期刊
GENERAL HOSPITAL PSYCHIATRY
卷 66, 期 -, 页码 1-8出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2020.06.007
关键词
COVID-19; Distress; Anxiety; Depression; Insomnia; Coping; Healthcare worker
类别
资金
- American Heart Association [18AMFDP34380732]
- NIH/NHLBI [K23HL141682-01A1, R01HL146636-01A1, R01HL141494, R01HL146911, R01 HL 141811, R01 HL 146911, R01-HL123368, R01HL117832, R21 HL 145970]
- NIH [NIA U24AG052175, P30AG064198]
- NHLBI [R01HL132347]
- Agency for Healthcare Research and Quality (AHRQ) [R01-HS024262]
- NIA [P30 AG064198]
Objective: The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. Methods: This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th-April 24th 2020) at a large medical center in NYC (n = 657). Results: Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaffs rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. Conclusions: NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.
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