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

DOI
https://doi.org/10.3389/fpsyt.2021.566990
Journal volume & issue
Vol. 12

Abstract

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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.

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