Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation

Background: Since the outbreak of 2019 new coronavirus (COVID-19) pneumonia, healthcare workers (HCW) have su ffered psychological stress. The present study is to examine the prevalence of stress, anxiety and de- pression of HCW in China during the COVID-19 epidemic, and to determine the risk factors predicting psy- chological morbidities that can be used as psychological intervention targets. Methods: A cross-sectional survey was conducted to investigate the psychological levels of HCW in multiple centers in China. The prevalence of stress, anxiety and depression were determined by using Perceived Stress Scale (PSS-14) and Hospital Anxiety / Depression scale (HAD). Psychology related factors were evaluated and correlation between job title and contact history was analyzed. Results: We received 958 of e ffective responses, 73.6% of which were from Wuhan and 67.2% were female participants. 55.1% of respondents had psychological stress that is higher than that of HCW during SARS. 54.2% and 58% of participants had symptoms of anxiety and depression. Stress levels of HCW were di fferent in job titles and years of work experience. Anxiety and depression levels were di fferent between di fferent gender, job titles, degrees of protective measures and levels of contact history. Gender, intermediate title, protective measures and contact history were the independent risk factors for anxiety. Protective measures and contact history were the independent risk factors for depression. Conclusions: The COVID-19 epidemic has induced stress levels for HCW, and high percentages of HCW have anxiety and depression. The situation of HCW is worrying and intervention service is urgent.