Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Impact of COVID-19-Related Stress and Depression in Public Sector Workers

코로나 19 관련 공공근로자에서의 우울증상 및 스트레스 반응

  • Park, Jinsol (Department of Psychiatry, Korea University Guro Hospital) ;
  • Cho, Hye-mi (Department of Psychiatry, Korea University Guro Hospital) ;
  • Ko, Min-soo (Department of Psychiatry, Korea University Guro Hospital) ;
  • Chi, Su-hyuk (Department of Psychiatry, Korea University Guro Hospital) ;
  • Han, Changsu (Department of Psychiatry, Korea University Guro Hospital) ;
  • Yi, Hyun-suk (Gwangmyung City Health Center) ;
  • Lee, Moon-Soo (Department of Psychiatry, Korea University Guro Hospital)
  • 박진솔 (고려대학교 구로병원 정신건강의학과) ;
  • 조혜미 (고려대학교 구로병원 정신건강의학과) ;
  • 고민수 (고려대학교 구로병원 정신건강의학과) ;
  • 지수혁 (고려대학교 구로병원 정신건강의학과) ;
  • 한창수 (고려대학교 구로병원 정신건강의학과) ;
  • 이현숙 (광명시 정신건강증진센터) ;
  • 이문수 (고려대학교 구로병원 정신건강의학과)
  • Received : 2021.07.19
  • Accepted : 2021.10.26
  • Published : 2021.12.31
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Abstract

Objectives : The coronavirus disease 2019 (COVID-19) outbreak is a global medical crisis imposing particular burden on public sector employees. The aim of this study was to investigate the psychiatric distress among public sector workers amid the COVID-19 pandemic. Methods : We conducted a cross-sectional study with 531 public sector workers in Gwangmyung city who completed Korean versions of the Perceived Stress Scale (PSS), Patient Health Questionnaire-9 (PHQ-9), and Impact of Event Scale-Revised-Korean (IES-R-K). Results : The results revealed more than moderate levels of stress (85.2%), depressive symptoms (22.2%), and posttraumatic stress symptoms (38.8%). PSS total score was significantly correlated with PHQ-9, IES-R-K total scores as well as IES-R-K subscale scores. Total scores on the PSS, PHQ-9, and IES-R-K were all inversely correlated with age. Conclusions : COVID-19-related workers experience considerable stress and depressive symptoms, with self-rated stress correlating significantly with depression scores. Age may serve as a protective factor against occupational stress and burnout. These findings highlight the need for adequate psychiatric screening and intervention for public sector workers.

연구목적 코로나바이러스 사태로 인해 전세계가 보건 위기와 큰 혼란의 국면을 맞은 가운데, 특히 재난 상황에서 시민의 건강을 위해 노력하는 공공 근로자들의 신체적, 정신적 스트레스가 과중해지고 있다. 본 연구는 공공 근로자들의 정신적 스트레스를 분석하고자 했다. 방 법 본 연구에서는 광명시 정신건강복지센터 홈페이지를 통해 모집한 531명의 공공영역 종사자를 대상으로 한국판 지각된 스트레스 척 도(Perceived Stress Scale, PSS), 한국판 우울증 평가도구(Patient Health Questionnaire-9, PHQ-9), 한국판 사건 충격 척도 수정판(Impact Event Scale-Revised, IES-R-K)을 시행하였다. 결 과 분석 결과에 의하면 코로나 19 관련 종사자들은 중등도 이상의 지각된 스트레스 반응(85.2%), 우울증상(22.2%), 외상 후 스트레스 관련 증 상(38.8%)을 보여, 상당한 스트레스와 우울증상을 경험하는 상태로 나타났다. PSS 총점은 PHQ-9, IES-R 총 점 및 IES-R의 하위 척도별 점수와 유의한 상관관계를 보여, 주관적으로 지각된 스트레스 반응 정도가 우울 증상과 연관되어 있음을 시사하였다. PSS, PHQ-9, IES-R 총점은 각각 모두 연령과 음의 상관관계를 보였다. 즉, 연령이 직무 스트레스 반응과 번아웃에 대한 보호요인으로 작용할 가능성이 있다. 결 론 향후에 공공영역 종사자 들의 정신건강에 관한 추가적인 연구가 필요하겠으며 정신건강 관리 및 적절한 개입이 마련되어야 할 것으로 사료된다.

Keywords

Acknowledgement

This research was supported by the COVID-19 Disaster Psychological Support Program through Gwangmyeong mental health welfare center funded by Gwangmyeong city health center.

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