Prospective and observational study of COVID-19's impact on mental health and training of young surgeons in France

Vallée, M.; Kutchukian, S.; Pradère, Benjamin; Verdier, Emmanuelle; Durbant, Ève; Ramlugun, Dharmesh; Weizman, Ilan; Kassir, Radwan; Cayeux, A.; Pécheux, Océane; Baumgarten, Clément; Hauguel, Alexandra; Paasche, Agnès; Mouhib, Taha; Meyblum, Jean; Dagneaux, Louis; Matillon, X.; Levy-Bohbot, Anthony; Gautier, Sylvain; Saiydoun, Gabriel

doi:10.1002/bjs.11947

Cited by 26 publications

(48 citation statements)

References 4 publications

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“…When compared to the 2 French studies using the same HAD scale cut-off value as ours (11 points), which disclosed 14.6% and 19% anxiety, and 12% and 9% depression among radiologists and ICU healthcare workers respectively [5] , [6] , the psychological impact in our population is slightly higher than expected. Other French studies used a lower HAD scale cut-off value (8 points) [3] , [7] , but did not mention their cut-off [4] or apply other evaluation scales [9] , which precluded comparisons with our results.…”

Section: Discussionmentioning

confidence: 76%

“…In addition, providing sufficient PPE and improving the employees’ training on their proper use could reduce the sense of insecurity and limit the risk of subsequent depression and PTSD symptoms. The suitability of these measures has been confirmed by a French survey, in which sufficient PPE supply decreased the risk of anxiety and depression by 31% and 25%, respectively, among young surgeons [9] . Lastly, the impact of the SARS-CoV-2 infection of a family member had not been previously studied in healthcare professionals.…”

Section: Discussionmentioning

confidence: 85%

“…In France, a national survey involving 222 residents in oncology and radiotherapy revealed an increase in consumption of tobacco in 31% of participants, alcohol in 29% and psychostimulants in 24% during the first peak of the SARS-CoV-2 epidemic [7] . Moreover, increased consumption of alcohol and tobacco was concomitantly associated with anxiety, depression and insomnia in 1001 residents and fellows of surgery [9] . We did not find such a correlation, even though PTSD symptoms were associated with an increase in smoking in our population.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies conducted in China during the SARS-CoV-2 outbreak and previous studies conducted during the Severe Acute Respiratory Syndrome (SARS) et Middle East Respiratory Syndrome (MERS) epidemics revealed high levels of anxiety, depression and post-traumatic stress disorders (PTSD) among healthcare professionals [1] , [2] . In France, studies have evaluated the psychological impact of the SARS-CoV-2 epidemic on specific populations, such as intensive care unit (ICU) healthcare professionals [3] , [4] , [5] , radiologists [4] , residents in oncology, radiotherapy, urology and surgery [7] , [8] , [9] , community pharmacists [10] and professionals working in acute care geriatric facilities [11] . However, global data on the psychological impact of the SARS-CoV-2 epidemic on hospital staff are lacking.…”

Section: Introductionmentioning

confidence: 99%

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Psychological impact of the SARS-CoV-2 outbreak on the staff of a French hospital

Flateau¹,

Noël²,

Bonnafoux³

et al. 2021

Infectious Diseases Now

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Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Psychological impact of the SARS-CoV-2 outbreak on the staff of a French hospital

Flateau¹,

Noël²,

Bonnafoux³

et al. 2021

Infectious Diseases Now

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“…Physicians working more days, with higher patient volumes, or with increased duties than before than pandemic also had an increased prevalence of psychological symptoms [ 96 , 101 , 122 , 128 , 149 , 187 , 192 , 195 , 198 ]. Eighteen studies reported on insomnia [ 32 , 35 , 36 , 54 , 65 , 69 , 88 , 114 , 128 , 145 , 149 , 163 , 175 , 177 , 181 , 188 , 192 , 194 ], which is associated with psychiatric disorders and is a risk factor for depression and anxiety [ 15 , 32 , 54 , 65 , 69 , 199 , 200 ]. During the SARS outbreak, physicians of Asian descent felt more stigmatized than their Caucasian colleagues (Canada) [ 15 , 32 , 35 , 36 , 46 , 54 , 65 , 69 , 88 , 114 , 128 , 145 , 149 , 163 , 175 , 177 , 181 , 188 , 192 , 194 , 199 , 200 ].…”

Section: Resultsmentioning

confidence: 99%

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

et al. 2021

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Background Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty of the ongoing COVID-19 pandemic along with increased workload and difficult medical triage decisions may lead to a further decline in physician psychological health. Methods We searched Medline, EMBASE, and PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], PsycINFO [1806]) to November 17, 2020. Titles and abstracts were screened by one of three reviewers and full-text article screening and data abstraction were conducted independently, and in duplicate, by three reviewers. Results From 6223 unique citations, 480 articles were reviewed in full-text, with 193 studies (of 90,499 physicians) included in the final review. Studies reported on physician psychological symptoms and management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], three strains of Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East respiratory syndrome [MERS], and COVID-19) in 57 countries. Psychological symptoms of anxiety (14.3–92.3%), stress (11.9–93.7%), depression (17–80.5%), post-traumatic stress disorder (13.2–75.2%) and burnout (14.7–76%) were commonly reported among physicians, regardless of infectious disease outbreak or country. Younger, female (vs. male), single (vs. married), early career physicians, and those providing direct care to infected patients were associated with worse psychological symptoms. Interpretation Physicians should be aware that psychological symptoms of anxiety, depression, fear and distress are common, manifest differently and self-management strategies to improve psychological well-being exist. Health systems should implement short and long-term psychological supports for physicians caring for patients with COVID-19.

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Assessment of Sleep Features, Mental Health Outcomes, and Alcohol and Tobacco Consumption in Residents and Fellows in Otolaryngology Before and During the COVID-19 Pandemic

Chebib

Chiesa‐Estomba

Radulesco

et al. 2022

JAMA Otolaryngol Head Neck Surg

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The workload of many residents and fellows in otolaryngology-head and neck surgery has particularly increased during the COVID-19 pandemic; however, outcomes associated with mental health status and sleep remain unclear.OBJECTIVE To assess the sleep, mental status, and alcohol and tobacco consumption habits of residents and fellows before the COVID-19 pandemic (before March 10, 2020) and during the pandemic period (after March 10, 2020). DESIGN, SETTING, AND PARTICIPANTSThis cohort study included residents and fellows of 6 university hospitals of European regions with a high prevalence of COVID-19 cases. Survey development, data collection, and analyses were performed from March 10, 2020, to June 30, 2021. MAIN OUTCOMES AND MEASURES Residents and fellows were invited to respond to a survey assessing management of treatment in patients with COVID-19 and related work features; stress and mental health status (Beck Depression Inventory); sleep features (Insomnia Severity Index); and alcohol and tobacco consumption. RESULTS Of 220 potential participants, 128 residents and fellows (58.2%) completed the evaluations. No demographic data on mean (SD) age and sex or gender were collected. The prepandemic mean (SD) score of the Beck Depression Inventory (3.1 [2.8]) significantly increased after the start of the pandemic (mean [SD] score, 4.2 [4.1]; difference, -1.1; 95% CI, −1.96 to −0.24; d = 0.31), and the prepandemic mean (SD) score of the Insomnia Severity Index (4.9 [4.1) significantly increased after the start of the pandemic (mean [SD] score, 6.0 [4.9]; difference, 1.1; 95% CI, 0.00-2.2; d = 0.25). Insomnia concerned 46% of participants (51 of 112), and depression concerned 47% of participants (55 of 116) during the pandemic. The mean (SD) prepandemic alcohol consumption (1.7 [2.3] IU per week) significantly increased after the start of the pandemic (mean [SD], 2.9 [4.0] IU per week; difference, 1.2; 95% CI, 0.40-2.00; d = 0.37). Residents and fellows who were mobilized in COVID-19 units reported significant increases of workload (r = 0.2; 95% CI, 0.1-0.3), stress level (r = 0.2; 95% CI, 0.1-0.3), and alcohol consumption (for 5-10 IU per week: mean [SD] prepandemic, 11 [8] IU per week vs postpandemic, 20 [16] IU per week; d = 0.37) and a worsening of sleep status (for moderate insomnia: mean [SD] prepandemic Insomnia Severity Index, 4 [3] vs postpandemic, 15 [12]; d = 0.25). There was a significant association between alcohol consumption and the Beck Depression Inventory score (r = 0.4; 95% CI, 0.2-0.6). The mean (SD) consumption of tobacco decreased from 2.1 (1.3) to 0.9 (1.5) (difference, -1.20; 95% CI, −1.50 to −0.85; d = 0.85). CONCLUSIONS AND RELEVANCEResults of this cohort study suggest that the workload of residents and fellows increased during the pandemic, which may be associated with a worsening of mental health and sleep status and an increase of alcohol consumption.

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Prospective and observational study of COVID-19's impact on mental health and training of young surgeons in France

Cited by 26 publications

References 4 publications

Psychological impact of the SARS-CoV-2 outbreak on the staff of a French hospital

Psychological impact of the SARS-CoV-2 outbreak on the staff of a French hospital

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review

Assessment of Sleep Features, Mental Health Outcomes, and Alcohol and Tobacco Consumption in Residents and Fellows in Otolaryngology Before and During the COVID-19 Pandemic

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