Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study

Diest, Ana Portillo-Van; Vilagut, Gemma; Alayo, Itxaso; Ferrer, M.; Amigo, Franco; Amann, Benedikt L.; Aragón, Andrés; Aragonès, Enric; Barco, Ángel Asúnsolo del; Campos, Mireia; Cura-González, Isabel del; Espuga, Meritxell; González‐Pinto, Ana; Haro, Josep María; Larrauri, Amparo; López‐Fresneña, Nieves; Salazar, Alma Martínez de; Molina, Juan D.; Ortí-Lucas, Rafael; Parellada, Mara; Pelayo-Terán, José María; Pérez-Zapata, Aurora; Pijoán, José Ignacio; Plana, María Nieves; Puig, Teresa; Rius, Cristina; Rodríguez‐Blázquez, Carmen; Sanz, Ferrán; Serra, Consol; Urreta-Barallobre, Iratxe; Kessler, Ronald C.; Bruffærts, Ronny; Vieta, Eduard; Pérez‐Solà, Víctor; Alonso, Jordi

doi:10.1017/s2045796023000628

Cited by 4 publications

(1 citation statement)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pandemic also negatively affects psychological distress of community dwellers [ 21 , 22 ] and may increase rates of acute psychiatric admissions due to acute psychosis [ 23 ]. It also negatively affects mental health of the health care workers [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship of Anxiety, Depression, Stress, and Post-Traumatic Stress Disorder Symptoms with Disease Severity in Acutely Ill Hospitalized COVID-19 Patients

Lucijanic,

Mihaljevic Peles,

Piskac Zivkovic

et al. 2023

Behavioral Sciences

View full text Add to dashboard Cite

We aimed to investigate depression, anxiety, stress, and PTSD symptoms and their relationship with disease severity in acutely ill hospitalized Coronavirus disease 2019 (COVID-19) patients. A single-center cross-sectional observational survey study screening for psychiatric symptoms using the Depression, Anxiety and Stress Scale—21 Items (DASS-21) and the Impact of Events Scale-Revised (IES-R) questionnaires was performed including a total of 169 acutely ill COVID-19 patients. All patients were adults and of white race and developed respiratory insufficiency during hospitalization. Demographic, clinical and laboratory data were evaluated as predictors of psychiatric symptoms. We hypothesized that higher intensity of COVID-19 symptoms and higher oxygen requirement would be associated with occurrence of depression, anxiety, stress, and PTSD symptoms. Depressive symptoms were absent in 29%, mild in 16%, moderate in 27.8%, severe in 10.7% and extremely severe in 16.6% patients. Anxiety symptoms were absent in 43.8%, mild in 6.5%, moderate in 17.2%, severe in 5.3% and extremely severe in 27.2% patients. Stress symptoms were absent in 78.7%, mild in 4.7%, moderate in 7.1%, severe in 7.7%, and extremely severe in 1.8% patients. A total of 60.9% patients had no PTSD symptoms, 16% had undiagnosed symptoms, and 23.1% met the criteria for a PTSD diagnosis. All psychiatric symptoms were more pronounced in female patients, depression and anxiety symptoms were associated with prior chronic obstructive pulmonary disease. Only depressive symptoms were significantly associated with higher intensity of COVID-19 symptoms and higher oxygen requirement. Acutely ill hospitalized COVID-19 patients presented a high prevalence of emergent psychiatric sequelae, especially in females, and more severe COVID-19 influenced mostly the severity of depressive symptoms.

show abstract

Section: Introductionmentioning

confidence: 99%

Relationship of Anxiety, Depression, Stress, and Post-Traumatic Stress Disorder Symptoms with Disease Severity in Acutely Ill Hospitalized COVID-19 Patients

Lucijanic,

Mihaljevic Peles,

Piskac Zivkovic

et al. 2023

Behavioral Sciences

View full text Add to dashboard Cite

show abstract

Beyond effectiveness in eHealth trials: Process evaluation of a stepped-care programme to support healthcare workers with psychological distress (RESPOND-HCWs)

Mediavilla,

García-Vázquez,

McGreevy

et al. 2024

DIGITAL HEALTH

View full text Add to dashboard Cite

Objectives This study presents the process evaluation of an effective stepped-care programme of eHealth interventions (Doing What Matters in Times of Stress [DWM] and Problem Management Plus [PM+]) for healthcare workers (HCWs) with psychological distress (RESPOND-HCWs trial) conducted in Spain. The aim is to analyse the context in which the programme was delivered, assess key implementation outcomes and explore mechanisms of action. Methods We used mixed methods. Quantitative data came from routine randomised control trial monitoring and structured observation, and qualitative data were collected using semi-structured, in-depth interviews with trial participants ( n = 12) and decision-makers ( n = 7) and a focus group discussion with intervention providers ( n = 7). We conducted a descriptive analysis of quantitative data using R software and a thematic analysis of qualitative data using NVivo. Results Context analysis revealed implementation barriers, including unrealistic expectations of participants about the programme and mental health-related stigma. The flexibility of interventions and the opportunity for mental health actions were enabling factors. Implementation outcomes showed that the trial was feasible, appropriate and timely, and that the intervention was delivered with minimal protocol deviations and good acceptance among participants. Mechanisms of action included confidence in the positive effect of the intervention, a good therapeutic relationship and specific intervention components. Conclusions These results supplement the outcome evaluation and can help inform large-scale implementation in similar settings. Specific recommendations include increasing mental health awareness and reducing stigma in the implementation setting, including a short orientation session and ensuring flexibility in schedules and peer support. Trial registration number NCT04980326.

show abstract

Finnish nurses’ anxiety levels in the early stages of the COVID-19 pandemic and 18 months later: A cross-sectional survey

Mattila,

Kaunonen,

Helminen

et al. 2024

Nordic Journal of Nursing Research

View full text Add to dashboard Cite

It is extremely important to have an overall view of nurses’ well-being and anxiety levels during the COVID-19 pandemic to support the well-being and working conditions of workers in optimal ways in future crises. The aim of the study was to describe changes in the anxiety levels of nurses from the beginning of the COVID-19 pandemic to a time point 18 months later, and to describe how the working conditions, interactions between workers, psychological distress, and managers’ actions were associated with the anxiety of nursing staff. The repeated cross-sectional survey was distributed to nurses at two Finnish hospitals. The mean anxiety scores of nurses increased over the examined 18-month period, but still indicated mild anxiety at both time points. Working conditions, interactions between workers, and psychological distress were associated with anxiety. At both measurement points, the nurses who did not receive support from their manager had higher levels of anxiety compared to those who received support. Hospital organizations can take advantage of the results when preparing for new pandemics and producing concrete plans to support nurses’ mental health and coping at work.

show abstract

Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study

Cited by 4 publications

References 59 publications

Relationship of Anxiety, Depression, Stress, and Post-Traumatic Stress Disorder Symptoms with Disease Severity in Acutely Ill Hospitalized COVID-19 Patients

Relationship of Anxiety, Depression, Stress, and Post-Traumatic Stress Disorder Symptoms with Disease Severity in Acutely Ill Hospitalized COVID-19 Patients

Beyond effectiveness in eHealth trials: Process evaluation of a stepped-care programme to support healthcare workers with psychological distress (RESPOND-HCWs)

Finnish nurses’ anxiety levels in the early stages of the COVID-19 pandemic and 18 months later: A cross-sectional survey

Contact Info

Product

Resources

About