The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study

Ouyang, Hui; Geng, Shiyu; Zhou, Yaoguang; Wang, Jing; Zhan, Jingye; Shang, Zhilei; Jia, Yanpu; Yan, Wenjie; Zhang, Yan; Li, Xu; Liu, Weizhi

doi:10.1038/s41398-022-01953-7

Cited by 27 publications

(30 citation statements)

References 45 publications

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“…2021 ; Ide et al., 2021 ; Ifthikar et al., 2021 ; Ilias et al., 2021 ; Jang et al., 2021 ; Jemal et al., 2021 ; Ji et al., 2021 ; Johnson et al., 2020 ; Jo et al., 2020 ; Juan et al., 2020 ; Kiefer et al., 2021 ; Kumar et al., 2021 ; Lamiani et al., 2021 ; Lange et al., 2022 ; Lasalvia et al., 2021 ; Lasalvia et al., 2022 ; Laurent et al., 2022 ; León Rojas et al., 2022 ; Li et al., 2021 , 2020 ; Liu et al., 2021 ; Luceño-Moreno et al., 2020 ; Lum et al., 2021 ; Luo et al., 2021 ; Magalhaes et al., 2021 ; Manh Than et al., 2020 ; Marco et al., 2020; Marcomini et al., 2021 ; Martín et al., 2021 ; Meena et al., 2022 ; Mehta et al., 2022 ; Mirzaei et al., 2022 ; Moderato et al., 2021 ; Mulatu et al., 2021 ; Naheed et al., 2021 ; Nguyen et al., 2021 ; Nguyen et al., 2021 ; Ouyang et al., 2022 ; Pan et al., n.d. ; Pappa et al., 2021 ; Prasad et al., 2020 ; Qiu et al., 2021 ; Ranieri et al., 2021 ; Riello et al., 2020 ; Robles et al., 2021 ; Rosenthal et al., 2021 ; Rouse and Regan, 2021 ; Sachdeva et al., 2021 ; Sahin et al., 2022 ; Sarapultseva et al., 2021 ; Shah et al., 2021 ; Sobregrau Sangrà et al., 2022 ; Styra et al., 2021 ; Tebbeb et al., 2022 ; Topal et a...…”

Section: Resultsunclassified

Post-traumatic stress in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

Andhavarapu¹,

Yardi²,

Bzhilyanskaya³

et al. 2022

Psychiatry Research

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Section: Resultsunclassified

Post-traumatic stress in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

Andhavarapu¹,

Yardi²,

Bzhilyanskaya³

et al. 2022

Psychiatry Research

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“…This high prevalence is a problem that needs to be considered, particularly given the actual context of the COVID-19 pandemic [ 8 ]. In the current pandemic, HCWs are psychologically and physically exposed to the virus [ 6 ]. PTSD could increase the risk of suicide in HCWs who are already at higher risk by their work demands [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…In healthcare workers (HCWs), the prevalence of PTSD has been described following traumatic events such as earthquakes [ 3 ] or terrorist attacks [ 4 ], but HCWs can also be at risk from highly severe and contagious diseases [ 5 ]. Indeed, HCWs are on the front line in the care of patients in any epidemic [ 6 ] and are thus at risk of PTSD [ 7 ]. The current context of the global pandemic caused by SARS-CoV-2 is putting health staff to the test physically and psychologically [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Post-Traumatic Stress Disorder (PTSD) in Healthcare Workers following the First SARS-CoV Epidemic of 2003: A Systematic Review and Meta-Analysis

Alberque

Laporte

Mondillon

et al. 2022

IJERPH

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The world is still in the grip of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, with putative psychological consequences for healthcare workers (HCWs). Exploring the prevalence of post-traumatic stress disorder (PTSD) during the first SARS-CoV-1 epidemic in 2003 may inform us of the long-term effects of the actual pandemic, as well as putative influencing factors such as contact with the virus, time effects, or the importance of some sociodemographic data. This information may help us develop efficient preventive strategies. Therefore, we conducted a systematic review and meta-analysis on the prevalence of PTSD in HCWs following the SARS-CoV-1 in 2003. PubMed, Embase, Google Scholar, Psychinfo, and Web of Science were searched until September 2022. Random-effects meta-analyses were stratified by the time of follow-up. We included 14 studies: 4842 HCWs (32.0 years old, 84% women). The overall prevalence of PTSD was 14% (95CI 10 to 17%). The prevalence of PTSD was 16% (8 to 24%) during the epidemic, 19% (16 to 22%) within 6 months after the epidemic, and 8% (4 to 13%) more than one year after the end of the epidemic. The longest follow-up was three years after the epidemic, with 10% of HCWs with PTSD. Nevertheless, the prevalence of PTSD was significantly lower more than one year after the end of the epidemic than the first six months after the epidemic (Coefficient −10.4, 95CI −17.6 to −3.2, p = 0.007). In conclusion, the prevalence of PTSD in HCWs was high during the first epidemic of SARS-CoV in 2003 and remained high in the long term. The lessons from the SARS-CoV-1 epidemic may help prevent a wave of PTSD following the latest COVID-19 pandemic.

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“…Participants’ scores were added together, with totals positively correlated with PTSD severity—a higher score on the scale indicates higher levels of PTSD. The cutoff point for PTSD was a total PCL‐5 score of ≥33 (Ouyang et al., 2022; Song et al., 2020). The PCL‐5 scale was validated by the developers with a good internal consistency (Cronbach's alpha = .94) and test–retest ( r = .82) (Blevins et al., 2015).…”

Section: Methodsmentioning

confidence: 99%

Posttraumatic stress disorder and depression of Chinese medical staff after 2 years of COVID‐19: A multicenter study

Liu

Zou

et al. 2022

Brain and Behavior

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Background: In December 2019, coronavirus disease (COVID-19) was first reported in Wuhan, China, and has had a negative psychological impact on the medical staff. However, the long-term psychological effects of COVID-19 were still unclear. We aimed to assess the posttraumatic stress disorder (PTSD) and depression among medical staff 2 years after COVID-19 pandemic in Wuhan, China. Methods: We conducted a multicenter study in five general hospitals in Wuhan, China. PTSD was assessed using the PTSD Checklist-5. Depression was measured by the Center for Epidemiologic Studies Depression Scale. Multivariate adjusted logistic regression models were used to evaluate the association among demographic variables, depressive indicators, and PTSD. Results: In a sample of 1795 medical staff, 295 (16.40%) participants reported PTSD and 329 (18.30%) reported depression. After multivariate adjusted logistic regression analyses, participants involved in COVID-19 clinical work, unsafe working environment, poor doctor-patient relationship, unhealth status, work dissatisfaction, and low family support were at a high risk for PTSD and depression 2 years after the outbreak of COVID-19 pandemic. Conclusions:Although it has been more than 2 years after the COVID-19 pandemic outbreak, the mental health of medical staff remains a concern. In particular, medical staff involved in the clinical care of COVID-19 patients showed a higher risk of PTSD and depression 2 years after the COVID-19 pandemic. This study may provide some useful suggestions for psychological interventions for medical staff.

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The increase of PTSD in front-line health care workers during the COVID-19 pandemic and the mediating role of risk perception: a one-year follow-up study

Cited by 27 publications

References 45 publications

Post-traumatic stress in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

Post-traumatic stress in healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis

Prevalence of Post-Traumatic Stress Disorder (PTSD) in Healthcare Workers following the First SARS-CoV Epidemic of 2003: A Systematic Review and Meta-Analysis

Posttraumatic stress disorder and depression of Chinese medical staff after 2 years of COVID‐19: A multicenter study

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