Psychological Burden in Health Care Professionals in Chinese Cities During the Coronavirus Disease 2019 (COVID-19) Outbreak

Background: We aimed to assess the psychological burden in healthcare professionals during the COVID-19 outbreak, particularly in locked-down Chinese cities, to provide evidence for exploring early preventive interventions. Methods: A cross-sectional study was designed, with an online questionnaire for data collection on the psychological distress, stress, and anxiety subscales of the Depression Anxiety Stress Scale 21, and on social and environmental factors, particularly the influence of city lockdown, among healthcare professionals exposed to COVID-19, February 4–16, 2020. Findings: Data were collected from 636 medical professionals and 1929 college students. Psychological burden includes psychological distress (unpleasant feelings or emotions that impact normal activities of daily living), stress (physical, mental, or emotional factor that causes bodily or mental tension), and anxiety (a feeling of apprehension and fear, characterized by physical symptoms such as palpitations, sweating, and feelings of stress), accounting for 36·48%, 13·36%, and 25·31%, respectively, among medical professionals. Medical staff with COVID-19 exposure were 2·04 times more likely to be anxious than non-exposed staffs (95% CI 1·14–3·63). The psychological distress of medical staff increased directly with the shortage of medical supplies (AOR=6·70; 95% CI 2·37–18·92). City lockdown was a critical factor that caused psychological burden. Interpretation: Healthcare professionals, especially those with exposure to COVID-19 in locked-down cities, were in a poor psychological state during the COVID-19 outbreak. Intervention and prevention programs that aim to address the psychological burden of healthcare professionals facing emerging infectious diseases are urgently needed.Funding Statement: This study was funded by the Shantou Science and Technology Project [2020] (number 6-5).Declaration of Interests: The authors declare no competing interests.Ethics Approval Statement: The research content and process have been approved by the Institutional Review Board of Shantou University Medical College (Project No. SUMC2020-01). All interviewees provided written informed consent.