A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown

Background: The coronavirus disease-2019 (COVID-19) outbreak and a 3-month lockdown of Wuhan may have had a long-term impact on the mental health of frontline healthcare workers (HWs). However, there is still a lack of comparative studies on the mental health of front-line HWs in the initial phase o...

Full description

Bibliographic Details
Main Authors: Xiuli Qiu, Yan Lan, Jinfeng Miao, Hui Wang, He Wang, Jianhong Wu, Guo Li, Xin Zhao, Ziqin Cao, Junhua Mei, Wenzhe Sun, Zhou Zhu, Suiqiang Zhu, Wei Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2021.701032/full
_version_ 1819102193056219136
author Xiuli Qiu
Yan Lan
Jinfeng Miao
Hui Wang
He Wang
Jianhong Wu
Guo Li
Xin Zhao
Ziqin Cao
Junhua Mei
Wenzhe Sun
Zhou Zhu
Suiqiang Zhu
Wei Wang
author_facet Xiuli Qiu
Yan Lan
Jinfeng Miao
Hui Wang
He Wang
Jianhong Wu
Guo Li
Xin Zhao
Ziqin Cao
Junhua Mei
Wenzhe Sun
Zhou Zhu
Suiqiang Zhu
Wei Wang
author_sort Xiuli Qiu
collection DOAJ
description Background: The coronavirus disease-2019 (COVID-19) outbreak and a 3-month lockdown of Wuhan may have had a long-term impact on the mental health of frontline healthcare workers (HWs). However, there is still a lack of comparative studies on the mental health of front-line HWs in the initial phase of the lockdown and 1 month after the lifting of the lockdown.Methods: We recruited 1717 HWs during the initial phase of the lockdown and 2214 HWs 1 month after the lifting of the lockdown, and their baseline characteristics and psychiatric health in these two phases were compared. Furthermore, Pearson's Chi-square test and multivariate logistic regression analysis were used to determine the possible risk factors associated with depressive symptoms in the front-line HWs.Results: Compared with the initial phase of the lockdown, the proportion of HWs with anxiety symptoms and stress decreased, while the proportion of HWs with depressive symptoms increased a month after the lifting of the lockdown. Male sex, exercise habit, comorbidities, and having family members or relatives with suspected or confirmed COVID-19 infection were significantly related to the increased incidence of depressive symptoms during the initial phase of the lockdown. Comorbidities, negative effect of media coverage, working >4 days a week, lower annual household income, and deteriorating relationships with family members were associated with depressive symptoms a month after the lifting of the lockdown.Conclusion: The increased proportion of HWs with depressive symptoms 1 month after the lifting of the lockdown suggested that mental health of front-line HWs should be a top-priority issue, not only during, but also after the pandemic.
first_indexed 2024-12-22T01:30:40Z
format Article
id doaj.art-a75956127d1647fdbfd7deb7558bc56e
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-12-22T01:30:40Z
publishDate 2021-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-a75956127d1647fdbfd7deb7558bc56e2022-12-21T18:43:30ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-06-011210.3389/fpsyt.2021.701032701032A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the LockdownXiuli Qiu0Yan Lan1Jinfeng Miao2Hui Wang3He Wang4Jianhong Wu5Guo Li6Xin Zhao7Ziqin Cao8Junhua Mei9Wenzhe Sun10Zhou Zhu11Suiqiang Zhu12Wei Wang13Department of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaNursing Department, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Medical Affair, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastrointestinal Surgery, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Chemistry, Emory University, Atlanta, GA, United StatesDepartment of Neurology, Wuhan First Hospital, Wuhan, ChinaDepartment of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, ChinaBackground: The coronavirus disease-2019 (COVID-19) outbreak and a 3-month lockdown of Wuhan may have had a long-term impact on the mental health of frontline healthcare workers (HWs). However, there is still a lack of comparative studies on the mental health of front-line HWs in the initial phase of the lockdown and 1 month after the lifting of the lockdown.Methods: We recruited 1717 HWs during the initial phase of the lockdown and 2214 HWs 1 month after the lifting of the lockdown, and their baseline characteristics and psychiatric health in these two phases were compared. Furthermore, Pearson's Chi-square test and multivariate logistic regression analysis were used to determine the possible risk factors associated with depressive symptoms in the front-line HWs.Results: Compared with the initial phase of the lockdown, the proportion of HWs with anxiety symptoms and stress decreased, while the proportion of HWs with depressive symptoms increased a month after the lifting of the lockdown. Male sex, exercise habit, comorbidities, and having family members or relatives with suspected or confirmed COVID-19 infection were significantly related to the increased incidence of depressive symptoms during the initial phase of the lockdown. Comorbidities, negative effect of media coverage, working >4 days a week, lower annual household income, and deteriorating relationships with family members were associated with depressive symptoms a month after the lifting of the lockdown.Conclusion: The increased proportion of HWs with depressive symptoms 1 month after the lifting of the lockdown suggested that mental health of front-line HWs should be a top-priority issue, not only during, but also after the pandemic.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.701032/fullCOVID-19front-line healthcare workersdepressive symptomsanxiety symptomsstress
spellingShingle Xiuli Qiu
Yan Lan
Jinfeng Miao
Hui Wang
He Wang
Jianhong Wu
Guo Li
Xin Zhao
Ziqin Cao
Junhua Mei
Wenzhe Sun
Zhou Zhu
Suiqiang Zhu
Wei Wang
A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown
Frontiers in Psychiatry
COVID-19
front-line healthcare workers
depressive symptoms
anxiety symptoms
stress
title A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown
title_full A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown
title_fullStr A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown
title_full_unstemmed A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown
title_short A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown
title_sort comparative study on the psychological health of frontline health workers in wuhan under and after the lockdown
topic COVID-19
front-line healthcare workers
depressive symptoms
anxiety symptoms
stress
url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.701032/full
work_keys_str_mv AT xiuliqiu acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT yanlan acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT jinfengmiao acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT huiwang acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT hewang acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT jianhongwu acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT guoli acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT xinzhao acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT ziqincao acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT junhuamei acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT wenzhesun acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT zhouzhu acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT suiqiangzhu acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT weiwang acomparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT xiuliqiu comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT yanlan comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT jinfengmiao comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT huiwang comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT hewang comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT jianhongwu comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT guoli comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT xinzhao comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT ziqincao comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT junhuamei comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT wenzhesun comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT zhouzhu comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT suiqiangzhu comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown
AT weiwang comparativestudyonthepsychologicalhealthoffrontlinehealthworkersinwuhanunderandafterthelockdown