Psychological Distress and Trauma in Doctors Providing Frontline Care During the COVID-19 Pandemic in the United Kingdom and Ireland: A Prospective Longitudinal Survey Cohort Study

Roberts, Tom; Daniels, Jo; Hulme, William; Hirst, Robert; Horner, Daniel; Lyttle, Mark D; Samuel, Katie; Graham, Blair; Reynard, Charles; Barrett, Michael J.; Foley, James; Cronin, John; Umana, Etimbuk; Carlton, Edward; Vinagre, João; Group, Trainee Emergency Research Network; Group, Paediatric Emergency Research Network UK and Ireland; Group, Research and Audit Federation of Trainees; Group, Irish Trainee Emergency Research Network

doi:10.2139/ssrn.3760472

Cited by 8 publications

(28 citation statements)

References 2 publications

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“…The prevalence of psychological trauma (IES-R >24) was higher during January 2021 compared to the peak of the first response, at 28.4% and 23.7%, respectively (supplementary-3). 3 The prevalence of 'probable PTSD' (IES-R >33) also increased to 17.2% (n=225) from 12.6% (n=343). 3 Prevalence of trauma (>24) increased in all speciality groups.…”

Section: Kingdom and Republic Of Irelandmentioning

confidence: 95%

“…3 The prevalence of 'probable PTSD' (IES-R >33) also increased to 17.2% (n=225) from 12.6% (n=343). 3 Prevalence of trauma (>24) increased in all speciality groups. This was highest in ICM at 31.1% (n=44) followed by EM (28.9%, n=176) and Anaesthetics (27.7%, n=142).…”

Section: Kingdom and Republic Of Irelandmentioning

confidence: 95%

“…The median GHQ-12 score was 15.0 (Q1-Q3 11.0-20.0), higher than all previous surveys. 3 The average distress score was highest in the ICM cohort (supplementary-3).…”

Section: Kingdom and Republic Of Irelandmentioning

confidence: 98%

“…This has placed an unprecedented strain on frontline healthcare workers. 1 2 Earlier research during the first pandemic response identified high rates of psychological distress and trauma in doctors [2][3][4][5] and trainees. 5a, 5b The impact of further pandemic J o u r n a l P r e -p r o o f phases on mental health, workforce attrition and clinical care is yet to be established.…”

Section: Kingdom and Republic Of Irelandmentioning

confidence: 99%

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Psychological distress and trauma during the COVID-19 pandemic: survey of doctors practising anaesthesia, intensive care medicine, and emergency medicine in the United Kingdom and Republic of Ireland

Roberts

Hirst

Sammut‐Powell

et al. 2021

British Journal of Anaesthesia

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Kingdom and Republic Of Irelandmentioning

confidence: 95%

Section: Kingdom and Republic Of Irelandmentioning

confidence: 95%

“…The median GHQ-12 score was 15.0 (Q1-Q3 11.0-20.0), higher than all previous surveys. 3 The average distress score was highest in the ICM cohort (supplementary-3).…”

Section: Kingdom and Republic Of Irelandmentioning

confidence: 98%

Section: Kingdom and Republic Of Irelandmentioning

confidence: 99%

See 2 more Smart Citations

Psychological distress and trauma during the COVID-19 pandemic: survey of doctors practising anaesthesia, intensive care medicine, and emergency medicine in the United Kingdom and Republic of Ireland

Roberts

Hirst

Sammut‐Powell

et al. 2021

British Journal of Anaesthesia

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“…The COVID-19 Clinicians Cohort (CoCCo) study is a follow-on study from the ‘COVID-19 Emergency Response Assessment’, also known as CERA (IRAS: 281944) [ 1 , 27 , 28 , 29 ]. CERA is a five-phase longitudinal study which sought to examine the prevalence and nature of distress in frontline doctors during the first wave (Spring 2020) and second wave (Winter 2020) of the COVID-19 pandemic [ 1 , 27 , 28 , 29 ].…”

Section: Methodsmentioning

confidence: 99%

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

Daniels

Ingram

Pease

et al. 2021

IJERPH

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This study aimed to develop empirically grounded recommendations and a coherent model of psychological care derived from the experiences and psychological care needs of COVID-19 frontline doctors, using semi-structured interviews and thematic analysis. Participants were UK frontline doctors specialising in Emergency Medicine, Anaesthetics, or Intensive Care (n = 31) purposively sampled for maximum variation on gender, specialty, ethnicity, and trauma-related distress; most worked in ICU during the pandemic (71%). Four themes were derived: (1) ‘coping strategies’, participants used many, including exercise, mindfulness, and “wait until it gets really bad”; (2) ‘sources of support’, participants valued embedded psychological support, digital services, and informal conversations with colleagues or family, though there was little opportunity; (3) ‘organisational influences on wellbeing’, participants reported a love–hate relationship for concepts like ‘wellbeing’, seen as important but insulting when basic workplace needs were unmet; (4) ‘improving engagement with support’, analysis suggests we must reduce physical and psychological barriers to access and encourage leaders to model psychologically supportive behaviours. Doctors’ frontline COVID-19 working experiences shine a ‘spotlight’ on pre-existing problems such as lack of physical resources and access to psychological care. Empirically grounded recommendations and a model of incremental psychological care are presented for use in clinical services.

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The psychological impact of adverse events on urology trainees

et al. 2022

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Introduction Adverse events (AE) are an inevitable reality in healthcare, with an incidence of 7.5-14.1% worldwide. AEs are recognised to cause psychological and emotional distress in healthcare workers, with surgeons being particularly susceptible. We report the first data on the emotional impact in relation to adverse events in surgeons in the Republic of Ireland (ROI). Methods We distributed a web-based survey to all urology trainees in the ROI. The questionnaire focused on trainees' personal account of AEs, their emotional response, perceived contributing factors and perceived benefit of support systems. The primary care PTSD screen (PC-PTSD-V) assessed for PTSD. Results A total of 16 responses were received from 12 (75%) registrars and 4 (25%) SHOs. Of the AEs reported, 12 (75%) were ≥ Clavien-Dindo 3b. Contributing factors identified included lapse of judgement (n = 6, 37.5%), risk of procedure (n = 7, 43%), lack of experience (n = 4, 25%). Anxiety (n = 8, 50%), guilt (n = 7, 44%) and sleep problems (n = 4, 25%) were the most reported emotional responses. Physical symptoms were reported in 2 (12%) trainees. A PC-PTSD-V score ≥ 3 was reported in 2 (12%) trainees. Most trainees (n = 13, 81%) reported talking to someone following the event with most (n = 12, 93%) talking to a consultant or NCHD colleague. Most respondents (n = 14, 87%) agreed that their training could better prepare them for the personal impact of AEs. Conclusion Surgical trainees report negative psychological and emotional responses that are consistent with second victim symptoms. Those surveyed felt that their training could better prepare them for the personal impact of such events.

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Psychological Distress and Trauma in Doctors Providing Frontline Care During the COVID-19 Pandemic in the United Kingdom and Ireland: A Prospective Longitudinal Survey Cohort Study

Cited by 8 publications

References 2 publications

Psychological distress and trauma during the COVID-19 pandemic: survey of doctors practising anaesthesia, intensive care medicine, and emergency medicine in the United Kingdom and Republic of Ireland

Psychological distress and trauma during the COVID-19 pandemic: survey of doctors practising anaesthesia, intensive care medicine, and emergency medicine in the United Kingdom and Republic of Ireland

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

The psychological impact of adverse events on urology trainees

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