Evidence map›Paper›PMID 33207297›Full record

ArticleInternational journal of nursing studies2021

Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: A cross-sectional study.

Rujun Zheng, Yuhong Zhou, Yan Fu, Qiufen Xiang, Fang Cheng, Huaying Chen, Huiqiong Xu, Lan Fu, Xiaoling Wu, Mei Feng and 7 more

Open access · greenAbstract read
In one paragraph

Article in International journal of nursing studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 5 pooled it
13.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 5 syntheses or guidelines pooled it, 204 citations in OpenAlex.

  1. Pooled it
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  3. Prevalence of Psychological Impacts on Healthcare Providers during COVID-19 Pandemic in Asia.International journal of environmental research and public health · 2021
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  16. Factors associated with depression, anxiety, stress, PTSD, and fatigue of medical staff during the COVID-19 pandemic in Shanghai: a two-phase cross-sectional study.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2025
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26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Rujun ZhengWest China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.
Yuhong ZhouWest China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.
Yan FuWest China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.
Qiufen XiangWest China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.
Fang ChengDepartment of Oncology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Huaying ChenDepartment of Head and Neck Oncology, West China Hospital, Sichuan University, Chengdu 610041, China.
Huiqiong XuDepartment of Abdominal Oncology, West China Hospital, Sichuan University, Chengdu 610041, China.
Lan FuBreast Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Xiaoling WuDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Mei FengDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Lei YeEmergency Department, West China Hospital, Sichuan University, Chengdu 610041, China.
Yongming TianDepartment of Intensive Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Rong DengCenter of Infectious Diseases, West China Hospital, Sichuan University, Chengdu 610041, China.
Shanshan LiuCenter of Infectious Diseases, West China Hospital, Sichuan University, Chengdu 610041, China.
Yan JiangDepartment of Nursing/Evidence-based Nursing Center, West China Hospital, Sichuan University, Chengdu 610041, China. Electronic address: jiangyanhuaxi@sohu.com.
Chunhua YuWest China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China. Electronic address: chunhua1995@126.com.
Junying LiWest China School of Nursing, Sichuan University/ Department of Thoracic Oncology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China. Electronic address: aaa111www@yeah.net.
Sichuan University · CNWest China Hospital of Sichuan University · CNUnion Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) is a public health emergency of international concern and has caused traumatic experience for nurses worldwide. However, the prevalence of depression and anxiety symptoms in nurses, and how psychosocial factors influence nurses in this public crisis are unknown.

objectivesTo determine the effect of COVID-19 on the mental health of nurses and the prevalence of anxiety and depression symptoms among nurses in China during the outbreak.

designA cross-sectional study. SETTINGS AND

participantsA total of 3,228 nurses in Sichuan Province and Wuhan City were selected by convenience sampling. All participants were invited to complete the questionnaire through WeChat from January 27 to February 3, 2020.

methodsA self-reported questionnaire combining depression and anxiety scale was used to collect data anonymously. Binary and multivariate logistic regression was applied to measure the odds of psychosocial factors of anxiety and depression and perceived health, respectively.

resultsThe total incidence of depression (34.3%) and anxiety (18.1%) during the COVID-19 outbreak was lower than that during the SARS outbreak; however, the rate of depression in our study (47.1%) was high and similar in a recent study (50.4%) about the health care workers exposed to COVID-19 in China. The results indicated that COVID-19-related stress, relationship quality with family, and demographic characteristics were associated with depression, anxiety, and perceived health status. Furthermore, the prevalence of depression was similar between nurses working in low-risk COVID-19 wards was as high as working in high-risk COVID-19 wards (OR, 1.078; 95% CI, 0.784-1.481).

conclusionsOur study revealed the high prevalence of depression and anxiety among nurses during the outbreak of COVID-19. COVID-19 factors and psychosocial factors were associated with mental health of nurses. The results suggest that hospitals should implement effective mental health promotion programs focused on occupational safety and family support to improve the well-being of nurses.

Indexed as

AdultAnxietyChinaCOVID-19Cross-Sectional StudiesDepressionFemaleHumansMaleMental HealthMiddle AgedNursesOccupational StressPrevalenceRisk FactorsSelf ReportAnxietyAssociated factorsCOVID-19DepressionNursesPrevalence

Identifiers

PMID33207297
PMCPMC7583612
OpenAlexW3094411216

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.