Prevalence and predisposing factors of post-traumatic stress symptoms in anaesthetists during the second wave of COVID-19 in South Africa

Lombard, T; Spijkerman, Sandra; Rooyen, Cathy Van

doi:10.36303/sajaa.2022.28.2.2764

Cited by 6 publications

(42 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the U.S., it was reported that 26% of adults showed symptoms of trauma or stress-related disorder as early as June 2020 ( Czeisler et al, 2020 ). Similar reports could also be found in Europe ( Rossi et al, 2020 ), Africa ( Lombard et al, 2022 ), Oceania ( liddell et al, 2021 ), and other places around the world (e.g., Li et al, 2021 ). In China, large-scaled surveys revealed that the rate of PTSD rose from 4.6% pre-pandemic level to 7% following the COVID outbreak, although it might not be specific to the epidemic ( Liu et al, 2020 , Sun et al, 2021 ).…”

Section: Post-traumatic Stress Response and Covid-19supporting

confidence: 79%

Coping and post-traumatic stress disorder symptoms among Chinese youth in the peak and remission periods of COVID-19

Chen

Li²,

Chen³

et al. 2022

Children and Youth Services Review

View full text Add to dashboard Cite

Section: Post-traumatic Stress Response and Covid-19supporting

confidence: 79%

Coping and post-traumatic stress disorder symptoms among Chinese youth in the peak and remission periods of COVID-19

Chen

Li²,

Chen³

et al. 2022

Children and Youth Services Review

View full text Add to dashboard Cite

“…Of 1254 articles initially returned, we included 20 articles that studied 8680 anaesthetists (Fig. 1 ) [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ]. Studies sampled anaesthetists from 14 countries: Canada (n = 55) [ 26 ]; Egypt (n = 330) [ 32 , 41 ]; France (n = 46) [ 36 ]; India (n = 512) [ 24 ]; Italy (n = 195) [ 28 , 34 ]; Malaysia (n = 85) [ 23 ]; Pakistan (n = 8) [ 31 ]; Saudi Arabia (n = 241) [ 30 ]; Singapore (n = 115) [ 42 ]; Spain (n = 776) [ 39 ]; South Africa (n = 391) [ 33 ]; Turkey (n = 34) [ 40 ]; UK and Ireland (n = 1143) [ 27 , 37 , 38 ]; and the USA (n = 4759) [ 25 , 29 , 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eighteen of the 20 studies used validated outcome measures to assess mental health and well‐being constructs (see online Supporting Information, Table S2 ), including: burnout [ 23 , 25 , 26 , 29 , 32 , 34 ]; stress [ 25 , 28 , 32 , 34 , 39 , 41 ]; anxiety [ 23 , 24 , 25 , 28 , 30 , 34 , 35 , 40 , 42 ]; depression [ 23 , 24 , 25 , 28 , 30 , 34 , 35 , 40 , 42 ]; post‐traumatic stress [ 30 , 33 , 37 , 38 ]; psychological distress [ 37 , 38 ]; insomnia and sleep concerns [ 24 , 26 , 28 , 34 , 40 , 42 ]; resilience [ 36 ]; happiness [ 34 ] and well‐being [ 25 , 27 ]. Two studies did not specify validated outcome measures: one was a conference proceeding that only noted that a survey was used [ 27 ], and the other used qualitative interview techniques [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…3 , online Supporting information, Table S3 ). Risk factors included: direct COVID‐19 related issues (fear of exposure to infection; requirement for quarantine) [ 24 , 42 ]; practitioner health factors; (insomnia; having comorbidities) [ 24 , 33 , 42 ]; psychosocial factors (loneliness; isolation; perceived lack of support at home and work) [ 29 , 33 , 34 ]; demographic factors (female sex; non‐white ethnicity, LGBTQIA+) [ 25 , 29 , 35 , 42 ]; and workplace factors (high work effort; perceived staff shortages; redeployment outside area of clinical practice; PPE shortages) [ 29 , 32 , 33 , 34 , 42 ]. High effort was also associated with lower happiness [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Research that investigated concerns of healthcare workers during the current pandemic, as well as the SARS 2003 outbreak, supports the findings of this review. Risk of infection of self and family; availability of PPE and inadequate training in its use; increased workload; ineffective communication about treatment protocols; and financial worries were all concerns of those working under pandemic conditions [ 19 , 24 , 25 , 27 , 31 , 33 , 35 , 37 , 41 , 46 , 50 ]. The evidence suggests these factors are important, not only in securing immediate infection control and safety, but also in having a perceived downstream impact on mental health and well‐being.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mental health and well‐being of anaesthetists during the COVID‐19 pandemic: a scoping review

Paterson

Ferris

2022

Anaesthesia

View full text Add to dashboard Cite

The COVID-19 pandemic has imposed substantial burdens on clinicians and there is a need to better understand the impact on mental health and well-being. This scoping review investigates the prevalence of mental health concerns in anaesthetists, risk and protective factors for mental well-being, and anaesthetists' pandemic-related concerns and support. We searched online databases for articles published between January 2020 and May 2022, using search terms related to: anaesthesia; burnout, well-being, mental health or stress; and COVID-19. We identified 20 articles comprising 19 different populations of anaesthetists (n = 8680) from 14 countries. Studies identified the prevalence of the following condition in anaesthetists: burnout (14-59%); stress (50-71%); anxiety (11-74%); depression (12-67%); post-traumatic stress (17-25%); psychological distress (52%); and insomnia (17-61%). Significant risk factors for poorer mental health included: direct COVID-19-related issues (fear of self and family exposure to infection; requirement for quarantine); practitioner health factors (insomnia; comorbidities); psychosocial factors (loneliness; isolation; perceived lack of support at home and work); demographic factors (female gender; non-white ethnicity; LGBTQIA+); and workplace factors (redeployment outside area of clinical practice; increased work effort; personal protective equipment shortages). Protective factors identified included: job satisfaction; perceived organisational justice; older age; and male sex. Anaesthetists' self-reported concerns related to: personal protective equipment; resource allocation; fear of infection; fear of financial loss; increased workload; and effective communication of protocols for patient treatment. Support from family, colleagues and hospital management was identified as an important coping mechanism. Findings from this review may support the design of interventions to enhance anaesthetists' psychological health during pandemic conditions and beyond. Future research should include consistent psychological outcome measures and rigorous experimental design beyond cross-sectional studies.

show abstract

Physician Posttraumatic Stress Disorder During COVID-19

Kamra,

Dhaliwal,

et al. 2024

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceThe COVID-19 pandemic placed many physicians in situations of increased stress and challenging resource allocation decisions. Insight into the prevalence of posttraumatic stress disorder in physicians and its risk factors during the COVID-19 pandemic will guide interventions to prevent its development.ObjectiveTo determine the prevalence of posttraumatic stress disorder (PTSD) among physicians during the COVID-19 pandemic and examine variations based on factors, such as sex, age, medical specialty, and career stage.Data SourcesA Preferred Reporting Items for Systematic Reviews and Meta-analyses–compliant systematic review was conducted, searching MEDLINE, Embase, and PsychInfo, from December 2019 to November 2022. Search terms included MeSH (medical subject heading) terms and keywords associated with physicians as the population and PTSD.Study SelectionPeer-reviewed published studies reporting on PTSD as a probable diagnosis via validated questionnaires or clinician diagnosis were included. The studies were reviewed by 6 reviewers.Data Extraction and SynthesisA random-effects meta-analysis was used to pool estimates of PTSD prevalence and calculate odds ratios (ORs) for relevant physician characteristics.Main Outcomes and MeasuresThe primary outcome of interest was the prevalence of PTSD in physicians, identified by standardized questionnaires.ResultsFifty-seven studies with a total of 28 965 participants and 25 countries were included (of those that reported sex: 5917 of 11 239 [52.6%] were male and 5322 of 11 239 [47.4%] were female; of those that reported career stage: 4148 of 11 186 [37.1%] were medical trainees and 7038 of 11 186 [62.9%] were attending physicians). The estimated pooled prevalence of PTSD was 18.3% (95% CI, 15.2%-22.8%; I2 = 97%). Fourteen studies (22.8%) reported sex, and it was found that female physicians were more likely to develop PTSD (OR, 1.93; 95% CI, 1.56-2.39). Of the 10 studies (17.5%) reporting age, younger physicians reported less PTSD. Among the 13 studies (22.8%) reporting specialty, PTSD was most common among emergency department doctors. Among the 16 studies (28.1%) reporting career stage, trainees were more prone to developing PTSD than attendings (OR, 1.33; 95% CI, 1.12-1.57).Conclusions and RelevanceIn this meta-analysis examining PTSD during COVID-19, 18.3% of physicians reported symptoms consistent with PTSD, with a higher risk in female physicians, older physiciansy, and trainees, and with variation by specialty. Targeted interventions to support physician well-being during traumatic events like pandemics are required.

show abstract

Prevalence and predisposing factors of post-traumatic stress symptoms in anaesthetists during the second wave of COVID-19 in South Africa

Cited by 6 publications

References 32 publications

Coping and post-traumatic stress disorder symptoms among Chinese youth in the peak and remission periods of COVID-19

Coping and post-traumatic stress disorder symptoms among Chinese youth in the peak and remission periods of COVID-19

Mental health and well‐being of anaesthetists during the COVID‐19 pandemic: a scoping review

Physician Posttraumatic Stress Disorder During COVID-19

Contact Info

Product

Resources

About