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Is returning to work during the COVID-19 pandemic stressful? A study on immediate mental health status and psychoneuroimmunity prevention measures of Chinese workforce
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This study aimed to quantify the immediate psychological effects and psychoneuroimmunity prevention measures of a workforce returning to work during the COVID-19 epidemic. Workforce returning to work was invited to complete an online questionnaire regarding their attitude toward the COVID-19 epidemic and return-to-work along with psychological parameters including the Impact of Event Scale-Revised, Depression, Anxiety, Stress Scale- 21 (DASS-21) and Insomnia Severity Index (ISI). Psychoneuroimmunity prevention measures include precautions at personal and organization levels. From 673 valid questionnaires, we found that 10.8% of respondents met the diagnosis of post-traumatic stress disorder (PTSD) after returning to work. The respondents reported a low prevalence of anxiety (3.8%), depression (3.7%), stress (1.5%) and insomnia (2.3%). There were no significant differences in the severity of psychiatric symptoms between workers/technicians and executives/managers. >95% reported psychoneuroimmunity prevention measures including good ventilation in the workplace and wore a face mask as protective. Factors that were associated with the severity of psychiatric symptoms in the workforce were marital status, presence of physical symptom, poor physical health and viewing return to work as a health hazard (p < 0.05). In contrast, personal psychoneuroimmunity prevention measures including hand hygiene and wearing face masks as well as organizational measures including significant improvement of workplace hygiene and concerns from the company were associated with less severe psychiatric symptoms (p < 0.05). Contrary to expectations, returning to work had not caused a high level of psychiatric symptoms in the workforce. The low prevalence of psychiatric symptoms could be due to confidence instilled by psychoneuroimmunity prevention measures before the resumption of work. Our findings would provide information for other countries during the COVID-19 pandemic.
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“One study found no significant difference in any items between workers/technical staff (n = 551) and management/executive staff (n = 122) (all P > 0.05) (Tan et al., 2020)”
From COVID-19 pandemic and mental health consequences: Systematic review of the current evidence (2020) · cites this paper as Tan et al., 2020
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“Evidence suggests that this disease has psychological consequences on healthcare workers, students, psychiatric patients and general workers, especially for COVID-19 patients [4–13].”
From Mindfulness-based online intervention on mental health and quality of life among COVID-19 patients in China: an intervention design (2021) · cites this paper as [8]
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Metadata
- Authors
- Tan, W., Hao, F., McIntyre, R. S., Jiang, L., Jiang, X., Zhang, L., Zhao, X., Zou, Y., Hu, Y., Luo, X., Zhang, Z., Lai, A., Ho, R., Tran, B., Ho, C., & Tam, W.
- Affiliations
- National University of Singapore (SG)
- First People's Hospital of Chongqing (CN)
- University Health Network (CA)
- Army Medical University (CN)
- Huaibei Normal University (CN)
- Johns Hopkins University (US)
- Corresponding author
- Ho, Roger
- ORCID
- Venue
- Brain, Behavior, and Immunity
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 87
- Pages
- 84-92
- ISSN
- 0889-1591 (ISSN-L)
- PMC
- PMC7179503
- OpenAlex
- W3020153107
- Cited by
- 582
- References
- 39
- Citations by year
- 2026: 6 · 2025: 17 · 2024: 32 · 2023: 45 · 2022: 136 · 2021: 192 · 2020: 153
- FWCI
- 52.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
- Funders
- National University of Singapore
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Keywords
- COVID-19 pandemic, return to work, workplace mental health, post-traumatic stress disorder, anxiety, depression, stress, insomnia, workplace infection prevention, face masks, hand hygiene, workplace ventilation, workplace hygiene
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Adult, Anxiety, China, Depression, Female, Health Status, Humans, Sleep Initiation and Maintenance Disorders, Male, Masks, Mental Health, Pneumonia, Viral, Psychoneuroimmunology, Stress Disorders, Post-Traumatic, Ventilation, Workplace, Marital Status, Coronavirus Infections, Young Adult, Pandemics, Return to Work, Hand Hygiene
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