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Depression, anxiety, and burnout among hospital workers during the COVID-19 pandemic: A cross-sectional study
OBJECTIVES: Healthcare personnel have faced unprecedented mental health challenges during the COVID-19 pandemic. The study objective is to assess differences in depression, anxiety, and burnout among healthcare personnel with various occupational roles and whether financial and job strain were assoc...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733879/ https://www.ncbi.nlm.nih.gov/pubmed/36490248 http://dx.doi.org/10.1371/journal.pone.0276861 |
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author | Pala, Andrea Norcini Chuang, Jessica C. Chien, Ai Krauth, David M. Leitner, Stefano A. Okoye, Nnenna M. Costello, Sadie C. Rodriguez, Robert M. Sheira, Lila A. Solomon, Gina Weiser, Sheri D. |
author_facet | Pala, Andrea Norcini Chuang, Jessica C. Chien, Ai Krauth, David M. Leitner, Stefano A. Okoye, Nnenna M. Costello, Sadie C. Rodriguez, Robert M. Sheira, Lila A. Solomon, Gina Weiser, Sheri D. |
author_sort | Pala, Andrea Norcini |
collection | PubMed |
description | OBJECTIVES: Healthcare personnel have faced unprecedented mental health challenges during the COVID-19 pandemic. The study objective is to assess differences in depression, anxiety, and burnout among healthcare personnel with various occupational roles and whether financial and job strain were associated with these mental health outcomes. METHODS: We employed an anonymous survey between July and August 2020 at an urban county hospital in California, USA. We assessed depression, anxiety, and burnout using validated scales, and asked questions on financial strain and job strain. We performed logistic and linear regression analyses. RESULTS: Nurses (aOR 1.93, 95% CIs 1.12, 3.46), social workers (aOR 2.61, 95% CIs 1.35, 5.17), service workers (aOR 2.55, 95% CIs 1.20, 5.48), and administrative workers (aOR 2.93, 95% CIs 1.57, 5.61) were more likely than physicians to screen positive for depression. The odds of screening positive for anxiety were significantly lower for ancillary workers (aOR 0.32, 95% CIs 0.13–0.72) compared with physicians. Ancillary (aB = -1.77, 95% CIs -1.88, -0.47) and laboratory and pharmacy workers (aB -0.70, 95% CI -1.34, -0.06) reported lower levels of burnout compared with physicians. Financial strain partially accounted for differences in mental health outcomes across job categories. Lack of time to complete tasks and lack of supervisory support were associated with higher odds of screening positive for depression. Less job autonomy was associated with higher odds of screening positive for anxiety and higher burnout levels. CONCLUSIONS: We found significant disparities in mental health outcomes across occupational roles. Policies to mitigate the adverse impact of COVID-19 on health workers’ mental health should include non-clinical staff and address financial support and job characteristics for all occupational roles. |
format | Online Article Text |
id | pubmed-9733879 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-97338792022-12-10 Depression, anxiety, and burnout among hospital workers during the COVID-19 pandemic: A cross-sectional study Pala, Andrea Norcini Chuang, Jessica C. Chien, Ai Krauth, David M. Leitner, Stefano A. Okoye, Nnenna M. Costello, Sadie C. Rodriguez, Robert M. Sheira, Lila A. Solomon, Gina Weiser, Sheri D. PLoS One Research Article OBJECTIVES: Healthcare personnel have faced unprecedented mental health challenges during the COVID-19 pandemic. The study objective is to assess differences in depression, anxiety, and burnout among healthcare personnel with various occupational roles and whether financial and job strain were associated with these mental health outcomes. METHODS: We employed an anonymous survey between July and August 2020 at an urban county hospital in California, USA. We assessed depression, anxiety, and burnout using validated scales, and asked questions on financial strain and job strain. We performed logistic and linear regression analyses. RESULTS: Nurses (aOR 1.93, 95% CIs 1.12, 3.46), social workers (aOR 2.61, 95% CIs 1.35, 5.17), service workers (aOR 2.55, 95% CIs 1.20, 5.48), and administrative workers (aOR 2.93, 95% CIs 1.57, 5.61) were more likely than physicians to screen positive for depression. The odds of screening positive for anxiety were significantly lower for ancillary workers (aOR 0.32, 95% CIs 0.13–0.72) compared with physicians. Ancillary (aB = -1.77, 95% CIs -1.88, -0.47) and laboratory and pharmacy workers (aB -0.70, 95% CI -1.34, -0.06) reported lower levels of burnout compared with physicians. Financial strain partially accounted for differences in mental health outcomes across job categories. Lack of time to complete tasks and lack of supervisory support were associated with higher odds of screening positive for depression. Less job autonomy was associated with higher odds of screening positive for anxiety and higher burnout levels. CONCLUSIONS: We found significant disparities in mental health outcomes across occupational roles. Policies to mitigate the adverse impact of COVID-19 on health workers’ mental health should include non-clinical staff and address financial support and job characteristics for all occupational roles. Public Library of Science 2022-12-09 /pmc/articles/PMC9733879/ /pubmed/36490248 http://dx.doi.org/10.1371/journal.pone.0276861 Text en © 2022 Pala et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Pala, Andrea Norcini Chuang, Jessica C. Chien, Ai Krauth, David M. Leitner, Stefano A. Okoye, Nnenna M. Costello, Sadie C. Rodriguez, Robert M. Sheira, Lila A. Solomon, Gina Weiser, Sheri D. Depression, anxiety, and burnout among hospital workers during the COVID-19 pandemic: A cross-sectional study |
title | Depression, anxiety, and burnout among hospital workers during the COVID-19 pandemic: A cross-sectional study |
title_full | Depression, anxiety, and burnout among hospital workers during the COVID-19 pandemic: A cross-sectional study |
title_fullStr | Depression, anxiety, and burnout among hospital workers during the COVID-19 pandemic: A cross-sectional study |
title_full_unstemmed | Depression, anxiety, and burnout among hospital workers during the COVID-19 pandemic: A cross-sectional study |
title_short | Depression, anxiety, and burnout among hospital workers during the COVID-19 pandemic: A cross-sectional study |
title_sort | depression, anxiety, and burnout among hospital workers during the covid-19 pandemic: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733879/ https://www.ncbi.nlm.nih.gov/pubmed/36490248 http://dx.doi.org/10.1371/journal.pone.0276861 |
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