A Multi-Site Survey Study on the Association Between the COVID-19 Pandemic and United States Anesthesiology Residents' Mental Health.
anesthesia
covid-19
impact of covid-19
mental health
post grad medical education
resident well-being
u.s. medical residency
year 2 students
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
accepted:
08
02
2023
entrez:
14
3
2023
pubmed:
15
3
2023
medline:
15
3
2023
Statut:
epublish
Résumé
At the onset of the coronavirus disease 2019 (COVID-19) pandemic, anesthesiology residency programs were impacted differently due to various factors such as the local severity of COVID-19, exposure to patient suffering, and inability to complete rotations. We sought to investigate the impact of local-level pandemic severity on the well-being of anesthesiology residents. This multi-site study surveyed postgraduate year two residents from 15 United States (US) anesthesiology programs using the Perceived Stress Scale, Mini-Z, Patient Health Questionnaire-9,WHO-5 Well-Being Index,and the Multidimensional Scale of Perceived Social Support before the pandemic (baseline survey) and during the first COVID-19 surge (post survey). A total of 144 (65%) residents responded to the initial baseline survey; 73 (33%) responded to the post survey, and 49 (22%) completed both surveys. There was not a statistically significant difference in any well-being outcomes of participants between the surveys, nor was there a significant difference based on the severity of COVID-19 impact at the program's hospital. Male participants had higher perceived stress scores (β = 4.05, 95%CI: 0.42, 7.67, P = 0.03) and lower social support from family (β = -6.57, 95%CI: -11.64, -1.51, P = 0.01) at the post survey compared to female participants after controlling for baseline scores. Additionally, married participants or those with domestic partners reported higher perceived social support in the post survey (β = 5.79, 95%CI: -0.65, 12.23, P = 0.03). The local COVID-19 severity at a residency program did not disproportionately impact well-being scores among anesthesiology residents. Those most vulnerable to diminished well-being appeared to be male and single participants. As a result, targeted well-being interventions, including those aiming to increase social support, to higher-risk resident groups may be indicated. Future work is needed to assess the longstanding COVID-19 pandemic impacts on resident well-being.
Sections du résumé
BACKGROUND
BACKGROUND
At the onset of the coronavirus disease 2019 (COVID-19) pandemic, anesthesiology residency programs were impacted differently due to various factors such as the local severity of COVID-19, exposure to patient suffering, and inability to complete rotations. We sought to investigate the impact of local-level pandemic severity on the well-being of anesthesiology residents.
METHODS
METHODS
This multi-site study surveyed postgraduate year two residents from 15 United States (US) anesthesiology programs using the Perceived Stress Scale, Mini-Z, Patient Health Questionnaire-9,WHO-5 Well-Being Index,and the Multidimensional Scale of Perceived Social Support before the pandemic (baseline survey) and during the first COVID-19 surge (post survey).
RESULTS
RESULTS
A total of 144 (65%) residents responded to the initial baseline survey; 73 (33%) responded to the post survey, and 49 (22%) completed both surveys. There was not a statistically significant difference in any well-being outcomes of participants between the surveys, nor was there a significant difference based on the severity of COVID-19 impact at the program's hospital. Male participants had higher perceived stress scores (β = 4.05, 95%CI: 0.42, 7.67, P = 0.03) and lower social support from family (β = -6.57, 95%CI: -11.64, -1.51, P = 0.01) at the post survey compared to female participants after controlling for baseline scores. Additionally, married participants or those with domestic partners reported higher perceived social support in the post survey (β = 5.79, 95%CI: -0.65, 12.23, P = 0.03).
CONCLUSION
CONCLUSIONS
The local COVID-19 severity at a residency program did not disproportionately impact well-being scores among anesthesiology residents. Those most vulnerable to diminished well-being appeared to be male and single participants. As a result, targeted well-being interventions, including those aiming to increase social support, to higher-risk resident groups may be indicated. Future work is needed to assess the longstanding COVID-19 pandemic impacts on resident well-being.
Identifiants
pubmed: 36915835
doi: 10.7759/cureus.34782
pmc: PMC10005895
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e34782Informations de copyright
Copyright © 2023, Chen et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Epidemiol Rev. 2008;30:133-54
pubmed: 18653727
Psychiatry Res. 2020 Aug;290:113146
pubmed: 32502830
Head Neck. 2020 Jul;42(7):1597-1609
pubmed: 32496637
Stress Health. 2019 Apr;35(2):157-175
pubmed: 30467949
Ann Vasc Surg. 2021 Apr;72:182-190
pubmed: 33157252
Gen Hosp Psychiatry. 2020 Sep - Oct;66:1-8
pubmed: 32590254
Br J Anaesth. 2020 Oct;125(4):450-455
pubmed: 32773215
Gen Hosp Psychiatry. 2006 Jan-Feb;28(1):71-7
pubmed: 16377369
J Pers Assess. 1990 Winter;55(3-4):610-7
pubmed: 2280326
Crit Care. 2020 Jun 30;24(1):388
pubmed: 32605580
BMC Public Health. 2021 Jan 7;21(1):79
pubmed: 33413224
Psychother Psychosom. 2015;84(3):167-76
pubmed: 25831962
Int J Environ Res Public Health. 2020 Sep 09;17(18):
pubmed: 32916996
J Health Soc Behav. 1983 Dec;24(4):385-96
pubmed: 6668417
BMC Psychiatry. 2017 Jun 29;17(1):234
pubmed: 28662694
Indian J Anaesth. 2020 Sep;64(9):774-783
pubmed: 33162572
J Surg Educ. 2021 Mar-Apr;78(2):422-430
pubmed: 32792326
J Biomed Inform. 2019 Jul;95:103208
pubmed: 31078660
Med Educ Online. 2020 Dec;25(1):1818439
pubmed: 32924869
Anesth Analg. 2021 Mar 1;132(3):585-593
pubmed: 33201006
JMIR Ment Health. 2020 Sep 25;7(9):e22408
pubmed: 32915764