The COVID-19 global pandemic impacted the mental health of frontline workers of all disciplines across the world. The purpose of this study was to examine the protective and risk factors associated with depression scores (PHQ-9) and anxiety scores (GAD-7) of physicians practicing within the United States during the earliest phase of the pandemic. Anonymous online survey data was collected from 1,724 U.S. physicians between April – June of 2020 for this cross-sectional observational study. Recruitment was conducted via email and social media outlets. Multiple linear regression with multiple imputation of missing data was used to explore associations between each risk factor and outcome measure (PHQ-9 and GAD-7 scores). Worry related to COVID-19 was associated with greater depression and anxiety scores. COVID-related changes (i.e. decreased exercise, increased alcohol intake, and decreased sleep) were each associated with greater mean depression and anxiety scores. Greater perception of employer support was associated with lower mean depression and anxiety scores while greater increase in telehealth usage was associated with greater mean depression and anxiety scores. Identification of protective and risk factors associated with depression and anxiety remains important to consider as the global pandemic continues to evolve, and healthcare workers continue to face ongoing stressors within the occupational setting. [ FROM AUTHOR] Copyright of International Journal of Health Promotion & Education is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

中文翻译：

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在 COVID-19 大流行的第一阶段，与美国医生的抑郁和焦虑症状相关的因素

COVID-19 全球大流行影响了全球所有学科一线工作人员的心理健康。本研究的目的是检查与大流行初期在美国执业的医生的抑郁评分 (PHQ-9) 和焦虑评分 (GAD-7) 相关的保护性和风险因素。这项横断面观察研究在 2020 年 4 月至 6 月期间从 1,724 名美国医生那里收集了匿名在线调查数据。招聘是通过电子邮件和社交媒体渠道进行的。对缺失数据进行多重插补的多元线性回归用于探索每个风险因素与结果测量（PHQ-9 和 GAD-7 评分）之间的关联。与 COVID-19 相关的担忧与更高的抑郁和焦虑评分相关。与 COVID 相关的变化（即减少运动、酒精摄入量增加和睡眠减少）均与更高的平均抑郁和焦虑评分相关。对雇主支持的更大认知与较低的平均抑郁和焦虑评分相关，而远程医疗使用的更多增加与较高的平均抑郁和焦虑评分相关。随着全球大流行的继续发展，以及医护人员在职业环境中继续面临持续的压力，确定与抑郁和焦虑相关的保护性和风险因素仍然很重要。[来自作者] International Journal of Health Promotion & Education 的版权是 Routledge 的财产，未经版权所有者明确的书面许可，不得将其内容复制或通过电子邮件发送到多个站点或发布到列表服务器。然而，用户可以打印、下载或通过电子邮件发送文章供个人使用。这可能会有所删减。不保证副本的准确性。用户应参阅材料的原始发布版本以获取完整信息。（版权适用于所有 s。）