BACKGROUND: Healthcare workers (HCW) treating coronavirus disease 2019 (COVID-19) patients face high levels of psychological stress. We aimed to compare mental health outcomes, risk and protective factors for posttraumatic stress symptoms (PTSS), probable depression, and anxiety between HCW working in COVID-19 and non-COVID-19 wards. METHODS: A self-report survey, administered in a large tertiary hospital in Israel during the peak of the COVID-19 outbreak was completed by 828 HCW (42.2% physicians, 57.8% nurses. Patient-Reported Outcomes Measurement Information System; the Patient Health Questionnaire-9; the Primary Care-Post Traumatic Stress Disorder Screen for DSM-5 (PC-PTSD-5) were used for assessing anxiety, depression, and PTSS, respectively. Pandemic-related stress factors, negative experiences, and potential protective factors were also assessed. RESULTS: Median PC-PTSD scores differed significantly between study teams (χ2 [5] = 17.24; p = .004). Prevalence of probable depression and anxiety were similar in both groups. Risk factors for mental health outcomes included mental exhaustion, anxiety about being infected and infecting family. Overall, higher proportion of the COVID-19 team witnessed patient deaths as compared to the non-COVID-19 team (50.2% vs. 24.7%). Witnessing patient death at the COVID-19 wards was associated with a four-fold increased likelihood of PTSS (odds ratio [OR] = 3.97; 95% confidence interval [CI], 1.58-9.99; p = .0007), compared with the non-COVID-19 wards (OR 0.91; 95% CI, 0.51-1.61; p = .43). CONCLUSIONS: Witnessing patient death appears to be a risk factor for PTSS unique to HCW directly engaged in treating patients with COVID-19. Our findings suggest that helping HCW cope with COVID-19 related deaths might reduce their risk of posttraumatic stress.
BACKGROUND: Healthcare workers (HCW) treating coronavirus disease 2019 (COVID-19) patients face high levels of psychological stress. We aimed to compare mental health outcomes, risk and protective factors for posttraumatic stress symptoms (PTSS), probable depression, and anxiety between HCW working in COVID-19 and non-COVID-19 wards. METHODS: A self-report survey, administered in a large tertiary hospital in Israel during the peak of the COVID-19 outbreak was completed by 828 HCW (42.2% physicians, 57.8% nurses. Patient-Reported Outcomes Measurement Information System; the Patient Health Questionnaire-9; the Primary Care-Post Traumatic Stress Disorder Screen for DSM-5 (PC-PTSD-5) were used for assessing anxiety, depression, and PTSS, respectively. Pandemic-related stress factors, negative experiences, and potential protective factors were also assessed. RESULTS: Median PC-PTSD scores differed significantly between study teams (χ2 [5] = 17.24; p = .004). Prevalence of probable depression and anxiety were similar in both groups. Risk factors for mental health outcomes included mental exhaustion, anxiety about being infected and infecting family. Overall, higher proportion of the COVID-19 team witnessed patientdeaths as compared to the non-COVID-19 team (50.2% vs. 24.7%). Witnessing patientdeath at the COVID-19 wards was associated with a four-fold increased likelihood of PTSS (odds ratio [OR] = 3.97; 95% confidence interval [CI], 1.58-9.99; p = .0007), compared with the non-COVID-19 wards (OR 0.91; 95% CI, 0.51-1.61; p = .43). CONCLUSIONS: Witnessing patientdeath appears to be a risk factor for PTSS unique to HCW directly engaged in treating patients with COVID-19. Our findings suggest that helping HCW cope with COVID-19 related deaths might reduce their risk of posttraumatic stress.
Authors: A Lowell; B Suarez-Jimenez; L Helpman; X Zhu; A Durosky; A Hilburn; F Schneier; R Gross; Y Neria Journal: Psychol Med Date: 2017-08-14 Impact factor: 7.723
Authors: Rony Laor-Maayany; Gil Goldzweig; Ilanit Hasson-Ohayon; Gil Bar-Sela; Adi Engler-Gross; Michal Braun Journal: Support Care Cancer Date: 2019-08-08 Impact factor: 3.603
Authors: William E Rosa; Kailey E Roberts; Amelia E Schlak; Allison J Applebaum; William S Breitbart; Emily H Kantoff; Hayley Pessin; Wendy G Lichtenthal Journal: Int J Environ Res Public Health Date: 2022-06-25 Impact factor: 4.614
Authors: Nirit Putievsky Pilosof; Michael Barrett; Eivor Oborn; Galia Barkai; Itai M Pessach; Eyal Zimlichman Journal: Int J Environ Res Public Health Date: 2021-08-08 Impact factor: 3.390
Authors: Kathryn Trottier; Candice M Monson; Debra Kaysen; Anne C Wagner; Rachel E Liebman; Susan E Abbey Journal: Transl Psychiatry Date: 2022-06-01 Impact factor: 7.989
Authors: Lourdes P Dale; Steven P Cuffe; Nicola Sambuco; Andrea D Guastello; Kalie G Leon; Luciana V Nunez; Amal Bhullar; Brandon R Allen; Carol A Mathews Journal: Int J Environ Res Public Health Date: 2021-11-24 Impact factor: 3.390