Chinese hospital staff in anxiety and depression: Not only comfort patients but also should be comforted - A nationwide cross-sectional study

作者：Qi Mei, Wanling Li, Huijing Feng, Junyan Zhang, Jian Li, Junping Yin, Miroslaw Kornek, Christian Kurts, Shujuan Dai, Xiaoxiao Zhao, Qinglong Ai, Chunlei Yu, Fan Xu, Xiaoting Xi, Fang Liu, Daoyuan Song, Yaochang Wang, Lianmei Zhong, J. Wesson Ashford, Curtis B. Ashford, Xiaolei Liu, Hongxing Wang · 发表于：Journal of Affective Disorders · 年份：2024 · DOI：10.1016/j.jad.2024.05.143 · 被引用次数：12 · 研究领域：Healthcare professionals’ stress and burnout、Workplace Health and Well-being、Occupational Health and Burnout

BACKGROUND: Healthcare professionals are in short supply worldwide, especially in China, which can result in increased stress in the work environment and allostatic load for Chinese hospital staff. This study aimed to investigate the prevalence of anxiety and depressive symptoms and their relationship with total stress, allostatic overload, sleep quality, and episodic memory among Chinese hospital staff. METHOD: In this cross-sectional study, self-assessments including Generalized Anxiety Disorder 7-item (GAD-7), Patient Health Questionnaire-9 (PHQ-9), PsychoSocial Index (PSI), Pittsburgh Sleeping Quality Index (PSQI), and MemTrax test were used to evaluate participants' anxiety symptoms, depressive symptoms, total stress, allostatic load/overload, sleep quality, and episodic memory. RESULTS: A total of 9433 hospital staff from 304 cities participated. Anxiety prevalence was 21.0 % (95 % confidential interval (CI) 20.2 %, 21.8 %), while the prevalence of depressive symptoms was at 21.4 % (95 % CI 20.5 %, 22.2 %). 79.8 % (95 % CI 79.0 %, 80.6 %) of the hospital staff had allostatic overload. Poor sleep quality affected 50.4 % of participants, and 32.1 % experienced poor episodic memory. LIMITATIONS: This study utilized a convenience sampling approach, relying on an online survey as its data collection method. CONCLUSIONS: Hospital staff in China are facing a stressful environment with a high prevalence of anxiety and depressive symptoms, significant allostatic overload, poor s...