Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority

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

Язык: Английский

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Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study

EClinicalMedicine, Год журнала: 2021, Номер 35, С. 100879 - 100879

Опубликована: Май 1, 2021

COVID-19 has put extraordinary stress on healthcare workers. Few studies have evaluated by worker role, or focused experiences of women and people color.The "Coping with COVID" survey assessed US stress. A summary score (SSS) incorporated stress, fear exposure, anxiety/depression workload (Omega 0.78). Differences from mean were expressed as Cohen's d Effect Sizes (ESs). Regression analyses tested associations burnout.Between May 28 October 1, 2020, 20,947 workers responded 42 organizations (median response rate 20%, Interquartile range 7% to 35%). Sixty one percent reported exposure transmission, 38% anxiety/depression, 43% suffered work overload, 49% had burnout. Stress scores highest among nursing assistants, medical social (small moderate ESs, p < 0.001), inpatient vs outpatient ES, men in Black Latinx Whites 0.001). Fear was prevalent assistants workers, while housekeepers most often experienced enhanced meaning purpose. In multilevel models, odds burnout 40% lower those feeling valued their (odds ratio 0.60, 95% CIs [0.58, 0.63], p< 0.001).Stress is higher persons color, related mental health, when valued.

Язык: Английский

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Global prevalence of mental health problems among healthcare workers during the Covid-19 pandemic: A systematic review and meta-analysis

International Journal of Nursing Studies, Год журнала: 2021, Номер 121, С. 104002 - 104002

Опубликована: Июнь 13, 2021

Язык: Английский

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Prevalence of post-traumatic stress disorder in the United States: a systematic literature review

Current Medical Research and Opinion, Год журнала: 2021, Номер 37(12), С. 2151 - 2161

Опубликована: Сен. 9, 2021

Objective This study synthesized evidence regarding the prevalence of post-traumatic stress disorder (PTSD) in United States (US).Methods A systematic literature review (SLR) identified recently published (2015–2019) observational studies PTSD US via MEDLINE, EMBASE, and PsycINFO databases. Eligible studies' most recent data were collected no earlier than 2013. Data elements extracted included design, sample size, location, source/year(s), population(s), traumatic event type, prevalance estimates with corresponding look-back periods, clinical metrics.Results from 38 articles categorized by population, diagnostic criteria, lookback period. Among civilians, point ranged 8.0% to 56.7%, 1-year 2.3% 9.1%, lifetime 3.4% 26.9%. In military populations, 1.2% 87.5%, 6.7% 50.2%, 7.7% 17.0%. Within these ranges, several derived relatively high quality data; are highlighted review. Prevalence was elevated subpopulations including emergency responders, refugees, American Indian/Alaska Natives, individuals heavy substance use, a past suicide attempt, trans-masculine individuals, women prior sexual trauma. Female sex, lower income, younger age, behavioral health conditions as risk factors for PTSD.Conclusions varied widely, partly due different designs, methodologies, nationally representative lacking. Efforts increase screening improve disease awareness may allow better detection management PTSD.

Язык: Английский

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Investigating the effect of national government physical distancing measures on depression and anxiety during the COVID-19 pandemic through meta-analysis and meta-regression

Psychological Medicine, Год журнала: 2021, Номер 51(6), С. 881 - 893

Опубликована: Март 2, 2021

Abstract Background COVID-19 physical distancing measures can potentially increase the likelihood of mental disorders. It is unknown whether these are associated with depression and anxiety. Objectives To investigate meta-analytic global levels anxiety during pandemic how implementation mitigation strategies (i.e. public transportation closures, stay-at-home orders, etc.) impacted such Data sources PubMed, MEDLINE, Web Science, BIOSIS Citation Index, Current Content Connect, PsycINFO, CINAHL, medRxiv, PsyArXiv databases for prevalences; Oxford Covid-19 Government Response Tracker containment closure policies indexes; Global Burden Disease Study previous eligibility criteria Original studies conducted pandemic, which assessed categorical anxiety, using PHQ-9 GAD-7 scales (cutoff ⩾10). Participants interventions General population, healthcare providers, students, patients. National measures. appraisal synthesis methods Meta-analysis meta-regression. Results In total, 226 638 individuals were within 60 included studies. prevalence both was 24.0% 21.3%, respectively. There differences in reported across regions countries. Asia (17.6% 17.9%), China (16.2% 15.5%) especially, had lowest Regarding impact on health, only closures increased especially Europe. Limitations Country-level data anxiety/depression may not necessarily reflect local city-specific) contexts. Conclusions implications key findings Mental health concerns should be viewed as a delayed consequence but also concurrent epidemic. Our provide support policy-makers to consider real-time enhanced services, initiatives foster positive outcomes.

Язык: Английский

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Psychiatric symptoms and moral injury among US healthcare workers in the COVID-19 era

BMC Psychiatry, Год журнала: 2021, Номер 21(1)

Опубликована: Ноя. 5, 2021

Emerging cross-sectional data indicate that healthcare workers (HCWs) in the COVID-19 era face particular mental health risks. Moral injury - a betrayal of one's values and beliefs, is potential concern for HCWs who witness devastating impact acute illness while too often feeling helpless to respond. This study longitudinally examined rates depression, generalized anxiety disorder (GAD), posttraumatic stress (PTSD), moral among United States era. We anticipated finding high levels clinical symptoms would remain stable over time. also expected find positive correlations between injury.

Язык: Английский

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Mental Health Outcomes Among Healthcare Workers and the General Population During the COVID-19 in Italy

Frontiers in Psychology, Год журнала: 2020, Номер 11

Опубликована: Дек. 8, 2020

During the COVID-19 pandemic, healthcare workers in Italy have been exposed to an unprecedented pressure and traumatic events. However, no direct comparison with general population is available so far. The aim of this study detail mental health outcomes compared population.

Язык: Английский

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Psychosocial burden and working conditions during the COVID-19 pandemic in Germany: The VOICE survey among 3678 health care workers in hospitals

Journal of Psychosomatic Research, Год журнала: 2021, Номер 144, С. 110415 - 110415

Опубликована: Март 10, 2021

Язык: Английский

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Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

BMC Psychiatry, Год журнала: 2021, Номер 21(1)

Опубликована: Фев. 10, 2021

Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty ongoing pandemic along with increased workload and difficult medical triage decisions may lead a further decline in physician psychological health.We searched Medline, EMBASE, PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], [1806]) November 17, 2020. Titles abstracts were screened by one three reviewers full-text article screening data abstraction conducted independently, duplicate, reviewers.From 6223 unique citations, 480 articles reviewed full-text, 193 studies (of 90,499 physicians) included final review. Studies reported on symptoms management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], strains Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East [MERS], COVID-19) 57 countries. Psychological anxiety (14.3-92.3%), stress (11.9-93.7%), depression (17-80.5%), post-traumatic disorder (13.2-75.2%) burnout (14.7-76%) commonly among physicians, regardless outbreak or country. Younger, female (vs. male), single married), early career those providing direct care infected patients associated worse symptoms.Physicians should be aware that anxiety, depression, fear distress are common, manifest differently self-management strategies improve well-being exist. Health systems implement short long-term supports caring COVID-19.

Язык: Английский

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Mental health and well‐being impacts of COVID‐19 on rural paramedics, police, community nurses and child protection workers

Australian Journal of Rural Health, Год журнала: 2021, Номер 29(5), С. 753 - 767

Опубликована: Сен. 29, 2021

To investigate the impact of COVID-19 on mental health and well-being rural paramedics, police, community nursing child protection staff.An online survey was distributed to sources stress support across individual, task organisational domains.The completed by 1542 nurses workers from all states territories Australia. This study describes data for 632 participants.The main measures were Public Health Questionnaire (PHQ9), Generalised Anxiety Disorder (GAD7), Maslach Burnout Inventory (MBI), workplace engagement, intention quit COVID-19-related stress.The mean depression anxiety scores 8.2 (PHQ9) 6.8 (GAD7). is 2-3 times that found in general community. Over half (56.1%) respondents showed high emotional exhaustion (burnout). The exhaustion, depersonalisation personal accomplishment 28.5, 9.3 34.2, respectively. strongest associations with burnout psychological distress workload, provision practical support, training communication. A significant proportion seriously considering quitting (27.4%) or looking a new job different employer (28.5%) next 12 months.COVID-19 has increased workload front-line staff. major related organisations' responses not per se. suggest most effective interventions are preventive, such as firstly ensuring fair reasonable workloads.

Язык: Английский

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