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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...

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Autores principales: Renzi, Erika, Imeshtari, Valentin, Masud, Dima, Baccolini, Valentina, Migliara, Giuseppe, Gasperini, Giulia, De Vito, Corrado, Marzuillo, Carolina, Villari, Paolo, Massimi, Azzurra
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
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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.
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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
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