Post-traumatic stress disorder, burnout and their impact on global functioning in Italian emergency healthcare workers

2021 ◽  
Vol 87 (5) ◽  
Author(s):  
Claudia CARMASSI ◽  
Paolo MALACARNE ◽  
Valerio DELL’OSTE ◽  
Carlo A. BERTELLONI ◽  
Annalisa CORDONE ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Healthcare Workers ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Global Functioning ◽  
Post Traumatic

scholarly journals Psychosocial impact of the COVID-19 pandemic on 4378 UK healthcare workers and ancillary staff: initial baseline data from a cohort study collected during the first wave of the pandemic

2021 ◽  
pp. oemed-2020-107276
Author(s):  
Danielle Lamb ◽  
Sam Gnanapragasam ◽  
Neil Greenberg ◽  
Rupa Bhundia ◽  
Ewan Carr ◽  
...  
Keyword(s):  
Mental Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Healthcare Workers ◽  
Alcohol Misuse ◽  
Stress Disorder ◽  
Moral Injury ◽  
Health Questionnaire ◽  
Post Traumatic Stress ◽  
Post Traumatic

ObjectivesThis study reports preliminary findings on the prevalence of, and factors associated with, mental health and well-being outcomes of healthcare workers during the early months (April–June) of the COVID-19 pandemic in the UK.MethodsPreliminary cross-sectional data were analysed from a cohort study (n=4378). Clinical and non-clinical staff of three London-based NHS Trusts, including acute and mental health Trusts, took part in an online baseline survey. The primary outcome measure used is the presence of probable common mental disorders (CMDs), measured by the General Health Questionnaire. Secondary outcomes are probable anxiety (seven-item Generalised Anxiety Disorder), depression (nine-item Patient Health Questionnaire), post-traumatic stress disorder (PTSD) (six-item Post-Traumatic Stress Disorder checklist), suicidal ideation (Clinical Interview Schedule) and alcohol use (Alcohol Use Disorder Identification Test). Moral injury is measured using the Moray Injury Event Scale.ResultsAnalyses showed substantial levels of probable CMDs (58.9%, 95% CI 58.1 to 60.8) and of PTSD (30.2%, 95% CI 28.1 to 32.5) with lower levels of depression (27.3%, 95% CI 25.3 to 29.4), anxiety (23.2%, 95% CI 21.3 to 25.3) and alcohol misuse (10.5%, 95% CI 9.2 to 11.9). Women, younger staff and nurses tended to have poorer outcomes than other staff, except for alcohol misuse. Higher reported exposure to moral injury (distress resulting from violation of one’s moral code) was strongly associated with increased levels of probable CMDs, anxiety, depression, PTSD symptoms and alcohol misuse.ConclusionsOur findings suggest that mental health support for healthcare workers should consider those demographics and occupations at highest risk. Rigorous longitudinal data are needed in order to respond to the potential long-term mental health impacts of the pandemic.

scholarly journals Post-traumatic Stress Disorder, Metacognitions, Cognitive and Global Functioning in Bosnian War Veterans

2019 ◽  
Vol 31 (4) ◽  
pp. 258
Author(s):  
Emir Tupkovic ◽  
Rusmir Softic ◽  
Jasmina Klebic ◽  
Senada Selmanovic ◽  
Elvir Becirovic ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Global Functioning ◽  
War Veterans ◽  
Bosnian War ◽  
Post Traumatic

scholarly journals Prevalence and Factors Associated with Post-Traumatic Stress Disorder in Healthcare Workers Exposed to COVID-19 in Wuhan, China: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Lingling Pan ◽  
Qiancheng Xu ◽  
Xia Kuang ◽  
Xiancui Zhang ◽  
Fengxia Fang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Healthcare Workers ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Post Traumatic ◽  
Independent Risk Factors

Abstract Background: The COVID-19 pandemic has posed significant threats to both physical and psychological health of healthcare workers working in the front-line combating COVID-19. However, evidence regarding the long-term impact of COVID-19 is limited. Therefore, we conducted this cross-sectional survey to investigate the prevalence, factors and impact of post-traumatic stress disorder (PTSD) in healthcare workers exposed to COVID-19 eight months after end of outbreak in Wuhan, China. Methods: A web-based questionnaire was delivered as a link via the communication application WeChat to those healthcare workers who worked at several COVID-19 units in Wuhan during the outbreak (from November 2019 to April 2020). The questionnaire included questions on social-demographic data, the post-traumatic stress disorder checklist-5, the family care index questionnaire, and the quality of life scale. The prevalence, risk and protective factors, and impact of post-traumatic stress disorder healthcare workers were then analyzed with logistic regression.Results: Among the 659 participants, 90 healthcare workers were still suffering from PTSD eight months after the end of outbreak of COVID-19 in Wuhan, in which avoidance and negative impact were the most affected dimensions. Suffering from chronic disease, experiencing social isolation, and job dissatisfaction came up as independent risk factors of PTSD, while obtaining COVID-19 related information at an appropriate frequency, good family function, and working in well-prepared mobile cabin hospitals surfaced as protective factors. The impact of PTSD on COVID-19-exposed healthcare workers was apparent by shortened sleeping time, feeling of loneliness, poorer quality of life and intention to resign.Conclusions: Eight months after the end of the COVID-19 outbreak in Wuhan, the level of PTSD in healthcare workers exposed to COVID-19 was still high. Apart from the common recognized risk factors, comorbid of chronic disease was identified as the new independent risk factors of developing PTSD. For countries where the pandemic is still ongoing or in the case of future outbreaks of new communicable diseases, this research may contribute to preventing cases of PTSD in healthcare workers exposed to infectious diseases under such circumstances.

scholarly journals Post-traumatic Stress Disorder Symptoms and Its Predictors Among Healthcare Workers Following COVID-19 Pandemic in Southern Ethiopia: A Cross-Sectional Study

2022 ◽  
Vol 12 ◽  
Author(s):  
Mohammed Ayalew ◽  
Bedilu Deribe ◽  
Yacob Abraham ◽  
Yared Reta ◽  
Fikru Tadesse ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Healthcare Workers ◽  
Stress Disorder ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Post Traumatic

Background: COVID-19 causes immense psychological pressure on communities in addition to physical misery. There is currently a scarcity of data on the psychological impact of the COVID-19 epidemic on Ethiopian healthcare workers (HCWs). Therefore, this study was aimed to assess the post-traumatic stress disorder (PTSD) symptoms and its predictors following COVID-19 pandemic among healthcare workers (HCWs) in southern Ethiopia.Methods: A hospital based cross-sectional study design was used among 387 randomly selected HCWs between September 25 and October 25, 2020 at four selected public hospitals in Sidama National Regional State, southern Ethiopia. Impact of Event Scale-Revised (IES-R) was used to collect data post-traumatic stress disorder (PTSD) symptoms. Logistic regression analyses with 95% CI were used to examine the relationship between independent and outcome variables.Result: The prevalence of PTSD symptoms was found in 56.8% of participants. Significant factors that increase risk of PTSD symptoms were being female (AOR = 1.91, 95% CI = 1.19, 3.05), married (AOR = 1.87, 95% CI = 1.12, 3.14) and nurses (AOR = 3.31, 95% CI = 1.66, 6.63). On the other hand, HCWs working other than emergency unit such as inpatients/wards (AOR = 0.43, 95% CI = 0.24, 0.75), OPD (AOR = 0.48, 95% CI = 0.24, 0.97) and other units (AOR = 0.49, 95% CI = 0.25, 0.96) less likely to be affected by PTSD symptoms.Conclusion: The current study showed high levels of PTSD symptoms as psychological challenges for HCWs. Sex, age, marital status, type of profession and working environment were significant factors for PTSD symptoms in HCWs during the pandemic. HCWs require mental health support during and after the pandemic.

scholarly journals Treating patients with severe mental illness with narrative exposure therapy for comorbid post-traumatic stress disorder

BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Maria W. Mauritz ◽  
Betsie G.I. van Gaal ◽  
Peter J.J. Goossens ◽  
Ruud A. Jongedijk ◽  
Hester Vermeulen
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Global Functioning ◽  
Narrative Exposure Therapy ◽  
Post Traumatic

Background Interpersonal trauma and post-traumatic stress disorder (PTSD) in patients with severe mental illness (SMI) negatively affect illness course. Narrative exposure therapy (NET) is effective in vulnerable patient groups, but its efficacy and applicability has not been studied in out-patients with SMI. Aims We aimed to evaluate the efficacy and applicability of NET in SMI on changes in PTSD, dissociation, SMI symptoms, care needs, quality of life, global functioning and care consumption. Method The study had a single-group, pre-test–post-test, repeated-measures design and was registered in The Netherlands National Trial Register (identifier TR571). Primary outcomes were assessed at pre-treatment (T0), 1 month post-treatment (T1) and 7 months’ follow-up (T2), with a structured interview for PTSD and dissociation screening. Secondary outcomes followed routinely SMI measurements and medical data. Mixed models were used for data analysis. Results The majority of the 23 participants was female (82%). Mean age was 49.9 years (s.d. 9.8) and mean PTSD duration was 24.1 years (s.d. 14.5). Mean PTSD severity decreased from 37.9 at T0 to 31.9 at T1 (−6.0 difference, 95%CI −10.0 to −2.0), and decreased further to 24.5 at T2 (−13.4 difference, 95%CI −17.4 to −9.4). Dissociation, SMI symptoms, duration of contacts, and medication decreased; global functioning increased; and quality of life and perceived needs did not change. Eleven participants were in remission for PTSD at T2, of which five were also in remission for major depression. Conclusions NET appeared efficacious and applicable to out-patients with SMI and PTSD, and was well tolerated.

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