中国の医療従事者のメンタルヘルスに対するCOVID-19パンデミックの影響
令和7年3月4日|p.46
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The Impact of the COVID-19 Pandemic on the Mental Health of Healthcare Workers in China
Ying Wang, PhD; Xiaoyan Li, PhD; Jie Zhang, PhD; Hongmei Liu, PhD; Yanping Bao, PhD; Lin Lu, PhD
Abstract
Background: The COVID-19 pandemic has caused significant psychological distress among healthcare workers worldwide. This study aimed to investigate the prevalence and associated factors of mental health problems among healthcare workers in China during the early stages of the pandemic.
Methods: A cross-sectional online survey was conducted from February 1 to March 15, 2020. Participants included doctors, nurses, and other medical staff working in hospitals designated for treating COVID-19 patients. Mental health status was assessed using standardized scales including the Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Insomnia Severity Index (ISI).
Results: A total of 1,257 healthcare workers participated in the study. The prevalence rates were as follows: anxiety symptoms (44.6%), depressive symptoms (50.4%), and insomnia (34.0%). Multivariate logistic regression analysis revealed that female gender, younger age, frontline work status, and lack of adequate personal protective equipment were significantly associated with higher levels of anxiety, depression, and insomnia.
Conclusions: The mental health of healthcare workers in China was severely affected during the initial phase of the COVID-19 outbreak. Urgent interventions are needed to support their psychological well-being.
Introduction
The novel coronavirus disease 2019 (COVID-19) emerged in Wuhan, Hubei Province, China, in December 2019 and rapidly spread across the globe. As of April 2020, over 2 million confirmed cases had been reported worldwide, resulting in more than 130,000 deaths. Healthcare workers have been at the forefront of the response effort, facing unprecedented challenges including high infection risk, prolonged working hours, and emotional strain.