{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:29:58Z","timestamp":1790706598562,"version":"4.1.0"},"reference-count":35,"publisher":"Baishideng Publishing Group Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Psychiatry"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Healthcare workers (HCWs) are at increased risk of contracting coronavirus disease 2019 (COVID-19) as well as worsening mental health problems and insomnia. These problems can persist for a long period, even after the pandemic. However, less is known about this topic.<\/jats:p>\n          <jats:p>AIM<\/jats:p>\n          <jats:p>To analyze mental health, insomnia problems, and their influencing factors in HCWs after the COVID-19 pandemic.<\/jats:p>\n          <jats:p>METHODS<\/jats:p>\n          <jats:p>This multicenter cross-sectional, hospital-based study was conducted from June 1st, 2023 to June 30th, 2023, which was a half-year after the end of the COVID-19 emergency. Region-stratified population-based cluster sampling was applied at the provincial level for Chinese HCWs. Symptoms such as anxiety, depression, and insomnia were evaluated by the Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index. Factors influencing the symptoms were identified by multivariable logistic regression.<\/jats:p>\n          <jats:p>RESULTS<\/jats:p>\n          <jats:p>A total of 2000 participants were invited, for a response rate of 70.6%. A total of 1412 HCWs [618 (43.8%) doctors, 583 (41.3%) nurses and 211 (14.9%) nonfrontline], 254 (18.0%), 231 (16.4%), and 289 (20.5%) had symptoms of anxiety, depression, and insomnia, respectively; severe symptoms were found in 58 (4.1%), 49 (3.5%), and 111 (7.9%) of the participants. Nurses, female sex, and hospitalization for COVID-19 were risk factors for anxiety, depression, and insomnia symptoms; moreover, death from family or friends was a risk factor for insomnia symptoms. During the COVID-19 outbreak, most [1086 (76.9%)] of the participating HCWs received psychological interventions, while nearly all [994 (70.4%)] of them had received public psychological education. Only 102 (7.2%) of the HCWs received individual counseling from COVID-19.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>Although the mental health and sleep problems of HCWs were relieved after the COVID-19 pandemic, they still faced challenges and greater risks than did the general population. Identifying risk factors would help in providing targeted interventions. In addition, although a major proportion of HCWs have received public psychological education, individual interventions are still insufficient.<\/jats:p>","DOI":"10.5498\/wjp.v14.i5.704","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T10:24:01Z","timestamp":1715768641000},"page":"704-714","source":"Crossref","is-referenced-by-count":11,"title":["Mental health and insomnia problems in healthcare workers after the COVID-19 pandemic: A multicenter cross-sectional study"],"prefix":"10.5498","volume":"14","author":[{"given":"Wei","family":"Ding","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min-Zhong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xian-Wei","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen-Hua","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Meng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui-Ting","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Guang","family":"Guan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fan-Gang","family":"Meng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-Guo","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,5,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1038\/s41563-020-00906-z"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.12839"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30211-7"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00025-0"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30307-2"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2020.78"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30308-4"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.18425"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.3976"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.05.026"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2022.1"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.104002"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1038\/s41392-022-00996-y"},{"key":"B14","unstructured":"Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council of the People's Republic of China in Response to COVID-19 Epidemic.   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