Psychological Status and Related Factors of Resident Physicians During the Release of COVID-19 Pandemic Restrictions in China

Overview

Journal Front Public Health

Specialty Public Health

Date 2024 May 2

PMID 38694979

Authors

Qing Zhang

Ruibo Pan

Qi Pan

Yandan Qian

Xiao Zhou

Qiaozhen Chen

Affiliations

Soon will be listed here.

Abstract

Background: Resident physicians at the standardized training stage had undergone significant physical and mental stress during the release of the COVID-19 pandemic restrictions at the end of 2022 in China. This study aimed to investigate the psychological status (including anxiety, depression, somatic symptoms, job burnout, and vicarious trauma) of resident physicians and identify its influencing factors under these special periods.

Methods: Survey was conducted one month after the release of the COVID-19 pandemic restrictions on resident training physicians from a tertiary first-class hospital in Zhejiang, China. Resident physicians completed the psychological status questionnaire. Chi-square tests, Mann-Whitney U tests, and logistic regression analyses were used to estimate the group differences and variable associations.

Results: The prevalence of anxiety, depression, and somatic discomfort in this study was 20.88, 28.53, and 41.47%, respectively. Female resident physicians were more likely to experience somatic symptoms [adjusted odds ratio () = 2.36, 95% confidence interval (): 1.33-4.18]. Resident physicians with problem-focused coping styles were less prone to psychological health issues [depression (adjusted = 0.92, 95% : 0.88-0.96), anxiety (adjusted = 0.94, 95% : 0.90-0.98), somatic symptoms (adjusted = 0.93, 95% : 0.89-0.97), job burnout (adjusted = 0.91, 95% : 0.87-0.96) and vicarious trauma (adjusted = 0.94, 95% : 0.90-0.98)]. Inversely, resident physicians with emotion-focused coping styles and experienced negative life events were more prone to psychological health issues.

Conclusion: Resident training physicians had a high risk of anxiety, depression, and somatic symptoms under the special COVID-19 pandemic restriction release period. Females, with lower training stages, degrees, negative life events, and emotion-focused coping styles had a disadvantaged effect on psychological status. The medical teaching management department needs to monitor and reduce the workload and working hours of resident physicians, ensure sufficient sleep time, and pay attention to the psychological status of resident physicians. By strengthening regular communication and mental health education or intervention, which can help them improve their ability to cope with complex tasks.

References

Maslach C, Schaufeli W, Leiter M . Job burnout. Annu Rev Psychol. 2001; 52:397-422. DOI: 10.1146/annurev.psych.52.1.397. View

Giorgi G, Lecca L, Alessio F, Finstad G, Bondanini G, Lulli L . COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review. Int J Environ Res Public Health. 2020; 17(21). PMC: 7663773. DOI: 10.3390/ijerph17217857. View

Smith R, Lack L, Lovato N, Wright H . The relationship between a night's sleep and subsequent daytime functioning in older poor and good sleepers. J Sleep Res. 2014; 24(1):40-6. DOI: 10.1111/jsr.12237. View

Kalmbach D, Arnedt J, Song P, Guille C, Sen S . Sleep Disturbance and Short Sleep as Risk Factors for Depression and Perceived Medical Errors in First-Year Residents. Sleep. 2017; 40(3). PMC: 6084763. DOI: 10.1093/sleep/zsw073. View

Kim J, Chesworth B, Franchino-Olsen H, Macy R . A Scoping Review of Vicarious Trauma Interventions for Service Providers Working With People Who Have Experienced Traumatic Events. Trauma Violence Abuse. 2021; 23(5):1437-1460. PMC: 8426417. DOI: 10.1177/1524838021991310. View

Wallace J, Lemaire J, Ghali W . Physician wellness: a missing quality indicator. Lancet. 2009; 374(9702):1714-21. DOI: 10.1016/S0140-6736(09)61424-0. View

McCall-Hosenfeld J, Winter M, Heeren T, Liebschutz J . The association of interpersonal trauma with somatic symptom severity in a primary care population with chronic pain: exploring the role of gender and the mental health sequelae of trauma. J Psychosom Res. 2014; 77(3):196-204. PMC: 4143800. DOI: 10.1016/j.jpsychores.2014.07.011. View

Lopes Cardozo B, Gotway Crawford C, Eriksson C, Zhu J, Sabin M, Ager A . Psychological distress, depression, anxiety, and burnout among international humanitarian aid workers: a longitudinal study. PLoS One. 2012; 7(9):e44948. PMC: 3440316. DOI: 10.1371/journal.pone.0044948. View

Folkman S, Moskowitz J . Coping: pitfalls and promise. Annu Rev Psychol. 2004; 55:745-74. DOI: 10.1146/annurev.psych.55.090902.141456. View

10.

Xuedong A, Qing Z, Junxiu T, Li L, Yun C, Kejian L . Shugan Jieyu capsule improve sleep and emotional disorder in coronavirus disease 2019 convalescence patients: a randomized, double-blind, placebo-controlled trial. J Tradit Chin Med. 2022; 42(5):803-809. PMC: 9924722. DOI: 10.19852/j.cnki.jtcm.20220719.003. View

11.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

12.

Chen H, Feng H, Liu Y, Wu S, Li H, Zhang G . Anxiety, depression, insomnia, and PTSD among college students after optimizing the COVID-19 response in China. J Affect Disord. 2023; 337:50-56. PMC: 10219678. DOI: 10.1016/j.jad.2023.05.076. View

13.

Teo I, Chay J, Cheung Y, Sung S, Tewani K, Yeo L . Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multi-centre prospective study. PLoS One. 2021; 16(10):e0258866. PMC: 8535445. DOI: 10.1371/journal.pone.0258866. View

14.

Liu Y, Zhang L, Guo N, Jiang H . Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors. BMC Psychiatry. 2021; 21(1):487. PMC: 8491367. DOI: 10.1186/s12888-021-03432-7. View

15.

Wang C, Havewala M, Zhu Q . COVID-19 stressful life events and mental health: Personality and coping styles as moderators. J Am Coll Health. 2022; 72(4):1068-1077. DOI: 10.1080/07448481.2022.2066977. View

16.

Werner E, Aloisio C, Butler A, DAntonio K, Kenny J, Mitchell A . Addressing mental health in patients and providers during the COVID-19 pandemic. Semin Perinatol. 2020; 44(7):151279. PMC: 7373005. DOI: 10.1016/j.semperi.2020.151279. View

17.

Chen J, Liu X, Wang D, Jin Y, He M, Ma Y . Risk factors for depression and anxiety in healthcare workers deployed during the COVID-19 outbreak in China. Soc Psychiatry Psychiatr Epidemiol. 2020; 56(1):47-55. PMC: 7483060. DOI: 10.1007/s00127-020-01954-1. View

18.

Kang J, Wang D, Duan Y, Zhai L, Shi L, Guo F . Aerobic Exercise Prevents Depression via Alleviating Hippocampus Injury in Chronic Stressed Depression Rats. Brain Sci. 2020; 11(1). PMC: 7822431. DOI: 10.3390/brainsci11010009. View

19.

Shanafelt T, Dyrbye L, West C . Addressing Physician Burnout: The Way Forward. JAMA. 2017; 317(9):901-902. DOI: 10.1001/jama.2017.0076. View

20.

Fortier-Brochu E, Beaulieu-Bonneau S, Ivers H, Morin C . Relations between sleep, fatigue, and health-related quality of life in individuals with insomnia. J Psychosom Res. 2010; 69(5):475-83. PMC: 2958173. DOI: 10.1016/j.jpsychores.2010.05.005. View