Long-Term Trajectory and Risk Factors of Healthcare Workers’ Mental Health during COVID-19 Pandemic: A 24 Month Longitudinal Cohort Study

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(5), P. 4586 - 4586

Published: March 4, 2023

Background: Research has shown the substantial impact of COVID-19 pandemic on healthcare workers’ (HCWs) mental health, however, it mostly relies data collected during early stages COVID-19. The aim this study is to assess long-term trajectory HCWs’ health and associated risk factors. Methods: a longitudinal cohort was carried out in an Italian hospital. At Time 1 (July 2020–July 2021), 990 HCWs took part completed General Health Questionnaire (GHQ-12), Impact Event Scale (IES-R), Anxiety Disorder (GAD-7)questionnaire. McNemar’s test measured changes symptoms’ trajectories, random effects models evaluated factors with scores above cut-off. Results: 310 participated follow-up evaluation (Time 2; July 2021–July 2022). 2, cut-offs were significantly lower (p < 0.001) than at for all scales (23% vs. 48% GHQ-12; 11% 25% IES-R; 15% 23% GAD-7). Risk psychological impairment being nurse (IES-R: OR 4.72, 95% CI 1.71–13.0; GAD-7: 2.82, 1.44–7.17), assistant 6.76, 1.30–35.1), or having had infected family member (GHQ-12: 1.95, 1.01–3.83). Compared 1, gender experience units lost significance symptoms. Conclusions: over more 24 months from onset showed improvement health; our findings suggested need tailor prioritize preventive actions towards workforce.

Language: Английский

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Perceived work stressors and the transition to burnout among nurses in response to the pandemic: implications for healthcare organizations

Scandinavian Journal of Work Environment & Health, Journal Year: 2024, Volume and Issue: 50(3), P. 158 - 167

Published: March 13, 2024

OBJECTIVES: This study aimed to assess the associations of pre-pandemic perceived work stressors and satisfaction among nurses, including nurse assistants, with burnout profiles their transitions in response pandemic. METHODS: Three hundred thirty-seven nurses working an Italian University hospital participated a longitudinal survey August 2019 investigating (assessed using HSE Indicator Tool), (Work Satisfaction Scale), (Maslach Burnout Inventory), second December 2020 assessing burnout. Using latent transition analysis, we identified then estimated between on transitions. RESULTS: We three profiles, namely engaged (67%), ineffective (15%), (18%); pandemic (37%), exhausted (51%), severe (12%). The profile consisted 70% classified before Overall, were associated both profiles. Among not prior COVID-19, hostile relationships increased [odds ratio (OR) 1.19, 95% confidence interval (CI) 1.05–1.34] decreased (OR 0.82, CI 0.68–0.98) probability exhausted. Moreover, 0.54, 0.32–0.91) participation organization 0.69, 0.51–0.93) protected from transitioning association peer support needs further investigation. CONCLUSIONS: Pre-pandemic To enhance preparedness for future crises, healthcare managers should carefully tackle work-related constraints affecting nurses.

Language: Английский

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Depression, anxiety and stress among healthcare workers in the context of the COVID-19 pandemic: a cross-sectional study in a tertiary hospital in Northern Vietnam

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Sept. 19, 2023

The outbreak of coronavirus severe acute respiratory syndrome 2 (SARS-CoV2) had significant effects on the mental well-being in general, particularly for healthcare professionals. This study examined prevalence depression, anxiety, and stress, identified associated risk factors amongst workers during COVID-19 a tertiary hospital located Vietnam.

Language: Английский

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The growing effect of job demands on teacher mental health: results from a longitudinal national household panel survey

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: May 16, 2025

Teacher mental health is an important predictor of student outcomes and teacher workforce retention, has been declining for some years, exacerbated by the COVID-19 pandemic. The various causes this trend have speculated to include a that younger less experienced, as well increasing work demands. We evaluated trends in between 2005 2022, using 5-item Mental Health Inventory (MHI-5) from annual Household Income Labour Dynamics Australia (HILDA) survey. tested whether was due changes non-work related factors (i.e., composition), or workplace risk high job demands low autonomy). stable 2011 then declined median 80 (IQR 68-88) 76 60-97) MHI-5. decline not explained composition. prevalence over period (53% 55%) while autonomy control increased 34 58%, especially after 2018. At same time, strength association with poor 1.32 [95%CI -0.45 3.09] MHI-5 units 4.91 [3.34 6.47] units. teacher's partly sensitivity Given reported level did increase, addressing reduction time (which enables workers cope demands) may improve policies support retention.

Language: Английский

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Lessons on the COVID-19 pandemic: who are the most affected

Scientific Reports, Journal Year: 2023, Volume and Issue: 13(1)

Published: June 8, 2023

The COVID-19 pandemic has led to significant changes in work and lifestyle, impacting occupational mental health. This study examines the time individual heterogeneity pandemic's effects on health using panel data from job stress checks spanning 2018 2021. On average, there was an initial alleviation of high-stress risk 2020, followed by a deterioration Based demand-resource theory, we identify group employees most affected pandemic. findings highlight that unfavorable workplace conditions are more likely experience substantial adverse impacts. Adequate support, including factors like interpersonal relationships, managerial meaning, control, work-life balance, is crucial for mitigating risk. Additionally, during early phase pandemic, engaged experienced slight decline health, while those lacking resources at their worksite faced higher levels subsequent year. These offer practical suggestions person-centered coping strategies mitigate impact.

Language: Английский

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Working conditions for healthcare workers at a Swedish university hospital infectious disease department during the COVID-19 pandemic: barriers and facilitators to maintaining employee wellbeing

Frontiers in Psychology, Journal Year: 2023, Volume and Issue: 14

Published: May 18, 2023

Background Healthcare workers (HCWs) at infectious disease departments have held the frontline during COVID-19 pandemic. This study aimed to identify barriers and facilitators maintaining employees’ wellbeing that may be used increase preparedness for future pandemics within ID Departments. Methods In September 2020, a web-based survey on demographics work environment was distributed all HCWs Infectious Disease Department Sahlgrenska University Hospital. Results were compared with pre-COVID-19 from October 2019. A quantitative analysis of overall effects pandemic working conditions conducted; in addition, qualitative content open-ended responses performed. total, 222 149 completed surveys (84 54% response rate), respectively. Overall, we found significant changes regarding increased workload, lack emotional support stressful situations, inability recover after shifts. These factors correlated both younger age concern becoming infected. The answers ( n = 103, 69%) revealed five generic categories Workload ; Organizational Worry ethical stress Capability Cooperation unity ) total 14 identified representing plausible individual organizational-level or sustained employee wellbeing. Conclusion Younger as well those expressing worries about contracting infection particularly affected these groups require additional outbreaks. Factors increasing decreasing pandemic-induced negative health consequences identified; this knowledge utilized future.

Language: Английский

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Alexithymia, Burnout, and Hopelessness in a Large Sample of Healthcare Workers during the Third Wave of COVID-19 in Italy

Brain Sciences, Journal Year: 2023, Volume and Issue: 13(11), P. 1550 - 1550

Published: Nov. 5, 2023

In the present study, we aimed to assess frequency of and relationships between alexithymia, burnout, hopelessness in a large sample healthcare workers (HCWs) during third wave COVID-19 Italy. Alexithymia was evaluated by Italian version 20-item Toronto Scale (TAS-20) its subscales Difficulty Identifying Feelings (DIF), Describing (DDF), Externally Oriented Thinking (EOT), burnout measured with scales emotional exhaustion (EE), depersonalisation (DP), personal accomplishment (PA) Maslach Burnout Test (MBI), using Beck Hopelessness (BHS), irritability (IRR), depression (DEP), anxiety (ANX) were Irritability' Depression' Anxiety (IDA). This cross-sectional study recruited 1445 HCWs from urban facility Italy 1 May 31 June 2021. The comparison individuals that positive (n = 214, 14.8%) or not for alexithymia 1231, 85.2%), controlling age, gender, working seniority, revealed subjects showed higher scores on BHS, EE, DP IRR, DEP, ANX, DIF, DDF, EOT lower PA than ones (p < 0.001). linear regression model, seniority as well DDF associated hopelessness. conclusion, increased alexithymia. Comprehensive strategies should be implemented support HCWs' mental health mitigate negative consequences

Language: Английский

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Post-traumatic stress disorder in hospital doctors after the COVID-19 pandemic

Occupational Medicine, Journal Year: 2024, Volume and Issue: 74(1), P. 113 - 119

Published: Jan. 1, 2024

Abstract Background Prior studies showed that during the coronavirus disease 2019 (COVID-19) pandemic healthcare workers had a higher risk of developing post-traumatic stress disorder (PTSD) symptoms. However, conducted among doctors several years after beginning COVID-19 are scarce. Aims To evaluate prevalence PTSD hospital and to describe potential explanatory factors. METHODS The Protec-Cov study was an observational, cross-sectional, multicentre study, which used anonymous online questionnaire in from six hospitals France between December 2021 March 2022. presence assessed using Post-traumatic Stress Disorder Checklist Scale (PCLS) with cut-off 44. RESULTS Among 307 included, 18% presented PCLS ≥44. multivariate analysis factors associated ≥44 were having workload than before (odds ratio [OR] = 4.75; 95% confidence interval [CI] 1.68–13.38), not feeling recognized within professional environment (OR 2.83; CI 1.26–6.33), isolated because lockdown 4.2; 1.97–8.95). Approximately 30% (n 91) felt need for psychological support but only 31% them 28) received support. Conclusions Based on our findings, high observed 2 pandemic. This supports early diagnosis this category warrants further study.

Language: Английский

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The effect of improving psychosocial stressors on psychological distress: a quasi-experiment of Finnish health and social care workers

Scandinavian Journal of Public Health, Journal Year: 2024, Volume and Issue: unknown

Published: April 3, 2024

Aims: To examine how a positive change in one to three psychosocial stressors (job demands, job rewards, and workplace social capital) influenced psychological distress. Methods: The analysis included 3605 Finnish health services workers who completed surveys 2019, 2020 2021. A logistic regression model was used estimate the propensity score of experiencing between 2019 2020. We balanced baseline characteristics with scoring. generalised linear binomial distribution log link function compare quasi-intervention quasi-control groups for risk distress Results: Among total sample, neither improving single stressor nor two or affected However, among employees younger than 50 years, 2019–2020 decreased moderate severe 2021 by 41% (risk ratio 0.59, 95% confidence interval 0.36–0.96). aged years older, rewards lowered mild 23% 0.77, 0.62–0.96). Conclusions: results this quasi-experiment suggest that effect is stronger older workers. Future interventions should be customised different ages aim improve accumulated work individual stress-coping skills.

Language: Английский

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Health Consequences of the COVID-19 Pandemic among Health-Care Workers: A Comparison between Groups Involved and Not Involved in COVID-19 Care

Healthcare, Journal Year: 2022, Volume and Issue: 10(12), P. 2540 - 2540

Published: Dec. 15, 2022

Health consequences have been reported among health-care workers (HCWs) exposed to COVID-19. Sweden chose manage the pandemic with a lower and more equal long-lasting work strain shorter periods of recovery than in other countries. Few studies examined health HCWs working such conditions. This study compared after first wave COVID-19 between involved care patients occupational groups care. Multinomial logistic regression univariate general linear models were used identify differences. The levels depression, emotional physical fatigue, sleep quality, measured 6 months onset 3495 HCW employed Sweden. directly significantly poorer quality higher scores on exhaustion those not did differ different except for specialist nurses/midwives. frequently fatigue but less severe severely affected

Language: Английский

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