{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T13:11:29Z","timestamp":1768914689844,"version":"3.49.0"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The prevalence of mental distress has been noted in shelter hospitals set up for COVID-19. Potential risk demographic and hospitalization factors were screened. We also aimed to determine whether humanistic care established in the shelter hospital was effective in ameliorating mental distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional observational survey-based single-centered study was conducted from 28th April to 5th May 2022 during the COVID-19 pandemic in Shanghai. Asymptomatic adult inpatients and those with mild symptoms were recruited for this study, and humanistic care measures were carried out by the administrative office according to the Work Program on Psychological Assistance and Social Work Services at the Shelter Hospital launched on 5th March 2020. Symptoms of mental distress, such as reported stress, anxiety, depression, and insomnia were measured using the Chinese Stress Response Questionnaire-28, the Chinese version of Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index-7, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 1,246 out of 9,519 inpatients, including 565 (45.35%) women and 681 (54.65%) men, with a median age of 36\u2009years responded to the survey. The overall prevalence of stress, anxiety, depression, and insomnia in inpatients was 94 (7.54%), 109 (8.75%), 141 (11.32%), and 144 (11.56%), respectively. Mental distress was aggravated by COVID-19-related symptoms, comorbidities, and prolonged hospital stays. A stable internet connection was the most effective measure to reduce stress and depression. Offering inpatient with study or work facilitations, and mental health education help to ameliorate anxiety and depression. Organizing volunteering was a potential protective factor against stress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Humanistic care is crucial and effective for protecting against mental distress, which should be emphasized in shelter hospitals.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2023.1178834","type":"journal-article","created":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T21:27:33Z","timestamp":1690493253000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Humanistic care relieves mental distress of inpatients in the shelter hospital during COVID-19 pandemic in Shanghai: a cross-sectional observational study"],"prefix":"10.3389","volume":"14","author":[{"given":"Dongdong","family":"Xiao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jieying","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaqi","family":"Ye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minjie","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weilin","family":"Fang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeqian","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiwei","family":"Fu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yifei","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ziji","family":"Yan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenlu","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Qin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanli","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junhua","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2011","DOI":"10.1016\/S0140-6736(22)00838-8","article-title":"Shanghai's life-saving efforts against the current omicron wave of the Covid-19 pandemic","volume":"399","author":"Zhang","year":"2022","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"641167","DOI":"10.3389\/fpsyg.2021.641167","article-title":"Psychological responses of the patients in cabin hospital to the Covid-19 outbreak: a comparative epidemiologic analysis","volume":"12","author":"Wang","year":"2021","journal-title":"Front Psychol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e15950","DOI":"10.1097\/MD.0000000000015950","article-title":"Perceived stress and psychological distress among Chinese physicians: the mediating role of coping style","volume":"98","author":"Wang","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1097\/MLR.0b013e318160d093","article-title":"Validation and standardization of the generalized anxiety disorder screener (gad-7) in the general population","volume":"46","author":"Lowe","year":"2008","journal-title":"Med Care"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.genhosppsych.2014.09.009","article-title":"A diagnostic Meta-analysis of the patient health Questionnaire-9 (Phq-9) algorithm scoring method as a screen for depression","volume":"37","author":"Manea","year":"2015","journal-title":"Gen Hosp Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1016\/j.jad.2014.12.042","article-title":"Validation of patient health questionnaire (Phq) for major depression in Chinese outpatients with multiple somatic symptoms: a multicenter cross-sectional study","volume":"174","author":"Xiong","year":"2015","journal-title":"J Affect Disord"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1093\/sleep\/34.5.601","article-title":"The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response","volume":"34","author":"Morin","year":"2011","journal-title":"Sleep"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"373","DOI":"10.3760\/cma.j.issn.1006-7884.2019.06.003","article-title":"The effect of E-aid cognitive behavioral therapy in treating chronic insomnia disorder: an open-label randomized controlled trial","volume":"52","author":"Zhang","year":"2019","journal-title":"Chin J Psychiatry"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1623","DOI":"10.3390\/jcm11061623","article-title":"Is the \"family glass cabin\" useful to safely allow inpatient-caregiver interaction in the Covid-19 era? A pilot study on severe acquired brain injury","volume":"11","author":"De Luca","year":"2022","journal-title":"J Clin Med"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1016\/S2215-0366(21)00151-6","article-title":"Mental health responses to the Covid-19 pandemic: a latent class trajectory analysis using longitudinal Uk data","volume":"8","author":"Pierce","year":"2021","journal-title":"Lancet Psychiatry"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1706","DOI":"10.1038\/s41591-022-01909-w","article-title":"Symptoms and risk factors for long Covid in non-hospitalized adults","volume":"28","author":"Subramanian","year":"2022","journal-title":"Nat Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1016\/s2215-0366(20)30308-4","article-title":"Mental health before and during the Covid-19 pandemic: a longitudinal probability sample survey of the Uk population","volume":"7","author":"Pierce","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"SI77","DOI":"10.1093\/rheumatology\/keab174","article-title":"The impact of the Covid-19 pandemic on people with rheumatic and musculoskeletal diseases: insights from patient-generated data on social media","volume":"60","author":"Reuter","year":"2021","journal-title":"Rheumatology (Oxford)"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1080\/01634372.2021.1904079","article-title":"Associations between volunteering and mental health during Covid-19 among Chinese older adults","volume":"64","author":"Chan","year":"2021","journal-title":"J Gerontol Soc Work"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2023.1178834\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T21:27:39Z","timestamp":1690493259000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2023.1178834\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,27]]},"references-count":14,"alternative-id":["10.3389\/fpsyt.2023.1178834"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2023.1178834","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,27]]},"article-number":"1178834"}}