Hopelessness in New York State Physicians During the First Wave of the COVID-19 Outbreak.

Autor:	Johnson AA; Departments of Anesthesiology., Wallace BK; Departments of Anesthesiology., Xu Q; Departments of Epidemiology, Columbia University Mailman School of Public Health., Chihuri S; Departments of Anesthesiology., Hoven CW; Psychiatry, Columbia University Vagelos College of Physicians and Surgeons.; Departments of Epidemiology, Columbia University Mailman School of Public Health.; New York State Psychiatric Institute., Susser ES; Psychiatry, Columbia University Vagelos College of Physicians and Surgeons.; Departments of Epidemiology, Columbia University Mailman School of Public Health.; New York State Psychiatric Institute., DiMaggio C; Department of Surgery and Population Health Science, New York University Langone Medical Center., Abramson D; Program on Population Impact, Recovery and Resilience, School of Global Public Health, New York University, New York, NY., Andrews HF; Psychiatry, Columbia University Vagelos College of Physicians and Surgeons.; Biostatistics, Columbia University Mailman School of Public Health.; New York State Psychiatric Institute., Lang BH; Departments of Anesthesiology., Ryan M; New York State Psychiatric Institute., Li G; Departments of Anesthesiology.; Departments of Epidemiology, Columbia University Mailman School of Public Health.
Jazyk:	angličtina
Zdroj:	Journal of neurosurgical anesthesiology [J Neurosurg Anesthesiol] 2022 Jan 01; Vol. 34 (1), pp. 152-157.
DOI:	10.1097/ANA.0000000000000808
Abstrakt:	Background: In the United States, New York State's health care system experienced unprecedented stress as an early epicenter of the coronavirus disease 2019 (COVID-19) pandemic. This study aims to assess the level of hopelessness in New York State physicians working on the frontlines during the first wave of the COVID-19 outbreak. Methods: A confidential online survey sent to New York State health care workers by the state health commissioner's office was used to gather demographic and hopelessness data as captured by a brief Hopelessness Scale. Adjusted linear regression models were used to assess the associations of physician age, sex, and number of triage decisions made, with level of hopelessness. Results: In total, 1330 physicians were included, of whom 684 were male (51.4%). Their average age was 52.4 years (SD=12.7), with the majority of respondents aged 50 years and older (55.2%). Almost half of the physician respondents (46.3%) worked directly with COVID-19 patients, and 163 (12.3%) were involved in COVID-19-related triage decisions. On adjusted analysis, physicians aged 40 to 49 years had significantly higher levels of hopelessness compared with those aged 50 years or more (μ=0.441, SD=0.152, P=0.004). Those involved in 1 to 5 COVID-19-related triage decisions had a significantly lower mean hopelessness score (μ=-0.572, SD=0.208, P=0.006) compared with physicians involved in none of these decisions. Conclusion: Self-reported hopelessness was significantly higher among physicians aged 40 to 49 years and those who had not yet been involved in a life or death triage decision. Further work is needed to identify strategies to support physicians at high risk for adverse mental health outcomes during public health emergencies such as the COVID-19 pandemic. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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