Posttraumatic stress symptoms of health care workers during the corona virus disease 2019

Yin, Qianlan; Sun, Zhuoer; Liu, Tuanjie; Ni, Xiong; Deng, Xuanfeng; Jia, Yanpu; Shang, Zhilei; Zhou, Yaoguang; Liu, Weizhi

doi:10.1002/cpp.2477

Cited by 186 publications

(197 citation statements)

References 44 publications

(39 reference statements)

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“…Similar to our findings, investigators in China, Italy, and Turkey have reported higher levels of anxiety and depression in female health care providers during the COVID-19 pandemic. 3,[10][11][12][13][14] While investigators in Turkey found that having a child was associated with lower anxiety and depression levels, we did not find a similar protective effect of parenthood or differences in any of the other factors that we examined.…”

Section: Discussioncontrasting

confidence: 89%

Academic Emergency Medicine Physicians' Anxiety Levels, Stressors, and Potential Stress Mitigation Measures During the Acceleration Phase of the COVID‐19 Pandemic

Rodriguez

Medak

Baumann

et al. 2020

Academic Emergency Medicine

137

155

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Objective The objective was to assess anxiety and burnout levels, home life changes, and measures to relieve stress of U.S. academic emergency medicine (EM) physicians during the COVID‐19 pandemic acceleration phase. Methods We sent a cross‐sectional e‐mail survey to all EM physicians at seven academic emergency departments. The survey incorporated items from validated stress scales and assessed perceptions and key elements in the following domains: numbers of suspected COVID‐19 patients, availability of diagnostic testing, levels of home and workplace anxiety, severity of work burnout, identification of stressors, changes in home behaviors, and measures to decrease provider anxiety. Results A total of 426 (56.7%) EM physicians responded. On a scale of 1 to 7 (1 = not at all, 4 = somewhat, and 7 = extremely), the median (interquartile range) reported effect of the pandemic on both work and home stress levels was 5 (4–6). Reported levels of emotional exhaustion/burnout increased from a prepandemic median (IQR) of 3 (2–4) to since the pandemic started a median of 4 (3–6), with a difference in medians of 1.8 (95% confidence interval = 1.7 to 1.9). Most physicians (90.8%) reported changing their behavior toward family and friends, especially by decreasing signs of affection (76.8%). The most commonly cited measures cited to alleviate stress/anxiety were increasing personal protective equipment (PPE) availability, offering rapid COVID‐19 testing at physician discretion, providing clearer communication about COVID‐19 protocol changes, and assuring that physicians can take leave for care of family and self. Conclusions During the acceleration phase, the COVID‐19 pandemic has induced substantial workplace and home anxiety in academic EM physicians, and their exposure during work has had a major impact on their home lives. Measures cited to decrease stress include enhanced availability of PPE, rapid turnaround testing at provider discretion, and clear communication about COVID‐19 protocol changes.

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Section: Discussioncontrasting

confidence: 89%

Academic Emergency Medicine Physicians' Anxiety Levels, Stressors, and Potential Stress Mitigation Measures During the Acceleration Phase of the COVID‐19 Pandemic

Rodriguez

Medak

Baumann

et al. 2020

Academic Emergency Medicine

137

155

View full text Add to dashboard Cite

show abstract

“…9 Based on previous research, some researchers expect that with increasing deaths and other risk factors leading to psychological trauma, the rates of PTSD may rise above 10% in the current pandemic. 9,11,30 Moral injury in the form of a perceived inability to help the patient may also contribute to the development of PTSD.…”

Section: Post-traumatic Stress Disordermentioning

confidence: 99%

COVID-19 Pandemic and the Mental Health of Health Care Workers: Awareness to Action

Rajhans

Deb

Chadda

2020

Annals of the National Academy of Medical Sciences (India)

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The enormity of the coronavirus disease-2019 (COVID-19) pandemic has overwhelmed most health services and has placed health care service providers under unprecedented stress. The rapidity of spread, uncertain clinical course, and unavailability of effective treatment make clinical decisions cognitively demanding. Extended work hours inside uncomfortable protective gears, improper hydration, with conflictual health systems and patients at work; and social stigma and isolation after it ends, have created an unending downward spiral of mental health in care providers. Care providers are at increased risk of developing mental health problems in form of burnout, stress reactions, anxiety, depression, and post trauma stress. Concerted strategies for managing the mental health of care providers are urgently needed at individual and systems level. A plethora of strategies, developed from previous experience of crisis management, need to be made available to care providers through accessible mediums of delivery. This paper explores the mental health problems encountered by health care personnel and examines various strategies which need to be implemented to manage them.

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“…The increasing numbers of patients and suspected cases have caused public worry about becoming infected. In addition to health care workers 4 , police o cers are also bravely ghting on the front lines of the epidemic 5 . These police o cers not only face the same risk of infection as the general public, but also suffer from fatigue caused by overtime working and the pressure of responsibility.…”

mentioning

confidence: 99%

A survey of psychological responses during the Coronavirus Disease 2019 (COVID-19) epidemic among Chinese police officers in Wuhu

Yuan

Zhu

Chen

et al. 2020

Preprint

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Background The outbreak of Coronavirus Disease 2019 (COVID-19) has caused serious threats to people’s health and lives. The police officers are bravely fighting on the front lines of the epidemic. Our study is the first survey of psychological response in the police officers of China during the tumultuous time of the COVID − 19 outbreak. Methods A cross-sectional online questionnaire was conducted to the police officers from 5 districts (Yijiang, Sanshan, Jiujiang, jinghu and Jingkai) and 4 counties (Wuhu, Nanling,Fanchang and Wuwei) of Wuhu City through Wechat, and the data were collected between 10 and 26 March 2020. A total of 3561 questionnaires were received in the study, of which 3517 were considered valid. The questionnaires included the demographic information and psychological survey. The depression scale of the patient health questionnaire (PHQ-9) and generalized anxiety disorder 7-item scale (GAD-7) were employed to assess depression and anxiety, respectively. Results The mean depression score of the participants was 4.10 ± 4.87 (0 ~ 27). 12.17% of the police officers had moderate to severe depression. The mean anxiety score of the participants was 3.59 ± 4.228 (0 ~ 21). 8.79% the police officers had moderate to severe anxiety. The participants of senior high school or below and academy had lower depression and anxiety scores than these of bachelor or above, respectively. The police officers Unmarried had lower anxiety scores than married. The different location and police classification were associated with the different degree of depression and anxiety. The participants who did not take sleeping pills had lower depression and anxiety scores than those who took sleeping pills. The depression scores of the police officers were strongly correlated with their anxiety scores of the police officers. Conclusion The police officers have different levels of anxiety and depression during the COVID-19 epidemic in Wuhu. We should call for attention to the psychological response of police officers during the epidemic, and provide them with corresponding help and follow-up.

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Posttraumatic stress symptoms of health care workers during the corona virus disease 2019

Cited by 186 publications

References 44 publications

Academic Emergency Medicine Physicians' Anxiety Levels, Stressors, and Potential Stress Mitigation Measures During the Acceleration Phase of the COVID‐19 Pandemic

Academic Emergency Medicine Physicians' Anxiety Levels, Stressors, and Potential Stress Mitigation Measures During the Acceleration Phase of the COVID‐19 Pandemic

COVID-19 Pandemic and the Mental Health of Health Care Workers: Awareness to Action

A survey of psychological responses during the Coronavirus Disease 2019 (COVID-19) epidemic among Chinese police officers in Wuhu

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