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      The Prevalence of Post-traumatic Stress Disorder Symptoms, Sleep Problems, and Psychological Distress Among COVID-19 Frontline Healthcare Workers in Taiwan

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          Abstract

          The adverse effect of COVID-19 pandemic among individuals has been very disturbing especially among healthcare workers. This study aims to examine the prevalence of post-traumatic stress disorder (PTSD) symptoms, sleep problems, and psychological distress among COVID-19 frontline healthcare workers in Taiwan. Hence, a total of 500 frontline healthcare workers were recruited to participate in this cross-sectional study. They responded to measures on fear of COVID-19, depression, anxiety, stress, insomnia, PTSD, perceived stigma, and self-stigma. The results indicated a prevalence rate of 15.4% for PTSD symptoms, 44.6% for insomnia, 25.6% for depressive symptoms, 30.6% for anxiety symptoms, and 23.4% for stress among the participants. There were significantly positive interrelationships between all these variables. Anxiety symptoms and fear of COVID-19 predicted PTSD whereas symptoms of anxiety, fear of COVID-19, and stress predicted insomnia. The prevalence rates of the psychological problems reveal a worrying view of mental health challenges among Taiwanese frontline healthcare workers. Anxiety symptoms and fear of COVID-19 are the common predictive factors of PTSD and sleep problems suggesting that mental healthcare services for them may help prevent future occurrence of psychological problems by allaying fears of healthcare workers. Therefore, there should be mental healthcare services for healthcare workers during the COVID-19 pandemic.

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          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories

            The psychometric properties of the Depression Anxiety Stress Scales (DASS) were evaluated in a normal sample of N = 717 who were also administered the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The DASS was shown to possess satisfactory psychometric properties, and the factor structure was substantiated both by exploratory and confirmatory factor analysis. In comparison to the BDI and BAI, the DASS scales showed greater separation in factor loadings. The DASS Anxiety scale correlated 0.81 with the BAI, and the DASS Depression scale correlated 0.74 with the BDI. Factor analyses suggested that the BDI differs from the DASS Depression scale primarily in that the BDI includes items such as weight loss, insomnia, somatic preoccupation and irritability, which fail to discriminate between depression and other affective states. The factor structure of the combined BDI and BAI items was virtually identical to that reported by Beck for a sample of diagnosed depressed and anxious patients, supporting the view that these clinical states are more severe expressions of the same states that may be discerned in normals. Implications of the results for the conceptualisation of depression, anxiety and tension/stress are considered, and the utility of the DASS scales in discriminating between these constructs is discussed.
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              The Socio-Economic Implications of the Coronavirus and COVID-19 Pandemic: A Review

              The COVID-19 pandemic has resulted in over 1.4 million confirmed cases and over 83,000 deaths globally. It has also sparked fears of an impending economic crisis and recession. Social distancing, self-isolation and travel restrictions forced a decrease in the workforce across all economic sectors and caused many jobs to be lost. Schools have closed down, and the need of commodities and manufactured products has decreased. In contrast, the need for medical supplies has significantly increased. The food sector has also seen a great demand due to panic-buying and stockpiling of food products. In response to this global outbreak, we summarise the socio-economic effects of COVID-19 on individual aspects of the world economy.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                12 July 2021
                2021
                12 July 2021
                : 12
                : 705657
                Affiliations
                [1] 1Department of Public Health, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University , Tainan, Taiwan
                [2] 2Center for Infection Control, National Cheng Kung University Hospital , Tainan, Taiwan
                [3] 3Department of Rehabilitation Sciences, Faculty of Health & Social Sciences, The Hong Kong Polytechnic University , Hung Hom, Hong Kong
                [4] 4Department of Nursing, College of Medicine, National Cheng Kung University , Tainan, Taiwan
                [5] 5Department of Orthopedic Surgery, Wan Fang Hospital, Taipei Medical University , Taipei, Taiwan
                [6] 6Department of Orthopedic Surgery, School of Medicine, College of Medicine, Taipei Medical University , Taipei, Taiwan
                [7] 7Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University , Tainan, Taiwan
                [8] 8Department of Public Health, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University , Tainan, Taiwan
                [9] 9Department of Occupational Therapy, College of Medicine, National Cheng Kung University , Tainan, Taiwan
                [10] 10Department of Medicine, College of Medicine, National Cheng Kung University , Tainan, Taiwan
                [11] 11Department of Internal Medicine, Center for Infection Control, National Cheng Kung University Hospital , Tainan, Taiwan
                Author notes

                Edited by: Ghorbangol Ashabi, Tehran University of Medical Sciences, Iran

                Reviewed by: Aquartuti Tri Darmayanti, Sebelas Maret University, Indonesia; Gregory Siy Ching, Fu Jen Catholic University, Taiwan; Vasiliki Holeva, Papageorgiou General Hospital, Greece; Eleni Parlapani, Aristotle University of Thessaloniki, Greece; Samson Femi Agberotimi, North-West University, South Africa

                *Correspondence: Chung-Ying Lin cylin36933@ 123456gmail.com

                This article was submitted to Public Mental Health, a section of the journal Frontiers in Psychiatry

                †These authors have contributed equally to this work

                Article
                10.3389/fpsyt.2021.705657
                8312888
                34322044
                e3b491e6-aeb2-41c9-b2fb-4d9b1acca898
                Copyright © 2021 Lu, Ahorsu, Kukreti, Strong, Lin, Kuo, Chen, Lin, Chen, Ko and Ko.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 05 May 2021
                : 16 June 2021
                Page count
                Figures: 0, Tables: 4, Equations: 0, References: 52, Pages: 8, Words: 6316
                Funding
                Funded by: Ministry of Science and Technology 10.13039/501100003711
                Categories
                Psychiatry
                Original Research

                Clinical Psychology & Psychiatry
                post-traumatic stress disorder,insomnia,psychological distress,healthcare workers,covid-19,stigma

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