Psychological Health of Surgeons in a Time of COVID-19

Tan, Yi Quan; Wang, Ziting; Yap, Qai Ven; Chan, Yiong Huak; Ho, Roger; Hamid, Agus Rizal Ardy Hariandy; Landaluce‐Olavarria, Aitor; Pellino, Gianluca; Gauhar, Vineet; Chand, Manish; Wroclawski, Marcelo Langer; Hameed, B. M. Zeeshan; Ling, Samuel Ka-Kin; Sengupta, Shomik; Gallo, Gaetano; Chiu, Peter Ka‐Fung; Tanıdır, Yılören; Tallada, M; García, B Núñez; Colleoni, Ramiro; Abiddin, Zainal Adwin Zainal; Campi, Riccardo; Esperto, Francesco; Carrión, Diego M; Elterman, Dean; Chung, Amanda Shu Jun; Ng, Anthony; Moschini, Marco; Rivas, Juan Gómez; Mayol, Julio; Teoh, Jeremy Yuen‐Chun; Chiong, Edmund

doi:10.1097/sla.0000000000004775

Cited by 70 publications

(89 citation statements)

References 33 publications

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“…The sample size used ( n = 511) allowed us to explore the burnout in physiotherapists and to explain its main associated variables, yet we should be cautions as these results cannot be generalised to all Portuguese physiotherapist (data from 2018, 14.2 physiotherapists per 100,000 inhabitants (PORDATA; https://www.pordata.pt/Europa/Fisioterapeutas-1936). Based on the small sample size, it was also not possible to compare burnout levels across distinct work settings, which were shown to be one explanation factor for other HCPs (Tan et al., 2021). This should be explored in future studies.…”

Section: Discussionmentioning

confidence: 99%

Burnout in Portuguese physiotherapists during COVID‐19 pandemic

Jácome

Seixas

Serrão

et al. 2021

Physiotherapy Res Intl

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Objective This study described the burnout experienced by physiotherapists during the COVID‐19 pandemic and analysed the role of possible factors of this occupational phenomenon. Methods Cross‐sectional study based on a web‐based survey applied to physiotherapists living in Portugal. The survey included sociodemographic, health status and clinical practice questions. The Copenhagen Burnout Inventory (personal, work‐ and patient‐related burnout), the Resilience Scale, the Depression Anxiety and Stress Scales and the Satisfaction with Life Scale were used. Results A total of 511 physiotherapists (median 33 years old, 82% females) completed the survey. The participants worked mainly in private practice (50%) and wards (35%). During COVID‐19, 52% were working directly with patients, but only 18% were working with COVID‐19 patients. Personal (42%), work‐ (42%) and patient‐related burnout (25%) was observed. Three significant models explained personal‐ ( R 2 = 51%), work‐ ( R 2 = 31%) and patient‐related burnout ( R 2 = 16%). Lower levels of resilience and higher levels of depression and stress were significantly associated with personal, work‐ and patient‐related burnout. Being female and working directly with patients were additionally associated with both personal and work‐related burnout. Having health problems and working with COVID‐19 patients were only associated with personal burnout. Conclusions More than 40% of physiotherapists experienced personal and work‐related burnout and 25% patient‐related burnout, with resilience, depression and stress having a relevant role in the three burnout dimensions. Early detection and management strategies need to be implemented to address physiotherapists' physical and psychological fatigue and exhaustion.

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Section: Discussionmentioning

confidence: 99%

Burnout in Portuguese physiotherapists during COVID‐19 pandemic

Jácome

Seixas

Serrão

et al. 2021

Physiotherapy Res Intl

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“…The universal, long-term impact of this ongoing traumatic event underscores the importance of longitudinal mental health care for HWs ( 17 ). Notably, the strict lockdown measures had a negative psychological impact on psychiatric patients during the COVID-19 pandemic ( 46 ).…”

Section: Discussionmentioning

confidence: 99%

“…In order to understand the psychological impact caused by the COVID-19 outbreak, the PHQ-9, and GAD-7 scales were used to measure the symptom severity of depression, and anxiety, respectively. In addition, we used IES-R (a 22-item selfreported scale describing avoidance, intrusion, and hyperarousal symptoms after a traumatic event) to assess the subjective stress caused by the specific event of COVID-19 (16)(17)(18)(19). The total scores of these measuring tools were categorized as follows: PHQ-9, normal (0-4), mild (5)(6)(7)(8)(9), moderate (10)(11)(12)(13)(14), and severe (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) depression; GAD-7, normal (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), and severe (15)(16)(17)(18)(19)(20)(21) anxiety; and IES-R, normal (0-8), mild (9)(10)(11)(12)(13)(14)…”

Section: Methodsmentioning

confidence: 99%

A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown

et al. 2021

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Background: The coronavirus disease-2019 (COVID-19) outbreak and a 3-month lockdown of Wuhan may have had a long-term impact on the mental health of frontline healthcare workers (HWs). However, there is still a lack of comparative studies on the mental health of front-line HWs in the initial phase of the lockdown and 1 month after the lifting of the lockdown.Methods: We recruited 1717 HWs during the initial phase of the lockdown and 2214 HWs 1 month after the lifting of the lockdown, and their baseline characteristics and psychiatric health in these two phases were compared. Furthermore, Pearson's Chi-square test and multivariate logistic regression analysis were used to determine the possible risk factors associated with depressive symptoms in the front-line HWs.Results: Compared with the initial phase of the lockdown, the proportion of HWs with anxiety symptoms and stress decreased, while the proportion of HWs with depressive symptoms increased a month after the lifting of the lockdown. Male sex, exercise habit, comorbidities, and having family members or relatives with suspected or confirmed COVID-19 infection were significantly related to the increased incidence of depressive symptoms during the initial phase of the lockdown. Comorbidities, negative effect of media coverage, working >4 days a week, lower annual household income, and deteriorating relationships with family members were associated with depressive symptoms a month after the lifting of the lockdown.Conclusion: The increased proportion of HWs with depressive symptoms 1 month after the lifting of the lockdown suggested that mental health of front-line HWs should be a top-priority issue, not only during, but also after the pandemic.

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“…22 Despite cultural, political and case rate variances, studies have found high rates of psychological symptoms among clinicians during this pandemic. [23][24][25][26][27][28] However, there are limited qualitative data describing the drivers of distress. [29][30][31][32][33][34][35][36][37] The aim of this study was to describe the drivers of distress and motivation with the goals of informing local and national strategies to reduce avoidable distress in interdisciplinary clinicians on the frontline of COVID-19.…”

Section: Open Accessmentioning

confidence: 99%

Frontline interdisciplinary clinician perspectives on caring for patients with COVID-19: a qualitative study

et al. 2021

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ObjectiveTo describe the drivers of distress and motivations faced by interdisciplinary clinicians who were on the frontline caring for patients with COVID-19.Design50 semistructured interviews. Transcripts were analysed using qualitative thematic analysis.SettingA safety-net hospital in Denver, Colorado.ParticipantsInterdisciplinary frontline clinicians including physicians, advance practice providers, nurses, respiratory therapists and paramedics providing inpatient hospital care to patients hospitalised for COVID-19.ResultsFifty clinicians (32 women and 18 men) participated. Five themes with respective subthemes (in parentheses) were identified: depersonalisation and barriers to care (impeding rapport and compassion, focusing on infection risk at the expense of high-quality care, grief from witnessing patients suffer in isolation), powerless in uncertainty (inescapable awareness of personal risk, therapeutic doubt in a void of evidence, confronting ethical dilemmas, struggling with dynamic and unfamiliar challenges), overwhelmed and exhausted (burden of personal protective equipment (PPE), information overload and confusion, overstretched by additional responsibilities at work, compounded by personal life stressors, feeling vulnerable and dispensable, compassion fatigue, distress from the disproportionate impact on socially oppressed communities), bolstering morale and confidence (motivated by community and family support, equipped with data), and driven by moral duty (responsibility to patient care and community, collegial solidarity and collaboration, contributing to the greater good).ConclusionFrontline clinicians reported distress due to the challenges of PPE, uncertainty and powerlessness, new responsibilities at work and home, losing control of their schedules, grief from witnessing patients suffer in isolation and witnessing healthcare disparities exacerbated by this pandemic. Clinicians feel supported by their colleagues, families, and community and were driven by a sense of moral duty. Healthcare system should adopt strategies to minimise distress faced by interdisciplinary clinicians on the frontline of COVID-19.

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Psychological Health of Surgeons in a Time of COVID-19

Cited by 70 publications

References 33 publications

Burnout in Portuguese physiotherapists during COVID‐19 pandemic

Burnout in Portuguese physiotherapists during COVID‐19 pandemic

A Comparative Study on the Psychological Health of Frontline Health Workers in Wuhan Under and After the Lockdown

Frontline interdisciplinary clinician perspectives on caring for patients with COVID-19: a qualitative study

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