» Articles » PMID: 34322044

The Prevalence of Post-traumatic Stress Disorder Symptoms, Sleep Problems, and Psychological Distress Among COVID-19 Frontline Healthcare Workers in Taiwan

Overview
Specialty Psychiatry
Date 2021 Jul 29
PMID 34322044
Citations 55
Authors
Affiliations
Soon will be listed here.
Abstract

The adverse effect of COVID-19 pandemic among individuals has been very disturbing especially among healthcare workers. This study aims to examine the prevalence of post-traumatic stress disorder (PTSD) symptoms, sleep problems, and psychological distress among COVID-19 frontline healthcare workers in Taiwan. Hence, a total of 500 frontline healthcare workers were recruited to participate in this cross-sectional study. They responded to measures on fear of COVID-19, depression, anxiety, stress, insomnia, PTSD, perceived stigma, and self-stigma. The results indicated a prevalence rate of 15.4% for PTSD symptoms, 44.6% for insomnia, 25.6% for depressive symptoms, 30.6% for anxiety symptoms, and 23.4% for stress among the participants. There were significantly positive interrelationships between all these variables. Anxiety symptoms and fear of COVID-19 predicted PTSD whereas symptoms of anxiety, fear of COVID-19, and stress predicted insomnia. The prevalence rates of the psychological problems reveal a worrying view of mental health challenges among Taiwanese frontline healthcare workers. Anxiety symptoms and fear of COVID-19 are the common predictive factors of PTSD and sleep problems suggesting that mental healthcare services for them may help prevent future occurrence of psychological problems by allaying fears of healthcare workers. Therefore, there should be mental healthcare services for healthcare workers during the COVID-19 pandemic.

Citing Articles

Psychosocial health stigma related to COVID-19 disease among COVID-19 patients in Jordan: a comparative study.

Daoud L, El-Hneiti M, Al-Hussami M BMJ Public Health. 2025; 2(1):e000165.

PMID: 40018227 PMC: 11812789. DOI: 10.1136/bmjph-2023-000165.


Assessment of psychological health effects of nurses during 2022-2023 of the COVID-19 pandemic: a descriptive study in Southern Taiwan.

Lin H, Lee Y, Chang C, Kuo C, Ho H, Wu C Ann Med. 2025; 57(1):2447405.

PMID: 39829258 PMC: 11749165. DOI: 10.1080/07853890.2024.2447405.


Associations between fear of COVID-19 and mental health in Ghana: A sequential mediation model.

Ye J, Huang P, Adjaottor E, Addo F, Griffiths M, Ahorsu D Heliyon. 2025; 11(1):e41407.

PMID: 39811350 PMC: 11732545. DOI: 10.1016/j.heliyon.2024.e41407.


Impact of social support on PTSD : Chain mediating effects of insomnia and anxiety.

Mao X, Hou T, Zhang Y, Zhang J, Zhang F, Liu W Glob Ment Health (Camb). 2024; 11:e100.

PMID: 39464566 PMC: 11504932. DOI: 10.1017/gmh.2024.91.


Resilience, Anger, and Insomnia in Nurses after the End of the Pandemic Crisis.

Pachi A, Panagiotou A, Soultanis N, Ivanidou M, Manta M, Sikaras C Epidemiologia (Basel). 2024; 5(4):643-657.

PMID: 39449388 PMC: 11503305. DOI: 10.3390/epidemiologia5040045.


References
1.
Mahmud A, Islam M . Social Stigma as a Barrier to Covid-19 Responses to Community Well-Being in Bangladesh. Int J Community Wellbeing. 2021; 4(3):315-321. PMC: 7416994. DOI: 10.1007/s42413-020-00071-w. View

2.
Chang K, Lin C, Chang C, Ting S, Cheng C, Wang J . Psychological distress mediated the effects of self-stigma on quality of life in opioid-dependent individuals: A cross-sectional study. PLoS One. 2019; 14(2):e0211033. PMC: 6364895. DOI: 10.1371/journal.pone.0211033. View

3.
Jiang L, Yan Y, Jin Z, Hu M, Wang L, Song Y . The Depression Anxiety Stress Scale-21 in Chinese Hospital Workers: Reliability, Latent Structure, and Measurement Invariance Across Genders. Front Psychol. 2020; 11:247. PMC: 7067921. DOI: 10.3389/fpsyg.2020.00247. View

4.
Hosey M, Leoutsakos J, Li X, Dinglas V, Bienvenu O, Parker A . Screening for posttraumatic stress disorder in ARDS survivors: validation of the Impact of Event Scale-6 (IES-6). Crit Care. 2019; 23(1):276. PMC: 6686474. DOI: 10.1186/s13054-019-2553-z. View

5.
Zhang H, Li W, Li H, Zhang C, Luo J, Zhu Y . Prevalence and dynamic features of psychological issues among Chinese healthcare workers during the COVID-19 pandemic: a systematic review and cumulative meta-analysis. Gen Psychiatr. 2021; 34(3):e100344. PMC: 8103554. DOI: 10.1136/gpsych-2020-100344. View