Mental health and stress among ICU healthcare professionals in France according to intensity of the COVID-19 epidemic.

COVID-19 Healthcare professionals ICU Mental health Stress factors

Journal

Annals of intensive care
ISSN: 2110-5820
Titre abrégé: Ann Intensive Care
Pays: Germany
ID NLM: 101562873

Informations de publication

Date de publication:
04 Jun 2021
Historique:
received: 16 10 2020
accepted: 21 05 2021
entrez: 5 6 2021
pubmed: 6 6 2021
medline: 6 6 2021
Statut: epublish

Résumé

We investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France. This cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses. In total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08-0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09-0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02-0.20). Perceived stress mediated the impact of the crisis context on mental health (B = 0.23, 95%-CI = 0.05, 0.41) and the impact of stress on mental health was moderated by positive thinking, b = - 0.32, 95% CI = - 0.54, - 0.11. COVID-19 negatively impacted the mental health of ICU professionals. Professionals working in zones where the epidemic was of high intensity were significantly more affected, with higher levels of perceived stress. This study is supported by a grant from the French Ministry of Health (PHRC-COVID 2020).

Sections du résumé

BACKGROUND BACKGROUND
We investigated the impact of the COVID-19 crisis on mental health of professionals working in the intensive care unit (ICU) according to the intensity of the epidemic in France.
METHODS METHODS
This cross-sectional survey was conducted in 77 French hospitals from April 22 to May 13 2020. All ICU frontline healthcare workers were eligible. The primary endpoint was the mental health, assessed using the 12-item General Health Questionnaire. Sources of stress during the crisis were assessed using the Perceived Stressors in Intensive Care Units (PS-ICU) scale. Epidemic intensity was defined as high or low for each region based on publicly available data from Santé Publique France. Effects were assessed using linear mixed models, moderation and mediation analyses.
RESULTS RESULTS
In total, 2643 health professionals participated; 64.36% in high-intensity zones. Professionals in areas with greater epidemic intensity were at higher risk of mental health issues (p < 0.001), and higher levels of overall perceived stress (p < 0.001), compared to low-intensity zones. Factors associated with higher overall perceived stress were female sex (B = 0.13; 95% confidence interval [CI] = 0.08-0.17), having a relative at risk of COVID-19 (B = 0.14; 95%-CI = 0.09-0.18) and working in high-intensity zones (B = 0.11; 95%-CI = 0.02-0.20). Perceived stress mediated the impact of the crisis context on mental health (B = 0.23, 95%-CI = 0.05, 0.41) and the impact of stress on mental health was moderated by positive thinking, b = - 0.32, 95% CI = - 0.54, - 0.11.
CONCLUSION CONCLUSIONS
COVID-19 negatively impacted the mental health of ICU professionals. Professionals working in zones where the epidemic was of high intensity were significantly more affected, with higher levels of perceived stress. This study is supported by a grant from the French Ministry of Health (PHRC-COVID 2020).

Identifiants

pubmed: 34089117
doi: 10.1186/s13613-021-00880-y
pii: 10.1186/s13613-021-00880-y
pmc: PMC8177250
doi:

Types de publication

Journal Article

Langues

eng

Pagination

90

Subventions

Organisme : Direction Générale de l'offre de Soins
ID : PHRC 2020

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Auteurs

Alexandra Laurent (A)

Laboratoire de Psychologie: Dynamiques Relationnelles et Processus Identitaires (PsyDREPI), Université de Bourgogne Franche-Comté, Dijon, France.
Department of Anaesthesiology and Critical Care Medicine, Dijon University Medical Centre, Dijon, France.

Alicia Fournier (A)

Laboratoire de Psychologie: Dynamiques Relationnelles et Processus Identitaires (PsyDREPI), Université de Bourgogne Franche-Comté, Dijon, France.

Florent Lheureux (F)

Laboratoire de Psychologie, Université de Bourgogne Franche-Comté, Besançon, France.

Guillaume Louis (G)

Service de Réanimation Polyvalente et USC, Hôpital de Mercy, CHR Metz-Thionville, Thionville, France.

Saad Nseir (S)

Critical Care Center, CHU Lille and Lille University, Lille, France.

Gwenaelle Jacq (G)

Medical-Surgical Intensive Care Unit, CH de Versailles, Le Chesnay, France.

Cyril Goulenok (C)

Medical-Surgical Intensive Care Unit, Ramsay Générale de Santé, Hôpital Privé Jacques Cartier, Massy, France.

Grégoire Muller (G)

Service de Médecine Intensive-Réanimation, CHR d'Orléans, Orléans, France.

Julio Badie (J)

Service de Réanimation Polyvalente-USC, Hôpital Nord Franche-Comté, Trevenans, France.

Bélaïd Bouhemad (B)

Department of Anaesthesiology and Critical Care Medicine, Dijon University Medical Centre, Dijon, France.

Marjolaine Georges (M)

Service de Pneumologie, CHU Dijon, Dijon, France.

Paul-Michel Mertes (PM)

Department of Anesthesia and Intensive Care, Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil, Strasbourg, France.

Hamid Merdji (H)

Faculté de Médecine, Université de Strasbourg (UNISTRA), Strasbourg, France.
Service de Médecine Intensive-Réanimation, Hôpitaux Universitaires de Strasbourg, Nouvel Hôpital Civil, Strasbourg, France.

Vincent Castelain (V)

Hôpitaux Universitaires de Strasbourg, Médecine Intensive - Réanimation, Hôpital de Hautepierre, Strasbourg, France.
Fédération de Médecine Translationnelle de Strasbourg, Faculté de Médecine, Université de Strasbourg, Strasbourg, France.

Caroline Abdulmalak (C)

Service de Médecine Intensive-Réanimation, CH de Chalon sur Saône, Chalon sur Saône, France.

Olivier Lesieur (O)

Intensive Care Unit, Groupement Hospitalier La Rochelle-Ré-Aunis, La Rochelle, France.

Gaëtan Plantefeve (G)

Service de Réanimation Polyvalente et USC, Argenteuil, France.

Jean-Claude Lacherade (JC)

Service de Médecine Intensive-Réanimation, CH de La Roche-sur-Yon, Chalon sur Saône, France.

Jean-Philippe Rigaud (JP)

Service de Médecine Intensive-Réanimation, CH de Dieppe, Dieppe, France.
Espace de Réflexion Éthique de Normandie, Université de Caen, Caen, France.

Nicholas Sedillot (N)

Réanimation Polyvalente, CH de Bourg-en-Bresse, Bourg-en-Bresse, France.

Damien Roux (D)

Service de Médecine Intensive Réanimation, Assistance Publique - Hôpitaux de Paris, Hôpital Louis Mourier, Colombes, France.
Université de Paris, INSERM, UMR 1137 Infection, Antimicrobials, Modelling, Evolution, Paris, France.

Nicolas Terzi (N)

Service de Réanimation Médicale, CHU de Grenoble, Grenoble, France.

Pascal Beuret (P)

Service de Réanimation-Soins Continus du CH de Roanne, Roanne, France.

Antoine Monsel (A)

Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.
Sorbonne University, INSERM, UMR-S 959, Immunology-Immunopathology-Immunotherapy (I3), Paris, France.
Biotherapy (CIC-BTi) and Inflammation-Immunopathology-Biotherapy Department (DHU i2B), Hôpital Pitié-Salpêtrière, AP-HP, Paris, France.

Anne-Laure Poujol (AL)

Multidisciplinary Intensive Care Unit, Department of Anesthesiology and Critical Care, La Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne University, Paris, France.
Équipe VCR, École de Psychologues Praticiens, Université Catholique de Paris, EA, 7403, Paris, France.
Laboratoire APEMAC, Université de Lorraine, EA 4360, Université́ de Lorraine, Metz, France.

Khaldoun Kuteifan (K)

Service de Réanimation Médicale, CH de Mulhouse, France.

Thierry Vanderlinden (T)

Service de Médecine Intensive Réanimation, Groupe des Hôpitaux de L'Institut Catholique de Lille (GHICL), France, Université Catholique de Lille, Lille, France.

Anne Renault (A)

Service de Réanimation Médicale et Urgences Médicales, CHU de Brest, Brest, France.

Bérengère Vivet (B)

Service de Réanimation Polyvalente, Groupe Hospitalier Intercommunal de La Haute-Saône, Site de Vesoul, Luxeuil-les-Bains, France.

Christophe Vinsonneau (C)

Service de Médecine Intensive Réanimation-Unité de Sevrage Ventilatoire et Réhabilitation, CH de Bethune, Bethune, France.

Saber Davide Barbar (SD)

Service des Réanimations, Faculté de Médecine de Montpellier-Nîmes, CHU de Nîmes, France and Université de Montpellier, Nîmes, France.

Gilles Capellier (G)

Réanimation Médicale, University Hospital Besançon, Besançon, France.
EA3920, University of Burgundy-Franche-Comté, Besançon, France.

Jean Dellamonica (J)

Medical ICU University Hospital of Nice/UR2CA, Tours, France.

Stephan Ehrmann (S)

Service de Médecine Intensive-Réanimation, Tours, France.
CIC INSERM 1415, CRICS-TriggerSep Network, Tours, France.
INSERM, Centre d'étude des pathologies respiratoires, Université de Tours, U1100, Tours, France.

Thomas Rimmelé (T)

Anesthesiology and Intensive Care Medicine, Edouard Herriot Hospital, Lyon, France.

Julien Bohé (J)

Service D'anesthésie - Réanimation-Médecine Intensive, CH Lyon-Sud, Hospices Civils de Lyon, Pierre Bénite, Tours, France.

Pierre Bouju (P)

Service Réanimation Polyvalente, Groupe Hospitalier Bretagne Sud, Lorient, France.

Sébastien Gibot (S)

Service de Réanimation Médicale, Hôpital Central, Nancy, France.

Bruno Lévy (B)

Service de Réanimation Médicale, Centre Hospitalier Universitaire Nancy Brabois, Nancy-France-Institut du Cœur et des Vaisseaux. Groupe Choc, équipe 2, Inserm U1116. Faculté de Médecine, Nancy-Brabois, France.

Johanna Temime (J)

Service de Réanimation Polyvalente, Lens, France.

Cyrille Pichot (C)

Unité de Surveillance Continue, CH de Dôle, Dôle, France.

David Schnell (D)

Service de Réanimation Polyvalente et USC, CH d'Angoulême, Angoulême, France.

Diane Friedman (D)

Service de Médecine Intensive et Réanimation, Hôpital Raymond Poincaré, Garches, France.

Pierre Asfar (P)

Département de Médecine Intensive-Réanimation, CHU Angers, Angers, France.

Eddy Lebas (E)

Service de Réanimation-USC de Bretagne Atlantique, Vannes, France.

Philippe Mateu (P)

Service de Médecine Intensive-Réanimation-Unité de Recherche Clinique Ardennes Nord, CH de Charleville-Mézieres, Charleville-Mézieres, France.

Kada Klouche (K)

Intensive Care Medicine Department, Lapeyronie Hospital, University Hospital of Montpellier-PhyMedExp, University of Montpellier, INSERM, CNRS, Montpellier, France.

Juliette Audibert (J)

Service de Réanimation Polyvalente, CH de Chartres, Hôpital Louis Pasteur, Le Coudray, France.

Fiona Ecarnot (F)

Department of Cardiology, University Hospital, Besançon, and EA3920, University of Burgundy-Franche-Comté, Besançon, France.

Nicolas Meunier-Beillard (N)

CIC 1432, Clinical Epidemiology, University of Burgundy, Dijon, France.
DRCI, USMR, Francois Mitterrand University Hospital, Dijon, France.

Mélanie Loiseau (M)

Service de Médecine Légale CHU Dijon, Cellule D'Urgence Médico-Psychologique de Bourgogne Franche-Comté, Dijon, France.

Irène François-Pursell (I)

Service de Médecine Légale CHU Dijon, Cellule D'Urgence Médico-Psychologique de Bourgogne Franche-Comté, Dijon, France.

Christine Binquet (C)

Inserm et CHU Dijon-Bourgogne, CIC1432, Module Epidémiologie Clinique, Dijon, France.

Jean-Pierre Quenot (JP)

Service de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, France-Equipe Lipness, centre de recherche INSERM UMR1231 et LabEx LipSTIC, Université de Bourgogne-Franche Comté, Dijon, France. jean-pierre.quenot@chu-dijon.fr.
INSERM, Module Épidémiologie Clinique, Université de Bourgogne Franche-Comté, CIC 1432, Dijon, France. jean-pierre.quenot@chu-dijon.fr.
Espace de Réflexion Éthique Bourgogne Franche-Comté (EREBFC), Besançon, France. jean-pierre.quenot@chu-dijon.fr.
Critical Care Department, University Hospital François Mitterrand, 14 rue Paul Gaffarel, 21079, Dijon, France. jean-pierre.quenot@chu-dijon.fr.

Classifications MeSH