Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study
| Autor: | Oscar Bernardo Segura-Santos, Luz Cristina Vital-Arriaga, Tania Colin-Martínez, Juan Carlos Anda-Garay, Jorge Iván González-Díaz, Luis Alejandro Sánchez-Hurtado, Francisco José Avelar-Garnica, José Adán Miguel-Puga, Davis Cooper-Bribiesca, Kathrine Jáuregui-Renaud, Eliseo Espinosa-Poblano |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Health Personnel Burnout 050105 experimental psychology lcsh:RC321-571 Stress Disorders Post-Traumatic 03 medical and health sciences Behavioral Neuroscience depersonalization 0302 clinical medicine Depersonalization medicine Derealization Humans 0501 psychology and cognitive sciences lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Depression (differential diagnoses) Original Research post‐traumatic stress disorder burnout business.industry Psychiatric assessment 05 social sciences Traumatic stress COVID-19 Middle Aged medicine.disease anxiety Mental health Anxiety Female Patient Care medicine.symptom business 030217 neurology & neurosurgery Follow-Up Studies Clinical psychology |
| Zdroj: | Brain and Behavior, Vol 11, Iss 3, Pp n/a-n/a (2021) Brain and Behavior |
| ISSN: | 2162-3279 |
| Popis: | Introduction We designed a follow‐up study of frontline health workers at COVID‐19 patient care, within the same working conditions, to assess the influence of their general characteristics and pre‐existing anxiety/depression/dissociative symptoms and resilience on the development of symptoms of post‐traumatic stress disorder (PTSD), while monitoring their quality of sleep, depersonalization/derealization symptoms, acute stress, state anxiety, and burnout. Methods In a Hospital reconfigured to address the surge of patients with COVID‐19, 204 frontline health workers accepted to participate. They completed validated questionnaires to assess mental health: before, during, and after the peak of inpatient admissions. After each evaluation, a psychiatrist reviewed the questionnaires, using the accepted criteria for each instrument. Correlations were assessed using multivariable and multivariate analyses, with a significance level of .05. Results Compared to men, women reporting pre‐existing anxiety were more prone to acute stress; and younger age was related to both pre‐existent common psychological symptoms and less resilience. Overall the evaluations, sleep quality was bad on the majority of participants, with an increase during the epidemic crisis, while persistent burnout had influence on state anxiety, acute stress, and symptoms of depersonalization/derealization. PTSD symptoms were related to pre‐existent anxiety/depression and dissociative symptoms, as well as to acute stress and acute anxiety, and negatively related to resilience. Conclusions Pre‐existent anxiety/depression, dissociative symptoms, and coexisting acute anxiety and acute stress contribute to PTSD symptoms. During an infectious outbreak, psychological screening could provide valuable information to prevent or mitigate against adverse psychological reactions by frontline healthcare workers caring for patients. During an infectious outbreak, pre‐existing burnout, dissociative experiences, and anxiety contribute to the development of post‐traumatic stress disorder in frontline health workers. To protect the mental health of vulnerable personnel and decrease the probability of latent human errors, psychological screening of health‐workers could provide valuable information to design staff reorganization. |
| Databáze: | OpenAIRE |
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