Hospital workforce mental reaction to the pandemic in a low COVID-19 burden setting: a cross-sectional clinical study.

Alexopoulos, Panagiotis; Roukas, Dimitrios; Efkarpidis, Apostolos; Konstantopoulou, Georgia; Soldatos, Rigas; Karaivazoglou, Katerina; Kontogianni, Evagellia; Assimakopoulos, Konstantinos; Iliou, Theodoros; Εconomou, Polychronis; Gourzis, Philippos; Politis, Antonios

doi:10.1007/s00406-021-01262-y

2022

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Document type:: Article; Journal Article
Author(s):: Alexopoulos, Panagiotis; Roukas, Dimitrios; Efkarpidis, Apostolos; Konstantopoulou, Georgia; Soldatos, Rigas; Karaivazoglou, Katerina; Kontogianni, Evagellia; Assimakopoulos, Konstantinos; Iliou, Theodoros; Εconomou, Polychronis; Gourzis, Philippos; Politis, Antonios
Title:: Hospital workforce mental reaction to the pandemic in a low COVID-19 burden setting: a cross-sectional clinical study.
Abstract:: Τhe COVID-19 pandemic has mental health implications for both healthcare workforces and general population, particularly in regions heavily hit by the crisis. Τhe study aimed (i) to investigate anxiety- and depression severity differences between staff of a COVID-19 treatment unit (N = 84) and a hospital without such a unit (N = 55) in comparison to participants of a convenience general population online survey (N = 240) and (ii) to explore relations between such symptoms and hospital staff reaction to COVID-19 in a low COVID-19 burden setting. Anxiety was studied with the Generalized Anxiety Disorder 7-Item in hospital workforces and with the Hospital Anxiety Depression Scale (HADS) in online survey participants. Depression symptoms were assessed with the Patient Health Questionnaire-9 in hospital employees and the HADS in the online survey sample. Symptoms were classified as absent/minimal, borderline abnormal or indicating clinical caseness. Staff reaction to COVID-19 was tapped with a 9-item-questionnaire and the 22-item Impact of Event Scale-revised (IES-R). Proper tests for differences and stepwise ordered logistic regression models were employed. Anxiety- and depression severity was higher in hospital workforces than in online survey participants (P < 0.05). Anxiety was more severe in frontline- compared to backstage employees (P < 0.001) was inversely correlated with age (P = 0.011) and positively with avoidance (P = 0.028). Both anxiety and depression symptoms related to intrusion symptoms (P < 0.001). Regarding the relatively long data collection period, an inverse association between crisis duration and depression symptoms was detected (P = 0.025). These observations point to the urgent need for distress-mitigating interventions for hospital workforces even in low COVID-19 burden settings.
Journal title abbreviation:: Eur Arch Psychiatry Clin Neurosci
Year:: 2022
Journal volume:: 272
Journal issue:: 1
Pages contribution:: 95-105
Fulltext / DOI:: doi:10.1007/s00406-021-01262-y
Pubmed ID:: http://view.ncbi.nlm.nih.gov/pubmed/33904979
Print-ISSN:: 0940-1334
TUM Institution:: Klinik und Poliklinik für Psychiatrie und Psychotherapie
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Psychiatrie und Psychotherapie (Prof. Priller)2022