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Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic

Background: Prevalence, incidence, and factors associated with posttraumatic stress disorder (PTSD) symptoms at follow-up among healthcare workers after the first wave of the COVID-19 pandemic are unknown. Methods: A web survey invitation was sent to healthcare worker listservs at a NYC medical cent...

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Autores principales: Shechter, Ari, Chiuzan, Codruta, Shang, Yimeng, Ko, Gavin, Diaz, Franchesca, Venner, Hadiah K., Shaw, Kaitlin, Cannone, Diane E., McMurry, Cara L., Sullivan, Alexandra M., Rivera, Reynaldo R., Vose, Courtney, Shapiro, Peter A., Abdalla, Marwah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750525/
https://www.ncbi.nlm.nih.gov/pubmed/35010524
http://dx.doi.org/10.3390/ijerph19010262
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author Shechter, Ari
Chiuzan, Codruta
Shang, Yimeng
Ko, Gavin
Diaz, Franchesca
Venner, Hadiah K.
Shaw, Kaitlin
Cannone, Diane E.
McMurry, Cara L.
Sullivan, Alexandra M.
Rivera, Reynaldo R.
Vose, Courtney
Shapiro, Peter A.
Abdalla, Marwah
author_facet Shechter, Ari
Chiuzan, Codruta
Shang, Yimeng
Ko, Gavin
Diaz, Franchesca
Venner, Hadiah K.
Shaw, Kaitlin
Cannone, Diane E.
McMurry, Cara L.
Sullivan, Alexandra M.
Rivera, Reynaldo R.
Vose, Courtney
Shapiro, Peter A.
Abdalla, Marwah
author_sort Shechter, Ari
collection PubMed
description Background: Prevalence, incidence, and factors associated with posttraumatic stress disorder (PTSD) symptoms at follow-up among healthcare workers after the first wave of the COVID-19 pandemic are unknown. Methods: A web survey invitation was sent to healthcare worker listservs at a NYC medical center (April, 2020). The Primary Care (PC)-PTSD questionnaire was used to screen for PTSD symptoms at baseline and then every 2 weeks for 10 weeks. Incidence and prevalence of PTSD symptoms were determined at each time point. Multivariable generalized estimating equation models were performed to investigate the factors associated with a positive PC-PTSD screen at follow-up. Results: Median age (interquartile range) of N = 230 participants was 36 (31–48) years; 79.6% were women; 82.6% worked in COVID-19-focused settings. The prevalence of PTSD symptoms decreased from 55.2% at baseline to 25.0% at 10 weeks (p < 0.001). Among participants who had a baseline negative screen for PTSD symptoms, the incidence of PTSD at 10 weeks was 12.2% (p-trend 0.034). In multivariable-adjusted analyses, being a nurse (odds ratio [OR]: 1.70, 95% confidence interval [CI]: 1.06–2.71), female (OR: 3.00, 95% CI: 1.59, 5.72), and working in a COVID-19-focused location (OR: 1.51, 95% CI: 1.02, 2.21) were associated with increased odds of PTSD symptoms at 10-weeks. Conclusions: PTSD symptoms improved over 3 months following the first wave of the COVID-19 pandemic. However, one out of four NYC healthcare workers still had an increased risk for PTSD at 10-weeks. Screening healthcare workers for PTSD symptoms should be considered during the COVID-19 pandemic.
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spelling pubmed-87505252022-01-12 Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic Shechter, Ari Chiuzan, Codruta Shang, Yimeng Ko, Gavin Diaz, Franchesca Venner, Hadiah K. Shaw, Kaitlin Cannone, Diane E. McMurry, Cara L. Sullivan, Alexandra M. Rivera, Reynaldo R. Vose, Courtney Shapiro, Peter A. Abdalla, Marwah Int J Environ Res Public Health Article Background: Prevalence, incidence, and factors associated with posttraumatic stress disorder (PTSD) symptoms at follow-up among healthcare workers after the first wave of the COVID-19 pandemic are unknown. Methods: A web survey invitation was sent to healthcare worker listservs at a NYC medical center (April, 2020). The Primary Care (PC)-PTSD questionnaire was used to screen for PTSD symptoms at baseline and then every 2 weeks for 10 weeks. Incidence and prevalence of PTSD symptoms were determined at each time point. Multivariable generalized estimating equation models were performed to investigate the factors associated with a positive PC-PTSD screen at follow-up. Results: Median age (interquartile range) of N = 230 participants was 36 (31–48) years; 79.6% were women; 82.6% worked in COVID-19-focused settings. The prevalence of PTSD symptoms decreased from 55.2% at baseline to 25.0% at 10 weeks (p < 0.001). Among participants who had a baseline negative screen for PTSD symptoms, the incidence of PTSD at 10 weeks was 12.2% (p-trend 0.034). In multivariable-adjusted analyses, being a nurse (odds ratio [OR]: 1.70, 95% confidence interval [CI]: 1.06–2.71), female (OR: 3.00, 95% CI: 1.59, 5.72), and working in a COVID-19-focused location (OR: 1.51, 95% CI: 1.02, 2.21) were associated with increased odds of PTSD symptoms at 10-weeks. Conclusions: PTSD symptoms improved over 3 months following the first wave of the COVID-19 pandemic. However, one out of four NYC healthcare workers still had an increased risk for PTSD at 10-weeks. Screening healthcare workers for PTSD symptoms should be considered during the COVID-19 pandemic. MDPI 2021-12-27 /pmc/articles/PMC8750525/ /pubmed/35010524 http://dx.doi.org/10.3390/ijerph19010262 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
Shechter, Ari
Chiuzan, Codruta
Shang, Yimeng
Ko, Gavin
Diaz, Franchesca
Venner, Hadiah K.
Shaw, Kaitlin
Cannone, Diane E.
McMurry, Cara L.
Sullivan, Alexandra M.
Rivera, Reynaldo R.
Vose, Courtney
Shapiro, Peter A.
Abdalla, Marwah
Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic
title Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic
title_full Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic
title_fullStr Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic
title_full_unstemmed Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic
title_short Prevalence, Incidence, and Factors Associated with Posttraumatic Stress at Three-Month Follow-Up among New York City Healthcare Workers after the First Wave of the COVID-19 Pandemic
title_sort prevalence, incidence, and factors associated with posttraumatic stress at three-month follow-up among new york city healthcare workers after the first wave of the covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8750525/
https://www.ncbi.nlm.nih.gov/pubmed/35010524
http://dx.doi.org/10.3390/ijerph19010262
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