Prevalence of COVID-19 fear and its association with quality of life and network structure among Chinese mental health professionals after ending China's dynamic zero-COVID policy: a national survey.

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  • Additional Information
    • Source:
      Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Lausanne : Frontiers Editorial Office
    • Subject Terms:
      Quality of Life* ; COVID-19*/epidemiology; Humans ; Cross-Sectional Studies ; East Asian People ; Mental Health ; Pandemics ; Prevalence ; China/epidemiology ; Fear ; Policy
    • Abstract:
      Background: China recorded a massive COVID-19 pandemic wave after ending its Dynamic Zero-COVID Policy on January 8, 2023. As a result, mental health professionals (MHPs) experienced negative mental health consequences, including an increased level of fear related to COVID-19. This study aimed to explore the prevalence and correlates of COVID-19 fear among MHPs following the end of the Policy, and its association with quality of life (QoL) from a network analysis perspective.
      Methods: A cross-sectional national study was conducted across China. The correlates of COVID-19 fear were examined using both univariate and multivariate analyses. An analysis of covariance (ANCOVA) was conducted to determine the relationship between fear of COVID-19 and QoL. Central symptoms were identified using network analysis through the "Expected Influence" of the network model while specific symptoms directly correlated with QoL were identified through the "flow function."
      Results: A total of 10,647 Chinese MHPs were included. The overall prevalence of COVID-19 fear (FCV-19S total score ≥ 16) was 60.8% (95% CI = 59.9-61.8%). The binary logistic regression analysis found that MHPs with fear of COVID-19 were more likely to be married (OR = 1.198; p  < 0.001) and having COVID-19 infection (OR = 1.235; p  = 0.005) and quarantine experience (OR = 1.189; p  < 0.001). Having better economic status (good vs. poor: OR = 0.479; p  < 0.001; fair vs. poor: OR = 0.646; p  < 0.001) and health status (good vs. poor: OR = 0.410; p  < 0.001; fair vs. poor: OR = 0.617; p  < 0.001) were significantly associated with a lower risk of COVID-19 fear. The ANCOVA showed that MHPs with fear of COVID-19 had lower QoL [ F  = 228.0, p  < 0.001]. "Palpitation when thinking about COVID-19" was the most central symptom in the COVID-19 fear network model, while "Uncomfortable thinking about COVID-19" had the strongest negative association with QoL (average edge weight = -0.048).
      Conclusion: This study found a high prevalence of COVID-19 fear among Chinese MHPs following the end of China's Dynamic Zero-COVID Policy. Developing effective prevention and intervention measures that target the central symptoms as well as symptoms correlated with QoL in our network structure would be important to address COVID-19 fear and improve QoL.
      Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
      (Copyright © 2023 Lam, Chen, Zhang, Sha, An, Su, Cheung, Ungvari, Ng, Xiang and Feng.)
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    • Contributed Indexing:
      Keywords: COVID-19; fear; mental health professionals; network analysis; quality of life
    • Publication Date:
      Date Created: 20231115 Date Completed: 20231116 Latest Revision: 20240429
    • Publication Date:
      20240430
    • Accession Number:
      PMC10642929
    • Accession Number:
      10.3389/fpubh.2023.1280688
    • Accession Number:
      37965522