Occurrences of post-traumatic stress disorder, anxiety, depression, and burnout syndrome in ICU staff workers after two-year of the COVID-19 pandemic: the international PSY-CO in ICU study.

Anxiety Burnout syndrome Depression ICU staff worker Intensive care unit Post-traumatic stress disorder

Journal

Annals of general psychiatry
ISSN: 1744-859X
Titre abrégé: Ann Gen Psychiatry
Pays: England
ID NLM: 101236515

Informations de publication

Date de publication:
03 Jan 2024
Historique:
received: 18 08 2023
accepted: 10 12 2023
medline: 4 1 2024
pubmed: 4 1 2024
entrez: 4 1 2024
Statut: epublish

Résumé

The present study aimed at assessing the prevalences of post-traumatic stress disorder (PTSD) (main objective), anxiety, depression, and burnout syndrome (BOS) and their associated factors in intensive care unit (ICU) staff workers in the second year of the COVID-19 pandemic. An international cross-sectional multicenter ICU-based online survey was carried out among the ICU staff workers in 20 ICUs across 3 continents. ICUs staff workers (both caregivers and non-caregivers) were invited to complete PCL-5, HADS, and MBI questionnaires for assessing PTSD, anxiety, depression, and the different components of BOS, respectively. A personal questionnaire was used to isolate independent associated factors with these disorders. PCL-5, HADS, and MBI questionnaires were completed by 585, 570, and 539 responders, respectively (525 completed all questionnaires). PTSD was diagnosed in 98/585 responders (16.8%). Changing familial environment, being a non-caregiver staff worker, having not being involved in a COVID-19 patient admission, having not been provided with COVID-19-related information were associated with PTSD. Anxiety was reported in 130/570 responders (22.8%). Working in a public hospital, being a woman, being financially impacted, being a non-clinical healthcare staff member, having no theoretical or practical training on individual preventive measures, and fear of managing COVID-19 patients were associated with anxiety. Depression was reported in 50/570 responders (8.8%). Comorbidity at risk of severe COVID-19, working in a public hospital, looking after a child, being a non-caregiver staff member, having no information, and a request for moving from the unit were associated with depression. Having received no information and no adequate training for COVID-19 patient management were associated with all 3 dimensions of BOS. The present study confirmed that ICU staff workers, whether they treated COVID-19 patients or not, have a substantial prevalence of psychological disorders.

Identifiants

DOI: 10.1186/s12991-023-00488-5 PMID: 38172994
pubmed: 38172994
doi: 10.1186/s12991-023-00488-5
pii: 10.1186/s12991-023-00488-5
doi:

Types de publication

Journal Article

Langues

eng

Pagination

3

Informations de copyright

© 2023. The Author(s).

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Auteurs

Claire Roger (C)

Division of Anesthesia Critical Care, Pain and Emergency Medicine, Nimes University Hospital, UR‑UM103 IMAGINE, University of Montpellier, Montpellier, France.

Lowel Ling (L)

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong, SAR, China.

Mélissa Petrier (M)

Department of Biostatistics, Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nimes, IDESP, INSERM, University of Montpellier, Nîmes, France.
Biostatistics Department, Centre Hospitalier Annecy Genevois, Annecy, France.

Loubna Elotmani (L)

Division of Anesthesia Critical Care, Pain and Emergency Medicine, Nimes University Hospital, UR‑UM103 IMAGINE, University of Montpellier, Montpellier, France.

Enora Atchade (E)

Department of Anesthesiology and Critical Care Medicine, Assistance Publique-Hôpitaux de Paris (AP-HP), Bichat-Claude Bernard Hospital, Paris, France.

Bernard Allaouchiche (B)

Service d'Anesthésie Réanimation, Hospices Civils de Lyon, Pierre-Bénite, France.

Frédéric Aubrun (F)

Department of Anesthesiology and Critical Care, Hôpital de la Croix Rousse, 69317, Lyon, France.

Jean-Michel Constantin (JM)

Department of Anesthesiology, Critical Care and Perioperative Medicine, Sorbonne Université, GRC 29, AP-HP, DMU DREAM, Hôpital Pitié-Salpetrière, Paris, France.

Claire Dahyot-Fizelier (C)

Department of Anesthesia, Intensive Care and Perioperative Medicine, University Hospital of Poitiers, Poitiers, France.
INSERM U1070, Pharmacologie des Agents Anti-Infectieux, Poitiers, France.

Nathalie Delhaye (N)

Department of Anesthesiology and Critical Care Medicine, Hôpital Européen Georges Pompidou, AP-HP, Paris, France.

Hervé Dupont (H)

Anesthesiology and Critical Care Medicine, Centre Hospitalier Universitaire d'Amiens Picardie, Amiens, France.

Marc-Olivier Fischer (MO)

Normandy University, UNICAEN, CHU de Caen Normandie, Ecole Doctorale NBISE 497, Service d'Anesthésie Réanimation, Caen, France.
Institut Aquitain du Coeur, Clinique Saint Augustin, Elsan, 114 Avenue d'Arès, 33074, Bordeaux Cedex, France.

Marc Garnier (M)

Département Médico-Universitaire DREAM, Sorbonne Université, GRC 29, AP-HP, Service d'Anesthésie-Réanimation et Médecine Péri-Opératoire Rive Droite Tenon-Saint Antoine, Paris, France.
CHU de Clermont-Ferrand, Université Clermont Auvergne, Service d'Anesthésie-Réanimation et Médecine Périopératoire, 58 Rue Montalembert, 63000, Clermont-Ferrand, France.

Etienne Gayat (E)

Department of Anesthesiology and Critical Care, APHP. Nord, DMU Parabol, Université de Paris, Paris, France.
UMR-S 942 "MASCOT," Inserm, Paris, France.

Carole Ichai (C)

Département Anesthésie-Réanimation, Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Nice, France.

Samir Jaber (S)

Department of Anaesthesia and Intensive Care Unit, Regional University Hospital of Montpellier, St-Eloi Hospital, University of Montpellier, PhyMedExp, INSERM U1046, CNRS UMR, 9214, Montpellier Cedex 5, France.

Jérome Morel (J)

Surgical ICU, Saint-Etienne University Hospital, Saint-Etienne, France.
Jacques Lisfranc Medical School, Saint-Etienne University, Saint-Etienne, France.

Benoit Plaud (B)

Université Paris Cité, AP-HP. Nord, Hôpital Saint-Louis, DMU PARABOL, Service d'Anesthésie-Réanimation-CTB, 75010, Paris, France.

Thomas Rimmelé (T)

Claude Bernard Lyon 1, Centre Lyonnais d'Enseignement par la Simulation en Santé (CLESS), Lyon, France.
EA 7426, PI3 (Pathophysiology of Injury-Induced Immunosuppression), Claude Bernard University Lyon 1-Biomérieux-Hospices Civils de Lyon, Lyon, France.
Service d'Anesthésie-Réanimation, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.

Sylvaine Robin (S)

Department of Anesthesia and Critical Care, France Université Grenoble Alpes, CHU Grenoble Alpes, Grenoble, France.

Renee Saba (R)

Department of Intensive Care Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.

Gavin M Joynt (GM)

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong, SAR, China.

Jean-Yves Lefrant (JY)

Division of Anesthesia Critical Care, Pain and Emergency Medicine, Nimes University Hospital, UR‑UM103 IMAGINE, University of Montpellier, Montpellier, France. jean.yves.lefrant@chu-nimes.fr.

Pascale Fabbro-Peray (P)

Department of Biostatistics, Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nimes, IDESP, INSERM, University of Montpellier, Nîmes, France.

Jeffrey Lipman (J)

Division of Anesthesia Critical Care, Pain and Emergency Medicine, Nimes University Hospital, UR‑UM103 IMAGINE, University of Montpellier, Montpellier, France.
Department of Intensive Care Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
UQ Centre for Clinical Research, The University of Queensland, Brisbane, QLD, 4029, Australia.

Ismael Conejero (I)

Department of Psychiatry, Nimes University Hospital, Nimes, France.
Laboratory of Biochemistry and Molecular Biology, Nimes University Hospital, University of Montpellier, Nimes, France.
Institut de Génomique Fonctionnelle, University of Montpellier, CNRS-INSERM, Montpellier, France.

Kevin Laupland (K)

Department of Intensive Care Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Queensland University of Technology (QUT), Brisbane, QLD, Australia.

Classifications MeSH