Psychische Belastungen durch Epidemien 					bei Beschäftigten im Gesundheitswesen 					und Implikationen für die Bewältigung 					der Corona-Krise: eine Literaturübersicht

Mulfinger, Nadine; Lampl, Josefine; Dinkel, Andreas; Weidner, Kerstin; Beutel, Manfred E.; Jarczok, Marc N.; Hildenbrand, Gerhard; Kruse, Johannes; Seifried-Dübon, Tanja; Junne, Florian; Beschoner, Petra; Gündel, Harald

doi:10.13109/zptm.2020.66.3.220

Cited by 26 publications

(25 citation statements)

References 47 publications

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“…Nurses scored higher than doctors on the total scale and work stress subscale. This is in accordance with previous research which also tended to show a higher burden in nurses (e.g., [15,17,22]) and indicates that the SAVE-9 possibly measures this aspect better than the other mental health scales. The same, though only for the total scale and work stress subscale, was true for HCW who had been infected and quarantined.…”

Section: Discussionsupporting

confidence: 93%

“…Respondents indicate agreement with the nine items on a four-point Likert-type scale ranging from 0 (not at all) to 3 (almost every day). Sum scores can be classified into five groups, healthy (0-4), subthreshold or mild depression (5)(6)(7)(8)(9), moderate depression (10-14), pronounced depression (15)(16)(17)(18)(19), and severe depression (20)(21)(22)(23)(24)(25)(26)(27). Gräfe et al [35], among others, found good psychometric properties in a sample of patients from general practitioners and internal medicine outpatient clinics, for the cut-off of ≥10, sensitivity = 0.95, specificity = 0.83, Cronbach's α = 0.88.…”

Section: Methodsmentioning

confidence: 99%

“…While there is conflicting evidence of the infection risk in HCW relative to the general population, a clearer picture emerges with respect to mental health. Reviews show significant mental health problems in HCW during pandemics in general [15,16] and COVID-19 in particular [17][18][19][20]. Evidence from a German study of HCW demonstrates that the majority of respondents reported feeling "moderately" (50.2%) or "strongly" (23.4%) threatened by the pandemic, and that about half of the respondents felt a "negative" (48.3%) or "very negative" (5.4%) influence of the pandemic on their mood [21].…”

Section: Mental Health Of German Hcw During the Pandemicmentioning

confidence: 99%

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The German Translation of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) Scale: Results from Healthcare Workers during the Second Wave of COVID-19

König

Chung

Ertl

et al. 2021

IJERPH

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Healthcare workers (HCW) are among those most directly affected by the COVID-19 pandemic. Most research with this group has used ad hoc measures, which limits comparability across samples. The Stress and Anxiety to Viral Epidemics-9 scale (SAVE-9) is a nine-item scale first developed in Korea, and has since been translated into several languages. We report on data collected from 484 German HCW between November 2020 and March 2021, during the “second wave” of coronavirus infections. We conducted item analysis, confirmatory factor analysis on the previously found factor solutions of the SAVE-9, examined correlations with established measures of depression, generalized anxiety, and insomnia, and compared scores between different groups of HCW. The psychometric properties of the German SAVE-9 were satisfactory and comparable to previous findings from Korea and Russia (Mosolova et al., 2020). Correlations with mental health measures were positive, as expected. We found some significant differences between groups of HCW on the SAVE-9 which were consistent with the literature but did not appear on the other mental health measures. This suggests that the SAVE-9 taps into specifically work-related stress, which may make it a helpful instrument in this research area.

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Section: Discussionsupporting

confidence: 93%

Section: Methodsmentioning

confidence: 99%

Section: Mental Health Of German Hcw During the Pandemicmentioning

confidence: 99%

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The German Translation of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) Scale: Results from Healthcare Workers during the Second Wave of COVID-19

König

Chung

Ertl

et al. 2021

IJERPH

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“…The extent to which further burdens occurred cannot be discussed conclusively at this point. Indications of diverse negative effects due to high workloads as a result of an epidemic are reported by Mulfinger et al [30].…”

Section: Discussionmentioning

confidence: 92%

The impact of the COVID-19 pandemic on professional practice and patient volume in medical practices: A survey among German physicians and psychotherapists

Bruch

Muehlensiepen

Alexandrov

et al. 2021

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Introduction: This study examines the consequences of the COVID-19 pandemic on outpatient care in the German federal state of Brandenburg during the first 'lockdown' between 22 March and 4 May 2020, focusing on the burden for physicians and psychotherapists in outpatient practices and on alternative ways to provide care, in particular telehealth. Methods: We conducted an online cross-sectional survey among outpatient health care professionals. The responses of n = 277 physicians and n = 87 psychotherapists were included in the analysis. Frequencies are shown; the relationship between categorical variables was examined using the 2 test; we used a qualitative content analysis for free text answers. Results: Almost all (96 %) physicians and 59 % of the psychotherapists reported a patient volume reduction since the COVID-19 outbreak. Cancellations were most often initiated by patients rather than physician offices. Among the physicians, routine check-ups and preventive care consultations were cancelled most frequently, and patients also appeared less frequently in open consultations. 72 % of the physicians and 29 % of the psychotherapists reported economic losses. While personal patient-physician contact was reduced, the use of telehealth has increased since the COVID-19 outbreak: during the first 'lockdown',

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“…Es fanden sich schwere Ausprägungsgrade von depressiven und ängstlichen Symptomen bei 2,2-14,5 % des medizinischen Personals weltweit [12]. Während der Coronaviruspandemie traten Schlafstörungen bei Gesundheitspersonal vermehrt auf [5,13,14,15,16,17]. Eine Metaanalyse weist auf eine höhere indirekte Traumatisierung des medizinischen Personals hin [18].…”

Section: Belastungen Des Medizinischen Personals In Zeiten Der Sars-cov-2-pandemieunclassified

Bedeutung der Einfluss- und protektiven Faktoren bei der psychischen Belastung von medizinischem Personal in Zeiten der SARS-CoV-2-Pandemie

et al. 2021

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ZusammenfassungDie SARS-CoV-2-Pandemie hat nicht nur die Gesellschaft, sondern auch das Gesundheitssystem vor Herausforderungen gestellt. Bei medizinischem Fachpersonal ist eine psychische Belastung reichlich vorhanden. Die vorliegende Arbeit reflektiert die Bedeutung von Einfluss- und schützenden Faktoren im Umgang mit der psychischen Belastung bei medizinischem Personal insgesamt. Vor diesem Hintergrund ist es möglich, neue Erkenntnisse mit Blick auf das Rettungsdienstpersonal abzuleiten, in Zeiten der SARS-CoV-2-Pandemie.Dabei kristallisieren sich belastende Faktoren, wie erhöhte Arbeitsanforderungen und gesellschaftliche Erwartungen an das Gesundheitssystem, das Risiko einer Infektion und die damit verbundene Sorge um Infektion der eigenen Angehörigen, heraus. Rollenkonflikte zwischen beruflicher Verantwortung, Angst und Schuldgefühlen bestehen. Die rechtzeitige Gegensteuerung gegen Belastungen ist ein effektiver Weg, um langfristige negative Beanspruchungsfolgen bei medizinischem Personal zu vermeiden.Ein gemeinsames Handeln von Arbeitgebern, Führungskräften, Angestellten und Betriebsärzten im präventiven Kontext erscheint insbesondere während der Pandemie wichtig. Es werden Hinweise zum Umgang mit psychischen Belastungen für medizinisches Personal unterschiedlicher Verantwortungsebenen dargestellt und Präventionsansätze abgeleitet.

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Psychische Belastungen durch Epidemien bei Beschäftigten im Gesundheitswesen und Implikationen für die Bewältigung der Corona-Krise: eine Literaturübersicht

Cited by 26 publications

References 47 publications

The German Translation of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) Scale: Results from Healthcare Workers during the Second Wave of COVID-19

The German Translation of the Stress and Anxiety to Viral Epidemics-9 (SAVE-9) Scale: Results from Healthcare Workers during the Second Wave of COVID-19

The impact of the COVID-19 pandemic on professional practice and patient volume in medical practices: A survey among German physicians and psychotherapists

Bedeutung der Einfluss- und protektiven Faktoren bei der psychischen Belastung von medizinischem Personal in Zeiten der SARS-CoV-2-Pandemie

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