COVID-19 Traumatic Disaster Appraisal and Stress Symptoms Among Health Care Workers

Olson, Kristine; Fogelman, Nia; Maturo, Laura; Alvarado, Javier; Ball, Samuel A.; Forray, Ariadna; Hu, Mary; Ivy, Michael E.; Kapo, Jennifer; Krystal, John H.; Mayes, Linda C.; Rohrbaugh, Robert M.; Southwick, Steven M.; Tebes, Jacob Kraemer; Wassel, Bud; Sinha, Rajita

doi:10.1097/jom.0000000000002673

Cited by 4 publications

(6 citation statements)

References 60 publications

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“…More precise data on rescue service personnel are not known [45]. Many health care workers experienced the pandemic as a potentially traumatic stressful event or experienced high levels of escalating stress [46]. The results of this study also showed the importance (not only from an occupational health and health promotion perspective) of creating general conditions that support health promotion with the aim of preventing the risk of mental disorders such as anxiety disorders, depression, or burnout [47,48].…”

Section: Discussionmentioning

confidence: 82%

Relaxation and strain among emergency medical service personnel and emergency control center dispatchers during the first two waves of the SARS-CoV-2 pandemic

Schumann,

Böckelmann,

Thielmann

2023

Med Pr Work Health Saf.

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Background: Workloads of emergency medical service personnel (EMP) and emergency control center dispatchers (CCDs) were manifold. The SARS-CoV-2 pandemic presented new challenges for the prehospital emergency medical service. The purpose of this study was to compare the status of stress/strain and recovery of Recovery-Stress Questionnaire among EMP and CCDs in Germany during the first 2 waves of the SARS-CoV-2 pandemic both between occupational groups and over time. Material and Methods: A total of 2426 emergency medical service personnel and control center dispatchers were questioned with the Recovery-Stress Questionnaire based on Kallus. The results from the first 2 waves of the pandemic (June-August 2020 and January-February 2021) were compared. Results: During the first and second wave of SARS-CoV-2 pandemic, the subjectively perceived stress of emergency medical service personnel and control center dispatchers increased, but recovery decreased. The CCDs showed more unfavorable values compared to EMP. Conclusions: Health promotion interventions are necessary to counteract possible career changes or mental or other diseases due to insufficient management.

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Section: Discussionmentioning

confidence: 82%

Relaxation and strain among emergency medical service personnel and emergency control center dispatchers during the first two waves of the SARS-CoV-2 pandemic

Schumann,

Böckelmann,

Thielmann

2023

Med Pr Work Health Saf.

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“…The degree of COVID-19-related traumatic stress was approximated by a single-item question (adapted by author KO) derived from Acute Traumatic Stress Criteria defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5 ® ) and previously described in publication. 10,17 (Table 1)…”

Section: Methodsmentioning

confidence: 99%

“…Family medicine was among specialties with higher intent to reduce clinical hours (23.8%) and leave practice (28%). 5 The pandemic added to the toll on health care workers, [6][7][8][9][10] with adverse impact on their mental health and potential for long-term emotional consequences. 10,11 A national survey conducted December 2021-January 2022, showed a 24.6 percentage point increase in physicians experiencing burnout.…”

Section: Introductionmentioning

confidence: 99%

“…5 The pandemic added to the toll on health care workers, [6][7][8][9][10] with adverse impact on their mental health and potential for long-term emotional consequences. 10,11 A national survey conducted December 2021-January 2022, showed a 24.6 percentage point increase in physicians experiencing burnout. On multivariate analysis, family physicians were 1.57 times more likely to report burnout (referent population: internal medicine subspecialists).…”

Section: Introductionmentioning

confidence: 99%

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Impact of COVID-19 on American Family Physicians’ Intent to Retreat from Clinical Care

Brazeau,

Chen,

Morley

et al. 2023

J Am Board Fam Med

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Purpose: This survey evaluated whether the COVID-19 pandemic was a traumatic stress event for family physicians associated with burnout, changes in life priorities, and intentions to retreat from clinical practice.Methods: We report on 683 clinically active family physicians surveyed through the Council of Academic Family Medicine's Educational Research Alliance (CERA) in the fall of 2021.Results: Overall, 35.2% of family physicians experienced the pandemic as a traumatic stress like event. This was associated with changing life priorities (OR 2.6, CI 1.8-3.9), burnout (OR 1.6, CI 1.1 to 2.4), and withdrawal from clinical practice in various ways. Those who changed their priorities in life were more likely to restrict scope of practice (OR 3.9, CI 2.6-5.9), reduce clinical work effort (OR 3.4, 2.3 to 5.1), relocate (OR 3.1, CI 2.0 to 4.8), retire (OR 2.7, CI 1.4-4.9), reroute their career away from patient care (OR 2.1, CI 1.4-3.1) and less likely to avoid redesigning the practice to improve well-being (OR 0.3, CI 0.2-0.7). Those who experienced burnout were more likely to retire (OR 5.5, CI 2.8 to 10.5), reduce clinical work effort (OR 4.2, CI 2.9-6.1), reroute their career away from patient care (OR 3.9, CI 2.6-5.8), relocate (OR 3.8, CI 2.4 to 5.9), and restrict scope of practice (OR 3.3, CI 2.3 to 4.9). Overall, 48.5% of family physicians expressed some intention to retreat from clinical practice. Conclusion:The COVID-19 pandemic impacted family physician's career plans. Remedying burnout is a high-yield opportunity for retaining clinically active family physicians. Physicians retreating from clinical medicine related to changing life's priorities needs further exploration.

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“…The COVID-19 pandemic put healthcare workers under intense, prolonged strain. In the United States, over a third of healthcare workers experienced the pandemic as a potentially traumatic stress event (Olson et al, 2022). Early in the pandemic, the prevalence in healthcare workers of moral injury, burnout, depression, and anxiety were 45.7% (Mantri et al, 2021b), 49% (Prasad et al, 2021), 24.8% (Sahebi et al, 2021) to 31.1% (Marvaldi et al, 2021), and 24.9% (Sahebi et al, 2021) to 30% (Marvaldi et al, 2021), respectively.…”

mentioning

confidence: 99%

Prevalence of Moral Injury, Burnout, Anxiety, and Depression in Healthcare Workers 2 Years in to the COVID-19 Pandemic

Lennon,

Parascando,

Talbot

et al. 2023

J Nerv Ment Dis

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COVID-19 has led to marked increases in healthcare worker distress. Studies of these phenomena are often limited to a particular element of distress or a specific subset of healthcare workers. We administered the Moral Injury Symptom Scale for Healthcare Professionals, Copenhagen Burnout Inventory, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7 via online survey to 17,000 employees of a large academic medical center between December 2021 and February 2022. A total of 1945 participants completed the survey. Across all roles, the prevalence of moral injury, burnout, depression, and anxiety were 40.9%, 35.3%–60.6%, 25.4%, and 24.8%, respectively. Furthermore, 8.1% had been bothered by thoughts that they would be better off dead or of hurting themselves for “several days” or more frequently. Healthcare workers across all roles and practice settings are experiencing unsustainable levels of distress, with 1 in 12 regularly experiencing thoughts of self-harm.

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COVID-19 Traumatic Disaster Appraisal and Stress Symptoms Among Health Care Workers

Cited by 4 publications

References 60 publications

Relaxation and strain among emergency medical service personnel and emergency control center dispatchers during the first two waves of the SARS-CoV-2 pandemic

Relaxation and strain among emergency medical service personnel and emergency control center dispatchers during the first two waves of the SARS-CoV-2 pandemic

Impact of COVID-19 on American Family Physicians’ Intent to Retreat from Clinical Care

Prevalence of Moral Injury, Burnout, Anxiety, and Depression in Healthcare Workers 2 Years in to the COVID-19 Pandemic

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