Prevalence and Associated Factors of Depression and Anxiety Among Healthcare Workers During the Coronavirus Disease 2019 Pandemic: A Nationwide Study in Koreaopen access
- Authors
- Lee, Shinwon; Hwang, Soyoon; Kwon, Ki Tae; Nam, EunKyung; Chung, Un Sun; Kim, Shin-Woo; Chang, Hyun-Ha; Kim, Yoonjung; Bae, Sohyun; Shin, Ji-Yeon; Bae, Sang-Geun; Ryoo, Hyun Wook; Jeong, Juhwan; Oh, NamHee; Lee, So Hee; Kim, Yeonjae; Kang, Chang Kyung; Park, Hye Yoon; Park, Jiho; Park, Se Yoon; Kim, Bongyoung; Cheong, Hae Suk; Son, Ji Woong; Lim, Su Jin; Yun, Seongcheol; Oh, Won Sup; Park, Kyung-Hwa; Lee, Ju-Yeon; Heo, Sang Taek; Lee, Ji-Yeon
- Issue Date
- 8-Apr-2024
- Publisher
- Korean Academy of Medical Science
- Keywords
- Anxiety; COVID-19; Depression; Healthcare Worker; Pandemic
- Citation
- Journal of Korean medical science, v.39, no.13, pp e120
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- Journal of Korean medical science
- Volume
- 39
- Number
- 13
- Start Page
- e120
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/110600
- DOI
- 10.3346/jkms.2024.39.e120
- ISSN
- 1011-8934
1598-6357
- Abstract
- BACKGROUND: A healthcare system's collapse due to a pandemic, such as the coronavirus disease 2019 (COVID-19), can expose healthcare workers (HCWs) to various mental health problems. This study aimed to investigate the impact of the COVID-19 pandemic on the depression and anxiety of HCWs. METHODS: A nationwide questionnaire-based survey was conducted on HCWs who worked in healthcare facilities and public health centers in Korea in December 2020. Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were used to measure depression and anxiety. To investigate factors associated with depression and anxiety, stepwise multiple logistic regression analysis was performed. RESULTS: A total of 1,425 participating HCWs were included. The mean depression score (PHQ-9) of HCWs before and after COVID-19 increased from 2.37 to 5.39, and the mean anxiety score (GAD-7) increased from 1.41 to 3.41. The proportion of HCWs with moderate to severe depression (PHQ-9 ≥ 10) increased from 3.8% before COVID-19 to 19.5% after COVID-19, whereas that of HCWs with moderate to severe anxiety (GAD-7 ≥ 10) increased from 2.0% to 10.1%. In our study, insomnia, chronic fatigue symptoms and physical symptoms after COVID-19, anxiety score (GAD-7) after COVID-19, living alone, and exhaustion were positively correlated with depression. Furthermore, post-traumatic stress symptoms, stress score (Global Assessment of Recent Stress), depression score (PHQ-9) after COVID-19, and exhaustion were positively correlated with anxiety. CONCLUSION: In Korea, during the COVID-19 pandemic, HCWs commonly suffered from mental health problems, including depression and anxiety. Regularly checking the physical and mental health problems of HCWs during the COVID-19 pandemic is crucial, and social support and strategy are needed to reduce the heavy workload and psychological distress of HCWs. © 2024 The Korean Academy of Medical Sciences.
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