Addressing Postpandemic Clinician Mental Health

Schwartz, Rachel; Sinskey, Jina L.; Anand, Uma; Margolis, Rebecca D.

doi:10.7326/m20-4199

Cited by 64 publications

(37 citation statements)

References 47 publications

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“…Basic living security and necessary medical assistance should be given to patients under financial difficulties. The organization of patient mutual assistance should be established through social media, and the adaptation of COVID-19 patients in different countries or regions should be considered in combination with the localization characteristics of social psychology( Araujo et al, 2020 ; Krishnamoorthy et al, 2020 ; Lao et al, 2020 ; Schwartz et al, 2020 ). The psychological states of the patients were related to many factors.…”

Section: Discussionmentioning

confidence: 99%

A living systematic review of the psychological problems in people suffering from COVID-19

Dong

Liu

Dai

et al. 2021

Journal of Affective Disorders

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Objectives : We aimed to investigate the psychological problems on people infected with SARS-CoV-2 during the pandemic. Methods : In this living systematic review and meta-analyses, we searched seven electronic databases for cross-sectional studies and longitudinal studies on psychological problems on COVID-19 patients from Jan 1, 2020 to Oct 7, 2020. The primary outcome was prevalence of various psychological problems such as anxiety, depression, stress, insomnia, somatization, and fear. We pooled data for prevalence with their 95% confidence interval (CI) using random effect models and assessed the study quality based on the 11-item checklist recommended by the Agency for Healthcare Research and Quality. Results : Fourty-four studies, including studies from China(35), Italy(2), Iran(2), India(1), Korea(1), Ecuador(1), Switzerland(1), Germany(1), were identified by comprising a total of 8587 completed questionnaires and 38 studies for meta-analyses. The prevalence of anxiety, depression, post-traumatic stress disorder(PTSD), insomnia, somatization, and fear in patients with COVID-19 was 16.6% (10.1%-23.1%), 37.7% (29.3%-46.2%), 41.5% (9.3%-73.7%), 68.3% (48.6%-88.0%), 36.5% (20.2%-52.8%), 47.6% (9.4%-85.7%), respectively. The prevalence of anxiety, depression, and insomnia in severe COVID-19 patients (intensive care unit inpatients) was higher than mild or clinically stable COVID-19 patients. Limitations : A significant degree of heterogeneity in terms of populations, sampling methods, scales was noted across studies. Conclusions : There existed high proportions of COVID-19 patients with psychological problem. The prevalence of psychological problems was closely related to the patients themselves, their surroundings and social support. It is imperative to provide ontime psychological care service for COVID-19 patients and to follow-up them for a longer period.

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Section: Discussionmentioning

confidence: 99%

A living systematic review of the psychological problems in people suffering from COVID-19

Dong

Liu

Dai

et al. 2021

Journal of Affective Disorders

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“…For example, a recent meta-analysis [4] analyzed 65 studies for a total sample of 79,437 participants and highlighted a prevalence of 34.4%, 31.8%, 40.3%, 11.4%, 27.8%, 46.1% and 37.4% for anxiety, depression, stress, post-traumatic stress syndrome, insomnia, psychological distress and burnout, respectively. Furthermore, the COVID-19 pandemic is characterized by peculiarities not found in previous disasters such as prolonged insecurity and global economic and social consequences, representing a mass traumatic event [5,10].…”

Section: Introductionmentioning

confidence: 99%

Resilience, Coping Strategies and Posttraumatic Growth in the Workplace Following COVID-19: A Narrative Review on the Positive Aspects of Trauma

Finstad

Giorgi

Lulli

et al. 2021

IJERPH

155

116

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The COVID-19 pandemic represents a traumatic event that has profoundly changed working conditions with detrimental consequences for workers’ health, in particular for the healthcare population directly involved in addressing the emergency. Nevertheless, previous research has demonstrated that traumatic experiences can also lead to positive reactions, stimulating resilience and feelings of growth. The aim of this narrative review is to investigate the positive aspects associated with the COVID-19 pandemic and the possible health prevention and promotion strategies by analyzing the available scientific evidence. In particular, we focus on the constructs of resilience, coping strategies and posttraumatic growth (PTG). A literature search was performed on the PubMed, EMBASE, Scopus, Web of Science, Google Scholar and Psycinfo databases. Forty-six articles were included in the literature synthesis. Psychological resilience is a fundamental variable for reducing and preventing the negative psychological effects of the pandemic and is associated with lower levels of depression, anxiety and burnout. At the individual and organizational level, resilience plays a crucial role in enhancing wellbeing in healthcare and non-healthcare workers. Connected to resilience, adaptive coping strategies are essential for managing the emergency and work-related stress. Several positive factors influencing resilience have been highlighted in the development of PTG. At the same time, high levels of resilience and positive coping strategies can enhance personal growth. Considering the possible long-term coexistence and consequences of COVID-19, organizational interventions should aim to improve workers’ adaptive coping skills, resilience and PTG in order to promote wellbeing.

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“…This is consistent with the results of our study, suggesting that providing support in Wuhan affected the sleep quality of medical workers. Furthermore, various studies showed that effective interventions for medical staff in an epidemic situation could significantly enhance their psychological state and sleep quality, effectively improve their work enthusiasm, and make their return to work in the post-epidemic stage easier [ 44 – 47 ]. Importantly, after effective interventions, front-line medical staff do not need to continue recuperating and can quickly return to work to ensure basic medical needs are met in the post-epidemic stage.…”

Section: Discussionmentioning

confidence: 99%

Effect of Emerging Major Infectious Diseases on Sleep Quality of Medical Workers: Findings from Medical Workers Providing Support During the COVID-19 Pandemic

et al. 2021

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Background The coronavirus disease 2019 (COVID-19) outbreak has exerted immense pressure on medical systems in China and abroad. This study aimed to compare the sleep quality of medical personnel conscripted to the Wuhan Union Cancer Centre to offer support during the early stages of the COVID-19 pandemic to the sleep quality of those who remained at Anhui Medical University Hospital and to determine the role of interventions in improving sleep quality. Material/Methods Questionnaires were completed by 369 individuals who were conscripted to support Wuhan (N=137) and others who were not (the control group; N=232). The Pittsburgh Sleep Quality Index (PSQI) was used to measure the duration and quality of sleep. The Anhui Provincial Health Commission organized a comprehensive intervention, consisting of physical-psychological-social dimensions, over the course of 2 weeks. Results Only 34.21% of the Wuhan support workers reported better sleep quality, as opposed to the 55.60% of the control group at stage 1 (t/χ 2 =14.005, P <.001). Furthermore, despite the Wuhan support group being more prone to poor sleep quality, their sleep quality significantly improved after the interventions. Conclusions The findings from this study showed that medical staff who were conscripted to offer support during the early stages of the COVID-19 pandemic suffered from impaired quality of sleep. The use of questionnaire-based sleep assessments may provide individualized approaches to supporting medical personnel during future epidemics and pandemics. Furthermore, our results indicate that relevant interventions can significantly improve sleep quality, while a prolonged break after interventions does not affect sleep quality.

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Addressing Postpandemic Clinician Mental Health

Cited by 64 publications

References 47 publications

A living systematic review of the psychological problems in people suffering from COVID-19

A living systematic review of the psychological problems in people suffering from COVID-19

Resilience, Coping Strategies and Posttraumatic Growth in the Workplace Following COVID-19: A Narrative Review on the Positive Aspects of Trauma

Effect of Emerging Major Infectious Diseases on Sleep Quality of Medical Workers: Findings from Medical Workers Providing Support During the COVID-19 Pandemic

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