Emergency physician stressors, concerns, and behavioral changes during COVID‐19: A longitudinal study

Autor: Elissa S. Epel, Stephen Lim, Remi Frazier, Anthony J. Medak, Brigitte M. Baumann, Robert M. Rodriguez, Brian W. Roberts, Brian Chinnock, Richelle J. Cooper
Přispěvatelé: Mycyk, Mark B
Rok vydání: 2021
Předmět:
Male
Longitudinal study
physicians
Cross-sectional study
Original Contributions
Clinical Sciences
Logistic regression
Basic Behavioral and Social Science
stress
03 medical and health sciences
COVID-19 Testing
0302 clinical medicine
Clinical Research
emergency medicine
COVID‐19
Surveys and Questionnaires
Behavioral and Social Science
medicine
Humans
Longitudinal Studies
COVID-emergency medicine
Pandemics
SARS-CoV-2
business.industry
Prevention
Stressor
COVID-19
030208 emergency & critical care medicine
Original Contribution
General Medicine
Odds ratio
Post-Traumatic Stress Disorder (PTSD)
Anxiety Disorders
Emergency & Critical Care Medicine
COVID‐
Confidence interval
Brain Disorders
Mental Health
Cross-Sectional Studies
Test score
Public Health and Health Services
Emergency Medicine
Anxiety
psychological
Female
medicine.symptom
business
Demography
Zdroj: Academic Emergency Medicine
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, vol 28, iss 3
ISSN: 1553-2712
1069-6563
DOI: 10.1111/acem.14219
Popis: Author(s): Baumann, Brigitte M; Cooper, Richelle J; Medak, Anthony J; Lim, Stephen; Chinnock, Brian; Frazier, Remi; Roberts, Brian W; Epel, Elissa S; Rodriguez, Robert M | Abstract: ObjectivesThe objective was to provide a longitudinal assessment of anxiety levels and work and home concerns of U.S. emergency physicians during the COVID-19 pandemic.MethodsWe performed a longitudinal, cross-sectional email survey of clinically active emergency physicians (attending, fellow, and resident) at seven academic emergency departments. Follow-up surveys were sent 4 to 6nweeks after the initial survey and assessed the following: COVID-19 patient exposure, availability of COVID-19 testing, levels of home and workplace anxiety/stress, changes in behaviors, and performance on a primary care posttraumatic stress disorder screen (PC-PTSD-5). Logistic regression explored factors associated with a high PC-PTSD-5 scale score (≥3), indicating increased risk for PTSD.ResultsOf the 426 surveyed initial respondents, 262 (61.5%) completed the follow-up survey. While 97.3% (255/262) reported treating suspected COVID-19 patients, most physicians (162/262, 61.8%) had not received testing themselves. In follow-up, respondents were most concerned about the relaxing of social distancing leading to a second wave (median scoren= 6, IQRn= 4-7). Physicians reported a consistently high ability to order COVID-19 tests for patients (median scoren= 6, IQRn= 5-7) and access to personal protective equipment (median scoren= 6, IQRn= 5-6). Women physicians were more likely to score ≥ 3 than men on the PC-PTSD-5 screener on the initial survey (43.3% vs. 22.5%; Δ 20.8%, 95% confidence interval [CI]n= 9.3% to 31.5%), and despite decreases in overall proportions, this discrepancy remained in follow-up (34.7% vs. 16.8%; Δ 17.9%, 95% CIn= 7.1% to 28.1%). In examining the relationship between demographics, living situations, and institution location on having a PC-PTSD-5 score ≥ 3, only female sex was associated with a PC-PTSD-5 score ≥ 3 (adjusted odds ration= 2.48, 95% CIn= 1.28 to 4.79).ConclusionsWhile exposure to suspected COVID-19 patients was nearly universal, stress levels in emergency physicians decreased with time. At both initial and follow-up assessments, women were more likely to test positive on the PC-PTSD-5 screener compared to men.
Databáze: OpenAIRE
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