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.

IF 3.6 3区 医学 Q1 PSYCHIATRY Annals of General Psychiatry Pub Date : 2024-01-03 DOI:10.1186/s12991-023-00488-5
Claire Roger, Lowel Ling, Mélissa Petrier, Loubna Elotmani, Enora Atchade, Bernard Allaouchiche, Frédéric Aubrun, Jean-Michel Constantin, Claire Dahyot-Fizelier, Nathalie Delhaye, Hervé Dupont, Marc-Olivier Fischer, Marc Garnier, Etienne Gayat, Carole Ichai, Samir Jaber, Jérome Morel, Benoit Plaud, Thomas Rimmelé, Sylvaine Robin, Renee Saba, Gavin M Joynt, Jean-Yves Lefrant, Pascale Fabbro-Peray, Jeffrey Lipman, Ismael Conejero, Kevin Laupland
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Abstract

Purpose: 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.

Materials and methods: 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.

Results: 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.

Conclusion: The present study confirmed that ICU staff workers, whether they treated COVID-19 patients or not, have a substantial prevalence of psychological disorders.

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COVID-19大流行两年后重症监护室工作人员创伤后应激障碍、焦虑、抑郁和职业倦怠综合征的发生率:重症监护室 PSY-CO 国际研究。
目的:本研究旨在评估 COVID-19 大流行第二年重症监护病房(ICU)工作人员中创伤后应激障碍(PTSD)(主要目标)、焦虑、抑郁和职业倦怠综合征(BOS)的患病率及其相关因素:对 3 大洲 20 个 ICU 的 ICU 工作人员进行了一项基于 ICU 的国际横断面多中心在线调查。调查邀请 ICU 工作人员(包括护理人员和非护理人员)填写 PCL-5、HADS 和 MBI 问卷,分别用于评估创伤后应激障碍、焦虑、抑郁和 BOS 的不同组成部分。此外,还使用了一份个人问卷,以分离出与这些疾病相关的独立因素:分别有 585 人、570 人和 539 人填写了 PCL-5、HADS 和 MBI 问卷(525 人填写了所有问卷)。98/585名受访者(16.8%)被诊断出患有创伤后应激障碍。家庭环境的改变、作为非护理人员的工作人员、未参与过 COVID-19 患者的收治、未获得过 COVID-19 的相关信息都与创伤后应激障碍有关。130/570名受访者(22.8%)报告患有焦虑症。在公立医院工作、身为女性、经济状况不佳、非临床医护人员、未接受过关于个人预防措施的理论或实践培训以及害怕管理 COVID-19 患者与焦虑有关。有 50/570 名应答者(8.8%)报告患有抑郁症。合并严重 COVID-19 风险、在公立医院工作、照顾孩子、非护理人员、未获得任何信息以及被要求搬离病房与抑郁有关。未获得任何信息和未接受过有关 COVID-19 患者管理的适当培训与 BOS 的所有 3 个维度均有关联:本研究证实,重症监护病房的工作人员无论是否治疗过 COVID-19 患者,其心理障碍的发生率都很高。
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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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