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논문 기본 정보

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저자정보
Lee Hyeon-Ah (Department of Psychiatry Uijeongbu St. Mary's Hospital College of Medicine The Catholic University) Ahn Myung Hee (Division of Psychiatry Health Screening and Promotion Center Asan Medical Center Seoul Korea.) Byun Seonjeong (Department of Psychiatry Uijeongbu St. Mary's Hospital College of Medicine The Catholic University) Lee Hae-Kook (Department of Psychiatry Uijeongbu St. Mary's Hospital College of Medicine The Catholic University) Kweon Yong-Sil (Department of Psychiatry Uijeongbu St. Mary's Hospital College of Medicine The Catholic University) Chung Seockhoon (Department of Psychiatry Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Shin Yong-Wook (Department of Psychiatry Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Lee Kyoung-Uk (Department of Psychiatry Uijeongbu St. Mary's Hospital College of Medicine The Catholic University)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.47
발행연도
2021.12
수록면
1 - 11 (11page)
DOI
10.3346/jkms.2021.36.e325

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초록· 키워드

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Background: The healthcare workers (HCWs) were exposed to never-experienced psychological distress during the early stage of the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to investigate how the COVID-19 pandemic affected the mental health of HCWs during the hospital lockdown period due to mass healthcareassociated infection during the early spread of COVID-19. Methods: A real-time online survey was conducted between April 14?18, 2020 among HCWs who worked at the university hospital where COVID-19 was confirmed in a patient, and the hospital was shut down for 3 weeks. Along with demographic variables and work-related information, psychological distress was measured using the Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), the Maslach Burnout InventoryGeneral Survey scale, and the Stress and Anxiety to Viral Epidemics-9. Results: The HCWs working in the cohort ward and those who have experienced social discrimination had significantly higher level of depression (PHQ-9 score; 5.24 ± 4.48 vs. 4.15 ± 4.38; P < 0.01 and 5.89 ± 4.78 vs. 3.25 ± 3.77; P < 0.001, respectively) and anxiety (GAD-7 score; 3.69 ± 3.68 vs. 2.87 ± 3.73; P < 0.05 and 4.20 ± 4.22 vs. 2.17 ± 3.06; P < 0.001, respectively) compared to other HCWs. Worries regarding the peer relationship and the skepticism about job were associated with depression (odds ratio [OR], 1.39; 95% confidence interval [CI], 1.07?1.79; P < 0.05 and OR, 1.69; 95% CI, 1.31?2.17; P < 0.001, respectively) and anxiety (OR, 1.73; 95% CI, 1.21?2.49; P < 0.01 and OR, 1.54; 95% CI, 1.09?2.17; P < 0.05, respectively), while fear of infection or worsening of health was not. Path analysis showed that work-related stress associated with the viral epidemic rather than anxiety about the viral epidemic mainly contributed to depression. Conclusion: The present observational study indicates that mental health problems of HCWs exposed to COVID-19 are associated with distress in work and social relationship. Early intervention programs focusing on these factors are necessary.
#COVID-19 #Psychological Distress #Social Discrimination #Healthcare Workers

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참고문헌 (48)

참고문헌 신청
Zhou P / 2020 / A pneumonia outbreak associated with a new coronavirus of probable bat origin / Nature 579(7798):270~273 google schola Kim T / 2020 / Letter to the Editor : Risk communication, shared responsibility, and mutual trust are matters : real lessons from closure of Eunpyeong St. Mary's Hospital due to coronavirus disease 2019 in Korea / J Korean Med Sci 35(16):e159 google schola Korean Society of Infectious Diseases / 2020 / Report on the Epidemiological Features of Coronavirus Disease 2019 (COVID-19) Outbreak in the Republic of Korea from January 19 to March 2, 2020 / Journal of Korean Medical Science 35(10):1~11 dbpia Lai J / 2020 / Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019 / JAMA Netw Open 3(3):e203976 google schola Zhu Z / 2020 / COVID-19 in Wuhan : sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers / EClinicalMedicine 24:100443 google schola

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