TY  - JOUR
PY  - 2020//
TI  - Anxiety, depression, and resilience of healthcare workers in Japan during the coronavirus disease 2019 outbreak
JO  - Internal medicine
A1  - Awano, Nobuyasu
A1  - Oyama, Nene
A1  - Akiyama, Keiko
A1  - Inomata, Minoru
A1  - Kuse, Naoyuki
A1  - Tone, Mari
A1  - Takada, Kohei
A1  - Muto, Yutaka
A1  - Fujimoto, Kazushi
A1  - Akagi, Yu
A1  - Mawatari, Momoko
A1  - Ueda, Akihiro
A1  - Kawakami, Junko
A1  - Komatsu, Junko
A1  - Izumo, Takehiro
SP  - 2693
EP  - 2699
VL  - 59
IS  - 21
N2  - OBJECTIVE Coronavirus disease 2019 (COVID-19) is spreading around the world. The aim of this study was to assess the degree of anxiety, depression, resilience, and other psychiatric symptoms among healthcare workers in Japan during the COVID-19 pandemic. <br><br>METHODS This survey involved medical healthcare workers at the Japanese Red Cross Medical Center (Tokyo, Japan) between April 22 and May 15, 2020. The degree of symptoms of anxiety, depression, and resilience was assessed using the Japanese versions of the 7-item Generalized Anxiety Disorder Scale (GAD-7), Center for Epidemiologic Studies Depression Scale (CES-D), and 10-item Connor-Davidson Resilience Scale. Furthermore, we added original questionnaires comprising three factors: (i) anxiety and fear of infection and death; (ii) isolation and unreasonable treatment; and (iii) motivation and escape behavior at work. <br><br>RESULTS In total, 848 healthcare workers participated in this survey: 104 doctors, 461 nurses, 184 other co-medical staff, and 99 office workers. Among all participants, 85 (10.0%) developed moderate-to-severe anxiety disorder, and 237 (27.9%) developed depression. Problems with anxiety and fear of infection and death, isolation and unreasonable treatment, and motivation and escape from work were higher in the depression group than in the non-depression group (total CES-D score ≥ 16 points). Being a nurse and high total GAD-7 scores were risk factors of depression. Older workers and those with higher resilience were less likely to develop depression than others. <br><br>CONCLUSION During the COVID-19 epidemic, many healthcare workers suffered from psychiatric symptoms. Psychological support and interventions for protecting the mental health of them are needed.<p />  <p>Language: en</p>
LA  - en
SN  - 0918-2918
UR  - http://dx.doi.org/10.2169/internalmedicine.5694-20
ID  - ref1
ER  -