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COVID-19 Infection Experience and Depressive Symptoms Among Chinese Medical Staff: The Mediating Role of Professional
Bingqian Wang1,2, Xiaohan Liu2, Bing Han3
1Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, P.R. China.
Insights
More severe COVID-19 symptoms in medical staff were linked to increased depressive symptoms, with professional burnout playing a mediating role. Interventions targeting burnout may help mitigate these mental health impacts.
Area of Science:
- Medical Staff Mental Health
- Epidemiology
- Public Health Policy
Background:
- The easing of China's zero-COVID policy led to widespread COVID-19 infection among medical staff.
- Assessing the mental health consequences, specifically depressive symptoms, in this population is crucial.
Purpose of the Study:
- To evaluate the association between COVID-19 infection severity and depressive symptoms in Chinese medical staff post-zero-COVID policy.
- To investigate the mediating effect of professional burnout on this relationship.
Main Methods:
- A cross-sectional study involving 1716 medical staff in Beijing, China, conducted in late 2022.
- Data analysis included multiple linear regressions and mediating effects tests to examine the relationships.
Main Results:
- Over 91% of medical staff reported COVID-19 infection. Higher severity of COVID-19 symptoms correlated significantly with increased depressive symptoms.
- Professional burnout, particularly emotional exhaustion and depersonalization, partially mediated the link between infection severity and depressive symptoms.
Conclusions:
- Medical staff experiencing severe COVID-19 symptoms require close mental health monitoring.
- Interventions focused on reducing emotional exhaustion and depersonalization are recommended to lower the risk of depressive symptoms.
Objectives:
This study aimed to assess the relationship between COVID-19 infection-related conditions and depressive symptoms among medical staff after easing the zero-COVID policy in China, and to further examine the mediating role of professional burnout.
Methods:
A total of 1716 medical staff from all levels of health care institutions in 16 administrative districts of Beijing, China, were recruited to participate at the end of 2022 in this cross-sectional study. Several multiple linear regressions and mediating effects tests were performed to analyze the data.
Results:
At the beginning of the end of the zero-COVID policy in China, 91.84% of respondents reported infection with COVID-19. After adjusting for potential confounding variables, the severity of infection symptoms was significantly positively associated with high levels of depressive symptoms (β = 0.06, P < 0.001), and this association was partially mediated by professional burnout. Specifically, emotional exhaustion (95% CI, 0.131, 0.251) and depersonalization (95% CI, 0.009, 0.043) significantly mediated the association between the severity of infection symptoms and depressive symptoms.
Conclusions:
The mental health of medical staff with more severe symptoms of COVID-19 infection should be closely monitored. Also, interventions aimed at reducing emotional exhaustion and depersonalization may effectively reduce their risk of developing depressive symptoms.
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