Surviving SARS and living through COVID-19: Healthcare worker mental health outcomes and insights for coping.
Adaptation, Psychological
/ physiology
Adolescent
Adult
Allied Health Personnel
Anxiety
/ psychology
Anxiety Disorders
/ psychology
COVID-19
/ epidemiology
Canada
Cross-Sectional Studies
Depression
/ psychology
Disease Outbreaks
Female
Health Personnel
/ psychology
Humans
Male
Mental Health
Middle Aged
Outcome Assessment, Health Care
Pandemics
/ statistics & numerical data
Patient Health Questionnaire
Psychological Distress
SARS-CoV-2
/ pathogenicity
Severe Acute Respiratory Syndrome
/ epidemiology
Stress Disorders, Post-Traumatic
/ psychology
Surveys and Questionnaires
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
06
04
2021
accepted:
07
10
2021
entrez:
10
11
2021
pubmed:
11
11
2021
medline:
25
11
2021
Statut:
epublish
Résumé
Explore how previous work during the 2003 Severe Acute Respiratory Syndrome (SARS) outbreak affects the psychological response of clinical and non-clinical healthcare workers (HCWs) to the current COVID-19 pandemic. A cross-sectional, multi-centered hospital online survey of HCWs in the Greater Toronto Area, Canada. Mental health outcomes of HCWs who worked during the COVID-19 pandemic and the SARS outbreak were assessed using Impact of Events-Revised scale (IES-R), Generalized Anxiety Disorder scale (GAD-7), and Patient Health Questionnaire (PHQ-9). Among 3852 participants, moderate/severe scores for symptoms of post- traumatic stress disorder (PTSD) (50.2%), anxiety (24.6%), and depression (31.5%) were observed among HCWs. Work during the 2003 SARS outbreak was reported by 1116 respondents (29.1%), who had lower scores for symptoms of PTSD (P = .002), anxiety (P < .001), and depression (P < .001) compared to those who had not worked during the SARS outbreak. Multivariable logistic regression analysis showed non-clinical HCWs during this pandemic were at higher risk of anxiety (OR, 1.68; 95% CI, 1.19-2.15, P = .01) and depressive symptoms (OR, 2.03; 95% CI, 1.34-3.07, P < .001). HCWs using sedatives (OR, 2.55; 95% CI, 1.61-4.03, P < .001), those who cared for only 2-5 patients with COVID-19 (OR, 1.59; 95% CI, 1.06-2.38, P = .01), and those who had been in isolation for COVID-19 (OR, 1.36; 95% CI, 0.96-1.93, P = .05), were at higher risk of moderate/severe symptoms of PTSD. In addition, deterioration in sleep was associated with symptoms of PTSD (OR, 4.68, 95% CI, 3.74-6.30, P < .001), anxiety (OR, 3.09, 95% CI, 2.11-4.53, P < .001), and depression (OR 5.07, 95% CI, 3.48-7.39, P < .001). Psychological distress was observed in both clinical and non-clinical HCWs, with no impact from previous SARS work experience. As the pandemic continues, increasing psychological and team support may decrease the mental health impacts.
Identifiants
pubmed: 34758047
doi: 10.1371/journal.pone.0258893
pii: PONE-D-21-11331
pmc: PMC8580217
doi:
Types de publication
Clinical Trial
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0258893Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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