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Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study

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 po...

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Autores principales: Miguel‐Puga, José Adán, Cooper‐Bribiesca, Davis, Avelar‐Garnica, Francisco José, Sanchez‐Hurtado, Luis Alejandro, Colin‐Martínez, Tania, Espinosa‐Poblano, Eliseo, Anda‐Garay, Juan Carlos, González‐Díaz, Jorge Iván, Segura‐Santos, Oscar Bernardo, Vital‐Arriaga, Luz Cristina, Jáuregui‐Renaud, Kathrine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883101/
https://www.ncbi.nlm.nih.gov/pubmed/33319496
http://dx.doi.org/10.1002/brb3.2007
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author Miguel‐Puga, José Adán
Cooper‐Bribiesca, Davis
Avelar‐Garnica, Francisco José
Sanchez‐Hurtado, Luis Alejandro
Colin‐Martínez, Tania
Espinosa‐Poblano, Eliseo
Anda‐Garay, Juan Carlos
González‐Díaz, Jorge Iván
Segura‐Santos, Oscar Bernardo
Vital‐Arriaga, Luz Cristina
Jáuregui‐Renaud, Kathrine
author_facet Miguel‐Puga, José Adán
Cooper‐Bribiesca, Davis
Avelar‐Garnica, Francisco José
Sanchez‐Hurtado, Luis Alejandro
Colin‐Martínez, Tania
Espinosa‐Poblano, Eliseo
Anda‐Garay, Juan Carlos
González‐Díaz, Jorge Iván
Segura‐Santos, Oscar Bernardo
Vital‐Arriaga, Luz Cristina
Jáuregui‐Renaud, Kathrine
author_sort Miguel‐Puga, José Adán
collection PubMed
description 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.
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spelling pubmed-78831012021-02-16 Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study Miguel‐Puga, José Adán Cooper‐Bribiesca, Davis Avelar‐Garnica, Francisco José Sanchez‐Hurtado, Luis Alejandro Colin‐Martínez, Tania Espinosa‐Poblano, Eliseo Anda‐Garay, Juan Carlos González‐Díaz, Jorge Iván Segura‐Santos, Oscar Bernardo Vital‐Arriaga, Luz Cristina Jáuregui‐Renaud, Kathrine Brain Behav Original Research 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. John Wiley and Sons Inc. 2020-12-15 /pmc/articles/PMC7883101/ /pubmed/33319496 http://dx.doi.org/10.1002/brb3.2007 Text en © 2020 The Authors. Brain and Behavior published by Wiley Periodicals LLC This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Miguel‐Puga, José Adán
Cooper‐Bribiesca, Davis
Avelar‐Garnica, Francisco José
Sanchez‐Hurtado, Luis Alejandro
Colin‐Martínez, Tania
Espinosa‐Poblano, Eliseo
Anda‐Garay, Juan Carlos
González‐Díaz, Jorge Iván
Segura‐Santos, Oscar Bernardo
Vital‐Arriaga, Luz Cristina
Jáuregui‐Renaud, Kathrine
Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study
title Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study
title_full Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study
title_fullStr Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study
title_full_unstemmed Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study
title_short Burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at COVID‐19 patient care, a follow‐up study
title_sort burnout, depersonalization, and anxiety contribute to post‐traumatic stress in frontline health workers at covid‐19 patient care, a follow‐up study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883101/
https://www.ncbi.nlm.nih.gov/pubmed/33319496
http://dx.doi.org/10.1002/brb3.2007
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