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Published in: BMC Oral Health 1/2020

Open Access 01-12-2020 | Anxiety Disorder | Research article

Analysis of anxiety-related factors amongst frontline dental staff during the COVID-19 pandemic in Yichang, China

Authors: Suli Zhao, Jing Cao, Rongcan Sun, Lin Zhang, Beibei Liu

Published in: BMC Oral Health | Issue 1/2020

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Abstract

Background

Dental staff were characterized with the tolerance of enduring stress and they are at a high risk to respiratory infectious disease. This study compared the anxiety level of the frontline dental staff (FDS) to the general public in Yichang during the coronavirus disease of 2019 (COVID-19) pandemic and examined potential explanatory factors to the differences.

Methods

Two online questionnaires were used separately to collect data from FDS and the general public. The Chinese version of Beck Anxiety Inventory (BAI) was included for the assessment of anxiety. Firstly, a Chi-square test was conducted to compare the anxiety state between these two groups. Then, a bivariate analysis using Cramer’s V and Eta squared was conducted to find the potential factors. Lastly, a binary logistic regression was performed to examine the association between potential factors and the anxiety state of FDS.

Results

In general, FDS were 4.342 (95% CI: 2.427–7.768) times more likely to suffer from anxiety disorders than the general public. The bivariate analysis showed that age, Level Three Protective Measures (PM-3), conflicts with patients and/or colleagues were moderately associated with the anxiety state of FDS. But the knowledge of COVID-19, the treatment to suspected or confirmed cases both had a weak association with the anxiety among FDS. Conversely, workload, the exposure to potential infectious substance and conducting aerosol generated performance were not significantly related to the anxiety of FDS. As the model indicated, an elder age and PM-3 protective measures could lower the anxiety state of FDS, whereas the conflict with patients or/and colleagues would worsen it.

Conclusions

During the COVID-19 pandemic, FDS were more likely to suffer from anxiety disorders than the general public. An elder age, sufficient personal protective measures and good relationships with colleagues and patients would help them to maintain good mental health.
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Literature
1.
go back to reference Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497–506.CrossRef Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497–506.CrossRef
2.
go back to reference Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents. 2020;55:105924.CrossRef Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents. 2020;55:105924.CrossRef
3.
go back to reference Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12:9.CrossRef Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;12:9.CrossRef
4.
go back to reference Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Re. 2020;99:481–7.CrossRef Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Re. 2020;99:481–7.CrossRef
5.
go back to reference Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci. 2020;12:8.CrossRef Xu H, Zhong L, Deng J, Peng J, Dan H, Zeng X, et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. Int J Oral Sci. 2020;12:8.CrossRef
7.
go back to reference Long H, Zhao H, Chen A, Yao Z, Cheng B, Lu Q. Protecting medical staff from skin injury/disease caused by personal protective equipment during epidemic period of COVID-19: experience from China. J Eur Acad Dermatol Venereol. 2020;34:919–21.CrossRef Long H, Zhao H, Chen A, Yao Z, Cheng B, Lu Q. Protecting medical staff from skin injury/disease caused by personal protective equipment during epidemic period of COVID-19: experience from China. J Eur Acad Dermatol Venereol. 2020;34:919–21.CrossRef
8.
go back to reference Hu N, Pan S, Sun J, Wang Z, Mao H. Mental health treatment online during the COVID 19 outbreak. Eur Arch Psychiatry Clin Neurosci. 2020;270:783–4.CrossRef Hu N, Pan S, Sun J, Wang Z, Mao H. Mental health treatment online during the COVID 19 outbreak. Eur Arch Psychiatry Clin Neurosci. 2020;270:783–4.CrossRef
9.
go back to reference Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, et al. Implications for COVID-19: a systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020;111:103637.CrossRef Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, et al. Implications for COVID-19: a systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020;111:103637.CrossRef
10.
go back to reference Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res. 2020;288:112936.CrossRef Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: a cross-sectional study. Psychiatry Res. 2020;288:112936.CrossRef
11.
go back to reference Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020;88:92–7.CrossRef Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun. 2020;88:92–7.CrossRef
12.
go back to reference Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.CrossRef Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.CrossRef
13.
go back to reference Lee E, Lee H. Disaster awareness and coping: impact on stress, anxiety, and depression. Perspect Psychiatr Care. 2019;55:311–8.CrossRef Lee E, Lee H. Disaster awareness and coping: impact on stress, anxiety, and depression. Perspect Psychiatr Care. 2019;55:311–8.CrossRef
14.
go back to reference Al-Zubair NM, Al-ak’hali MS, Ghandour IA. Stress among dentists in Yemen. Saudi J Dent Res. 2014;6:140–5.CrossRef Al-Zubair NM, Al-ak’hali MS, Ghandour IA. Stress among dentists in Yemen. Saudi J Dent Res. 2014;6:140–5.CrossRef
15.
go back to reference Moore R, Brødsgaard I. Dentists’ perceived stress and its relation to perceptions about anxious patients. Community Dent Oral Epidemiol. 2001;29:73–80.CrossRef Moore R, Brødsgaard I. Dentists’ perceived stress and its relation to perceptions about anxious patients. Community Dent Oral Epidemiol. 2001;29:73–80.CrossRef
16.
go back to reference Wang XD, Wang XL, Ma H. Chapter 7: evaluation of depression and related problems. In: Wang XD, Wang XL, Ma H, editors. Mental health rating scale handbook. Updated edition. Beijing: China Mental Health Journal; 1999. p. 379–88. Wang XD, Wang XL, Ma H. Chapter 7: evaluation of depression and related problems. In: Wang XD, Wang XL, Ma H, editors. Mental health rating scale handbook. Updated edition. Beijing: China Mental Health Journal; 1999. p. 379–88.
17.
go back to reference Liang Y, Wang L, Zhu J. Factor structure and psychometric properties of Chinese version of Beck Anxiety Inventory in Chinese doctors. J Health Psychol. 2016;23:657–66.CrossRef Liang Y, Wang L, Zhu J. Factor structure and psychometric properties of Chinese version of Beck Anxiety Inventory in Chinese doctors. J Health Psychol. 2016;23:657–66.CrossRef
18.
go back to reference Ng T, Yeo HL, Shwe M, Gan YX, Chan A. Psychometric properties and measurement equivalence of the English and Chinese version of the Beck anxiety inventory in patients with breast cancer. Value Health. 2016;19:7. Ng T, Yeo HL, Shwe M, Gan YX, Chan A. Psychometric properties and measurement equivalence of the English and Chinese version of the Beck anxiety inventory in patients with breast cancer. Value Health. 2016;19:7.
19.
go back to reference Zhang Q, Wang Z, Wang X, Liu L, Zhang J, Zhou R. The effects of different stages of mindfulness meditation training on emotion regulation. Front Hum Neurosci. 2019;13:208.CrossRef Zhang Q, Wang Z, Wang X, Liu L, Zhang J, Zhou R. The effects of different stages of mindfulness meditation training on emotion regulation. Front Hum Neurosci. 2019;13:208.CrossRef
20.
go back to reference National Health Commission, National Administration of Traditional Chinese Medicine on March. Diagnosis and treatment protocol for novel coronavirus pneumonia (trial version 7). Chin Med J. 2020;133:027. National Health Commission, National Administration of Traditional Chinese Medicine on March. Diagnosis and treatment protocol for novel coronavirus pneumonia (trial version 7). Chin Med J. 2020;133:027.
21.
go back to reference Weiner IB, Stricker G, Widiger TA, Alonso A, Alonso S, Barlow DH, et al. Handbook of psychology: clinical psychology. New York: Wiley; 2003.CrossRef Weiner IB, Stricker G, Widiger TA, Alonso A, Alonso S, Barlow DH, et al. Handbook of psychology: clinical psychology. New York: Wiley; 2003.CrossRef
22.
go back to reference Bartley CE, Roesch SC. Coping with daily stress: the role of conscientiousness. Pers Individ Differ. 2011;50:79–83.CrossRef Bartley CE, Roesch SC. Coping with daily stress: the role of conscientiousness. Pers Individ Differ. 2011;50:79–83.CrossRef
23.
go back to reference Azeem DSM. Conscientiousness, neuroticism and burnout among healthcare employees. Int J Acad Res Bus Soc Sci. 2013;3:467–77. Azeem DSM. Conscientiousness, neuroticism and burnout among healthcare employees. Int J Acad Res Bus Soc Sci. 2013;3:467–77.
24.
go back to reference Zhong B, Luo W, Li H, Zhang Q, Liu X, Li W, Li Y. Knowledge, attitudes, and practices towards COVID- 19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020;16:1745–52.CrossRef Zhong B, Luo W, Li H, Zhang Q, Liu X, Li W, Li Y. Knowledge, attitudes, and practices towards COVID- 19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020;16:1745–52.CrossRef
Metadata
Title
Analysis of anxiety-related factors amongst frontline dental staff during the COVID-19 pandemic in Yichang, China
Authors
Suli Zhao
Jing Cao
Rongcan Sun
Lin Zhang
Beibei Liu
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01335-9

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