Journal of Affective Disorders,
Год журнала:
2023,
Номер
330, С. 329 - 345
Опубликована: Март 16, 2023
The
mental
health
impacts
of
the
COVID-19
pandemic
continue
to
be
documented
worldwide
with
systematic
reviews
playing
a
pivotal
role.
Here
we
present
updated
findings
from
our
review
and
meta-analysis
on
among
hospital
healthcare
workers
during
COVID-19.
We
searched
MEDLINE,
CINAHL,
PsycINFO,
Embase
Web
Of
Science
Core
Collection
between
1st
January
2000
17th
February
2022
for
studies
using
validated
methods
reporting
prevalence
diagnosed
or
probable
disorders
in
pandemic.
A
proportions
odds
ratio
was
performed
random
effects
model.
Heterogeneity
investigated
test
subgroup
differences
95
%
prediction
intervals.
included
401
studies,
representing
458,754
participants
across
58
countries.
Pooled
depression
28.5
(95
CI:
26.3–30.7),
anxiety
28.7
26.5–31.0),
PTSD
25.5
22.5–28.5),
alcohol
substance
use
disorder
25.3
13.3–39.6)
insomnia
24.4
19.4–29.9).
Prevalence
rates
were
stratified
by
physicians,
nurses,
allied
health,
support
staff
students,
which
varied
considerably.
There
significantly
higher
women,
those
working
high-risk
units
providing
direct
care.
Majority
used
self-report
measures
reflected
rather
than
actual
diagnosis.
These
have
enhanced
understanding
at-risk
groups
hospitals.
Targeted
research
towards
these
risks
are
recommended
mitigate
any
long-term
consequences.
Frontiers in Public Health,
Год журнала:
2021,
Номер
9
Опубликована: Май 7, 2021
The
COVID-19
pandemic
has
had
an
unprecedented
impact
on
health
systems
in
most
countries,
and
particular,
the
mental
well-being
of
workers
frontlines
response
efforts.
purpose
this
article
is
to
provide
evidence-based
overview
adverse
impacts
healthcare
during
times
crisis
other
challenging
working
conditions
highlight
importance
prioritizing
protecting
workforce,
particularly
context
pandemic.
First,
we
a
broad
elevated
risk
stress,
burnout,
moral
injury,
depression,
trauma,
challenges
among
workers.
Second,
consider
how
public
emergencies
exacerbate
these
concerns,
as
reflected
emerging
research
negative
Further,
potential
approaches
for
overcoming
threats
by
exploring
value
practicing
self-care
strategies,
implementing
evidence
based
interventions
organizational
measures
help
protect
support
workforce.
Lastly,
systemic
changes
empower
their
long
run,
propose
policy
recommendations
guide
leaders
endeavor.
This
paper
acknowledges
stressors,
burdens,
psychological
needs
workforce
across
disciplines,
calls
renewed
efforts
mitigate
those
such
International Journal of Environmental Research and Public Health,
Год журнала:
2020,
Номер
17(17), С. 6180 - 6180
Опубликована: Авг. 26, 2020
The
novel
coronavirus
disease
2019
(COVID-19)
is
a
global
pandemic
spreading
worldwide,
and
Italy
represented
the
first
European
country
involved.
Healthcare
workers
(HCWs)
facing
COVID-19
an
at-risk
population
for
new
psychosocial
strain
consequent
mental
health
symptoms.
aim
of
present
study
was
to
identify
possible
impact
working
contextual
personal
variables
(age,
gender,
position,
years
experience,
proximity
infected
patients)
on
professional
quality
life,
by
compassion
satisfaction
(CS),
burnout,
secondary
traumatization
(ST),
in
HCWs
emergency.
Further,
two
multivariable
linear
regression
analyses
were
fitted
explore
association
selected
outcomes,
anxiety
depression,
with
some
characteristics
that
are
COVID-19-related.
A
sample
265
major
university
hospital
central
consecutively
recruited
at
outpatient
service
Occupational
Health
Department
during
acute
phase
pandemic.
assessed
Professional
Quality
Life-5
(ProQOL-5),
Nine-Item
Patient
Questionnaire
(PHQ-9),
Seven-Item
Generalized
Anxiety
Disorder
scale
(GAD-7)
evaluate,
respectively,
CS,
ST,
symptoms
depression
anxiety.
Females
showed
higher
ST
than
males,
while
frontline
staff
healthcare
assistants
reported
CS
rather
second-line
physicians,
respectively.
Burnout
besides
work
or
variables,
associated
depressive
scores.
represents
challenge
intervention
strategies
prevent
burnout
reduce
risk
adverse
outcomes
needed.
The Lancet Respiratory Medicine,
Год журнала:
2021,
Номер
9(3), С. 226 - 228
Опубликована: Фев. 7, 2021
Although
effective
vaccines
might
soon
be
available
and
vaccination
combined
with
other
strategies
will
hopefully
curb
eventually
stop
the
COVID-19
pandemic,
infections
probably
continue
to
affect
world
populations
for
months
years.Evolving
experience
in
era
of
SARS-CoV-2
at
lung
transplantation
centres
around
provide
guidance
developing
best
practices
deal
threat
that
this
novel
virus
poses
successful
solid
organ
transplantation.
Mayo Clinic Proceedings,
Год журнала:
2022,
Номер
97(12), С. 2248 - 2258
Опубликована: Сен. 14, 2022
ObjectiveTo
evaluate
the
prevalence
of
burnout
and
satisfaction
with
work-life
integration
(WLI)
in
US
physicians
at
end
2021,
roughly
21
months
into
COVID-19
pandemic,
comparison
to
2020,
2017,
2014,
2011.MethodsBetween
December
9,
January
24,
2022,
we
surveyed
using
methods
similar
those
our
prior
studies.
Burnout,
WLI,
depression,
professional
fulfillment
were
assessed
standard
instruments.ResultsThere
2440
who
participated
2021
survey.
Mean
emotional
exhaustion
depersonalization
scores
higher
than
observed
2011
(all
P<.001).
increased
38.6%
(2020
mean,
21.0;
29.1;
P<.001),
whereas
mean
60.7%
6.1;
9.8;
Overall,
62.8%
had
least
1
manifestation
compared
38.2%
43.9%
54.4%
45.5%
Although
these
trends
consistent
across
nearly
all
specialties,
substantial
variability
by
specialty
was
observed.
Satisfaction
WLI
declined
from
46.1%
2020
30.2%
(P<.001).
for
depression
6.1%
49.54;
52.59;
P<.001).ConclusionA
dramatic
increase
decrease
occurred
between
2021.
Differences
modest,
suggesting
that
physician
distress
overwhelmingly
work
related.
Given
association
quality
care,
turnover,
reductions
effort,
findings
have
profound
implications
health
care
system.
Epidemiology and Psychiatric Sciences,
Год журнала:
2020,
Номер
30
Опубликована: Дек. 17, 2020
Abstract
Aims
Healthcare
workers
exposed
to
coronavirus
2019
(COVID-19)
patients
could
be
psychologically
distressed.
This
study
aims
assess
the
magnitude
of
psychological
distress
and
associated
factors
among
hospital
staff
during
COVID-19
pandemic
in
a
large
tertiary
located
north-east
Italy.
Methods
All
healthcare
administrative
working
Verona
University
Hospital
(Veneto,
Italy)
were
asked
complete
web-based
survey
from
21
April
6
May
2020.
Symptoms
post-traumatic
distress,
anxiety
depression
assessed,
respectively,
using
Impact
Event
Scale
(IES-R),
Self-rating
Anxiety
(SAS)
Patient
Health
Questionnaire
(PHQ-9).
Personal
socio-demographic
information
job
characteristics
also
collected,
including
gender,
age,
living
condition,
having
pre-existing
problems,
occupation,
length
experience,
unit
(ICUs
sub-intensive
units
vs.
non-COVID-19
units).
A
multivariable
logistic
regression
analysis
was
performed
identify
with
each
three
mental
health
outcomes.
Results
total
2195
(36.9%
overall
staff)
participated
study.
Of
participants,
35.7%
nurses,
24.3%
other
staff,
16.4%
residents,
13.9%
physicians
9.7%
staff.
Nine
per
cent
worked
ICUs,
8%
7.6%
front-line
services,
while
remaining
not
directly
engaged
patients.
Overall,
63.2%
participants
reported
COVID-related
traumatic
experiences
at
work
53.8%
(95%
CI
51.0%–56.6%)
showed
symptoms
distress;
moreover,
50.1%
47.9%–52.3%)
clinically
relevant
26.6%
24.7%–28.5%)
least
moderate
depression.
Multivariable
regressions
that
women,
those
problems
increased
risk
psychopathological
consequences
pandemic.
Conclusions
The
impact
on
highly
burdened
geographical
Italy
is
some
extent
greater
than
China.
provides
solid
grounds
elaborate
implement
interventions
pertaining
psychology
occupational
health.
Mayo Clinic Proceedings,
Год журнала:
2022,
Номер
97(3), С. 491 - 506
Опубликована: Март 1, 2022
To
evaluate
the
prevalence
of
burnout
and
satisfaction
with
work-life
integration
(WLI)
among
physicians
US
workers
in
2020
relative
to
2011,
2014,
2017.Between
November
20,
2020,
March
23,
2021,
we
surveyed
a
probability-based
sample
working
population
using
methods
similar
our
prior
studies.
Burnout
WLI
were
measured
standard
tools.
Information
about
specific
work-related
COVID-19
experiences
was
collected.There
7510
who
participated
survey.
Nonresponder
analysis
suggested
that
participants
representative
physicians.
Mean
emotional
exhaustion
depersonalization
scores
lower
than
2017,
2011
(all
P<.001).
However,
did
not
improve
specialties
most
heavily
affected
by
COVID-19.
Overall,
38.2%
reported
1
or
more
symptoms
compared
43.9%
54.4%
45.5%
Providing
care
without
adequate
personal
protective
equipment
(odds
ratio
[OR],
1.53;
95%
CI,
1.35
1.72)
having
suffered
disruptive
economic
consequences
due
(OR,
1.49;
1.32
1.69)
independently
associated
risk
burnout.
On
multivariable
analysis,
at
increased
for
1.41;
1.25
1.58)
less
likely
be
satisfied
0.71;
0.64
0.79)
other
adults.Burnout
improved
between
2017
2020.
The
impact
pandemic
on
varies
basis
professional
characteristics
experiences.
Physicians
remain
fields.