{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:24:54Z","timestamp":1787066694412,"version":"build-2736575974"},"reference-count":41,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"unspecified","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"NUS Department of Psychological Medicine","award":["R-177-000-100-001\/R-177-000-003-001\/ R177000702733"],"award-info":[{"award-number":["R-177-000-100-001\/R-177-000-003-001\/ R177000702733"]}]},{"name":"Vingroup Innovation Foundation","award":["VINIF.2020.COVID-19.DA03"],"award-info":[{"award-number":["VINIF.2020.COVID-19.DA03"]}]},{"name":"ActionAid Vietnam","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"NUS iHeathtech Other Operating Expenses","award":["R-722-000-004-731"],"award-info":[{"award-number":["R-722-000-004-731"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,7,13]]},"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We assessed the psychological impact posed by COVID-19 and its associated factors on the healthcare workforce nationwide during the peak of Vietnam\u2019s fourth outbreak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Our study was conducted in 61 provinces of Vietnam.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 2814 healthcare professionals in 61\/63 provinces of Vietnam. An online questionnaire using Patient Health Questionnaire-9 (PHQ-9), Perceived Stress Scale-4 (PSS-4) and Generalised Anxiety Disorder-7 (GAD-7) scales was distributed randomly to a subgroup of 503 respondents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>To determine the impact of COVID-19 on the psychological of health workers, we conducted analyses to test a primary hypothesis related to participants based on three main scales including PHQ-9, PSS-4 and GAD-7 scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nearly half (49.7%) of healthcare workers experienced mild depression symptoms, 34.0% underwent moderate anxiety symptoms and 49.3% reported high-stress levels. Respondents who had a monthly income below 5\u2009million VND (~US$212) and had more than 3\u2009days of duty per week had a higher score on the anxiety scales. Compared with medical doctors, nurses\/midwives had lower PHQ-9 (Coef=\u22122.53; 95% CI=\u22123.71 to \u22121.36) and GAD-7 scores (Coef=\u22122.36; 95% CI=\u22123.56\u2009L to \u22121.16). Increased workload and work time was the harmful factor that increase the PHQ-9, GAD-7 or PSS-4 scores. More than half (53.9%) of respondents stated no demand for mental healthcare services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Health workers who gained less financial rewards are reported to have higher levels of mental distress than others, implying the need for a raise in basic salary as well as compensation and encouragement schemes. To tackle hesitancy in seeking mental help, integrating online mental health therapy with e-health consultations via social media can be strategically implemented to augment service delivery, and simultaneously enhance the standard of mental health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-069239","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T13:35:21Z","timestamp":1691069721000},"page":"e069239","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Psychological impacts of COVID-19 on Vietnamese health workers over the prolonged restricted COVID-19 responses: a cross-sectional study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9510-6753","authenticated-orcid":false,"given":"Bach","family":"Tran","sequence":"first","affiliation":[{"name":"EA 3279, CEReSS, Research Centre on Health Services and Quality of Life, Aix-Marseille Universite, Marseille, France"},{"name":"Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minh Trong","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Auquier","sequence":"additional","affiliation":[{"name":"EA 3279, CEReSS, Research Centre on Health Services and Quality of Life, Aix-Marseille Universite, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Boyer","sequence":"additional","affiliation":[{"name":"EA 3279, CEReSS, Research Centre on Health Services and Quality of Life, Aix-Marseille Universite, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Fond","sequence":"additional","affiliation":[{"name":"EA 3279, CEReSS, Research Centre on Health Services and Quality of Life, Aix-Marseille Universite, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giang Thu","family":"Vu","sequence":"additional","affiliation":[{"name":"National Centre for Youth Substance Use Research, The University of Queensland, Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thao Phuong","family":"Hoang","sequence":"additional","affiliation":[{"name":"Action Aid Vietnam, Hanoi, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phuong Thu","family":"Ho","sequence":"additional","affiliation":[{"name":"Action Aid Vietnam, Hanoi, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tu Huu","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Vietnam Young Physicians\u2019 Association, Hanoi, Viet Nam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl A","family":"Latkin","sequence":"additional","affiliation":[{"name":"Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrus SH","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9629-4493","authenticated-orcid":false,"given":"Roger C M","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore"},{"name":"Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8385-2345","authenticated-orcid":false,"given":"Melvyn W B","family":"Zhang","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,8,3]]},"reference":[{"key":"2025121512220408000_13.8.e069239.1","unstructured":"WHO . 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