Cargando…
The other side of COVID-19: A cross-sectional study on mental health in a sample of Italian nurses during the second wave
INTRODUCTION: The COVID-19 pandemic has led to a drastic increase in the workload of healthcare professionals, particularly nurses, with serious consequences for their psychological well-being. Our study aimed to identify demographic and work-related factors, as well as clinical predictors of post-t...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10015892/ https://www.ncbi.nlm.nih.gov/pubmed/36937741 http://dx.doi.org/10.3389/fpsyt.2023.1083693 |
_version_ | 1784907294530600960 |
---|---|
author | Renzi, Erika Imeshtari, Valentin Masud, Dima Baccolini, Valentina Migliara, Giuseppe Gasperini, Giulia De Vito, Corrado Marzuillo, Carolina Villari, Paolo Massimi, Azzurra |
author_facet | Renzi, Erika Imeshtari, Valentin Masud, Dima Baccolini, Valentina Migliara, Giuseppe Gasperini, Giulia De Vito, Corrado Marzuillo, Carolina Villari, Paolo Massimi, Azzurra |
author_sort | Renzi, Erika |
collection | PubMed |
description | INTRODUCTION: The COVID-19 pandemic has led to a drastic increase in the workload of healthcare professionals, particularly nurses, with serious consequences for their psychological well-being. Our study aimed to identify demographic and work-related factors, as well as clinical predictors of post-traumatic stress disorder (PTSD) and generalized anxiety disorder (GAD), in nurses employed during the COVID-19 pandemic. METHODS: We carried out a cross-sectional study between December 2020 and April 2021 on nurses employed during the COVID-19 second wave (October - December 2020). We evaluated PTSD and GAD using two validated questionnaires: i) the Impact of Event Scale – Revised (IES-R); and ii) General Anxiety Disorder –7 (GAD-7). RESULTS: Overall, 400 nurses, whose mean age was 34.3 years (SD ± 11.7), were included in the study. Most were female (78.5%), unmarried (58.5%) and employed in the central (61.5%) regions of Italy. A total of 56.8% of all participants had clinical predictors of PTSD, recording a median IES-R score (IQR) of 37.0 (22.0, 51.0) (range 1-84; cut-off >33 for PTSD). Furthermore, 50% of respondents reported moderate-to-severe symptoms consistent with GAD, recording a median GAD-7 score (IQR) of 9.5 (6.0,14.0) (range 0-21; cut-off >10 for GAD). Multivariable analysis showed that moderate-to-severe GAD (aOR = 4.54, 95% CI: 2.93 - 7.05), being employed in the critical care area (aOR = 1.74, 95% CI: 1.01 - 3.00) and being female (aOR= 1.88, 95% CI: 1.09 - 3.22) were significantly associated with the presence of clinical predictors of PTSD. DISCUSSION: The levels of PTSD symptoms and anxiety among nurses were high during the pandemic. PTSD and GAD represent a public health problem that should be addressed in the post-pandemic period. Healthcare organizations need to activate specific support and rehabilitation networks and programs for healthcare professionals employed during the COVID-19 pandemic. |
format | Online Article Text |
id | pubmed-10015892 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100158922023-03-16 The other side of COVID-19: A cross-sectional study on mental health in a sample of Italian nurses during the second wave Renzi, Erika Imeshtari, Valentin Masud, Dima Baccolini, Valentina Migliara, Giuseppe Gasperini, Giulia De Vito, Corrado Marzuillo, Carolina Villari, Paolo Massimi, Azzurra Front Psychiatry Psychiatry INTRODUCTION: The COVID-19 pandemic has led to a drastic increase in the workload of healthcare professionals, particularly nurses, with serious consequences for their psychological well-being. Our study aimed to identify demographic and work-related factors, as well as clinical predictors of post-traumatic stress disorder (PTSD) and generalized anxiety disorder (GAD), in nurses employed during the COVID-19 pandemic. METHODS: We carried out a cross-sectional study between December 2020 and April 2021 on nurses employed during the COVID-19 second wave (October - December 2020). We evaluated PTSD and GAD using two validated questionnaires: i) the Impact of Event Scale – Revised (IES-R); and ii) General Anxiety Disorder –7 (GAD-7). RESULTS: Overall, 400 nurses, whose mean age was 34.3 years (SD ± 11.7), were included in the study. Most were female (78.5%), unmarried (58.5%) and employed in the central (61.5%) regions of Italy. A total of 56.8% of all participants had clinical predictors of PTSD, recording a median IES-R score (IQR) of 37.0 (22.0, 51.0) (range 1-84; cut-off >33 for PTSD). Furthermore, 50% of respondents reported moderate-to-severe symptoms consistent with GAD, recording a median GAD-7 score (IQR) of 9.5 (6.0,14.0) (range 0-21; cut-off >10 for GAD). Multivariable analysis showed that moderate-to-severe GAD (aOR = 4.54, 95% CI: 2.93 - 7.05), being employed in the critical care area (aOR = 1.74, 95% CI: 1.01 - 3.00) and being female (aOR= 1.88, 95% CI: 1.09 - 3.22) were significantly associated with the presence of clinical predictors of PTSD. DISCUSSION: The levels of PTSD symptoms and anxiety among nurses were high during the pandemic. PTSD and GAD represent a public health problem that should be addressed in the post-pandemic period. Healthcare organizations need to activate specific support and rehabilitation networks and programs for healthcare professionals employed during the COVID-19 pandemic. Frontiers Media S.A. 2023-03-01 /pmc/articles/PMC10015892/ /pubmed/36937741 http://dx.doi.org/10.3389/fpsyt.2023.1083693 Text en Copyright © 2023 Renzi, Imeshtari, Masud, Baccolini, Migliara, Gasperini, De Vito, Marzuillo, Villari and Massimi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Renzi, Erika Imeshtari, Valentin Masud, Dima Baccolini, Valentina Migliara, Giuseppe Gasperini, Giulia De Vito, Corrado Marzuillo, Carolina Villari, Paolo Massimi, Azzurra The other side of COVID-19: A cross-sectional study on mental health in a sample of Italian nurses during the second wave |
title | The other side of COVID-19: A cross-sectional study on mental health in a sample of Italian nurses during the second wave |
title_full | The other side of COVID-19: A cross-sectional study on mental health in a sample of Italian nurses during the second wave |
title_fullStr | The other side of COVID-19: A cross-sectional study on mental health in a sample of Italian nurses during the second wave |
title_full_unstemmed | The other side of COVID-19: A cross-sectional study on mental health in a sample of Italian nurses during the second wave |
title_short | The other side of COVID-19: A cross-sectional study on mental health in a sample of Italian nurses during the second wave |
title_sort | other side of covid-19: a cross-sectional study on mental health in a sample of italian nurses during the second wave |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10015892/ https://www.ncbi.nlm.nih.gov/pubmed/36937741 http://dx.doi.org/10.3389/fpsyt.2023.1083693 |
work_keys_str_mv | AT renzierika theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT imeshtarivalentin theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT masuddima theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT baccolinivalentina theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT migliaragiuseppe theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT gasperinigiulia theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT devitocorrado theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT marzuillocarolina theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT villaripaolo theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT massimiazzurra theothersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT renzierika othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT imeshtarivalentin othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT masuddima othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT baccolinivalentina othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT migliaragiuseppe othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT gasperinigiulia othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT devitocorrado othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT marzuillocarolina othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT villaripaolo othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave AT massimiazzurra othersideofcovid19acrosssectionalstudyonmentalhealthinasampleofitaliannursesduringthesecondwave |