Symptoms of Mental Health Disorders in Critical Care Physicians Facing the Second COVID-19 Wave A Cross-Sectional Study

被引：63

作者：

Azoulay, Elie ^{[1
]}

Pochard, Frederic ^{[1
]}

Reignier, Jean ^{[12
]}

Argaud, Laurent ^{[9
]}

Bruneel, Fabrice ^{[3
]}

Courbon, Pascale ^{[2
]}

Cariou, Alain ^{[2
]}

Klouche, Kada ^{[8
]}

Labbe, Vincent ^{[16
]}

Barbier, Francois ^{[10
]}

Guitton, Christophe ^{[18
]}

Demoule, Alexandre ^{[4
,5
]}

Kouatchet, Achille ^{[6
]}

Guisset, Olivier ^{[15
]}

Jourdain, Merce ^{[11
]}

Papazian, Laurent ^{[13
]}

Van der Meersch, Guillaume ^{[17
]}

Reuter, Danielle ^{[7
]}

Souppart, Virginie ^{[1
]}

Resche-Rigon, Matthieu ^{[14
]}

Darmon, Michael ^{[1
]}

Kentish-Barnes, Nancy ^{[1
]}

机构：

[1] St Louis Univ Hosp, AP HP, Med Intens Care Unit, Paris, France

[2] Ctr Univ Paris, Cochin Univ Hop, AP HP, Med Intens Care Unit, Paris, France

[3] Andre Mignot Hosp, Intens Care Unit, Le Chesnay, France

[4] Sorbonne Univ, Grp Hosp Univ, AP HP,Dept R3S, Pitie Salpetriere Site,Serv Pneumol Med Intens &, Paris, France

[5] Sorbonne Univ, INSERM, UMRS1158, Neurophysiol Resp Expt & Clin, Paris, France

[6] Angers Teaching Hosp, Med Intens Care Unit, Angers, France

[7] Ctr Hosp Sud Francilien, Med Surg Intens Care Unit, Corbeil Essonnes, France

[8] Lapeyronie Hosp, Dept Intens Care Med, Montpellier, France

[9] Hosp Civils Lyon, Edouard Herriot Hosp, Med Intens Care Dept, Lyon, France

[10] Ctr Hosp Reg Orleans, La Source Hosp, Med Intens Care Unit, Orleans, France

[11] Lille Univ, CHU Lille, Dept Intens Care, Hop Roger Salengro,INSERM,U1190, Lille, France

[12] Univ Hosp Ctr, Med Intens Care Unit, Nantes, France

[13] Hop Nord Marseille, AP HM, Resp & Infect Dis ICU, Marseille, France

[14] St Louis Univ Hosp, AP HP, Clin Res Unit, Paris, France

[15] St Andre Hosp, Med Intens Care Unit, Bordeaux, France

[16] Tenon Univ Hosp, AP HP, Med Intens Care Unit, Paris, France

[17] Avicenne Univ Hosp, AP HP, Med Surg Intens Care Unit, Bobigny, France

[18] Le Mans Hosp, Med Intens Care Unit, Le Mans, France

来源：

CHEST | 2021年 / 160卷 / 03期

关键词：

anxiety; burnout; COVID-19; pandemic; ICU clinicians; depression; post-traumatic stress disorder; BURNOUT; DEPRESSION; PREVALENCE; ANXIETY;

D O I：

10.1016/j.chest.2021.05.023

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页码：944 / 955

页数：12

共 30 条

[1] Understanding coronaphobia
Arora, Alisha
Jha, Amrit Kumar
Alat, Priya
Das, Sitanshu Sekhar
[J]. ASIAN JOURNAL OF PSYCHIATRY, 2020, 54
[2] Symptoms of Anxiety, Depression, and Peritraumatic Dissociation in Critical Care Clinicians Managing Patients with COVID-19 A Cross-Sectional Study
Azoulay, Elie
Cariou, Alain
Bruneel, Fabrice
Demoule, Alexandre
Kouatchet, Achille
Reuter, Danielle
Souppart, Virginie
Combes, Alain
Klouche, Kada
Argaud, Laurent
Barbier, Francois
Jourdain, Merce
Reignier, Jean
Papazian, Laurent
Guidet, Bertrand
Geri, Guillaume
Resche-Rigon, Matthieu
Guisset, Olivier
Labbe, Vincent
Megarbane, Bruno
Van der Meersch, Guillaume
Guitton, Christophe
Friedman, Diane
Pochard, Frederic
Darmon, Michael
Kentish-Barnes, Nancy
[J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2020, 202 (10) : 1388 - 1398
[3] Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak
Azoulay, Elie
De Waele, Jan
Ferrer, Ricard
Staudinger, Thomas
Borkowska, Marta
Povoa, Pedro
Iliopoulou, Katerina
Artigas, Antonio
Schaller, Stefan J.
Hari, Manu Shankar
Pellegrini, Mariangela
Darmon, Michael
Kesecioglu, Jozef
Cecconi, Maurizio
[J]. ANNALS OF INTENSIVE CARE, 2020, 10 (01)
[4] The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review
Barello, Serena
Falco-Pegueroles, Anna
Rosa, Debora
Tolotti, Angela
Graffigna, Guendalina
Bonetti, Loris
[J]. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 2020, 65 (07) : 1205 - 1216
[5] Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic
Barello, Serena
Palamenghi, Lorenzo
Graffigna, Guendalina
[J]. PSYCHIATRY RESEARCH, 2020, 290
[6] On the Nature of Fear and Anxiety Triggered by COVID-19
Coelho, Carlos M.
Suttiwan, Panrapee
Arato, Nikolett
Zsido, Andras N.
[J]. FRONTIERS IN PSYCHOLOGY, 2020, 11
[7] Factors affecting mental health of health care workers during coronavirus disease outbreaks (SARS, MERS & COVID-19): A rapid systematic review
De Brier, Niels
Stroobants, Stijn
Vandekerckhove, Philippe
De Buck, Emmy
[J]. PLOS ONE, 2020, 15 (12):
[8] 12-month trajectories of depressive symptoms among nurses-Contribution of personality, job characteristics, coping, and burnout
Duan-Porter, Wei
Hatch, Daniel
Pendergast, Jane F.
Freude, Gabriele
Rose, Uwe
Burr, Hermann
Mueller, Grit
Martus, Peter
Pohrt, Anne
Potter, Guy
[J]. JOURNAL OF AFFECTIVE DISORDERS, 2018, 234 : 67 - 73
[9] High level of burnout in intensivists - Prevalence and associated factors
Embriaco, Nathalie
Azoulay, Elie
Barrau, Karine
Kentish, Nancy
Pochard, Frederic
Loundou, Anderson
Papazian, Laurent
[J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2007, 175 (07) : 686 - 692
[10] Predicting Perceived Stress Related to the Covid-19 Outbreak through Stable Psychological Traits and Machine Learning Models
Flesia, Luca
Monaro, Merylin
Mazza, Cristina
Fietta, Valentina
Colicino, Elena
Segatto, Barbara
Roma, Paolo
[J]. JOURNAL OF CLINICAL MEDICINE, 2020, 9 (10) : 1 - 17

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