Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic.


Journal

General hospital psychiatry
ISSN: 1873-7714
Titre abrégé: Gen Hosp Psychiatry
Pays: United States
ID NLM: 7905527

Informations de publication

Date de publication:
Historique:
received: 19 05 2020
revised: 01 06 2020
accepted: 02 06 2020
pubmed: 27 6 2020
medline: 23 9 2020
entrez: 27 6 2020
Statut: ppublish

Résumé

The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th-April 24th 2020) at a large medical center in NYC (n = 657). Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaff's rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.

Identifiants

pubmed: 32590254
pii: S0163-8343(20)30083-9
doi: 10.1016/j.genhosppsych.2020.06.007
pmc: PMC7297159
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, U.S. Gov't, P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-8

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL146636
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL117832
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL141682
Pays : United States
Organisme : American Heart Association-American Stroke Association
ID : 18AMFDP34380732
Pays : United States
Organisme : NIA NIH HHS
ID : U24 AG052175
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL132347
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL141494
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL141811
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL146911
Pays : United States
Organisme : AHRQ HHS
ID : R01 HS024262
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG064198
Pays : United States
Organisme : NHLBI NIH HHS
ID : R21 HL145970
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL123368
Pays : United States

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest None of the authors have relevant disclosures.

Références

Psychiatry Res. 1989 May;28(2):193-213
pubmed: 2748771
J Pers Soc Psychol. 1994 Dec;67(6):1063-78
pubmed: 7815302
Psychol Bull. 2006 May;132(3):327-53
pubmed: 16719565
Eur J Ageing. 2011 Mar;8(1):31-38
pubmed: 21475393
Nat Med. 2020 Apr;26(4):450-452
pubmed: 32284615
J Psychiatr Res. 2007 Jan-Feb;41(1-2):119-30
pubmed: 16460760
Gen Hosp Psychiatry. 2019 Sep - Oct;60:83-89
pubmed: 31376645
Sleep. 2011 May 01;34(5):601-8
pubmed: 21532953
Compr Psychiatry. 2018 Nov;87:123-127
pubmed: 30343247
JAMA. 2020 Jun 2;323(21):2133-2134
pubmed: 32259193
J Psychosom Res. 2006 Jul;61(1):59-66
pubmed: 16813846
J Epidemiol. 2012;22(5):462-8
pubmed: 22850546
Can J Psychiatry. 2007 Apr;52(4):241-7
pubmed: 17500305
J Occup Health Psychol. 1996 Jan;1(1):9-26
pubmed: 9547038
JAMA Netw Open. 2020 Mar 2;3(3):e203976
pubmed: 32202646
Can J Psychiatry. 2009 May;54(5):302-11
pubmed: 19497162
Emerg Med J. 2007 Jan;24(1):12-7
pubmed: 17183035
J Occup Environ Med. 2018 Mar;60(3):248-257
pubmed: 29252922
Emerg Infect Dis. 2006 Dec;12(12):1924-32
pubmed: 17326946
J Trauma Acute Care Surg. 2018 Sep;85(3):466-475
pubmed: 29787532
Arch Psychiatr Nurs. 2009 Oct;23(5):387-96
pubmed: 19766930
Ann Intern Med. 2007 Mar 6;146(5):317-25
pubmed: 17339617
Med Care. 2003 Nov;41(11):1284-92
pubmed: 14583691
Psychosom Med. 2006 Nov-Dec;68(6):863-9
pubmed: 17132837
Lancet Psychiatry. 2020 Apr;7(4):e15-e16
pubmed: 32085839

Auteurs

Ari Shechter (A)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Franchesca Diaz (F)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Nathalie Moise (N)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

D Edmund Anstey (DE)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Siqin Ye (S)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Sachin Agarwal (S)

Department of Neurology, Columbia University Irving Medical Center, New York, NY, United States of America.

Jeffrey L Birk (JL)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Daniel Brodie (D)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Diane E Cannone (DE)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Bernard Chang (B)

Department of Emergency Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Jan Claassen (J)

Department of Neurology, Columbia University Irving Medical Center, New York, NY, United States of America.

Talea Cornelius (T)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Lilly Derby (L)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Melissa Dong (M)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Raymond C Givens (RC)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Beth Hochman (B)

Department of Surgery, Columbia University Irving Medical Center, New York, NY, United States of America.

Shunichi Homma (S)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Ian M Kronish (IM)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Sung A J Lee (SAJ)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Wilhelmina Manzano (W)

NewYork-Presbyterian Hospital, New York, NY, United States of America; School of Nursing, Columbia University, New York, NY, United States of America.

Laurel E S Mayer (LES)

Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, United States of America.

Cara L McMurry (CL)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Vivek Moitra (V)

Department of Anesthesiology, Columbia University Irving Medical Center, New York, NY, United States of America.

Patrick Pham (P)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

LeRoy Rabbani (L)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Reynaldo R Rivera (RR)

NewYork-Presbyterian Hospital, New York, NY, United States of America; School of Nursing, Columbia University, New York, NY, United States of America.

Allan Schwartz (A)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Joseph E Schwartz (JE)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America; Department of Psychiatry and Behavioral Sciences, Stony Brook University, Stony Brook, NY, United States of America.

Peter A Shapiro (PA)

Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, United States of America.

Kaitlin Shaw (K)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Alexandra M Sullivan (AM)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Courtney Vose (C)

NewYork-Presbyterian Hospital, New York, NY, United States of America; School of Nursing, Columbia University, New York, NY, United States of America.

Lauren Wasson (L)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Donald Edmondson (D)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America.

Marwah Abdalla (M)

Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States of America. Electronic address: ma2947@cumc.columbia.edu.

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Classifications MeSH