Dataset Information

Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study.

ABSTRACT:

Aim

To investigate the occurrence of traumatic stress symptoms (TSS) among healthcare workers active during the COVID-19 pandemic and to obtain insight as to which pandemic-related stressful experiences are associated with onset and persistence of traumatic stress.

Methods

This is a multicenter prospective cohort study. Spanish healthcare workers (N = 4,809) participated at an initial assessment (i.e., just after the first wave of the Spain COVID-19 pandemic) and at a 4-month follow-up assessment using web-based surveys. Logistic regression investigated associations of 19 pandemic-related stressful experiences across four domains (infection-related, work-related, health-related and financial) with TSS prevalence, incidence and persistence, including simulations of population attributable risk proportions (PARP).

Results

Thirty-day TSS prevalence at T1 was 22.1%. Four-month incidence and persistence were 11.6% and 54.2%, respectively. Auxiliary nurses had highest rates of TSS prevalence (35.1%) and incidence (16.1%). All 19 pandemic-related stressful experiences under study were associated with TSS prevalence or incidence, especially experiences from the domains of health-related (PARP range 88.4-95.6%) and work-related stressful experiences (PARP range 76.8-86.5%). Nine stressful experiences were also associated with TSS persistence, of which having patient(s) in care who died from COVID-19 had the strongest association. This association remained significant after adjusting for co-occurring depression and anxiety.

Conclusions

TSSs among Spanish healthcare workers active during the COVID-19 pandemic are common and associated with various pandemic-related stressful experiences. Future research should investigate if these stressful experiences represent truly traumatic experiences and carry risk for the development of post-traumatic stress disorder.

SUBMITTER: Portillo-Van Diest A

PROVIDER: S-EPMC10465320 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Publications

Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study.

Portillo-Van Diest Ana A Vilagut Gemma G Alayo Itxaso I Ferrer Montse M Amigo Franco F Amann Benedikt L BL Aragón-Peña Andrés A Aragonès Enric E Asúnsolo Del Barco Ángel Á Campos Mireia M Del Cura-González Isabel I Espuga Meritxell M González-Pinto Ana A Haro Josep M JM Larrauri Amparo A López-Fresneña Nieves N Martínez de Salázar Alma A Molina Juan D JD Ortí-Lucas Rafael M RM Parellada Mara M Pelayo-Terán José M JM Pérez-Zapata Aurora A Pijoan José I JI Plana Nieves N Puig Teresa T Rius Cristina C Rodríguez-Blázquez Carmen C Sanz Ferran F Serra Consol C Urreta-Barallobre Iratxe I Kessler Ronald C RC Bruffaerts Ronny R Vieta Eduard E Pérez-Solá Víctor V Alonso Jordi J Mortier Philippe P

Epidemiology and psychiatric sciences 20230809

<h4>Aim</h4>To investigate the occurrence of traumatic stress symptoms (TSS) among healthcare workers active during the COVID-19 pandemic and to obtain insight as to which pandemic-related stressful experiences are associated with onset and persistence of traumatic stress.<h4>Methods</h4>This is a multicenter prospective cohort study. Spanish healthcare workers (<i>N</i> = 4,809) participated at an initial assessment (i.e., just after the first wave of the Spain COVID-19 pandemic) and at a 4-mon ...[more]

PMID: 37555258

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Project description:Objective: This study examined how best to identify modifiable protective and risk factors for burnout in healthcare workers in the face of the COVID-19 pandemic. Individual, occupational, organizational and social factors were investigated. The study also assessed the impact of these factors on post-traumatic stress disorder (PTSD), anxiety, and depression. Methods: Healthcare workers in the Quebec (Canada) healthcare system were recruited between May 21 to June 5, 2020. Participants answered an electronic survey 3 months after the COVID-19 epidemic outbreak began in Canada. Using the Maslach Burnout Inventory, PTSD Checklist for DSM-5, and Hospital Anxiety and Depression Scale, we studied the prevalence of burnout, PTSD, anxiety and depression in this cohort. Multivariable logistic or linear regression models including resilience, social and organizational support, workload and access to mental health help, simulation techniques and protective personal equipment (PPE) as well as perception of PPE security were conducted for each outcome. Results: In mid-June 2020, 467 participants completed the survey. We found that half (51.8%) of the respondents experienced burnout characterized by emotional exhaustion and/or depersonalization at least once a week. In total, 158 healthcare workers (35.6%) displayed severe symptoms of at least one of the mental health disorders (24.3% PTSD, 23.3% anxiety, 10.6% depression). Resilience (OR = 0.69, 95% CI: [0.55-0.87]; p = 0.002) and perceived organizational support (OR = 0.75, 95% CI: [0.61-0.93]; p = 0.009) were significantly associated with burnout and other outcomes. Social support satisfaction, perception of PPE security, work type and environment, mental health antecedents and reassignment were associated with PTSD and/or anxiety and/or depression, but not burnout. Conclusion: Future studies should address primarily resilience and perceived organizational support to promote mental health and prevent burnout, PTSD, anxiety and depression.

Dataset Information

Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study.

Aim

Methods

Results

Conclusions

Publications

Traumatic stress symptoms among Spanish healthcare workers during the COVID-19 pandemic: a prospective study.

Similar Datasets

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