Psychological Status of Medical Security Teams in Winter Olympic Games and Paralympics Under COVID-19

Overview

Journal Front Public Health

Specialty Public Health

Date 2024 Sep 10

PMID 39253286

Authors

Xiaoyu Zhu

Yu Zhu

Zhiwei Qi

Ran Li

Yunlong Tan

Zhongwei Yang

Affiliations

Soon will be listed here.

Abstract

Background: Medical security work for the 2022 Beijing Winter Olympic and Paralympics faced enormous challenges under COVID-19. This study aimed to investigate the mental status of those medical team members to provide a reference for scientifically implementing medical security services for large-scale events.

Methods: In this prospective cohort study, the Patient Health Questionnaire-9, Self-rating Anxiety Scale, General Self-Efficacy Scale, and Psychological Questionnaire for Emergent Events of Public Health (PQEEPH) were administered to 145 members of the medical team. A generalized mixed linear model was used to analyze the impact of work duration, position, on/off rotation, and gender on psychological status.

Results: Work duration significantly impacted depression, anxiety, self-efficacy, and all dimensions of PQEEPH. Women scored higher than men in the PQEEPH dimensions of depression, neurasthenia, fear, and total score. Working status affected the dimensions of depression, neurasthenia, and total score. Deterioration in emotional state became apparent in the fourth week and recovered 1 week after the task concluded, while self-efficacy decreased from beginning to end.

Conclusion: All the medical team members experienced emotional deterioration and decreased self-efficacy in medical security tasks. To maintain a medical team's psychological wellbeing during large-scale activities, rotation times should be set reasonably, and adequate mental health services should be provided.

References

Tam C, Pang E, Lam L, Chiu H . Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychol Med. 2005; 34(7):1197-204. DOI: 10.1017/s0033291704002247. View

Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M . The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003; 168(10):1245-51. PMC: 154178. View

Zhou C, Shi L, Gao L, Liu W, Chen Z, Tong X . Determinate factors of mental health status in Chinese medical staff: A cross-sectional study. Medicine (Baltimore). 2018; 97(10):e0113. PMC: 5882452. DOI: 10.1097/MD.0000000000010113. View

Chan L, Tan P, Sim K, Tan M, Goh K, Su P . Psychological impact of repeated epidemic exposure on healthcare workers: findings from an online survey of a healthcare workforce exposed to both SARS (severe acute respiratory syndrome) and COVID-19. BMJ Open. 2021; 11(11):e051895. PMC: 8635888. DOI: 10.1136/bmjopen-2021-051895. View

Styra R, Hawryluck L, Robinson S, Kasapinovic S, Fones C, Gold W . Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. J Psychosom Res. 2008; 64(2):177-83. PMC: 7094601. DOI: 10.1016/j.jpsychores.2007.07.015. View

Zhang X, Zhan Y, Liu J, Chai S, Xu L, Lei M . Chinese translation and psychometric testing of the cardiac self-efficacy scale in patients with coronary heart disease in mainland China. Health Qual Life Outcomes. 2018; 16(1):43. PMC: 5848528. DOI: 10.1186/s12955-018-0872-4. View

Lin C, Peng Y, Wu Y, Chang J, Chan C, Yang D . The psychological effect of severe acute respiratory syndrome on emergency department staff. Emerg Med J. 2006; 24(1):12-7. PMC: 2658141. DOI: 10.1136/emj.2006.035089. View

Bandura A, Barbaranelli C, Caprara G, Pastorelli C . Multifaceted impact of self-efficacy beliefs on academic functioning. Child Dev. 1996; 67(3):1206-22. View

Kang P, Lv Y, Hao L, Tang B, Liu Z, Liu X . Psychological consequences and quality of life among medical rescuers who responded to the 2010 Yushu earthquake: A neglected problem. Psychiatry Res. 2015; 230(2):517-23. DOI: 10.1016/j.psychres.2015.09.047. View

10.

Wang J, Li D, Bai X, Cui J, Yang L, Mu X . The physical and mental health of the medical staff in Wuhan Huoshenshan Hospital during COVID-19 epidemic: A Structural Equation Modeling approach. Eur J Integr Med. 2021; 44:101323. PMC: 7944805. DOI: 10.1016/j.eujim.2021.101323. View

11.

McCloskey B, Endericks T, Catchpole M, Zambon M, McLauchlin J, Shetty N . London 2012 Olympic and Paralympic Games: public health surveillance and epidemiology. Lancet. 2014; 383(9934):2083-2089. PMC: 7138022. DOI: 10.1016/S0140-6736(13)62342-9. View

12.

Bandura A . Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191-215. DOI: 10.1037//0033-295x.84.2.191. View

13.

Spitzer R, Kroenke K, Williams J . Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999; 282(18):1737-44. DOI: 10.1001/jama.282.18.1737. View

14.

Bai Y, Lin C, Lin C, Chen J, Chue C, Chou P . Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004; 55(9):1055-7. DOI: 10.1176/appi.ps.55.9.1055. View

15.

Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y . A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. 2020; 33(2):e100213. PMC: 7061893. DOI: 10.1136/gpsych-2020-100213. View

16.

Lu W, Wang H, Lin Y, Li L . Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020; 288:112936. PMC: 7195354. DOI: 10.1016/j.psychres.2020.112936. View

17.

Wu Q, Li D, Yan M, Li Y . Mental health status of medical staff in Xinjiang Province of China based on the normalisation of COVID-19 epidemic prevention and control. Int J Disaster Risk Reduct. 2022; 74:102928. PMC: 8958729. DOI: 10.1016/j.ijdrr.2022.102928. View

18.

Llorente Nieto P, Gonzalez-Alcaide G, Ramos J . [Mass gatherings: a systematic review of the literature on large events]. Emergencias. 2017; 29(4):257-265. View

19.

Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R . Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun. 2020; 88:916-919. PMC: 7102670. DOI: 10.1016/j.bbi.2020.03.007. View

20.

Dergaa I, Ben Saad H, Souissi A, Musa S, Abdulmalik M, Chamari K . Olympic Games in COVID-19 times: lessons learned with special focus on the upcoming FIFA World Cup Qatar 2022. Br J Sports Med. 2022; 56(12):654-656. DOI: 10.1136/bjsports-2021-105276. View