scholarly journals Factors Associated With Burnout, Post-traumatic Stress and Anxio-Depressive Symptoms in Healthcare Workers 3 Months Into the COVID-19 Pandemic: An Observational Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Samuel Cyr ◽  
Marie-Joelle Marcil ◽  
Marie-France Marin ◽  
Jean-Claude Tardif ◽  
Stéphane Guay ◽  
...  
Keyword(s):  
Mental Health ◽  
Organizational Support ◽  
Traumatic Stress ◽  
Healthcare Workers ◽  
Perceived Organizational Support ◽  
Maslach Burnout Inventory ◽  
Anxiety And Depression ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

Objective: This study examined how best to identify modifiable protective and risk factors for burnout in healthcare workers in the face of the COVID-19 pandemic. Individual, occupational, organizational and social factors were investigated. The study also assessed the impact of these factors on post-traumatic stress disorder (PTSD), anxiety, and depression.Methods: Healthcare workers in the Quebec (Canada) healthcare system were recruited between May 21 to June 5, 2020. Participants answered an electronic survey 3 months after the COVID-19 epidemic outbreak began in Canada. Using the Maslach Burnout Inventory, PTSD Checklist for DSM-5, and Hospital Anxiety and Depression Scale, we studied the prevalence of burnout, PTSD, anxiety and depression in this cohort. Multivariable logistic or linear regression models including resilience, social and organizational support, workload and access to mental health help, simulation techniques and protective personal equipment (PPE) as well as perception of PPE security were conducted for each outcome.Results: In mid-June 2020, 467 participants completed the survey. We found that half (51.8%) of the respondents experienced burnout characterized by emotional exhaustion and/or depersonalization at least once a week. In total, 158 healthcare workers (35.6%) displayed severe symptoms of at least one of the mental health disorders (24.3% PTSD, 23.3% anxiety, 10.6% depression). Resilience (OR = 0.69, 95% CI: [0.55–0.87]; p = 0.002) and perceived organizational support (OR = 0.75, 95% CI: [0.61–0.93]; p = 0.009) were significantly associated with burnout and other outcomes. Social support satisfaction, perception of PPE security, work type and environment, mental health antecedents and reassignment were associated with PTSD and/or anxiety and/or depression, but not burnout.Conclusion: Future studies should address primarily resilience and perceived organizational support to promote mental health and prevent burnout, PTSD, anxiety and depression.

scholarly journals Psychological outcomes after hospitalization for COVID-19: data from a multidisciplinary follow-up screening program for recovered patients

2021 ◽  
Vol 23 (3) ◽  
Author(s):  
Federica Bonazza ◽  
Lidia Borghi ◽  
Eugenia Cao di San Marco ◽  
Kyrie Piscopo ◽  
Francesca Bai ◽  
...  
Keyword(s):  
Mental Health ◽  
Hospital Discharge ◽  
Traumatic Stress ◽  
Screening Program ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

Patients who are hospitalized for COronaVIrus Disease 2019 (COVID-19) face an extremely stressful experience that might challenge their mental health. The study aims to describe the psychological condition of recovered patients, focusing on anxiety and depression symptoms, as well as post-traumatic stress. All the recovered COVID-19 patients who accessed to a multidisciplinary followup screening program scheduled within two months after their hospital discharge were included. As far as the psychological assessment, patients completed the Hospital Anxiety and Depression Scale and the Impact of Event Scale-Revised for post-traumatic stress. Socio-demographic and clinical data (days of hospitalization, intensity of received care, and number of supportive sessions with the hospital psychologist after the hospitalization) were collected. Descriptive, correlation and regression analyses were conducted. The sample includes 261 patients (68.2% men), aged between 23 and 90 (mean=58.9 st. dev=13.3). High numbers of patients reported anxiety (28%) and depression symptoms (17%), as well as post-traumatic stress (36.4%). Impaired outcomes were associated with female gender, while patient’s age was found to be negatively correlated with anxiety symptoms. 13.8% of patients underwent a psychological visit and 6.1% of them were taken in charge for psychological support. Few months after hospital discharge, individuals recovered by COVID-19 reported negative consequences on their mental health. Understanding the impact that COVID-19 and hospitalization have on recovered patients may provide insights about how to develop an effective psychological intervention to help them deal with such psychological distress and prevent further psychopathological effects.

scholarly journals Exploring the impact of COVID-19 and restrictions to daily living as a result of social distancing within veterans with pre-existing mental health difficulties

2020 ◽  
pp. bmjmilitary-2020-001622 ◽  
Author(s):  
Dominic Murphy ◽  
C Williamson ◽  
J Baumann ◽  
W Busuttil ◽  
N T Fear
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Increased Risk ◽  
Mental Health Difficulties ◽  
Post Traumatic ◽  
The Impact

IntroductionData are emerging showing the adverse consequences on mental health of the general public due to the COVID-19 pandemic. Little is known about the needs of veterans with pre-existing mental health difficulties during the COVID-19 pandemic.MethodsData were collected through a cross-sectional online survey from a randomly selected sample (n=1092) of military veterans who have sought help for mental health difficulties from a veteran-specific UK-based charity. The response rate was 25.2% (n=275). Participants were asked to complete a range of standardised mental health outcomes (post-traumatic stress disorder (PTSD): Post-traumatic Stress Disorder Checklist, common mental health difficulties (CMDs): 12-Item General Health Questionnaire, difficulties with anger: 5-Item Dimensions of Anger Reactions—Revised and alcohol misuse: Alcohol Use Disorders Identification Test) and endorse a list of potential stressors related to changes to daily life resulting from COVID-19. Regression analyses were fitted to explore predictors of mental health severity.ResultsIt was observed that symptoms of common mental disorder and PTSD (69.3% and 65.0%, respectively) were the most commonly reported to have been exacerbated by the pandemic. Lack of social support and reporting increasing numbers of stressors related to COVID-19 were consistently associated with increasing severity of a range of mental health difficulties.ConclusionsOur findings suggest veterans who had pre-existing mental health difficulties prior to the outbreak of COVID-19 may be at increased risk of experiencing CMDs as a result of the pandemic. Intervening to improve levels of social support and offering practical guidance to better manage any additional stressors relating to the pandemic may provide strategies to help reduce the burden of mental health symptoms.

scholarly journals INTERSECTIONS OF WAR TRAUMA, CULTURE, AND SOCIOANALYSIS IN MENTAL HEALTH INTERVENTION FOR POST-TRAUMATIC STRESS

2011 ◽  
Vol 2 (3/4) ◽  
pp. 432
Author(s):  
Athena Madan
Keyword(s):  
Mental Health ◽  
Power Systems ◽  
Traumatic Stress ◽  
War Trauma ◽  
Self Control ◽  
Post Traumatic Stress ◽  
Post Colonial ◽  
Post Traumatic ◽  
Therapeutic Encounter ◽  
The Impact

<p class="Default">“Refugee war trauma” is a poor adjunct to post-traumatic stress, lacking context for a civilian survivor of war. The “therapeutic mission”, or consolidating a therapeutic agenda with political reconstitution, has its tensions: Such founders embody politics of “emotionology” (Humphrey, 2005, p. 205) bound largely to pharmaceuticals, from a land of “freedom” (where emphasis is on market) and “democracy” (where emphasis is on autonomy of choice, not accountability). Additionally, how people “cope” or “solve problems” is not universal: Therapy speaks of self-empowerment, self-actualisation, and self-control; reconciliation speaks of collective citizenship, national participation, and group reform. Instituting participation in rituals that ‘help” according to predefined norms of an American prescription to suffering speaks more to the globalisation of the American psyche (Watters, 2010; Venne, 1997) than of humanitarian relief. This paper looks at the absence of cultural and socio-political specificities within the dominant discourse on “war trauma”, that are however of ultimate relevance for people affected by war. Using a case example from my own practice with a Rwandan woman living now in Canada, I question the “helpfulness” of post-traumatic stress treatment with this instance of refugee war trauma, and the impact of power systems in mental health care. How can the therapeutic encounter, given its genesis in Eurocentric, patriarchal, enlightenment thought, pause to better consider its potential for injury, especially within contexts of post-colonial genocide? How to avoid a new “mission to civilise”? What tensions to note as the advent of “trauma counselling” seeks more global application and transnational legitimacy?</p>

scholarly journals Effects of Middle East Respiratory Syndrome Coronavirus on post-traumatic stress disorder and burnout among registered nurses in South Korea

2018 ◽  
Vol 4 (2) ◽  
pp. 27 ◽  
Author(s):  
Younglee Kim ◽  
Eunju Seo ◽  
Youngseon Seo ◽  
Vivien Dee ◽  
Eunhee Hong
Keyword(s):  
Middle East ◽  
Registered Nurses ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Maslach Burnout Inventory ◽  
Middle East Respiratory Syndrome ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

Background: The unprecedented nationwide outbreak of the Middle East Respiratory Syndrome Coronavarius (MERS-CoV) from June to July in 2015 took the Korean healthcare system unexpectedly and created physical and psychological stress and trauma to Registered Nurses unprepared to deal with the viral outbreak.Purpose: We investigated the effects of Middle East Respiratory Syndrome Coronavirus (MERS-CoV), post-traumatic stress disorder (PTSD) and burnout among Korean registered nurses (RNs).Methods: A descriptive cross sectional design using a self-administered survey of a convenience sample of 112 Korean RNs. The Impact of Event Scale-Revised-Korean version (IES-R-K) for PTSD and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) for burnout were utilized.Results: Overall prevalence for symptoms of PTSD was 50.0%. PTSD was significantly correlated to burnout (r = .480, p = .000), especially two burnout subscales, emotional exhaustion (r = .533, p = .000), and depersonalization (r = .497, p = .000).Conclusions: Future anticipatory guidance and management of traumatic outbreak or disaster should be considered for nurses’ mental health. Public health and safety at the national level must address quality health outcomes for both patients and healthcare professionals alike.

scholarly journals The consequences of the COVID-19 pandemic in nurses in the pre-hospital emergency syste

Rescue Press ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 1-1
Author(s):  
Walter De Luca ◽  
Yari Barnabino ◽  
Flavio Gheri ◽  
Enrico Lucenti
Keyword(s):  
Mental Health ◽  
Traumatic Stress ◽  
Emergency Services ◽  
Disaster Mental Health ◽  
Post Traumatic Stress ◽  
Hospital Emergency ◽  
Post Traumatic ◽  
Respiratory Assistance ◽  
The Impact

Introduction The COVID-19 pandemic has highlighted the crucial role of nurses and their commitment to their work in facing the situation. Italy has seen a substantial increase in the number of requests for respiratory assistance, and nurses employed on emergency vehicles have been overwhelmed by the situation, with psychological and physical repercussions such as depression and Post Traumatic Stress Disease (PTSD). The study aims to assess the impact of the pandemic on nurses in the Local Emergency System (SET). Method Depression and PTSD via “Screening Questionnaire for Disaster Mental Health”. The questionnaire was distributed among Italian SET nurses with non-probability sampling between 1 December 2020 and 31 January 2021. Results A total of 441 Italian nurses participated in the study, with an average age of 43.28 years (SD ± 9.38) and average working experience in EMS of 11.68 years (SD ± 7.98). 6.12% of the participants worked in an Operations Centre (CO), 72.34% worked in local emergency services and 21.54% worked in both settings. 17.01% of the sample were at high risk for PTSD and 15.65% for depression.

scholarly journals A Survey of Psychological Symptoms One Month Post Discharge in Patients Infected with COVID 19

2021 ◽  
Vol 10 (34) ◽  
pp. 2884-2887
Author(s):  
Ajay Kumar Joopaka ◽  
Molanguri Umashankar ◽  
Pingali Srilakshmi ◽  
Pradeep Sharma Telkapalli ◽  
Chinni Krishna Banoth ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychological Symptoms ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Post Traumatic ◽  
The Impact

BACKGROUND Corona virus disease or the (COVID 19) has caused mental health problems in the general population, in people infected and hospitalised for the disease and in patients who have recovered from the disease physically but continue to suffer from lingering mental health problems. Studies have shown stress, depression, and anxiety in one third of the survivors. Similarly post-traumatic stress disorder has been reported to be around 13 % in the survivors of COVID 19. In this study, we wanted to assess the psychological symptoms in the survivors of Covid 19 patients, one month post discharge and also assess various factors associated with the same. METHODS A cross sectional telephonic survey of the patients one month following discharge was done to understand the psychological problems. Sociodemographic data was recorded on a semi structured proforma, whereas psychological distress was recorded on patient health questionnaire - 4 (PHQ - 4) and the post-traumatic stress disorder (PTSD) was screened for by the impact of event scale revised (IES - R). RESULTS Of the 200 patients evaluated, 46.8 % scored above 20 on the impact of event scale which was considered to be a positive screen for post-traumatic stress disorder. Moderate psychological distress was reported by 10.5 % and severe by 7.5 % as measured by PHQ - 4. Being married, having other family members effected by the infection and deaths in the family were some of the factors that were significantly associated with psychological distress and symptoms of post-traumatic stress disorder. CONCLUSIONS Continued mental health support needs to be extended to members who are considered to have recovered and discharged from the hospital following the COVID 19 infection. KEY WORDS COVID 19, Psychological Symptoms, Post-Traumatic Stress Disorder

scholarly journals The Impact of Natural Disaster on Mental Health of Victims Lives: Systematic Review

2020 ◽  
Vol 2 (3) ◽  
pp. 65-85
Author(s):  
Kristia Novia ◽  
Tita Hariyanti ◽  
Laily Yuliatun
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Natural Disasters ◽  
Natural Disaster ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

Natural disasters are still a matter of the world until today. The events pose not only physical impact but also psychological impacts that leave deep sorrow and fear. The survivors of the disaster felt they were at a very unsettled condition, felt very fearful, felt agitated for uncertain circumstances, and became very easily panicked until they could experience anxiety, depression, and post-traumatic stress disorder (PTSD). This systematic review aims to identify the impact–effects often posed by natural disasters on the soul health of survivors. Data searching is done on the Proquest, Pubmed, Science Direct, Sage, and Scopus databases that were converged in the 2013 to 2019 ranges. The psychological impact experienced by the victims after natural disaster events are depression, post-traumatic stress disorder (PTSD), fear, suicide experiments, and other mental health disorders such as mood changes and a loss of interest in an activity. Natural disasters can hurt the mental health of the victims. If the psychological problems that occur to the victims are not immediately addressed, the victims will fall on more mental severe disorder conditions.

scholarly journals Protective effect of paramedics’ sense of personal accomplishment at work: Mitigating the impact of stress on sleep

2016 ◽  
Vol 13 (2) ◽  
Author(s):  
Charlotte Kukowski ◽  
David B King ◽  
Anita DeLongis
Keyword(s):  
Sleep Quality ◽  
Traumatic Stress ◽  
Sleep Problems ◽  
Maslach Burnout Inventory ◽  
Quality Standard ◽  
Personal Accomplishment ◽  
Poor Sleep ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

IntroductionParamedics are at high risk for the development of post-traumatic stress disorder (PTSD), trauma-related symptoms, and burnout. Despite the multitude of research linking both PTSD and burnout with poor sleep quality, there has been no research linking all three variables, in emergency workers or otherwise. Given the importance of sleep in a profession that is largely reliant on shift work, the goal of the current study was to examine the moderating effect of burnout on the association between post-traumatic stress and average sleep quality. MethodsA sample of 87 paramedics from major urban centres across Canada completed the Maslach Burnout Inventory and the PTSD Checklist Civilian Version, in addition to reporting sleep quality for a period of one week. ResultsIn support of our hypotheses, post-traumatic stress was associated with lower average sleep quality. Standard regression analyses further revealed that this effect was moderated by burnout, such that higher burnout exacerbated the effect of post-traumatic stress on sleep. In examination of the subscales of the MBI, this effect was maintained for personal accomplishment only, which interacted with stress so as to further impair quality of sleep.ConclusionsThese findings offer important considerations regarding the mitigating role of more positive workplace variables in paramedics suffering from post-traumatic stress, PTSD, and/or sleep problems. Interventions aimed at fostering a sense of personal accomplishment on the job may improve the health of emergency medical personnel via multiple pathways.

scholarly journals The psychosocial impact of the COVID-19 pandemic on 4,378 UK healthcare workers and ancillary staff: initial baseline data from a cohort study collected during the first wave of the pandemic

2021 ◽  
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 ◽  
Common Mental Disorders ◽  
Moral Injury ◽  
List Type ◽  
Post Traumatic Stress ◽  
Post Traumatic

AbstractObjectivesThis study reports preliminary findings on the prevalence of, and factors associated with, mental health and wellbeing 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=4,378). Clinical and non-clinical staff of three London-based NHS Trusts (UK), 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 (GHQ-12). Secondary outcomes are probable anxiety (GAD-7), depression (PHQ-9), Post-Traumatic Stress Disorder (PTSD) (PCL-6), suicidal ideation (CIS-R), and alcohol use (AUDIT). Moral injury is measured using the Moray Injury Event Scale (MIES).ResultsAnalyses showed substantial levels of 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 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.HighlightsWhat is already known about this subject?Large-scale population studies report increased prevalence of depression, anxiety, and psychological distress during the COVID-19 pandemic.Evidence from previous epidemics indicates a high and persistent burden of adverse mental health outcomes among healthcare workers.What are the new findings?Substantial levels of probable common mental disorders and post-traumatic stress disorder were found among healthcare workers.Groups at increased risk of adverse mental health outcomes included women, nurses, and younger staff, as well as those who reported higher levels of moral injury.How might this impact on policy or clinical practice in the foreseeable future?The mental health offering to healthcare workers must consider the interplay of demographic, social, and occupational factors.Additional longitudinal research that emphasises methodological rigor, namely with use of standardised diagnostic interviews to establish mental health diagnoses, is necessary to better understand the mental health burden, identify those most at risk, and provide appropriate support without pathologizing ordinary distress responses.

The lasting mental health effects of Hurricane Sandy on residents of the Rockaways

2016 ◽  
Vol 14 (4) ◽  
pp. 269 ◽  
Author(s):  
Rebecca M. Schwartz, PhD ◽  
Patricia Rothenberg, BA ◽  
Samantha M. Kerath, MS ◽  
Bian Liu, PhD ◽  
Emanuela Taioli, MD, PhD
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Tobacco Use ◽  
Traumatic Stress ◽  
Hurricane Sandy ◽  
Post Traumatic Stress ◽  
Illicit Substance ◽  
Post Traumatic ◽  
The Impact ◽  
Hurricane Exposure

 Objective: To examine the impact of Hurricane Sandy on the mental health and substance use of residents of the Rockaways, which is a lower income, ethnically diverse region of NYC that was devastated by the hurricane. Design: Prospective, cross sectional. Setting: Rockaways, Queens, NYC community residents. Participants: From October 2013 to April 2015, 407 adult residents of the Rockaways completed self-report, validated measures of depression, anxiety, and post-traumatic stress symptoms as well as indicators of substance use (alcohol, illicit substance, and tobacco use) and exposure to Hurricane Sandy. Main Outcome Measures: Depression, anxiety, post-traumatic stress, alcohol use, illicit substance use, and tobacco use. Results: Differences in exposure scores on outcomes were compared using Wilcoxon tests. Associations between hurricane exposure (categorized into “personal” and “property” exposure) and outcomes were investigated using logistic regression, adjusting for demographic covariates, mental health history, and time since hurricane. The study participants were predominately female (57.5 percent) and black (63.9 percent) and average age was 44.7 years. Multivariable results showed that property exposure scores were positively associated with increased risks of mental health difficulties across all three mental health symptom outcomes, but not substance use. Increased personal and total exposures were also significantly associated with increased Posttraumatic Stress Disorder symptoms. Substance use variables were not significantly associated with any of the hurricane exposure indicators. Conclusions: The present study quantifies the lasting impact that Hurricane Sandy has had on the mental health of Rockaways residents indicating the need for continued recovery efforts and increased mental health service provision in this vulnerable region. 

Sign in / Sign up

Export Citation Format

Share Document