Longitudinal comparisons of mental health, burnout and well-being in patient-facing, non-patient-facing, healthcare professionals and non-healthcare professionals during the COVID-19 pandemic: findings from the CoPE-HCP study

被引：11
|
作者：
Kapil, Vikas [1 ,2 ,3 ]
Collett, George [2 ]
Godec, Thomas [2 ]
Gupta, Jaya [4 ]
Maniero, Carmela [1 ,2 ]
Ng, Sher M. [1 ]
McIntosh, Iris [5 ]
Kumar, Abhishek [6 ]
Nair, Satheesh [7 ]
Kotecha, Ashish [8 ]
Janmohamed, Azara [9 ]
Antoniou, Sotiris [1 ,10 ]
Khan, Rehan [11 ]
Khanji, Mohammed Y. [1 ,2 ,10 ,12 ]
Siddiqui, Imrana [13 ,14 ]
Gupta, Ajay [1 ,2 ,3 ]
机构：
[1] Barts Hlth NHS Trust, St Bartholomews Hosp, Barts Heart Ctr, London, England
[2] Queen Mary Univ London, William Harvey Res Inst, London, England
[3] Barts Hlth NHS Trust, Royal London Hosp, Dept Clin Pharmacol, London, England
[4] South West London & St Georges Mental Hlth NHS Tr, Child & Adolescent Mental Hlth Serv, London, England
[5] Camden & Islington Fdn Trust, Islington Learning Disabil Partnership, London, England
[6] Wrightington Wigan & Leigh Fdn Trust, Dept Cardiol, Wigan, England
[7] Betsi Cadwaladr Univ Hlth Board, Glan Clwyd Hosp, Dept Cardiol, Rhyl, Wales
[8] Royal Devon & Exeter Hosp, Dept Cardiol, Exeter, Devon, England
[9] St Georges Univ Hosp NHS Fdn Trust, Dept Clin Pharmacol, London, England
[10] UCLPartners, Cardiovasc Hlth, London, England
[11] Barts Hlth NHS Trust, Royal London Hosp, Dept Obstet & Gynaecol, London, England
[12] Barts Hlth NHS Trust, Dept Cardiol, Newham Univ Hosp, London, England
[13] Newham Training Hub, Wellbeing Hub, London, England
[14] NHS North East London Integrated Care Board ICB, London, England
来源：
BJPSYCH OPEN | 2022年 / 8卷 / 05期
关键词：
Burnout; Mental health; COVID-19; Epidemiology; Healthcare professionals; GENERALIZED ANXIETY DISORDER; STANDARDIZATION; PHQ-9;
D O I：
10.1192/bjo.2022.579
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Background The COVID-19 pandemic may disproportionately affect the mental health of healthcare professionals (HCPs), especially patient-facing HCPs. Aims To longitudinally examine mental health in HCPs versus non-HCPs, and patient-facing HCPs versus non-patient-facing HCPs. Method Online surveys were distributed to a cohort at three phases (baseline, July to September 2020; phase 2, 6 weeks post-baseline; phase 3, 4 months post-baseline). Each survey contained validated assessments for depression, anxiety, insomnia, burnout and well-being. For each outcome, we conducted mixed-effects logistic regression models (adjusted for a priori confounders) comparing the risk in different groups at each phase. Results A total of 1574 HCPs and 147 non-HCPs completed the baseline survey. Although there were generally higher rates of various probable mental health issues among HCPs versus non-HCPs at each phase, there was no significant difference, except that HCPs had 2.5-fold increased risk of burnout at phase 2 (emotional exhaustion: odds ratio 2.50, 95% CI 1.15-5.46, P = 0.021), which increased at phase 3 (emotional exhaustion: odds ratio 3.32, 95% CI 1.40-7.87, P = 0.006; depersonalisation: odds ratio 3.29, 95% CI 1.12-9.71, P = 0.031). At baseline, patient-facing HCPs (versus non-patient-facing HCPs) had a five-fold increased risk of depersonalisation (odds ratio 5.02, 95% CI 1.65-1526, P = 0.004), with no significant difference in the risk for other outcomes. The difference in depersonalisation reduced over time, but patient-facing HCPs still had a 2.7-fold increased risk of emotional exhaustion (odds ratio 2.74, 95% CI 128-5.85, P = 0.009) by phase 3. Conclusions The COVID-19 pandemic had a huge impact on the mental health and well-being of both HCPs and non-HCPs, but there is disproportionately higher burnout among HCPs, particularly patient-facing HCPs.
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页数：8
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