Background:COVID-19 can lead to increased psychological symptoms such as post-traumatic stress disorder(PTSD),depression,and anxiety among patients with COVID-19.Based on the previous mindfulness-based interventions p...Background:COVID-19 can lead to increased psychological symptoms such as post-traumatic stress disorder(PTSD),depression,and anxiety among patients with COVID-19.Based on the previous mindfulness-based interventions proved to be effective,this protocol reports a design of a randomized controlled trial aiming to explore the efficacy and possible mechanism of a mindful living with challenge(MLWC)intervention developed for COVID-19 survivors in alleviating their psychological problems caused by both the disease and the pandemic.Methods:In April 2021,more than 1600 eligible participants from Hubei Province of China will be assigned 1:1 to an online MLWC intervention group or a waitlist control group.All participants will be asked to complete online questionnaires at baseline,post-program,and 3-month follow-up.The differences of mental health status(e.g.PTSD)and physical symptoms including fatigue and sleeplessness between the COVID-19 survivors who receiving the online MLWC intervention and the control group will be assessed.In addition,the possible mediators and moderators of the link between the MLWC intervention and target outcomes will be evaluated by related verified scales,such as the Five Facets Mindfulness Questionnaire.Data will be analyzed based on an intention-to-t「eat approach,and SPSS software will be used to perform statistical analysis.Discussion:The efficacy and potential mechanism of MLWC intervention in improving the quality of life and psychological status of COVID-19 survivors in China are expected to be reported.Findings from this study will shed light on a novel and feasible model in improving the psychological well-being of people during such public health emergencies.Trial registration Chinese ClinicalTrial Registry(ChiCTR),ChiCTR2000037524;Registered on August 29,2020,http://www.chictr.org.cn/showproj.aspx?proj=60034.展开更多
Background Medical care workers experienced unprecedented levels of workload and pressure since the outbreak of coronavirus disease 2019(COVID-19).Little is known about its exact impact on medical care workers and rel...Background Medical care workers experienced unprecedented levels of workload and pressure since the outbreak of coronavirus disease 2019(COVID-19).Little is known about its exact impact on medical care workers and related factors in China.This study aims to identify the psychological impact of COVID-19 on medical care workers in China.Methods From February 23 to March 5,2020,a cross-sectional survey was conducted among 863 medical care workers from seven provinces in China using standard questionnaires measuring adverse psychological outcomes including Impact of Event Scale-6(IES-6),Depression,Anxiety and Stress Scale(DASS)and related psychosocial factors like perceived threat,social support and coping strategies.Exploratory Factor analysis was performed to identify the dimensions of perceived threat by study participants.Multivariate regression was used to examine the determinants of adverse psychological outcomes.Results Posttraumatic stress(PTS)were prevalent in this sample of health care professionals,and 40.2%indicated positive screens for significant posttraumatic stress disorder symptoms.The proportion of having mild to extremely severe symptoms of depression,anxiety and stress were 13.6,13.9 and 8.6%,respectively.Perceived threat and passive coping strategies were positively correlated to PTS and DASS scores,while perceived social support and active coping strategies were negatively correlated to DASS scores.Nurses were more likely to be anxious than others among medical care workers during the COVID-19 epidemic.Conclusions Adverse psychological symptoms were prevalent among medical care workers in China during the COVID-19 epidemic.Screening for adverse psychological outcomes and developing corresponding preventive measures would be beneficial in decreasing negative psychological outcomes.展开更多
基金sponsored by the Chinese Academy of Medical Sciences(2020-I2M-2-015,2019-I2M-2-005)Asian Regional Special Cooperation Fund of National Health Commission ofthe People's Republic of China(BLXM01).
文摘Background:COVID-19 can lead to increased psychological symptoms such as post-traumatic stress disorder(PTSD),depression,and anxiety among patients with COVID-19.Based on the previous mindfulness-based interventions proved to be effective,this protocol reports a design of a randomized controlled trial aiming to explore the efficacy and possible mechanism of a mindful living with challenge(MLWC)intervention developed for COVID-19 survivors in alleviating their psychological problems caused by both the disease and the pandemic.Methods:In April 2021,more than 1600 eligible participants from Hubei Province of China will be assigned 1:1 to an online MLWC intervention group or a waitlist control group.All participants will be asked to complete online questionnaires at baseline,post-program,and 3-month follow-up.The differences of mental health status(e.g.PTSD)and physical symptoms including fatigue and sleeplessness between the COVID-19 survivors who receiving the online MLWC intervention and the control group will be assessed.In addition,the possible mediators and moderators of the link between the MLWC intervention and target outcomes will be evaluated by related verified scales,such as the Five Facets Mindfulness Questionnaire.Data will be analyzed based on an intention-to-t「eat approach,and SPSS software will be used to perform statistical analysis.Discussion:The efficacy and potential mechanism of MLWC intervention in improving the quality of life and psychological status of COVID-19 survivors in China are expected to be reported.Findings from this study will shed light on a novel and feasible model in improving the psychological well-being of people during such public health emergencies.Trial registration Chinese ClinicalTrial Registry(ChiCTR),ChiCTR2000037524;Registered on August 29,2020,http://www.chictr.org.cn/showproj.aspx?proj=60034.
文摘Background Medical care workers experienced unprecedented levels of workload and pressure since the outbreak of coronavirus disease 2019(COVID-19).Little is known about its exact impact on medical care workers and related factors in China.This study aims to identify the psychological impact of COVID-19 on medical care workers in China.Methods From February 23 to March 5,2020,a cross-sectional survey was conducted among 863 medical care workers from seven provinces in China using standard questionnaires measuring adverse psychological outcomes including Impact of Event Scale-6(IES-6),Depression,Anxiety and Stress Scale(DASS)and related psychosocial factors like perceived threat,social support and coping strategies.Exploratory Factor analysis was performed to identify the dimensions of perceived threat by study participants.Multivariate regression was used to examine the determinants of adverse psychological outcomes.Results Posttraumatic stress(PTS)were prevalent in this sample of health care professionals,and 40.2%indicated positive screens for significant posttraumatic stress disorder symptoms.The proportion of having mild to extremely severe symptoms of depression,anxiety and stress were 13.6,13.9 and 8.6%,respectively.Perceived threat and passive coping strategies were positively correlated to PTS and DASS scores,while perceived social support and active coping strategies were negatively correlated to DASS scores.Nurses were more likely to be anxious than others among medical care workers during the COVID-19 epidemic.Conclusions Adverse psychological symptoms were prevalent among medical care workers in China during the COVID-19 epidemic.Screening for adverse psychological outcomes and developing corresponding preventive measures would be beneficial in decreasing negative psychological outcomes.
