Long-term psycho-traumatic consequences of the COVID-19 health crisis among emergency department healthcare workers.

COVID‐19 anxiety burnout emergency department healthcare workers post‐traumatic stress disorder

Journal

Stress and health : journal of the International Society for the Investigation of Stress
ISSN: 1532-2998
Titre abrégé: Stress Health
Pays: England
ID NLM: 101089166

Informations de publication

Date de publication:
07 Sep 2024
Historique:
revised: 21 08 2024
received: 05 04 2024
accepted: 01 09 2024
medline: 7 9 2024
pubmed: 7 9 2024
entrez: 7 9 2024
Statut: aheadofprint

Résumé

Assess the changes in post-traumatic stress disorder (PTSD), burnout, anxiety, depression, jobstrain, and isostrain levels over time among healthcare workers in emergency departments (EDs) after successive outbreaks of COVID-19. A prospective, multicenter study was conducted in 3 EDs and an emergency medical service. Healthcare workers who participated in our previous study were invited to participate in a follow-up 16 and 18 months and completed the questionnaires to assess symptoms of PTSD, burnout, anxiety, depression, jobstrain, and isostrain. Among the 485 healthcare workers asked to participate, 211 (43.5%) completed the survey at inclusion (122 were followed up at 3 months) and 59 participate to the follow-up study. At 16 months, 10.9% of healthcare workers had symptoms of PTSD and 17.4% at 18 months. At inclusion, 33.5% and 11.7% of healthcare workers had symptoms of anxiety and depression, respectively. A decrease in anxiety between inclusion and 16 months (p = 0.02) and an increase between 16 and 18 months (p = 0.009) was observed. At inclusion, 40.8% of all healthcare workers had symptoms of burnout. There was an increase in symptoms of burnout between inclusion and 18 months (p = 0.006). At inclusion, 43.2% and 29.5% of healthcare workers were exposed to jobstrain and isostrain, respectively. Jobstrain were higher among paramedics and administrative staff compared to physicians (p = 0.001 and p = 0.026, respectively). Successive outbreaks of COVID-19 led to long-term mental health consequences among ED healthcare workers that differed according to occupation. This must be taken into account to rethink the management of teams.

Identifiants

pubmed: 39243230
doi: 10.1002/smi.3478
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e3478

Subventions

Organisme : Fondation Hospices Civils de Lyon

Informations de copyright

© 2024 The Author(s). Stress and Health published by John Wiley & Sons Ltd.

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Auteurs

Marion Douplat (M)

Emergency Department, Hospices Civils of Lyon, Lyon Sud Hospital, Lyon, France.
Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM, Lyon, France.
Aix-Marseille University/ EFS / CNRS, Marseille, France.

Marie Curtet (M)

Emergency Department, Hospices Civils of Lyon, Lyon Sud Hospital, Lyon, France.

Anne Termoz (A)

Pôle de Santé Publique, Service de Recherche et D'épidémiologie Cliniques, Hospices Civils de Lyon, Lyon, France.

Fabien Subtil (F)

Service de Biostatistique, Hospices Civils de Lyon, Lyon, France.
Laboratoire de Biométrie et Biologie Évolutive UMR 5558, Université de Lyon Université Lyon 1, CNRS, Villeurbanne, France.

Mad Hélénie Elsensohn (MH)

Service de Biostatistique, Hospices Civils de Lyon, Lyon, France.

Stéphanie Mazza (S)

Université Claude Bernard Lyon 1, CNRS, INSERM, Centre de Recherche en Neurosciences de Lyon CRNL U1028 UMR5292, FORGETTING, Bron, France.

Laurent Jacquin (L)

Emergency Department, Hospices Civils of Lyon, Edouard Herriot Hospital, Lyon, France.

Bénédicte Clément (B)

Emergency Department, Hospices Civils of Lyon, Croix Rousse Hospital, Lyon, France.

Jean-Baptiste Fassier (JB)

Occupational Health and Medicine Department, Hospices Civils de Lyon, Lyon, France.
University Lyon, Université Claude Bernard Lyon 1, Unité Mixte de Recherche, Epidémiologique et de Surveillance Transport Travail Environnement, UMRESTTE UMR, Lyon, France.

Ludivine Nohales (L)

Occupational Health and Medicine Department, Hospices Civils de Lyon, Lyon, France.
University Lyon, Université Claude Bernard Lyon 1, Unité Mixte de Recherche, Epidémiologique et de Surveillance Transport Travail Environnement, UMRESTTE UMR, Lyon, France.

Julien Berthiller (J)

Pôle de Santé Publique, Service de Recherche et D'épidémiologie Cliniques, Hospices Civils de Lyon, Lyon, France.

Julie Haesebaert (J)

Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM, Lyon, France.
Pôle de Santé Publique, Service de Recherche et D'épidémiologie Cliniques, Hospices Civils de Lyon, Lyon, France.

Karim Tazarourte (K)

Université Claude Bernard Lyon 1, Research on Healthcare Performance (RESHAPE), INSERM, Lyon, France.
Emergency Department, Hospices Civils of Lyon, Edouard Herriot Hospital, Lyon, France.

Classifications MeSH