Prevalence of depression and its correlation with anxiety, headache and sleep disorders among medical staff in the Hainan Province of China

Frontiers in Public Health

Public Health

Guangshuang Lu¹  Wei Ge²  Wei Xie³  Fanchao Meng³  Ying Yang³  Ruozhuo Liu³  Shengyuan Yu³  Jiaji He³  Shaobo Xiao³ 

[1] Department of Pediatrics, The Lu’an Hospital Affiliated to Anhui Medical University, The Lu’an People’s Hospital, Lu’an, China;Medical School of Chinese PLA, Beijing, China;Department of Neurology, International Headache Center, The First Medical Center of Chinese PLA General Hospital, Beijing, China;Medical School of Chinese PLA, Beijing, China;Medical School of Chinese PLA, Beijing, China;Department of Neurology, International Headache Center, The First Medical Center of Chinese PLA General Hospital, Beijing, China;

关键词: prevalence;    depression;    anxiety;    headache;    sleep disorders (SD);    medical staff;   

DOI  :  10.3389/fpubh.2023.1122626

 received in 2022-12-13, accepted in 2023-06-05,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectiveThis cross-sectional survey aimed to investigate the prevalence of depression among medical staff and its risk factors as well as the association between depression, anxiety, headache, and sleep disorders.MethodsStratified random cluster sampling was used to select medical staff from various departments of four hospitals in Sanya City. The Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), and Pittsburgh Sleep Quality Index (PSQI) were used to quantitatively assess depression, anxiety, and sleep disorders. Correlation and regression analyses were performed to determine factors affecting the depression occurrence and scores.ResultsAmong 645 medical staff members, 548 (85%) responded. The 1-year prevalence of depression was 42.7% and the prevalence of depression combined with anxiety, headache, and sleep disorders was 23, 27, and 34.5%, respectively. The prevalence of depression in women, nurses, the unmarried or single group, and the rotating-shift population was significantly higher than that in men (48.3% vs. 27.1%, odds ratio OR = 2.512), doctors (55.2% vs. 26.7%, OR = 3.388), the married group (50.5% vs. 35.8%, OR = 1.900), and the day-shift population (35.2% vs. 7.5%, OR = 1.719). The occurrence of depression was correlated with anxiety, sleep disorders, headache, and migraines, with anxiety having the highest correlation (Spearman’s Rho = 0.531). The SDS was significantly correlated with the SAS and PSQI (Spearman’s Rho = 0.801, 0.503) and was also related to the presence of headache and migraine (Spearman Rho = 0.228, 0.159). Multiple logistic regression indicated that nurse occupation and anxiety were risk factors for depression, while grades of anxiety, sleep disorders and nurse occupation were risk factors for the degree of depression in multiple linear regression.ConclusionThe prevalence of depression among medical staff was higher than that in the general population, especially among women, nurses, unmarried people, and rotating-shift workers. Depression is associated with anxiety, sleep disorders, headache, and migraines. Anxiety and nursing occupation are risk factors for depression. This study provides a reference for the promotion of occupational health among medical professionals.

【 授权许可】

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Copyright © 2023 Lu, Xiao, He, Xie, Ge, Meng, Yang, Yu and Liu.