AUTHOR=Gonzalez Mendez Maria Jose , Ma Li , Alvarado Ruben , Ramirez Jorge , Xu Kun-Peng , Xu Hui-Fang , Zhang Shao-Kai , Bangura Mohamed S. , Yang Ying , Yu Yan-Qin , Zhang Xi , Wang Wenjun , Gu Xiaofen , Li Li , Salah Didier Sama , Qiao Youlin 

TITLE=A Multi-Center Study on the Negative Psychological Impact and Associated Factors in Chinese Healthcare Workers 1 Year After the COVID-19 Initial Outbreak

JOURNAL=International Journal of Public Health

VOLUME=67

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604979

DOI=10.3389/ijph.2022.1604979

ISSN=1661-8564

ABSTRACT=<p><bold>Objectives:</bold> The study aimed at analyzing the prevalence of five psychological outcomes (depression, anxiety, stress, post-traumatic stress disorder (PTSD), and suicidal ideation) among Chinese healthcare workers (HCWs), and measured the total possible negative psychological impact 1 year after the COVID-19 initial outbreak.</p><p><bold>Methods:</bold> A cross-sectional nationwide multi-center study was performed between November 2020 and March 2021 in China. A self-report questionnaire was applied, and three psychological scales were used. Binary logistic regression was performed to analyze the risk factors associated with each psychological outcome.</p><p><bold>Results:</bold> The findings demonstrated that the COVID-19 pandemic had a negative psychological impact on HCWs, which was still evident 1 year after the initial outbreak. Nurses showed higher depression and anxiety than other HCWs. Female gender, passive coping, long working hours, having a chronic disease, and experiencing violence, among other factors, were all risk factors for psychological impairment.</p><p><bold>Conclusion:</bold> Developing and promoting programs to improve mental health among HCWs, and identifying those who might need psychological support is still relevant 1 year after the initial outbreak.</p>