Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

被引：689

作者：

Shechter, Ari ^{[1
]}

Diaz, Franchesca ^{[1
]}

Moise, Nathalie ^{[1
]}

Anstey, D. Edmund ^{[1
]}

Ye, Siqin ^{[1
]}

Agarwal, Sachin ^{[2
]}

Birk, Jeffrey L. ^{[1
]}

Brodie, Daniel ^{[1
]}

Cannone, Diane E. ^{[1
]}

Chang, Bernard ^{[3
]}

Claassen, Jan ^{[2
]}

Cornelius, Talea ^{[1
]}

Derby, Lilly ^{[1
]}

Dong, Melissa ^{[1
]}

Givens, Raymond C. ^{[1
]}

Hochman, Beth ^{[4
]}

Homma, Shunichi ^{[1
]}

Kronish, Ian M. ^{[1
]}

Lee, Sung A. J. ^{[1
]}

Manzano, Wilhelmina ^{[5
,8
]}

Mayer, Laurel E. S. ^{[6
]}

McMurry, Cara L. ^{[1
]}

Moitra, Vivek ^{[7
]}

Pham, Patrick ^{[1
]}

Rabbani, LeRoy ^{[1
]}

Rivera, Reynaldo R. ^{[5
,8
]}

Schwartz, Allan ^{[1
]}

Schwartz, Joseph E. ^{[1
,9
]}

Shapiro, Peter A. ^{[6
]}

Shaw, Kaitlin ^{[1
]}

Sullivan, Alexandra M. ^{[1
]}

Vose, Courtney ^{[5
,8
]}

Wasson, Lauren ^{[1
]}

Edmondson, Donald ^{[1
]}

Abdalla, Marwah ^{[1
]}

机构：

[1] Columbia Univ, Dept Med, Irving Med Ctr, New York, NY 10032 USA

[2] Columbia Univ, Dept Neurol, Irving Med Ctr, New York, NY 10032 USA

[3] Columbia Univ, Dept Emergency Med, Irving Med Ctr, New York, NY 10032 USA

[4] Columbia Univ, Dept Surg, Irving Med Ctr, New York, NY 10032 USA

[5] NewYork Presbyterian Hosp, New York, NY USA

[6] Columbia Univ, Dept Psychiat, Irving Med Ctr, New York, NY 10032 USA

[7] Columbia Univ, Dept Anesthesiol, Irving Med Ctr, New York, NY 10032 USA

[8] Columbia Univ, Sch Nursing, New York, NY 10032 USA

[9] SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA

来源：

GENERAL HOSPITAL PSYCHIATRY | 2020年 / 66卷

基金：

美国医疗保健研究与质量局;

关键词：

COVID-19; Distress; Anxiety; Depression; Insomnia; Coping; Healthcare worker; OUTBREAK; BURNOUT; DISEASE; IMPACT; RISK; PREVALENCE; EMPLOYEES; ANXIETY; INDEX; SLEEP;

D O I：

10.1016/j.genhosppsych.2020.06.007

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. Methods: This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th-April 24th 2020) at a large medical center in NYC (n = 657). Results: Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaffs rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. Conclusions: NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.

引用

页码：1 / 8

页数：8

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