{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T20:09:57Z","timestamp":1774382997995,"version":"3.50.1"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013277","name":"National Clinical Key Specialty Project Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013277","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011930","name":"Beijing Medical and Health Foundation","doi-asserted-by":"publisher","award":["MH180924"],"award-info":[{"award-number":["MH180924"]}],"id":[{"id":"10.13039\/501100011930","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to assess the extent of alcohol use and misuse among clinical therapists working in psychiatric hospitals in China during the early COVID-19 Pandemic, and to identify associated factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An anonymous nationwide survey was conducted in 41 tertiary psychiatric hospitals. We collected demographic data as well as alcohol use using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) and burnout using the Maslach Burnout Inventory Human Services Survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 396 clinical therapists completed the survey, representing 89.0% of all potential participants we targeted. The mean age of participants was 33.8 years old, and more than three-quarters (77.5%) were female. Nearly two-fifths (39.1%) self-reported as current alcohol users. The overall prevalence of alcohol misuse was 6.6%. Nearly one-fifth (19.9%) reported symptoms of burnout with high emotional exhaustion in 46 (11.6%), and high depersonalization in 61 (15.4%). Multiple logistic regression showed alcohol use was associated with male gender (OR\u2009=\u20094.392; 95% CI =2.443\u20137.894), single marital status (OR\u2009=\u20091.652; 95% CI =0.970\u20132.814), smoking habit (OR\u2009=\u20093.847; 95%CI =1.160\u201312.758) and regular exercise (OR\u2009=\u20092.719; 95%CI =1.490\u20134.963). Alcohol misuse was associated with male gender (OR\u2009=\u20093.367; 95% CI =1.174\u20139.655), a lower education level (OR\u2009=\u20093.788; 95%CI =1.009\u201314.224), smoking habit (OR\u2009=\u20094.626; 95%CI =1.277\u201316.754) and high burnout (depersonalization, OR\u2009=\u20094.848; 95%CI =1.433\u201316.406).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During the COVID-19 pandemic, clinical therapists\u2019 alcohol consumption did not increase significantly. Male gender, cigarette smoking, and burnout are associated with an increased risk of alcohol misuse among clinical therapists. Targeted intervention is needed when developing strategies to reduce alcohol misuse and improve clinical therapists\u2019 wellness and mental health.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1084259","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T05:59:11Z","timestamp":1680760751000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Alcohol misuse, health-related behaviors, and burnout among clinical therapists in China during the early Covid-19 pandemic: A Nationwide survey"],"prefix":"10.3389","volume":"11","author":[{"given":"Rui","family":"Tao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaiyuan","family":"Min","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daming","family":"Mo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Geng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingfang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanli","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huanzhong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-lang","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.glohj.2021.02.004","article-title":"Coronavirus disease 2019 (Covid-19) and global mental health","volume":"5","author":"Zhang","year":"2021","journal-title":"Glob Health J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"102676","DOI":"10.1016\/j.ajp.2021.102676","article-title":"The mental health problems of public health center staff during the Covid-19 pandemic in Japan","volume":"61","author":"Usukura","year":"2021","journal-title":"Asian J Psychiatr"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"109285","DOI":"10.1016\/j.drugalcdep.2022.109285","article-title":"Trajectories of alcohol use and problems during the Covid-19 pandemic: the role of social stressors and drinking motives for men and women","volume":"232","author":"Tucker","year":"2022","journal-title":"Drug Alcohol Depend"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e09325","DOI":"10.1016\/j.heliyon.2022.e09325","article-title":"Mental health outcomes and risk factors among female physicians during the Covid-19 pandemic","volume":"8","author":"Leon Rojas","year":"2022","journal-title":"Heliyon"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"106854","DOI":"10.1016\/j.ypmed.2021.106854","article-title":"Mental health and economic stressors associated with high-risk drinking and increased alcohol consumption early in the Covid-19 pandemic in the United States","volume":"153","author":"Nesoff","year":"2021","journal-title":"Prev Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"106422","DOI":"10.1016\/j.ypmed.2021.106422","article-title":"Increased alcohol use during the Covid-19 pandemic: the effect of mental health and age in a cross-sectional sample of social media users in the U.S","volume":"145","author":"Capasso","year":"2021","journal-title":"Prev Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"114","DOI":"10.3969\/j.issn.1674-2257.2022.01.025.","article-title":"Study on job burnout and job satisfaction of doctors in public hospitals during Covid-19 pandemic","volume":"17","author":"Wang","year":"2022","journal-title":"J Chengdu Med Coll"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"152278","DOI":"10.1016\/j.comppsych.2021.152278","article-title":"Mental health assessment of spanish healthcare workers during the sars-cov-2 pandemic. 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