan HJ (2017) Prevalence of psychological symptoms among Ebola survivors and healthcare workers during the 2014–2015 Ebola outbreak in Sierra Leone: a cross-sectional study. Oncotarget 8:12784–12791. https://doi.org/10.18632/oncotarget.14498CrossRefPubMedPubMedCentral

20.

Bao Y, Sun Y, Meng S, Shi J, Lu L (2020) 2019-nCoV epidemic: address mental health care to empower society. Lancet 395:e37–e38. https://doi.org/10.1016/S0140-6736(20)30309-3CrossRefPubMedPubMedCentral

Title: Risk factors for anxiety of otolaryngology healthcare workers in Hubei province fighting coronavirus disease 2019 (COVID-19)
Authors: Xiuping Yang
Ya Zhang
Shuang Li
Xiong Chen
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Keywords: SARS-CoV-2
Otolaryngology Emergency
COVID-19
Anxiety
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 1/2021
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-020-01928-3

ACC 2024 Congress

Springer Medicine

Risk factors for anxiety of otolaryngology healthcare workers in Hubei province fighting coronavirus disease 2019 (COVID-19)

Abstract

Purpose

Methods

Results

Conclusion

Trial registration number and date of registration

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Trial registration number and date of registration

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