Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study

The emergence of Coronavirus disease 2019 (COVID-19) has affected health-care workers' psychological and mental health. Few studies have been conducted examining the psychological effect of COVID-19 on health-care worker psychological health in Jordan. Therefore, the present study aims to assess the respective levels of fear, anxiety, depression, stress, social support, and the associated factors, experienced by Jordanian health-care workers during the COVID-19 Pandemic. This study adopted a cross-sectional, correlational design to collect data from 365 health-care workers in Amman, Jordan, from August 16th to 23rd, 2020. Along with collecting sociodemographic characteristics, the Fear of COVID-19 Scale, the Depression, Anxiety, Stress Scale, and the Multidimensional Scale of Perceived Social Support electronically administered to participants. The majority of the participants (69.3%) were registered nurses. The mean overall score for the Fear of COVID-19 scale was 23.64 (SD + 6.85) which again exceeded the mid-point for the total score range (21), indicating elevated level fear of the COVID-19 pandemic. Participants had displayed extremely severe depression 40%, extremely severe anxiety 60%, and 35% severely distressed. Scores for depression (21.30 ± 10.86), anxiety (20.37 ± 10.80), stress (23.33 ± 10.87) were also high. Factors determined to be associated with psychological distress were being male, married, aged 40 years and older, and having more clinical experience. Assessment of social support indicated moderate-to-high levels of perceived support for all dimensions (significant other: 5.17 ± 1.28, family: 5.03 ± 1.30, friends: 5.05 ± 1.30). Weak significant correlations were found between social support and the other study variables (r < 0.22), indicating a weak association with fear, depression, anxiety, and stress, respectively. Overall, Jordanian health-care workers sample reported fear, depression, anxiety, and stress. The associated factors were being male, married, aged 40 years and older, and having more clinical experience. Regarding social support, participants primarily relied on support from their families, followed by support from friends.

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Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers.

Objectives The SARS-CoV-2 global pandemic has subjected healthcare workers (HCWs) to high risk of infection through direct workplace exposure, coupled with increased workload and psychological stress. This review aims to determine the impact of SARS-CoV-2 on mental health outcomes of hospital-based HCWs and formulate recommendations for future action. Methods A systematic review was performed between 31st December 2019 and 17th June 2020 through Ovid Medline and Embase databases (PROSPERO ID CRD42020181204). Studies were included for review if they investigated the impact of SARS-CoV-2 on mental health outcomes of hospital-based HCWs and used validated psychiatric scoring tools. Prevalence of ICD-10 classified psychiatric disorders was the primary outcome measure. Results The initial search returned 436 articles. Forty-four studies were included in final analysis, with a total of 69,499 subjects. Prevalence ranges of six mental health outcomes were identified: depression 13.5%-44.7%; anxiety 12.3%-35.6%; acute stress reaction 5.2%-32.9%; post-traumatic stress disorder 7.4%-37.4%; insomnia 33.8%-36.1%; and occupational burnout 3.1%-43.0%. Direct exposure to SARS-CoV-2 patients was the most common risk factor identified for all mental health outcomes except occupational burnout. Nurses, frontline HCWs, and HCWs with low social support and fewer years of working experience reported the worst outcomes. Conclusion The SARS-CoV-2 pandemic has significantly impacted the mental health of HCWs. Frontline staff demonstrate worse mental health outcomes. Hospitals should be staffed to meet service provision requirements and to mitigate the impact onmental health. This can be improved with access to rapid-response psychiatric teams and should be continually monitored throughout the pandemic and beyond its conclusion.

https://onlinelibrary.wiley.com/doi/pdf/10.1002/1348-9585.12175

The impact of SARS-CoV-2 on the mental health of healthcare workers in a hospital setting-A Systematic Review.

We intended to assess stress, anxiety, depression and coping strategies during COVID-19 pandemic. Through an online survey, we used primary care posttraumatic stress disorder (PTSD) screen for DSM 5 (PC-PTSD-5), Generalised Anxiety Disorder (GAD)-7 and Patient Health Questionnaire (PHQ)-9, along with coping methods. Of the respondents (n=733), a considerable proportion had moderate to severe anxiety (21.2%) and depression (15%). Stress symptoms, above the cut-off point of 3 in PC-PTSD-5 suggestive of probable PTSD, were present in 34.1%. Mental health problems were significantly associated with students, 20 to 30 year olds, those who are single, and university educated. Considerable proportions of healthcare workers presented with stress symptoms (21.4%), anxiety (5.6%) and depression (5.6%), however, the proportions were significantly less in comparison with others. Various coping strategies were reported; respondents who avoided thinking about the pandemic or seemed unsure of coping strategies and those struggling to cope had significantly greater anxiety and depression. As large proportions of people have anxiety, depression, and stress symptoms in relation to COVID-19, there is a need to establish a mental health support system that can address the need of the general population. Public education on coping strategies and stress management may be helpful.

Stress and coping during COVID-19 pandemic: Result of an online survey.

Consequences of visiting restrictions during the COVID-19 pandemic: An integrative review.

We aim to provide quantitative evidence on the psychological impact of epidemic/pandemic outbreaks (i.e., SARS, MERS, COVID-19, ebola, and influenza A) on healthcare workers (HCWs). Forty-four studies are included in this review. Between 11 and 73.4% of HCWs, mainly including physicians, nurses, and auxiliary staff, reported post-traumatic stress symptoms during outbreaks, with symptoms lasting after 1–3 years in 10–40%. Depressive symptoms are reported in 27.5–50.7%, insomnia symptoms in 34–36.1%, and severe anxiety symptoms in 45%. General psychiatric symptoms during outbreaks have a range comprised between 17.3 and 75.3%; high levels of stress related to working are reported in 18.1 to 80.1%. Several individual and work-related features can be considered risk or protective factors, such as personality characteristics, the level of exposure to affected patients, and organizational support. Empirical evidence underlines the need to address the detrimental effects of epidemic/pandemic outbreaks on HCWs’ mental health. Recommendations should include the assessment and promotion of coping strategies and resilience, special attention to frontline HCWs, provision of adequate protective supplies, and organization of online support services.

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The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence.

This study uses a CADS (Corpus Assisted Discourse Studies) approach to identify a series of axes around which degrees of persuasion can be mapped in debates about international affairs. The author investigates how US and UK news media reported Obama’s use of the term ‘red line’ to describe the potential transgression if Syrian leader Assad used chemical weapons on civilians, which Assad then did. The article examines the connotational, argumentational and rhetorical behaviour of ‘red line’ across news media in the period 4–28 September 2013. In a corpus-assisted analysis of ‘red line’, six discoursal factors emerged as persuasive axes at work: (1) leader’s image; (2) ideological positioning, even in mutual intervention; (3) persuasion consistency; (4) factual investigation; (5) factual interpretation reporting; and (6) evaluated metaphor development. These axes proactively work at the crossroads of metaphor and narrative as transformative and mutually interactive agents in discoursal change. The analysis also identified other subcategories of research potential, plus correlated lexis and concepts such as ‘weakness’ vs ‘strength’. The study’s significance is to ground reflection on the function of metaphor and narrative in steering sense-making in diplomatic practice and to highlight their pragmatic force and dynamics – here in the news genre.

Media reverberations on the ‘red line’: Syria, metaphor and narrative in news media

AbstractCycling by means of Functional Electrical Stimulation (FES) has proven to be a valid technique for the rehabilitation of patients with Spinal Cord Injuries (SCI). In particular, it can be seen not only as a therapeutical approach but also as an accessible form for people with disabilities to perform sport activity. In this case study, carried out in collaboration with INAIL Centro Protesi within the project FESleg, a mobile FES-cycling system designed to provide real-time outcome measures about cycling performance is presented. A commercial passive recumbent trike has been adapted for use by cyclists with neurological conditions by adding two four-channel stimulators and a measuring system composed by an encoder, sensorized pedals and a heart rate sensor. Preliminary results with a single SCI pilot are shown, proving the feasibility of the system and the importance of constant training to increase motor performances. Furthermore, new sensor-based measures are proposed, and the possibility to exploit them to validate stimulation strategies and to optimize training performances is presented.KeywordsCyclingSpinal Cord InjuryFunctional Electrical StimulationSport therapy 

Federica Ferrari

Papers

The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence.

Media reverberations on the ‘red line’: Syria, metaphor and narrative in news media

Training with a Mobile FES-cycling System: A Case Study with a Spinal Cord Injured Pilot to Investigate Performances Optimization