Cargando…

The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy

This study aimed to evaluate the mental health outcomes of health care workers (HCWs) of the Verona academic hospital trust (Italy) one year after the outbreak of COVID-19 and to identify predicted risk factors. A web-based survey was conducted from mid-April to mid-May 2021 on hospital workers one...

Descripción completa

Detalles Bibliográficos
Autores principales: Lasalvia, Antonio, Bodini, Luca, Amaddeo, Francesco, Porru, Stefano, Carta, Angela, Poli, Ranieri, Bonetto, Chiara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707618/
https://www.ncbi.nlm.nih.gov/pubmed/34948981
http://dx.doi.org/10.3390/ijerph182413374
_version_ 1784622480318529536
author Lasalvia, Antonio
Bodini, Luca
Amaddeo, Francesco
Porru, Stefano
Carta, Angela
Poli, Ranieri
Bonetto, Chiara
author_facet Lasalvia, Antonio
Bodini, Luca
Amaddeo, Francesco
Porru, Stefano
Carta, Angela
Poli, Ranieri
Bonetto, Chiara
author_sort Lasalvia, Antonio
collection PubMed
description This study aimed to evaluate the mental health outcomes of health care workers (HCWs) of the Verona academic hospital trust (Italy) one year after the outbreak of COVID-19 and to identify predicted risk factors. A web-based survey was conducted from mid-April to mid-May 2021 on hospital workers one year after the first evaluation performed during the lock-down phase of the COVID-19 pandemic. Post-traumatic stress, general anxiety, depression, and burnout were assessed by using, respectively, the impact of event scale (IES-R), the self-rating anxiety scale (SAS), the patient health questionnaire (PHQ-9) and the Maslach burnout inventory-general survey (MBI-GS). Multivariate logistic regression analysis was performed to identify factors associated with each of the four mental health outcomes one year after the COVID-19 outbreak. A total of 1033 HCWs participated. The percentage of HCWs scoring above the cut-off increased from 2020 to 2021 in all of the outcome domains (anxiety, 50.1% vs. 55.7, p < 0.05; depression, 26.6% vs. 40.6%, p < 0.001; burnout, 28.6% vs. 40.6%, p < 0.001; chi-square test), with the exception of post-traumatic distress. There was also an increase when stratifying by occupation and workplace, with a greater increase for depression and burnout. Multivariate analysis revealed that, one year after the COVID-19 outbreak, nurses were at the greatest risk of anxiety and depression, whereas residents were at the greatest risk of burnout (in terms of low professional efficacy). Working in intensive care units was associated with an increased risk of developing severe emotional exhaustion and a cynical attitude towards work.
format Online
Article
Text
id pubmed-8707618
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-87076182021-12-25 The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy Lasalvia, Antonio Bodini, Luca Amaddeo, Francesco Porru, Stefano Carta, Angela Poli, Ranieri Bonetto, Chiara Int J Environ Res Public Health Article This study aimed to evaluate the mental health outcomes of health care workers (HCWs) of the Verona academic hospital trust (Italy) one year after the outbreak of COVID-19 and to identify predicted risk factors. A web-based survey was conducted from mid-April to mid-May 2021 on hospital workers one year after the first evaluation performed during the lock-down phase of the COVID-19 pandemic. Post-traumatic stress, general anxiety, depression, and burnout were assessed by using, respectively, the impact of event scale (IES-R), the self-rating anxiety scale (SAS), the patient health questionnaire (PHQ-9) and the Maslach burnout inventory-general survey (MBI-GS). Multivariate logistic regression analysis was performed to identify factors associated with each of the four mental health outcomes one year after the COVID-19 outbreak. A total of 1033 HCWs participated. The percentage of HCWs scoring above the cut-off increased from 2020 to 2021 in all of the outcome domains (anxiety, 50.1% vs. 55.7, p < 0.05; depression, 26.6% vs. 40.6%, p < 0.001; burnout, 28.6% vs. 40.6%, p < 0.001; chi-square test), with the exception of post-traumatic distress. There was also an increase when stratifying by occupation and workplace, with a greater increase for depression and burnout. Multivariate analysis revealed that, one year after the COVID-19 outbreak, nurses were at the greatest risk of anxiety and depression, whereas residents were at the greatest risk of burnout (in terms of low professional efficacy). Working in intensive care units was associated with an increased risk of developing severe emotional exhaustion and a cynical attitude towards work. MDPI 2021-12-19 /pmc/articles/PMC8707618/ /pubmed/34948981 http://dx.doi.org/10.3390/ijerph182413374 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lasalvia, Antonio
Bodini, Luca
Amaddeo, Francesco
Porru, Stefano
Carta, Angela
Poli, Ranieri
Bonetto, Chiara
The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy
title The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy
title_full The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy
title_fullStr The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy
title_full_unstemmed The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy
title_short The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy
title_sort sustained psychological impact of the covid-19 pandemic on health care workers one year after the outbreak—a repeated cross-sectional survey in a tertiary hospital of north-east italy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8707618/
https://www.ncbi.nlm.nih.gov/pubmed/34948981
http://dx.doi.org/10.3390/ijerph182413374
work_keys_str_mv AT lasalviaantonio thesustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT bodiniluca thesustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT amaddeofrancesco thesustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT porrustefano thesustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT cartaangela thesustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT poliranieri thesustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT bonettochiara thesustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT lasalviaantonio sustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT bodiniluca sustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT amaddeofrancesco sustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT porrustefano sustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT cartaangela sustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT poliranieri sustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly
AT bonettochiara sustainedpsychologicalimpactofthecovid19pandemiconhealthcareworkersoneyearaftertheoutbreakarepeatedcrosssectionalsurveyinatertiaryhospitalofnortheastitaly