Association Between Proportion of Workday Treating COVID-19 and Depression, Anxiety, and PTSD Outcomes in US Physicians

Gainer, Danielle; Nahhas, Ramzi W.; Bhatt, Nita; Merrill, Autumnn; McCormack, Julie

doi:10.1097/jom.0000000000002086

Cited by 28 publications

(40 citation statements)

References 45 publications

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“…The overall prevalence of symptoms of mental health conditions among public health workers was higher than previously reported in the general population (approximately 40.9%) ( 1 ). Prevalences of symptoms of depression and anxiety among public health workers were similar to those in previous reports among health care workers ( 3 ); however, prevalence of PTSD symptoms among public health workers was 10%–20% higher than that previously reported among health care workers ( 2 ), frontline personnel ( 3 ), and the general public ( 1 ). Symptoms of PTSD disproportionately affected public health workers who experienced work-related traumatic stressors (e.g., felt inadequately compensated or felt unappreciated at work), particularly those factors that affect workers’ personal lives (e.g., felt disconnected from family and friends because of workload).…”

Section: Discussionsupporting

confidence: 86%

Symptoms of Depression, Anxiety, Post-Traumatic Stress Disorder, and Suicidal Ideation Among State, Tribal, Local, and Territorial Public Health Workers During the COVID-19 Pandemic — United States, March–April 2021

Bryant-Genevier¹,

Rao²,

Lopes-Cardozo³

et al. 2021

MMWR Morb. Mortal. Wkly. Rep.

100

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On June 25, 2021, this report was posted as an MMWR Early Release on the MMWR website (https://www.cdc.gov/mmwr).Increases in mental health conditions have been documented among the general population and health care workers since the start of the COVID-19 pandemic (1-3). Public health workers might be at similar risk for negative mental health consequences because of the prolonged demand for responding to the pandemic and for implementing an unprecedented vaccination campaign. The extent of mental health conditions among public health workers during the COVID-19 pandemic, however, is uncertain. A 2014 survey estimated that there were nearly 250,000 state and local public health workers in the United States (4). To evaluate mental health conditions among these workers, a nonprobability-based online survey was conducted during March 29-April 16, 2021, to assess symptoms of depression, anxiety, post-traumatic stress disorder (PTSD), and suicidal ideation among public health workers in state, tribal, local, and territorial public health departments. Among 26,174 respondents, 53.0% reported symptoms of at least one mental health condition in the preceding 2 weeks, including depression (32.0%), anxiety (30.3%), PTSD (36.8%), or suicidal ideation (8.4%). The highest prevalence of symptoms of a mental health condition was among respondents aged ≤29 years (range = 13.6%-47.4%) and transgender or nonbinary persons (i.e., those who identified as neither male nor female) of all ages (range = 30.4%-65.5%). Public health workers who reported being unable to take time off from work were more likely to report adverse mental health symptoms. Severity of symptoms increased with increasing weekly work hours and percentage of work time dedicated to COVID-19 response activities. Implementing prevention and control practices that eliminate, reduce, and manage factors that cause or contribute to public health workers' poor mental health might improve mental health outcomes during emergencies.A nonprobability-based convenience sample of public health workers was invited to complete a self-administered, online, anonymous survey during March 29-April 16, 2021. All persons who worked at a state, tribal, local, or territorial health department for any length of time in 2020 were eligible to participate.* * Respondents who did not report working at a state, tribal, local, or territorial public health agency or department in 2020 were excluded from the analysis.

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Section: Discussionsupporting

confidence: 86%

Symptoms of Depression, Anxiety, Post-Traumatic Stress Disorder, and Suicidal Ideation Among State, Tribal, Local, and Territorial Public Health Workers During the COVID-19 Pandemic — United States, March–April 2021

Bryant-Genevier¹,

Rao²,

Lopes-Cardozo³

et al. 2021

MMWR Morb. Mortal. Wkly. Rep.

100

View full text Add to dashboard Cite

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“…Young physicians seem to have fewer mental health problems than other HCWs. In a study including 1724 US physicians, the authors found that overall, there was no significant association between trainee status and mental health scores for depression, anxiety and post-traumatic stress disorder (PTSD), but in a group of physicians who treated COVID-19 patients, resident trainees had worse mental health scores [19]. It was confirmed in another study which found a higher prevalence of stress and burnout in trainees who treated COVID-19 patients [20].…”

Section: Discussionmentioning

confidence: 97%

Health Impact and Psychosocial Perceptions among French Medical Residents during the SARS-CoV-2 Outbreak: A Cross-Sectional Survey

Lucas

Brient

Eveillard

et al. 2021

IJERPH

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This study compared the impact on mental health and the psychosocial perceptions of medical residents and healthcare workers (HCWs) in a hospital after the first peak of the SARS-CoV2 outbreak in France. A validated version of the SATIN questionnaire with a modified scoring system was used to collect data on health and psychosocial factors. This questionnaire was sent to all workers at the hospital in July 2020 and was self-administered online. Using a multivariate multinomial regression model, the study included demographic variables such as age, gender, years at workplace and the relevant of covariate as HCW status. One thousand, four hundred and six questionnaires were available for analysis including 393 non-HCWs, 891 HCWs and 122 medical residents. Medical resident status is a risk factor for stress (OR 4.77 [2.48–9.18] p < 0.001), worse global health (OR 4 [1.7–9.6] p < 0.001) and mental health (OR 2.58 [1.3–5.1] p = 0.02), negative perception of work demand (OR 8.25 [3.5–19.6] p <0.001), work activity environment (OR 3.18 [1.5–6.7] p = 0.02) and organizational context (OR 4.9 [2.38–10.4] p <0.001). Action on collective support, protection equipment, organizational context and framework are important.

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“…During the pandemic, nursing homes have also experienced shortages of both personal protective equipment (PPE) and staff, potentially affecting their ability to safely provide care [ 2 ]. In addition to the risk of both contracting and spreading SARS-CoV-2, the virus causing COVID-19, the mental health of nursing home staff may also be affected by the pandemic, as several studies have illustrated symptoms of anxiety, depression, and post-traumatic stress in frontline healthcare personnel during the pandemic [ 3 – 5 ]. As staff are likely important contributors to the transmission of SARS-CoV-2 in nursing home settings [ 6 ], more knowledge is needed regarding the experiences of nursing home staff during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic

et al. 2021

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Background A large portion of COVID-19 cases and deaths in the United States have occurred in nursing homes; however, current literature including the frontline perspective of staff working in nursing homes is limited. The objective of this qualitative assessment was to better understand what individual and facility level factors may have contributed to the impact of COVID-19 on Certified Nursing Assistants (CNAs) and Environmental Services (EVS) staff working in nursing homes. Methods Based on a simple random sample from the National Healthcare Safety Network (NHSN), 7,520 facilities were emailed invitations requesting one CNA and/or one EVS staff member for participation in a voluntary focus group over Zoom. Facility characteristics were obtained via NHSN and publicly available sources; participant demographics were collected via SurveyMonkey during registration and polling during focus groups. Qualitative information was coded using NVIVO and Excel. Results Throughout April 2021, 23 focus groups including 110 participants from 84 facilities were conducted homogenous by participant role. Staffing problems were a recurring theme reported. Participants often cited the toll the pandemic took on their emotional well-being, describing increased stress, responsibilities, and time needed to complete their jobs. The lack of consistent and systematic guidance resulting in frequently changing infection prevention protocols was also reported across focus groups. Conclusions Addressing concerns of low wages and lack of financial incentives may have the potential to attract and retain employees to help alleviate nursing home staff shortages. Additionally, access to mental health resources could help nursing home staff cope with the emotional burden of the COVID-19 pandemic. These frontline staff members provided invaluable insight and should be included in improvement efforts to support nursing homes recovering from the impact of COVID-19 as well as future pandemic planning.

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Association Between Proportion of Workday Treating COVID-19 and Depression, Anxiety, and PTSD Outcomes in US Physicians

Cited by 28 publications

References 45 publications

Symptoms of Depression, Anxiety, Post-Traumatic Stress Disorder, and Suicidal Ideation Among State, Tribal, Local, and Territorial Public Health Workers During the COVID-19 Pandemic — United States, March–April 2021

Symptoms of Depression, Anxiety, Post-Traumatic Stress Disorder, and Suicidal Ideation Among State, Tribal, Local, and Territorial Public Health Workers During the COVID-19 Pandemic — United States, March–April 2021

Health Impact and Psychosocial Perceptions among French Medical Residents during the SARS-CoV-2 Outbreak: A Cross-Sectional Survey

A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic

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