Cross-sectional survey following a longitudinal study on mental health and insomnia of people with sporadic COVID-19
作者机构：Department of PsychiatryPeking University International HospitalBeijing 102206China Department of BioengineeringUniversity of California San DiegoSan DiegoCA 92093United States Department of PsychologyPeking University International HospitalBeijing 102206China Department of EpidemiologyNational Institute on Drug Dependence and Beijing Key laboratory of Drug DependencePeking UniversityBeijing 100191China University of California DavisDavisCA 95616United States Department of HistoryUniversity College LondonLondon WC1E 6BTUnited Kingdom Department of PsychiatryPeking University Sixth HospitalPeking University Institute of Mental HealthNHC Key Laboratory of Mental Health(Peking University)National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital)Peking UniversityBeijing 100191China Department of Clinical PharmacologyNational Institute on Drug Dependence and Beijing Key Laboratory of Drug DependencePeking UniversityBeijing 100191China Peking-Tsinghua Centre for Life Sciences and Peking University-International Development Group/McGovern Institute for Brain ResearchPeking UniversityBeijing 100091China
出 版 物：《World Journal of Psychiatry》 (世界精神病学杂志)
年 卷 期：2022年第12卷第8期
页 面：1076-1087页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100205[医学-精神病与精神卫生学] 10[医学]
基 金：Supported by the Beijing Municipal Science&Technology Commission,No. Z191107006619091 National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital),No. NCRC2020M07 National Natural Science Foundation of China,No. 81871071
主 题：COVID-19 Depression Anxiety Insomnia Quarantine
摘 要：BACKGROUNDIn the post-pandemic era, the emergence of sporadic cases of coronavirus disease 2019 (COVID-19) and the scale of the pandemic are unpredictable. Therefore, the impact ofsporadic cases of COVID-19 and isolation measures on mental health and sleep in different groupsof people need to be *** clarify the severity of psychological problems and insomnia of staff and community residentsaround a hospital with sporadic cases of COVID-19, and their relationship with quarantinelocation and long-term *** cross-sectional survey was conducted on community residents and medical staff. Many of thesemedical staff had been subjected to different places of quarantine. Community residents did notexperience quarantine. Hospital anxiety and depression scale (HADS), acute stress disorder scale(ASDS) and insomnia severity index (ISI) were used to evaluate anxiety and depression, acutestress disorder symptoms, and the severity of insomnia. Additionally, we conducted a 1-yearfollow-up study on medical staff, with related scales measurement immediately after and one yearafter the 2-wk quarantine *** included 406 medical staff and 226 community residents. The total scores of ISI and subscale inHADS of community residents were significantly higher than that of medical staff. Furtheranalysis of medical staff who experienced quarantine showed that 134 were quarantined in hotels,70 in hospitals and 48 at home. Among all subjects, the proportions of HADS, ASDS and ISI scoresabove normal cutoff value were 51.94%, 19.17% and 31.11%, respectively. Multivariable logisticregression analysis found that subjects with higher total ASDS scores had a greater risk to developanxiety and depression. The total ISI score for medical staff in hotel quarantine was significantlyhigher than those in home quarantine. Total 199 doctors and nurses who completed the 1-yearfollow-up study. Compared with baseline, HADS and ASDS scores decreased significantly oneyear after the
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