Snapshot Impact of COVID-19 on Mental Wellness in Nonphysician Otolaryngology Health Care Workers: A National Study.

COVID-19 aerosolization health care workers mental health psychiatric distress

Journal

OTO open
ISSN: 2473-974X
Titre abrégé: OTO Open
Pays: United States
ID NLM: 101717942

Informations de publication

Date de publication:
Historique:
received: 06 07 2020
accepted: 16 07 2020
entrez: 26 8 2020
pubmed: 26 8 2020
medline: 26 8 2020
Statut: epublish

Résumé

Nonphysician health care workers are involved in high-risk patient care during the COVID-19 pandemic, placing them at high risk of mental health burden. The mental health impact of COVID-19 in this crucial population has not been studied thus far. Thus, the objective of this study is to assess the psychosocial well-being of these providers. National cross-sectional online survey (no control group). Academic otolaryngology programs in the United States. We distributed a survey to nonphysician health care workers in otolaryngology departments across the United States. The survey incorporated a variety of validated mental health assessment tools to measure participant burnout (Mini-Z assessment), anxiety (Generalized Anxiety Disorder-7), distress (Impact of Event Scale), and depression (Patient Health Questionnaire-2). Multivariable logistic regression analysis was performed to determine predictive factors associated with these mental health outcomes. We received 347 survey responses: 248 (71.5%) nurses, 63 (18.2%) administrative staff, and 36 (10.4%) advanced practice providers. A total of 104 (30.0%) respondents reported symptoms of burnout; 241 (69.5%), symptoms of anxiety; 292 (84.1%), symptoms of at least mild distress; and 79 (22.8%), symptoms of depression. Upon further analysis, development of these symptoms was associated with factors such as occupation, practice setting, and case load. Frontline otolaryngology health care providers exhibit high rates of mental health complications, particularly anxiety and distress, in the wake of COVID-19. Adequate support systems must be put into place to address these issues.

Identifiants

pubmed: 32839747
doi: 10.1177/2473974X20948835
pii: 10.1177_2473974X20948835
pmc: PMC7415941
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2473974X20948835

Subventions

Organisme : NCI NIH HHS
ID : P30 CA016520
Pays : United States

Informations de copyright

© The Authors 2020.

Références

Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
Int J Environ Res Public Health. 2018 Dec 10;15(12):
pubmed: 30544672
J Psychosom Res. 2016 Apr;83:69-74
pubmed: 26423938
JAMA. 2020 Mar 28;:
pubmed: 32221579
Lancet Psychiatry. 2020 Jun;7(6):547-560
pubmed: 32304649
Emerg Infect Dis. 2006 Dec;12(12):1924-32
pubmed: 17326946
Psychosom Med. 1979 May;41(3):209-18
pubmed: 472086
Psychother Psychosom. 2020;89(4):242-250
pubmed: 32272480
Rev Bras Enferm. 2018 Jan-Feb;71(1):73-79
pubmed: 29324947
PLoS Curr. 2016 Sep 21;8:
pubmed: 27803840
JAMA Netw Open. 2020 Mar 2;3(3):e203976
pubmed: 32202646
Can J Psychiatry. 2007 Apr;52(4):233-40
pubmed: 17500304
Psychol Med. 2004 Oct;34(7):1197-204
pubmed: 15697046
Occup Med (Lond). 2004 May;54(3):190-6
pubmed: 15133143
Int Forum Allergy Rhinol. 2020 Jul;10(7):798-805
pubmed: 32243678
JAMA Otolaryngol Head Neck Surg. 2020 Mar 31;:
pubmed: 32232423
J Gen Intern Med. 2015 May;30(5):582-7
pubmed: 25451989
CMAJ. 2003 May 13;168(10):1245-51
pubmed: 12743065
Lancet. 2020 Apr 11;395(10231):1225-1228
pubmed: 32178769
Head Neck. 2020 Jul;42(7):1597-1609
pubmed: 32496637
N Engl J Med. 2020 Apr 30;382(18):e41
pubmed: 32212516
Head Neck. 2020 Jun;42(6):1259-1267
pubmed: 32270581
Psychiatr Serv. 2004 Sep;55(9):1055-7
pubmed: 15345768
PLoS One. 2018 Sep 25;13(9):e0204224
pubmed: 30252873
Compr Psychiatry. 2012 Jan;53(1):15-23
pubmed: 21489421
Eur Arch Otorhinolaryngol. 2020 Jul;277(7):1885-1897
pubmed: 32306118
N Engl J Med. 2020 Apr 16;382(16):1564-1567
pubmed: 32182409
Health Aff (Millwood). 2012 Nov;31(11):2501-9
pubmed: 23129681
Lancet Public Health. 2020 May;5(5):e253
pubmed: 32220653
N Engl J Med. 2020 Aug 6;383(6):510-512
pubmed: 32283003
CMAJ. 2004 Mar 2;170(5):793-8
pubmed: 14993174
Med Care. 2003 Nov;41(11):1284-92
pubmed: 14583691

Auteurs

Aman Prasad (A)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Alyssa M Civantos (AM)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Yasmeen Byrnes (Y)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Kevin Chorath (K)

Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Seerat Poonia (S)

Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Changgee Chang (C)

Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Evan M Graboyes (EM)

Department of Otolaryngology, Medical University of South Carolina, Charleston, South Carolina, USA.

Andrés M Bur (AM)

Department of Otolaryngology, School of Medicine, University of Kansas, Kansas City, Kansas, USA.

Punam Thakkar (P)

Department of Otolaryngology, George Washington University, Washington, DC, USA.

Jie Deng (J)

Department of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Rahul Seth (R)

Department of Otolaryngology, University of San Francisco, San Francisco, California, USA.

Samuel Trosman (S)

Department of Otolaryngology, Mt. Sinai Health System, New York City, New York, USA.

Anni Wong (A)

Department of Otolaryngology, Mt. Sinai Health System, New York City, New York, USA.

Benjamin M Laitman (BM)

Department of Otolaryngology, Mt. Sinai Health System, New York City, New York, USA.

Janki Shah (J)

Department of Otolaryngology, Cleveland Clinic, Cleveland, Ohio, USA.

Vanessa Stubbs (V)

Department of Otolaryngology, University of Miami, Miami, Florida, USA.

Qi Long (Q)

Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Garret Choby (G)

Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, USA.

Christopher H Rassekh (CH)

Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Erica R Thaler (ER)

Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Karthik Rajasekaran (K)

Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Classifications MeSH