[Skip to Content]
[Skip to Content Landing]

Mental Health of Young Physicians in China During the Novel Coronavirus Disease 2019 Outbreak

Educational Objective
To understand the mental health challenges facing young physicians who are managing COVID-19
1 Credit CME

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.

Sign in to take quiz and track your certificates

Buy This Activity
Article Information

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 (liwd@sjtu.edu.cn); Srijan Sen, MD, PhD, Michigan Neuroscience Institute, University of Michigan, MBNI 1066, 205 Zina Pitcher Pl, Ann Arbor, MI 48109 (srijan@umich.edu).

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.

References
1.
World Health Organization. Coronavirus disease 2019 (COVID-19): situation report—100. Published April 29, 2020. Accessed April 30, 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200429-sitrep-100-covid-19.pdf?sfvrsn=bbfbf3d1_6
2.
Lai  J , Ma  S , Wang  Y ,  et al.  Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019.   JAMA Netw Open. 2020;3(3):e203976. doi:10.1001/jamanetworkopen.2020.3976PubMedGoogle Scholar
3.
Goulia  P , Mantas  C , Dimitroula  D , Mantis  D , Hyphantis  T .  General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A/H1N1 influenza pandemic.   BMC Infect Dis. 2010;10(1):322. doi:10.1186/1471-2334-10-322PubMedGoogle ScholarCrossref
4.
Chen  L , Zhao  Z , Wang  Z ,  et al. Prevalence and predictors of depression among training physicians in China: a comparison to the United States. Published April 17, 2020. Accessed May 7, 2020. https://www.medrxiv.org/content/10.1101/2020.04.12.20049882v1
5.
Kroenke  K , Spitzer  RL , Williams  JB .  The PHQ-9: validity of a brief depression severity measure.   J Gen Intern Med. 2001;16(9):606-613. doi:10.1046/j.1525-1497.2001.016009606.xPubMedGoogle ScholarCrossref
6.
Sen  S , Kranzler  HR , Krystal  JH ,  et al.  A prospective cohort study investigating factors associated with depression during medical internship.   Arch Gen Psychiatry. 2010;67(6):557-565. doi:10.1001/archgenpsychiatry.2010.41PubMedGoogle ScholarCrossref
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close