Giuseppina Lo Moro, Gianmarco Giacomini, Giacomo Scaioli, Cecilia Acuti Martellucci, Davide Alba, Laura Brunelli, Silvio Brusaferro, Maria Elena Flacco, Walter Mazzucco, Lorenzo Fronticelli Baldelli, Paolo Leombruni, Fabrizio Bert, Roberta Siliquini
{"title":"流行病对住院医生培训和心理健康的影响:一项意大利多中心前瞻性研究","authors":"Giuseppina Lo Moro, Gianmarco Giacomini, Giacomo Scaioli, Cecilia Acuti Martellucci, Davide Alba, Laura Brunelli, Silvio Brusaferro, Maria Elena Flacco, Walter Mazzucco, Lorenzo Fronticelli Baldelli, Paolo Leombruni, Fabrizio Bert, Roberta Siliquini","doi":"10.4415/ANN_24_04_07","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe the mental health of Italian medical residents during COVID-19 pandemic and explore the impact of personal and work-related changes on their mental health.</p><p><strong>Methods: </strong>A multicentre prospective study was conducted on a sample of Italian residents across five timepoints (February-October 2021). Mental health outcomes (symptoms of post-traumatic stress disorder, PTSD, depression, anxiety, poor sleep quality) were assessed. Regressions analysed the association between pandemic-related personal and professional changes and the mental health outcomes.</p><p><strong>Results: </strong>Participants were 451. From February to October 2021, the prevalence of symptoms ranged from 21.6% to 12.7% (PTSD), 29.8% to 16.2% (depression), 36.2% to 28.8% (anxiety), 15.2% to 5.7% (sleep). Several work-related changes were significantly associated with symptoms, e.g. a perceived negative training change was associated with all outcomes; increased working hours with PTSD, depression, and anxiety; reallocation to tasks far from expertise area with PTSD.</p><p><strong>Conclusions: </strong>Residents reported a relevant frequency of mental issues. Many work-related changes were associated with poor mental health.</p>","PeriodicalId":502090,"journal":{"name":"Annali dell'Istituto superiore di sanita","volume":"60 4","pages":"283-293"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pandemic impact on training and mental health of medical residents: an Italian multicentre prospective study.\",\"authors\":\"Giuseppina Lo Moro, Gianmarco Giacomini, Giacomo Scaioli, Cecilia Acuti Martellucci, Davide Alba, Laura Brunelli, Silvio Brusaferro, Maria Elena Flacco, Walter Mazzucco, Lorenzo Fronticelli Baldelli, Paolo Leombruni, Fabrizio Bert, Roberta Siliquini\",\"doi\":\"10.4415/ANN_24_04_07\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To describe the mental health of Italian medical residents during COVID-19 pandemic and explore the impact of personal and work-related changes on their mental health.</p><p><strong>Methods: </strong>A multicentre prospective study was conducted on a sample of Italian residents across five timepoints (February-October 2021). Mental health outcomes (symptoms of post-traumatic stress disorder, PTSD, depression, anxiety, poor sleep quality) were assessed. Regressions analysed the association between pandemic-related personal and professional changes and the mental health outcomes.</p><p><strong>Results: </strong>Participants were 451. From February to October 2021, the prevalence of symptoms ranged from 21.6% to 12.7% (PTSD), 29.8% to 16.2% (depression), 36.2% to 28.8% (anxiety), 15.2% to 5.7% (sleep). Several work-related changes were significantly associated with symptoms, e.g. a perceived negative training change was associated with all outcomes; increased working hours with PTSD, depression, and anxiety; reallocation to tasks far from expertise area with PTSD.</p><p><strong>Conclusions: </strong>Residents reported a relevant frequency of mental issues. Many work-related changes were associated with poor mental health.</p>\",\"PeriodicalId\":502090,\"journal\":{\"name\":\"Annali dell'Istituto superiore di sanita\",\"volume\":\"60 4\",\"pages\":\"283-293\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annali dell'Istituto superiore di sanita\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4415/ANN_24_04_07\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annali dell'Istituto superiore di sanita","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4415/ANN_24_04_07","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Pandemic impact on training and mental health of medical residents: an Italian multicentre prospective study.
Objective: To describe the mental health of Italian medical residents during COVID-19 pandemic and explore the impact of personal and work-related changes on their mental health.
Methods: A multicentre prospective study was conducted on a sample of Italian residents across five timepoints (February-October 2021). Mental health outcomes (symptoms of post-traumatic stress disorder, PTSD, depression, anxiety, poor sleep quality) were assessed. Regressions analysed the association between pandemic-related personal and professional changes and the mental health outcomes.
Results: Participants were 451. From February to October 2021, the prevalence of symptoms ranged from 21.6% to 12.7% (PTSD), 29.8% to 16.2% (depression), 36.2% to 28.8% (anxiety), 15.2% to 5.7% (sleep). Several work-related changes were significantly associated with symptoms, e.g. a perceived negative training change was associated with all outcomes; increased working hours with PTSD, depression, and anxiety; reallocation to tasks far from expertise area with PTSD.
Conclusions: Residents reported a relevant frequency of mental issues. Many work-related changes were associated with poor mental health.