With more than 3 million cases worldwide, the novel coronavirus disease 2019 (COVID-19) poses a growing global public health challenge.1 Medical personnel disproportionately bear the additional physical and psychological burdens associated with pandemics, yet the mental health implications of COVID-19 for physicians are unknown.2,3 In this cohort study, we assessed anxiety, depression, mood, and other established factors associated with mental health problems in a cohort of young physicians in China before and during the outbreak.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Accepted for Publication: Accepted May 6, 2020.
Published: June 1, 2020. doi:10.1001/jamanetworkopen.2020.10705
Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Li W et al. JAMA Network Open.
Corresponding Authors: Weidong Li, MD, PhD, Brain Science and Technology Research Center, Key Laboratory for the Genetics of Development and Neuropsychiatric Disorders (Ministry of Education), Shanghai Key Laboratory of Psychotic Disorders, Institute of Psychology and Behavioral Science, Bio-X Institutes, Shanghai Jiao Tong University, 800 Dongchuan Rd, Life Science Bldg 1-209, Shanghai 200240, China (email@example.com); Srijan Sen, MD, PhD, Michigan Neuroscience Institute, University of Michigan, MBNI 1066, 205 Zina Pitcher Pl, Ann Arbor, MI 48109 (firstname.lastname@example.org).
Author Contributions: Drs Li and Sen had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Dr Li, Dr Frank, and Ms Zhao contributed equally and share first authorship.
Concept and design: Li, Frank, Zhao, Wang, Burmeister, Sen.
Acquisition, analysis, or interpretation of data: Li, Frank, Zhao, Chen, Burmeister, Sen.
Drafting of the manuscript: Li, Frank, Zhao.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Zhao.
Obtained funding: Li, Zhao, Burmeister, Sen.
Administrative, technical, or material support: Zhao, Chen, Wang, Burmeister.
Supervision: Li, Zhao, Sen.
Conflict of Interest Disclosures: Dr Li reported receiving grants from Shanghai Science and Technology Committee, Shanghai Municipal Education Commission, and Ministry of Science and Technology of China during the conduct of the study. Dr Wang reported receiving grants from National Natural Science Foundation of China, Shanghai Municipal Health Commission, and Shanghai Municipal Education Commission outside the submitted work. No other disclosures were reported.
Funding/Support: This study received funding from the University of Michigan–Shanghai Jiao Tong University Collaboration on Data Science on Sustaining Critical Infrastructures for the Environment and Human Health, American Foundation for Suicide Prevention (grant 8D477-01), Program of Shanghai Subject Chief Scientist (grant 17XD1401700), and the Shanghai Education Commission Research and Innovation Program, Eastern Scholar, and 111 Project.
Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Additional Contributions: We thank all the residents for participating in the study and hospital residency directors for their administrative support.
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