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10.1016/j.chest.2021.05.023

http://scihub22266oqcxt.onion/10.1016/j.chest.2021.05.023
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34023323!8137352!34023323
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suck abstract from ncbi


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pmid34023323      Chest 2021 ; 160 (3): 944-955
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  • Symptoms of Mental Health Disorders in Critical Care Physicians Facing the Second COVID-19 Wave: A Cross-Sectional Study #MMPMID34023323
  • Azoulay E; Pochard F; Reignier J; Argaud L; Bruneel F; Courbon P; Cariou A; Klouche K; Labbe V; Barbier F; Guitton C; Demoule A; Kouatchet A; Guisset O; Jourdain M; Papazian L; Van Der Meersch G; Reuter D; Souppart V; Resche-Rigon M; Darmon M; Kentish-Barnes N
  • Chest 2021[Sep]; 160 (3): 944-955 PMID34023323show ga
  • BACKGROUND: Working in the ICU during the first COVID-19 wave was associated with high levels of mental health disorders. RESEARCH QUESTION: What are the mental health symptoms in health care providers (HCPs) facing the second wave? STUDY DESIGN AND METHODS: A cross-sectional study (October 30-December 1, 2020) was conducted in 16 ICUs during the second wave in France. HCPs completed the Hospital Anxiety and Depression Scale, the Impact of Event Scale-Revised (for post-traumatic stress disorder), and the Maslach Burnout Inventory. RESULTS: Of 1,203 HCPs, 845 responded (70%) (66% nursing staff, 32% medical staff, 2% other professionals); 487 (57.6%) had treated more than 10 new patients with COVID-19 in the previous week. Insomnia affected 320 (37.9%), and 7.7% were taking a psychotropic drug daily. Symptoms of anxiety, depression, post-traumatic stress disorder, and burnout were reported in 60.0% (95% CI, 56.6%-63.3%), 36.1% (95% CI, 32.9%-39.5%), 28.4% (95% CI, 25.4%-31.6%), and 45.1% (95% CI, 41.7%-48.5%) of respondents, respectively. Independent predictors of such symptoms included respondent characteristics (sex, profession, experience, personality traits), work organization (ability to rest and to care for family), and self-perceptions (fear of becoming infected or of infecting family and friends, feeling pressure related to the surge, intention to leave the ICU, lassitude, working conditions, feeling they had a high-risk profession, and "missing the clapping"). The number of patients with COVID-19 treated in the first wave or over the last week was not associated with symptoms of mental health disorders. INTERPRETATION: The prevalence of symptoms of mental health disorders is high in ICU HCPs managing the second COVID-19 surge. The highest tiers of hospital management urgently need to provide psychological support, peer-support groups, and a communication structure that ensure the well-being of HCPs.
  • |*Critical Care[MESH]
  • |*Mental Health[MESH]
  • |Adult[MESH]
  • |Anxiety/*epidemiology/etiology[MESH]
  • |Burnout, Professional/psychology[MESH]
  • |COVID-19/*complications/epidemiology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Depression/*epidemiology/etiology[MESH]
  • |Female[MESH]
  • |France/epidemiology[MESH]
  • |Health Personnel/*psychology[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Physicians/*psychology[MESH]


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