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Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study

BACKGROUND: Intensive care workers are known for their stressful work environment and for a high prevalence of mental health outcomes. The aim of this study was to evaluate the mental health, well-being and changes in lifestyle among intensive care unit (ICU) healthcare workers (HCW) during the firs...

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Autores principales: Wozniak, Hannah, Benzakour, Lamyae, Moullec, Grégory, Buetti, Niccolò, Nguyen, Alice, Corbaz, Sandrine, Roos, Pauline, Vieux, Laure, Suard, Jean-Claude, Weissbrodt, Rafaël, Pugin, Jérôme, Pralong, Jacques A., Cereghetti, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8271328/
https://www.ncbi.nlm.nih.gov/pubmed/34245380
http://dx.doi.org/10.1186/s13613-021-00900-x
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author Wozniak, Hannah
Benzakour, Lamyae
Moullec, Grégory
Buetti, Niccolò
Nguyen, Alice
Corbaz, Sandrine
Roos, Pauline
Vieux, Laure
Suard, Jean-Claude
Weissbrodt, Rafaël
Pugin, Jérôme
Pralong, Jacques A.
Cereghetti, Sara
author_facet Wozniak, Hannah
Benzakour, Lamyae
Moullec, Grégory
Buetti, Niccolò
Nguyen, Alice
Corbaz, Sandrine
Roos, Pauline
Vieux, Laure
Suard, Jean-Claude
Weissbrodt, Rafaël
Pugin, Jérôme
Pralong, Jacques A.
Cereghetti, Sara
author_sort Wozniak, Hannah
collection PubMed
description BACKGROUND: Intensive care workers are known for their stressful work environment and for a high prevalence of mental health outcomes. The aim of this study was to evaluate the mental health, well-being and changes in lifestyle among intensive care unit (ICU) healthcare workers (HCW) during the first wave of the COVID-19 pandemic and to compare these results with those of HCW in other hospital units. Another objective was to understand which associated factors aggravate their mental health during the COVID-19 outbreak. METHODS: This cross-sectional survey collected socio-demographic data, lifestyle changes and mental health evaluations as assessed by the Generalized Anxiety Disorder 7 items (GAD-7), the Patient Health Questionnaire 9 items (PHQ-9), the Peritraumatic Distress Inventory (PDI) and the World Health Organization Well-Being Index (WHO-5) from the 28th May to 7th July 2020. The study was carried out at Geneva University Hospitals, a group of eight public hospitals in Switzerland. ICU HCW were analyzed for mental health outcomes and lifestyles changes and then compared to non-ICU HCW. A series of linear regression analyses were performed to assess factors associated with mental health scores. RESULTS: A total of 3461 HCW were included in the study, with 352 ICU HCW. Among ICU HCW, 145 (41%) showed low well-being, 162 (46%) symptoms of anxiety, 163 (46%) symptoms of depression and 76 (22%) had peritraumatic distress. The mean scores of GAD-7, PHQ-9 and WHO-5 were worse in ICU HCW than in non-ICU HCW (p < 0.01). Working in the ICU rather than in other departments resulted in a change of eating habits, sleeping patterns and alcohol consumption (p < 0.01). Being a woman, the fear of catching and transmitting COVID-19, anxiety of working with COVID-19 patients, work overload, eating and sleeping disorders as well as increased alcohol consumption were associated with worse mental health outcomes. CONCLUSION: This study confirms the suspicion of a high prevalence of anxiety, depression, peritraumatic distress and low well-being during the first COVID-19 wave among HCW, especially among ICU HCW. This allows for the identification of associated risk factors. Long-term psychological follow-up should be considered for HCW. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13613-021-00900-x.
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spelling pubmed-82713282021-07-12 Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study Wozniak, Hannah Benzakour, Lamyae Moullec, Grégory Buetti, Niccolò Nguyen, Alice Corbaz, Sandrine Roos, Pauline Vieux, Laure Suard, Jean-Claude Weissbrodt, Rafaël Pugin, Jérôme Pralong, Jacques A. Cereghetti, Sara Ann Intensive Care Research BACKGROUND: Intensive care workers are known for their stressful work environment and for a high prevalence of mental health outcomes. The aim of this study was to evaluate the mental health, well-being and changes in lifestyle among intensive care unit (ICU) healthcare workers (HCW) during the first wave of the COVID-19 pandemic and to compare these results with those of HCW in other hospital units. Another objective was to understand which associated factors aggravate their mental health during the COVID-19 outbreak. METHODS: This cross-sectional survey collected socio-demographic data, lifestyle changes and mental health evaluations as assessed by the Generalized Anxiety Disorder 7 items (GAD-7), the Patient Health Questionnaire 9 items (PHQ-9), the Peritraumatic Distress Inventory (PDI) and the World Health Organization Well-Being Index (WHO-5) from the 28th May to 7th July 2020. The study was carried out at Geneva University Hospitals, a group of eight public hospitals in Switzerland. ICU HCW were analyzed for mental health outcomes and lifestyles changes and then compared to non-ICU HCW. A series of linear regression analyses were performed to assess factors associated with mental health scores. RESULTS: A total of 3461 HCW were included in the study, with 352 ICU HCW. Among ICU HCW, 145 (41%) showed low well-being, 162 (46%) symptoms of anxiety, 163 (46%) symptoms of depression and 76 (22%) had peritraumatic distress. The mean scores of GAD-7, PHQ-9 and WHO-5 were worse in ICU HCW than in non-ICU HCW (p < 0.01). Working in the ICU rather than in other departments resulted in a change of eating habits, sleeping patterns and alcohol consumption (p < 0.01). Being a woman, the fear of catching and transmitting COVID-19, anxiety of working with COVID-19 patients, work overload, eating and sleeping disorders as well as increased alcohol consumption were associated with worse mental health outcomes. CONCLUSION: This study confirms the suspicion of a high prevalence of anxiety, depression, peritraumatic distress and low well-being during the first COVID-19 wave among HCW, especially among ICU HCW. This allows for the identification of associated risk factors. Long-term psychological follow-up should be considered for HCW. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13613-021-00900-x. Springer International Publishing 2021-07-10 /pmc/articles/PMC8271328/ /pubmed/34245380 http://dx.doi.org/10.1186/s13613-021-00900-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Wozniak, Hannah
Benzakour, Lamyae
Moullec, Grégory
Buetti, Niccolò
Nguyen, Alice
Corbaz, Sandrine
Roos, Pauline
Vieux, Laure
Suard, Jean-Claude
Weissbrodt, Rafaël
Pugin, Jérôme
Pralong, Jacques A.
Cereghetti, Sara
Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study
title Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study
title_full Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study
title_fullStr Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study
title_full_unstemmed Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study
title_short Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study
title_sort mental health outcomes of icu and non-icu healthcare workers during the covid-19 outbreak: a cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8271328/
https://www.ncbi.nlm.nih.gov/pubmed/34245380
http://dx.doi.org/10.1186/s13613-021-00900-x
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