Socio-economic and psychological impact of the COVID-19 outbreak on private practice and public hospital radiologists

Autor: Laure Fournier, Eric Chavigny, Lamia Jarboui, Ugo Pinar, Adamfa Coulibaly, Cédric Lemogne, Mehdi Bouaboula, Marie Florin
Přispěvatelé: Service d'Urologie [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Centre hospitalier universitaire de Poitiers (CHU Poitiers), Institut de psychiatrie et neurosciences de Paris (IPNP - U1266 Inserm), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Economics
[SDV]Life Sciences [q-bio]
Private Practice
Hospital Anxiety and Depression Scale
030218 nuclear medicine & medical imaging
0302 clinical medicine
Risk Factors
Surveys and Questionnaires
Health care
Medicine
Young adult
050207 economics
Depression (differential diagnoses)
050208 finance
05 social sciences
General Medicine
Middle Aged
3. Good health
Radiology Nuclear Medicine and imaging
Private practice
COVID-19
Coronavirus Disease 2019
030220 oncology & carcinogenesis
Anxiety
Female
Mental health
France
medicine.symptom
Coronavirus Infections
Radiology
Adult
ISI
Insomnia Severity Index
medicine.medical_specialty
Pneumonia
Viral
Protective factor
Article
HADS
Hospital Anxiety and Depression Scale
Betacoronavirus
Young Adult
03 medical and health sciences
Radiologists
0502 economics and business
Humans
Radiology
Nuclear Medicine and imaging
Medical history
Pandemics
Hospitals
Public
SARS-CoV-2
business.industry
COVID-19
Coronavirus
Socioeconomic Factors
Family medicine
Public hospital
business
Zdroj: European Journal of Radiology
European Journal of Radiology, Elsevier, 2020, 132, pp.109285-. ⟨10.1016/j.ejrad.2020.109285⟩
ISSN: 0720-048X
Popis: Highlights • During the COVID-19 outbreak, many radiologists expressed anxiety, depression and insomnia symptoms. • Working in public hospital was a major protective factor for mental issues. • Restricted access to education, past medical history and exposition to COVID-19 were common risks factor of anxiety or depression.
Purpose The COVID-19 pandemic has led to an urgent reorganisation of the healthcare system to prevent hospitals from overflowing and the virus from spreading. Our objective was to evaluate the socioeconomic and psychological impact of the COVID-19 outbreak on radiologists. Material and methods French radiologists were invited to answer an online survey during the pandemic through mailing lists. The questionnaire was accessible for nine days. It covered socio-demographic information, exposure to COVID-19 at work and impact on work organisation, and included the Insomnia Severity Index and Hospital Anxiety and Depression Scale. Outcomes were moderate to severe insomnia, definite symptoms of depression or anxiety. Risk and protective factors were identified through multivariate binary logistic regression. Results 1515 radiologists answered the survey. Overall, 674 (44.5 %) worked in a highCOVID-19 density area, 671 (44.3 %) were women, and 809 (53.4 %) worked in private practice. Among responders, 186 (12.3 %) expressed insomnia, 222 (14.6 %) anxiety, and 189 (12.5 %) depression symptoms. Lack of protective equipment, increased teleradiology activity and negative impact on education were risk factors for insomnia (respectively OR [95 %CI]:1.7[1.1−2.7], 1.5[1.1−2.2], and 2.5[1.8−3.6]). Female gender, respiratory history, working in COVID-19 high density area, increase of COVID-19 related activity, and impacted education were risk factors for anxiety (OR[95 %CI]:1.7[1.2−2.3], 2[1.1−3.4], 1.5[1.1−2], 1.2[1−1.4], and 2.1[1.5−3]). Conversely, working in a public hospital was a protective factor against insomnia, anxiety, and depression (OR[95 %CI]:0.4[0.2−0.7], 0.6[0.4−0.9], and 0.5[0.3−0.8]). Conclusions During COVID-19 pandemic, many radiologists expressed depression, anxiety and insomnia symptoms. Working in a public hospital was a protective factor against every psychological symptom. Socio-economic impact was also major especially in private practice.
Databáze: OpenAIRE
Externí odkaz: