scholarly journals Sources of Distress and Coping Strategies Among Emergency Physicians During COVID-19

2021 ◽  
Vol 22 (6) ◽  
pp. 1240-1252
Author(s):  
Erin Dehon ◽  
Kori Zachrison ◽  
Jennifer Peltzer-Jones ◽  
Ramin Tabatabai ◽  
Elizabeth Clair ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Coping Strategies ◽  
Traumatic Stress ◽  
Organizational Factors ◽  
The United States ◽  
Emergency Physicians ◽  
Post Traumatic Stress ◽  
Positive Reframing ◽  
Post Traumatic

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has been shown to increase levels of psychological distress among healthcare workers. Little is known, however, about specific positive and negative individual and organizational factors that affect the mental health of emergency physicians (EP) during COVID-19. Our objective was to assess these factors in a broad geographic sample of EPs in the United States. Methods: We conducted an electronic, prospective, cross-sectional national survey of EPs from October 6–December 29, 2020. Measures assessed negative mental health outcomes (depression, anxiety, post-traumatic stress, and insomnia), positive work-related outcomes, and strategies used to cope with COVID-19. After preliminary analyses and internal reliability testing, we performed four separate three-stage hierarchical multiple regression analyses to examine individual and organizational predictive factors for psychological distress. Results: Response rate was 50%, with 517 EPs completing the survey from 11 different sites. Overall, 85% of respondents reported negative psychological effects due to COVID-19. Participants reported feeling more stressed (31%), lonelier (26%), more anxious (25%), more irritable (24%) and sadder (17.5%). Prevalence of mental health conditions was 17% for depression, 13% for anxiety, 7.5% for post-traumatic stress disorder (PTSD), and 18% for insomnia. Regular exercise decreased from 69% to 56%, while daily alcohol use increased from 8% to 15%. Coping strategies of behavioral disengagement, self-blame, and venting were significant predictors of psychological distress, while humor and positive reframing were negatively associated with psychological distress. Conclusion: Emergency physicians have experienced high levels of psychological distress during the COVID-19 pandemic. Those using avoidant coping strategies were most likely to experience depression, anxiety, insomnia, and PTSD, while humor and positive reframing were effective coping strategies.

scholarly journals Mental Health Disorders in Nurses During the COVID-19 Pandemic: Implications and Coping Strategies

2021 ◽  
Vol 9 ◽  
Author(s):  
Brittney Riedel ◽  
Sydney R. Horen ◽  
Allie Reynolds ◽  
Alireza Hamidian Jahromi
Keyword(s):  
Mental Health ◽  
Coping Strategies ◽  
Health Care Providers ◽  
Traumatic Stress ◽  
Coping Skills ◽  
Mental Health Disorders ◽  
Care Providers ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Health Disorders

Nurses caring for patients who contract coronavirus disease 2019 (COVID-19) have experienced significant traumas in the form of increased workloads, negative patient outcomes, and less social support system access. Nurses should be provided with information regarding early detection, coping skills and treatment for anxiety, depression, post-traumatic stress syndrome (PTSS)/post-traumatic stress disorder (PTSD), and other mental health disorders. Early intervention is important as mental health disorders can cause dysfunction, internal suffering, and in the most extreme situations, lead to death if not properly cared for. Healthcare corporations should consider providing coverage for mental health treatment for employees who experience COVID-19 traumas. With the implementation of healthy coping skills and therapeutic intervention, nurses will be able to let go of the negative impacts that the COVID-19 pandemic has caused and reintegrate into their roles as caring and entrusted health care providers. The current paper evaluates the mental health disorders encountered by nurses in the COVID-19 era based on the current medical literature and aims to provide practical coping strategies.

scholarly journals Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

2019 ◽  
Vol 20 (5) ◽  
pp. 740-746 ◽  
Author(s):  
Joseph DeLucia ◽  
Cindy Bitter ◽  
Jennifer Fitzgerald ◽  
Miggie Greenberg ◽  
Preeti Dalwari ◽  
...  
Keyword(s):  
United States ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
The United States ◽  
Emergency Physicians ◽  
Post Traumatic Stress ◽  
Post Traumatic

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 Analyzing the Impact of COVID-19 Trauma on Developing Post-Traumatic Stress Disorder among Emergency Medical Workers in Spain

2021 ◽  
Vol 18 (17) ◽  
pp. 9132
Author(s):  
Carmen M. Martínez-Caballero ◽  
Rosa M. Cárdaba-García ◽  
Rocío Varas-Manovel ◽  
Laura M. García-Sanz ◽  
Jorge Martínez-Piedra ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Post Traumatic Stress ◽  
Emergency Medical ◽  
Post Traumatic ◽  
The Impact

The early stages of the COVID-19 pandemic presented the characteristics of a traumatic event that could trigger post-traumatic stress disorder. Emergency Medical Services workers are already a high-risk group due to their professional development. The research project aimed to analyse the impact of the COVID-19 pandemic on EMS professionals in terms of their mental health. For this purpose, we present a descriptive crosssectional study with survey methodology. A total of 317 EMS workers (doctors, nurses, and emergency medical technicians) were recruited voluntarily. Psychological distress, post-traumatic stress disorder, and insomnia were assessed. The instruments were the General Health Questionnaire-12 (GHQ-12), the Davidson Trauma Scale (DTS-8), and the Athens Insomnia Scale (AIS-8). We found that 36% of respondents had psychological distress, 30.9% potentially had PTSD, and 60.9% experienced insomnia. Years of work experience were found to be positively correlated, albeit with low effect, with the PTSD score (r = 0.133). Finally, it can be stated that the COVID-19 pandemic has been a traumatic event for EMS workers. The number of professionals presenting psychological distress, possible PTSD, or insomnia increased dramatically during the early phases of the pandemic. This study highlights the need for mental health disorder prevention programmes for EMS workers in the face of a pandemic.

scholarly journals Assessment of Psychological Distress in Health-care Workers during and after the First Wave of COVID-19: A Canadian Longitudinal Study: Évaluation de la Détresse Psychologique Chez Les Travailleurs de la Santé Durant et Après la Première Vague de la COVID-19: une étude longitudinale canadienne

2021 ◽  
pp. 070674372110252
Author(s):  
Marie-Michèle Dufour ◽  
Nicolas Bergeron ◽  
Axelle Rabasa ◽  
Stéphane Guay ◽  
Steve Geoffrion
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Psychological Distress ◽  
Health Care Workers ◽  
Traumatic Stress ◽  
Latent Class ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Care Workers ◽  
Post Traumatic

Objectives: Health-care workers (HCW) exposed to COVID-19 are at risk of experiencing psychological distress. Although several cross-sectional studies have been carried out, a longitudinal perspective is needed to better understand the evolution of psychological distress indicators within this population. The objectives of this study were to assess the evolution of psychological distress and to identify psychological distress trajectories of Canadian HCW during and after the first wave of COVID-19. Method: This prospective cohort study was conducted from May 8 to September 4, 2020, and includes a volunteer sample of 373 HCW. Symptoms of post-traumatic disorder, anxiety, and depression were assessed using the Post-Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders fifth edition (PCL-5), the Generalized Anxiety Disorder-7, and the Patient Health Questionnaire-9. Descriptive statistics were used to illustrate the evolution of psychological distress indicators, whereas latent class analysis was carried out to identify trajectories. Results: During and after the first wave of COVID-19, the rates of clinical mental health symptoms among our sample varied between 6.2% and 22.2% for post-traumatic stress, 10.1% and 29.9% for depression, and 7.3% and 26.9% for anxiety. Finally, 4 trajectories were identified: recovered (18.77%), resilient (65.95%), subchronic (7.24%), and delayed (8.04%). Conclusion: The longitudinal nature of our study and the scarcity of our data are unique among existing studies on psychological distress of HCW in COVID-19 context and allow us to contextualize prior transversal data on the topic. Although our data illustrated an optimistic picture in showing that the majority of HCW follow a resilience trajectory, it is still important to focus our attention on those who present psychological distress. Implementing preventive mental health interventions in our health-care institutions that may prevent chronic distress is imperative. Further studies need to be done to identify predictors that may help to characterize these trajectories.

scholarly journals Current Psychological Distress, Post-traumatic Stress, and Radiation Health Anxiety Remain High for Those Who Have Rebuilt Permanent Homes Following the Fukushima Nuclear Disaster

2020 ◽  
Vol 17 (24) ◽  
pp. 9532
Author(s):  
Masatsugu Orui ◽  
Chihiro Nakayama ◽  
Nobuaki Moriyama ◽  
Masaharu Tsubokura ◽  
Kiyotaka Watanabe ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Traumatic Stress ◽  
Health Anxiety ◽  
Living Conditions ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Nuclear Disaster ◽  
Post Traumatic ◽  
Current Psychological

Objective: The Fukushima Daiichi nuclear disaster in 2011 produced psychological reactions among evacuees. Despite the harsh situation, subsequently, there has been gradual progress in reconstruction, with more than half of the evacuees returning after the evacuation. Our hypothesis is that evacuee mental health will now be better due to new stable living conditions. This study aims to clarify the statuses of psychological distress, post-traumatic stress, and radiation health anxiety among evacuees who have rebuilt permanent homes after evacuation. Methods: A cross-sectional questionnaire survey of 1600 residents was conducted in 2020. As primary outcomes, the survey measured psychological distress (Kessler 6), post-traumatic stress (post-traumatic stress four-item checklist), and radiation health anxiety. The data are compared for residents who have rebuilt permanent home and those who did not evacuate. Results: In the co-variant analysis, the statuses of psychological distress (p < 0.001), post-traumatic stress (p < 0.001), and radiation health anxiety (p < 0.001) are found to still be high, with significant differences when compared to those who did not evacuate. These results are still at an equivalent level for the continuing evacuation. Conclusion: Our findings may indicate a necessity for continuing disaster-related mental health activities even though the living conditions have improved.

The Aftermath of the Gulf War: Mental Health Issues Among Iraqi Gulf War Veteran Refugees in the United States

2004 ◽  
Vol 26 (4) ◽  
pp. 295-308 ◽  
Author(s):  
Hikmet Jamil ◽  
Sylvia C. Nassar-McMillan ◽  
Richard Lambert
Keyword(s):  
Mental Health ◽  
United States ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
The United States ◽  
Gulf War ◽  
Health Issues ◽  
Post Traumatic Stress ◽  
Post Traumatic

Iraqi Gulf War (GW) veteran refugees, or those who fled the Hussein regime and were subsequently granted refugee stated by the United States, are at high risk for the same mental health maladies that afflict U.S. GW veterans. We conducted a pilot survey on a group of Iraqi GW veteran refugees to assess levels of post-traumatic stress disorder (PTSD), depression, panic, and anxiety. We hypothesized that significantly more participants with PTSD would report depression, panic, and anxiety symptoms than their non-PTSD counterparts. We further expected that those with PTSD would report significantly higher mean scores on depression, panic, and anxiety than those participants not identified as having PTSD. Results indicated high levels of each of the symptom categories among the PTSD groups. PTSD sufferers conjointly assessed with significantly elevated levels of depression and panic as compared to their non-PTSD counterparts.

scholarly journals Outcomes after traffic injury: mental health comorbidity and relationship with pain interference

2019 ◽  
Author(s):  
Ilaria Pozzato ◽  
Ashley Craig ◽  
Bamini Gopinath ◽  
Annette Kifley ◽  
Yvonne Tran ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Psychological Distress ◽  
Traumatic Stress ◽  
Post Traumatic Stress ◽  
Post Injury ◽  
Pain Disability ◽  
Traffic Injury ◽  
Health Trajectories ◽  
Post Traumatic

Abstract Background Mental health symptoms, like depressive mood (DM) and post-traumatic stress (PTS), and pain-related disability, known as pain interference (PI) often co-occur following traffic injury and their comorbidity can complicate recovery. Clarification is required on mental health comorbidity and relationships with PI, to enhance care and outcomes after a traffic injury. Methods 2019 adults sustaining minor-to-moderate traffic injury were recruited within 28 days post-injury and assessed using phone interviews at 1, 6 and 12-months post-injury. Trajectories of DM, PTS and PI were established and relationships between DM, PTS and PI trajectories were explored using dual trajectory modelling. Predictors of mental health trajectories were also investigated. Results Up to five typical post-trauma trajectories were identified for DM, PTS and PI. Most people were in a resilient mental health trajectory (over 60%, DM or PTS), or in a chronic pain disability trajectory (almost 60%, PI) 12 months post-injury. While recovery/resilient mental health trajectories were strongly interrelated (73.4% joint probability and >94% conditional probabilities), DM/PTS comorbidity in chronic trajectories was not straightforward, suggesting a possibly asymmetric relationship. That is, persistent DM was more likely associated with persistent PTS (90.4%), than vice versa (31.9%), with a 22.5% probability that persistent PTS was associated with none or milder depression (i.e. following a recovery/resilient DM trajectory). An asymmetrical relationship was also found between mental health and PI. The majority of those with persistent PI were likely to be in a recovery/resilient DM/PTS trajectory (almost 70%), but those in a non-resilient DM/PTS trajectory showed a high risk of persistent PI. Predictors of non-resilient mental health trajectories included poorer pre-injury health and social support, and shared factors like acute psychological distress and pain catastrophizing. Conclusions Strong interrelations were confirmed between mental health problems and pain disability following traffic injury. However, persistent depression was more strongly linked to persistent post-traumatic stress, than vice versa. Persistent pain disability was only linked with persistent mental health symptoms in vulnerable subgroups. Early psychiatric/psychological interventions should target elevated psychological distress and negative appraisals in vulnerable individuals, to reduce mental health morbidity/comorbidity and chronic pain disability.

scholarly journals Intimate partner violence and its association with mental health problems: The importance of childhood violence – The SAMINOR 2 Questionnaire Survey

2021 ◽  
pp. 140349482110244
Author(s):  
Astrid M. A. Eriksen ◽  
Marita Melhus ◽  
Bjarne K. Jacobsen ◽  
Berit Schei ◽  
Ann-Ragnhild Broderstad
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Traumatic Stress ◽  
Partner Violence ◽  
Mental Health Problems ◽  
Intimate Partner ◽  
Health Problems ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Childhood Violence

Aims: This study aims to estimate the prevalence of intimate partner violence (IPV) and its association with psychological distress and symptoms of post-traumatic stress (PTS) among Sami and non-Sami and to explore whether the association between IPV and mental health is modified by exposure to childhood violence (CV). These issues are scarcely studied among the Sami. Methods: This study was based on the cross-sectional SAMINOR 2 Questionnaire Survey, a part of the Population-based Study on Health and Living Conditions in Regions with Sami and Norwegian Populations (SAMINOR). Chi-square tests and two-sample t-tests were used to test differences between groups. Multiple linear regression analysis was applied to explore the association between IPV/CV and continuous scores of psychological distress and symptoms of post-traumatic stress. Results: Experiences of IPV (emotional, physical, and/or sexual) were reported by 12.8% of women and 2.0% of men. A significantly higher proportion of Sami women reported exposure to emotional (12.4 v. 9.5%, p = 0.003), physical (11.6 v. 6.9%, p < 0.001), and any IPV (17.2 v. 11.8%, p < 0.001) compared to non-Sami women. There were no ethnic differences in sexual IPV among women (2%). Exposure to IPV was associated with a higher score of psychological distress and PTS and was highest among those exposed to both IPV and CV. Conclusions: Sami women reported the highest prevalence of IPV. The association between IPV/CV and mental health problems did not differ by ethnicity or gender. The most severe mental health problems were observed for those who were exposed to both IPV and CV.

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