Post-COVID-19 Epidemic: Allostatic Load among Medical and Nonmedical Workers in China,Psychotherapy and Psychosomatics

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Post-COVID-19 Epidemic: Allostatic Load among Medical and Nonmedical Workers in China
Psychotherapy and Psychosomatics ( IF 16.3 ) Pub Date : 2020-11-05 , DOI: 10.1159/000511823
Mao Peng , Li Wang , Qing Xue , Lu Yin , Bo-heng Zhu , Kun Wang , Fang-fang Shangguan , Pei-ran Zhang , Yan-yan Niu , Wen-rui Zhang , Wen-feng Zhao , Huang Wang , Jing Lv , Hai-qing Song , Bao-quan Min , Hai-xia Leng , Yu Jia , Hong Chang , Zhi-peng Yu , Qing Tian , Yuan Yang , Zhou Zhu , Wei Li , Xiao-ling Gao , Xiao-lei Liu , Mei Yang , Ping Wang , Peng-hu Wei , Chun-xue Wang , Jin-na Li , Long-bin Jia , Xiao-min Huang , Dong-ning Li , Dong-juan Xu , Yun-long Deng , Tian-mei Si , Hui-qing Dong , Yu-ping Wang , Fiammetta Cosci , Hong-xing Wang

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 #x3c; 0.01), depression (OR = 1.23; 95% CI 1.17–1.29; p #x3c; 0.01), somatization (OR = 1.20; 95% CI 1.14–1.25; p #x3c; 0.01), hostility (OR = 1.24; 95% CI 1.18–1.30; p #x3c; 0.01), and abnormal illness behavior (OR = 1.49; 95% CI 1.34–1.66; p #x3c; 0.01) were positively associated with allostatic load, while objective support (OR = 0.84; 95% CI 0.78–0.89; p #x3c; 0.01), subjective support (OR = 0.84; 95% CI 0.80–0.88; p #x3c; 0.01), utilization of support (OR = 0.80; 95% CI 0.72–0.88; p #x3c; 0.01), social support (OR = 0.90; 95% CI 0.87–0.93; p #x3c; 0.01), and global well-being (OR = 0.30; 95% CI 0.22–0.41; p #x3c; 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.
Psychother Psychosom

更新日期：2020-11-06

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