Frontiers in Psychiatry (Jun 2021)
Depressive State in the Emergency Department During COVID-19: A National Cross-Sectional Survey in China
- Shuang Liu,
- Wei Han,
- Chenyu Shen,
- Changju Zhu,
- Qiaofang Wang,
- Xianquan Liang,
- Xiangxi He,
- Qin Xie,
- Jie Wei,
- Miao Wu,
- Xiaodong Zhao,
- Hongsheng Liu,
- Danping Liu,
- Xiaowang Guo,
- Shinan Nie,
- Liping Cao,
- Linxin Lu,
- Yaqin Fang,
- Zhongqiu Lu,
- Yixu Wu,
- Min Zhao,
- Jun Han,
- Xinchao Zhang,
- Jie Chang,
- Shuogui Xu,
- Wenjie Ma,
- Junli Si,
- Suxia Qi,
- Peng Peng,
- Yage Chai,
- Yu Cao,
- Yaowen Jiang,
- Wen Yin,
- Yanjun Wang,
- Hong Zhan,
- Yingxiong Huang,
- Ying Deng,
- Juanjuan Song,
- Lishan Yang,
- Jiali Wu,
- Banghan Ding,
- Danwen Zheng,
- Chuanyun Qian,
- Rui Huang,
- Jiyan Lin,
- Zhihong Xu,
- Guoxiu Zhang,
- Yingying Hu,
- Qingli Dou,
- Xiaoming Zhang,
- Yingping Tian,
- Dongqi Yao,
- Joseph Harold Walline,
- Huadong Zhu,
- Jun Xu,
- Yi Li,
- Xuezhong Yu
Affiliations
- Shuang Liu
- Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China
- Wei Han
- Institute of Basic Medical Sciences, School of Basic Medicine, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
- Chenyu Shen
- Department of Psychiatric, Yuquan Hospital Tsinghua University, Beijing, China
- Changju Zhu
- Department of Emergency Medicine, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
- Qiaofang Wang
- Department of Emergency Medicine, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
- Xianquan Liang
- Department of Emergency Medicine, The Second People's Hospital of Guiyang, Guiyang, China
- Xiangxi He
- Department of Emergency Medicine, The Second People's Hospital of Guiyang, Guiyang, China
- Qin Xie
- Department of Intensive Care, Zhongnan Hospital of Wuhan University, Wuhan, China
- Jie Wei
- Department of Emergency Medicine, Renmin Hospital of Wuhan University, Wuhan, China
- Miao Wu
- Department of Emergency Medicine, Renmin Hospital of Wuhan University, Wuhan, China
- Xiaodong Zhao
- Department of Emergency Medicine, Fourth Medical Center of PLA General Hospital, Beijing, China
- Hongsheng Liu
- Department of Emergency Medicine, Fourth Medical Center of PLA General Hospital, Beijing, China
- Danping Liu
- Department of Emergency Medicine, Shaanxi Provincial People's Hospital, Xi'an, China
- Xiaowang Guo
- Department of Emergency Medicine, Shaanxi Provincial People's Hospital, Xi'an, China
- Shinan Nie
- 0Department of Emergency Medicine, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
- Liping Cao
- 0Department of Emergency Medicine, Jinling Hospital, Medical School of Nanjing University, Nanjing, China
- Linxin Lu
- 1Department of Emergency Medicine, Shanxi Bethune Hospital, Taiyuan, China
- Yaqin Fang
- 1Department of Emergency Medicine, Shanxi Bethune Hospital, Taiyuan, China
- Zhongqiu Lu
- 2Department of Emergency Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
- Yixu Wu
- 2Department of Emergency Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
- Min Zhao
- 3Department of Emergency Medicine, China Medical University of Shengjing Hospital, Shenyang, China
- Jun Han
- 3Department of Emergency Medicine, China Medical University of Shengjing Hospital, Shenyang, China
- Xinchao Zhang
- 4Department of Emergency Medicine, Beijing Hospital, Beijing, China
- Jie Chang
- 4Department of Emergency Medicine, Beijing Hospital, Beijing, China
- Shuogui Xu
- 5Department of Emergency Medicine, Changhai Hospital, Shanghai, China
- Wenjie Ma
- 5Department of Emergency Medicine, Changhai Hospital, Shanghai, China
- Junli Si
- 6Department of Emergency Medicine, Qingdao Municipal Hospital, Qingdao, China
- Suxia Qi
- 6Department of Emergency Medicine, Qingdao Municipal Hospital, Qingdao, China
- Peng Peng
- 7Department of Emergency Medicine, The First Affiliate Hospital of Xinjiang Medical University, Wulumuqi, China
- Yage Chai
- 7Department of Emergency Medicine, The First Affiliate Hospital of Xinjiang Medical University, Wulumuqi, China
- Yu Cao
- 8Department of Emergency Medicine, West China Hospital of Sichuan University, Chengdu, China
- Yaowen Jiang
- 8Department of Emergency Medicine, West China Hospital of Sichuan University, Chengdu, China
- Wen Yin
- 9Department of Emergency Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China
- Yanjun Wang
- 9Department of Emergency Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China
- Hong Zhan
- 0Department of Emergency Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
- Yingxiong Huang
- 0Department of Emergency Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
- Ying Deng
- 1Department of Emergency Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin, China
- Juanjuan Song
- 1Department of Emergency Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin, China
- Lishan Yang
- 2Department of Emergency Medicine, General Hospital of Ningxia Medical University, Nanjing, China
- Jiali Wu
- 2Department of Emergency Medicine, General Hospital of Ningxia Medical University, Nanjing, China
- Banghan Ding
- 3Department of Emergency Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
- Danwen Zheng
- 3Department of Emergency Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
- Chuanyun Qian
- 4Department of Emergency Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, China
- Rui Huang
- 4Department of Emergency Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, China
- Jiyan Lin
- 5Department of Emergency Medicine, The First Affiliated Hospital of Xiamen University, Xiamen, China
- Zhihong Xu
- 5Department of Emergency Medicine, The First Affiliated Hospital of Xiamen University, Xiamen, China
- Guoxiu Zhang
- 6Department of Emergency Medicine, The First Affiliated Hospital and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China
- Yingying Hu
- 6Department of Emergency Medicine, The First Affiliated Hospital and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China
- Qingli Dou
- 7Department of Emergency Medicine, People's Hospital of Shenzhen, Shenzhen, China
- Xiaoming Zhang
- 7Department of Emergency Medicine, People's Hospital of Shenzhen, Shenzhen, China
- Yingping Tian
- 8Department of Emergency Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China
- Dongqi Yao
- 8Department of Emergency Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China
- Joseph Harold Walline
- 9Accident and Emergency Medicine Academic Unit, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Hong Kong
- Huadong Zhu
- Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China
- Jun Xu
- Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China
- Yi Li
- Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China
- Xuezhong Yu
- Department of Emergency Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China
- DOI
- https://doi.org/10.3389/fpsyt.2021.566990
- Journal volume & issue
-
Vol. 12
Abstract
Chinese emergency department (ED) staff encountered significant mental stress while fighting the coronavirus disease 2019 (COVID-19) pandemic. We sought to investigate the prevalence and associated factors for depressive symptoms among ED staff (including physicians, nurses, allied health, and auxiliary ED staff). A cross-sectional national survey of ED staff who were on duty and participated in combating the COVID-19 pandemic was conducted March 1–15, 2020. A total of 6,588 emergency medical personnel from 1,060 hospitals responded to this survey. A majority of respondents scored above 10 points on the PHQ-9 standardized test, which is associated with depressive symptoms. Those aged 31–45, those working in the COVID-19 isolation unit, and those with relatives ≤ 16 or ≥70 years old at home all had statistically significant associations with scoring >10 points. Depressive symptoms among Chinese emergency medical staff were likely quite common during the response to the COVID-19 pandemic and reinforce the importance of targeted ED staff support during future outbreaks.
Keywords