机构：[a]Division of Neuropsychiatry and Psychosomatics, Department of Neurology, Xuanwu Hospital, Capital MedicalUniversity, Beijing, China神经科系统神经内科首都医科大学宣武医院[b]Medical Research and Biometrics Center, Fuwai Hospital, National Center forCardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences,Beijing, China[c]Department of Psychology, University of Bologna, Bologna, Italy[d]Department of Neurology, BeijingPuren Hospital, Beijing, China[e]School of Psychology, Capital Normal University, Beijing, China[f]Department ofPublic Economics, School of Economics, Fudan University, Shanghai, China[g]Department of Orthopedics, JinchengPeople’s Hospital, Shanxi Medical University, Jincheng, China[h]Beijing Institute of Brain Disorders, Capital MedicalUniversity, Beijing, China[i]Department of Psychiatry, Tongji Hospital, Tongji Medical College, Huazhong Universityof Science and Technology, Wuhan, China华中科技大学同济医学院附属同济医院[j]Department of Neurology, The Third People’s Hospital of Chengdu,Chengdu, China[k]Department of Respiratory and Critical Care Medicine, The Second Hospital of Shanxi MedicalUniversity, Taiyuan, China[l]Department of Neurology, The First Affiliated Hospital of Kunming Medical University,Kunming, China昆明医科大学附属第一医院[m]Department of Psychology, Ningxia Fifth People’s Hospital, Ningxia Medical University,Shizuishan, China[n]Department of Neurology, The Second Hospital, Cheeloo College of Medicine, ShandongUniversity, Jinan, China[o]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University,Beijing, China神经科系统神经外科首都医科大学宣武医院[p]Department of Neuropsychiatry and Behavioral Neurology and Clinical Psychology Center, BeijingTiantan Hospital, Capital Medical University, Beijing, China首都医科大学附属天坛医院[q]Department of Neurology, Jincheng People’s Hospital,Shanxi Medical University, Jincheng, China[r]Department of Neurology, Ningcheng Center Hospital,Ningcheng, China[s]Department of Neurology, Dongyang People’s Hospital, Wenzhou Medical University,Dongyang, China[t]Psychosomatic Health Institute, The Third Xiangya Hospital, Central South University,Changsha, China[u]Peking University Sixth Hospital, National Clinical Research Center for Mental Health Disordersand Key Laboratory of Mental Health, Ministry of Health, Peking University, Beijing, China[v]Department of HealthSciences, University of Florence, Florence, Italy[w]Beijing Psychosomatic Disease Consultation Center, XuanwuHospital, Capital Medical University, Beijing, China
Background: As the fight against the COVID-19 epidemic continues, medical workers may have allostatic load. Objective: During the reopening of society, medical and nonmedical workers were compared in terms of allostatic load. Methods: An online study was performed; 3,590 Chinese subjects were analyzed. Socio-demographic variables, allostatic load, stress, abnormal illness behavior, global well-being, mental status, and social support were assessed. Results: There was no difference in allostatic load in medical workers compared to nonmedical workers (15.8 vs. 17.8%; p = 0.22). Multivariate conditional logistic regression revealed that anxiety (OR = 1.24; 95% CI 1.18-1.31; p < 0.01), depression (OR = 1.23; 95% CI 1.17-1.29; p < 0.01), somatization (OR = 1.20; 95% CI 1.14-1.25; p < 0.01), hostility (OR = 1.24; 95% CI 1.18-1.30; p < 0.01), and abnormal illness behavior (OR = 1.49; 95% CI 1.34-1.66; p < 0.01) were positively associated with allostatic load, while objective support (OR = 0.84; 95% CI 0.78-0.89; p < 0.01), subjective support (OR = 0.84; 95% CI 0.80-0.88; p < 0.01), utilization of support (OR = 0.80; 95% CI 0.72-0.88; p < 0.01), social support (OR = 0.90; 95% CI 0.87-0.93; p < 0.01), and global well-being (OR = 0.30; 95% CI 0.22-0.41; p < 0.01) were negatively associated. Conclusions: In the post-COVID-19 epidemic time, medical and nonmedical workers had similar allostatic load. Psychological distress and abnormal illness behavior were risk factors for it, while social support could relieve it.
基金：
H.W. was supported by grants from the National Key R&D Program of China (2017YFC1310001 and 2016YFC1307000), the National Natural Science Foundation of China (81771862), the Beijing Municipal Science and Technology Project(Z171100000117016), the Beijing Natural Science Foundation(KZ201710025017), the Beijing Municipal Hospital Research and Development Plan (PX2017069), and the Beijing Hundred, Thousand, and Ten Thousand Talents Project (2017-CXYF-09).
第一作者机构：[a]Division of Neuropsychiatry and Psychosomatics, Department of Neurology, Xuanwu Hospital, Capital MedicalUniversity, Beijing, China
共同第一作者：
通讯作者：
通讯机构：[*1]Division of Neuropsychiatry and Psychosomatics, Department of Neurology Beijing Psychosomatic Disease Consultation Center, Xuanwu Hospital Capital Medical University, No. 45, Changchun St., Beijing 100053 (China)
推荐引用方式(GB/T 7714)：
Mao Peng,Li Wang,Qing Xue,et al.Post-COVID-19 Epidemic: Allostatic Load among Medical and Nonmedical Workers in China[J].PSYCHOTHERAPY AND PSYCHOSOMATICS.2021,90(2):127-136.doi:10.1159/000511823.
APA：
Mao Peng,Li Wang,Qing Xue,Lu Yin,Bo-heng Zhu...&Hong-xing Wang.(2021).Post-COVID-19 Epidemic: Allostatic Load among Medical and Nonmedical Workers in China.PSYCHOTHERAPY AND PSYCHOSOMATICS,90,(2)
MLA：
Mao Peng,et al."Post-COVID-19 Epidemic: Allostatic Load among Medical and Nonmedical Workers in China".PSYCHOTHERAPY AND PSYCHOSOMATICS 90..2(2021):127-136
医学