Mental health care for medical staff in China during the COVID-19 outbreak
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During outbreaks, healthcare workers experience intense pressure from increased workload, anxiety about contracting infection, fear of passing it to family, and fear of death.
“This is known to lead to immense pressure on all health care workers (HCW) due to increased workload, anxiety regarding acquiring infection or passing it on to a family member and fears of death (Chen et al., 2020; Adams and Walls, 2020)”
From Integrating mental health in COVID-19 crisis: Staff mental health referral pathway (2020) · cites this paper as Chen et al., 2020
The paper’s main text says medical staff faced physical and psychological pressure and feared bringing the virus home to their families. It also says infection was not an immediate worry to the staff interviewed once they began work. It does not identify increased workload or fear of death as causes of their pressure; staff instead said they needed more rest. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe staff mental health pathway was formulated based on evidence from prior studies.
“The DOP in liaison with human resources department formulated an evidence based pathway (Chen et al., 2020; Liu et al., 2020; Zhang et al., 2020) to address mental health needs of HCWs.”
From Integrating mental health in COVID-19 crisis: Staff mental health referral pathway (2020) · cites this paper as Chen et al., 2020
The paper’s main text (page not provided) describes a psychological intervention plan for medical staff and says its measures were adjusted after interviews with staff. It supports using the paper as evidence about ways to address staff mental health needs, but does not say the citing authors’ pathway was formulated from prior studies. (LLM, conf=0.82)
Experimental — accuracy not yet measuredRecent experiences in China demonstrate that not all nurses willingly partake in group or individual psychological interventions due to stigma surrounding mental health issues.
“Furthermore, recent experiences in China demonstrate that not all nurses willingly partake in group or individual psychological interventions due to the stigma surrounding mental health issues (13).”
From Translation, adaptation, and initial evaluation of a guided self-help intervention to reduce psychological distress among nurses during COVID-19 in China (2023) · cites this paper as [13]
In the paper’s main text (page not given), Chen et al. report that medical staff were reluctant to join group or individual psychological interventions and that some nurses refused help. The paper does not attribute this reluctance to mental-health stigma; its account of staff concerns instead mentions rest, protective supplies, family worries, and difficulties caring for patients. (LLM, conf=0.90)
Experimental — accuracy not yet measuredIn China, frontline health providers did not utilize psychological interventions developed for them during COVID-19 due to a lack of time.
“For example, the researchers (14) in China developed psychological interventions for frontline health providers during COVID-19 process and yet the health providers did not utilize the services at all due to a lack of time.”
From A proposed framework based on literature review of online contextual mental health services to enhance wellbeing and address psychopathology during covid-19 (2020) · cites this paper as [14]
In the unpaginated main text, the hospital developed psychological interventions, and staff were reluctant to participate in group or individual sessions. The reported reasons for refusing help include wanting uninterrupted rest and adequate protective supplies, but the paper does not say staff lacked time or that none used the services. (LLM, conf=0.88)
Experimental — accuracy not yet measuredBeing a keyworker during the pandemic has been associated with worse mental health outcomes.
“Being a keyworker during the pandemic has been associated with worse mental health outcomes [45,76,77].”
From Loneliness in the UK during the COVID-19 pandemic: Cross-sectional results from the COVID-19 Psychological Wellbeing Study (2020) · cites this paper as [76]
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“Although they are vulnerable to high risk of infection (Chen et al., 2020), they remain positive and optimistic and this positive attitude may help patients overcome their sickness.”
BackgroundSelf-citation
- Authors
- Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., He, L., Sheng, C., Cai, Y., Li, X., Wang, J., & Zhang, Z.
- Affiliations
- Central South University (CN)
- Corresponding author
- Liang, Mining
- Venue
- The Lancet Psychiatry
- Publisher
- Elsevier BV
- Published
- 2020-04
- Volume
- 7
- Issue
- 4
- Pages
- e15-e16
- ISSN
- 2215-0366 (ISSN-L)
- PMC
- PMC7129426
- OpenAlex
- W3009037202
- Cited by
- 2,233
- References
- 4
- Citations by year
- 2026: 24 · 2025: 69 · 2024: 112 · 2023: 275 · 2022: 438 · 2021: 713 · 2020: 600
- FWCI
- 202.76
- Type
- journal article
- Language
- en
- Update notices
- erratum (2020-05-01)
- Open access
- bronze
- doi.org
- Locations
- The Lancet Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- COVID-19 pandemic, mental health services, healthcare workers, psychological distress, psychological support, Wuhan outbreak
- MeSH terms
- Personal Protective Equipment, Betacoronavirus, COVID-19, SARS-CoV-2, Adaptation, Psychological, China, Disease Outbreaks, Family Health, Humans, Mental Health Services, Personnel, Hospital, Pneumonia, Viral, Rest, Stress, Psychological, Treatment Refusal, Coronavirus Infections
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